HomeMy WebLinkAbout99-07427 (2)
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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
STATE OF PENNA.
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Defendant II
DECREE IN
DIVORCE
KATHY G. STONE, II
Plaintiff No. 99-7427
VERSUS
MICHAEL L. STONE
AND NOW,
2004 , IT IS ORDERED AND
DECREED THAT KATHY G. STONE ,PLAINTIFF,
AND
MICHAEL L. STONE
ARE DIVORCED FROM THE BONDS OF MATRIMONY.
, DEFENDANT,
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;
No issues are outstanding. All issues have been resolved and settled by
the Parties' Marriage Settlement Agreement dated April 17, 2004, filed
of record and incorporated into, but no erged wi h, this Decree.
BY TH
ATTEST: J
PROTHONOTARY
CIVIL TERM
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IN THE COe1RT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
KATHY G. STONE
Plaintiff
V. No. 99-7427 CIVIL TERM
MICHAEL L. STONE, CIVIL ACTION - LAW
Defendant DIVORCE
PRAECIPE OF 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 Section 3301(c) of the Divorce Code.
2. DATE OF FILING AND MANNER OF SERVICE OF THE COMPLAINT:
a. Date of filing of Complaint: 12/10/1999
b. Manner of Service of Complaint: Acceptance of Service Defendant's Atty.
C. Date of Service of Complaint: 12/21/1999
3. DATE OF EXECUTION OF THE AFFIDAVIT OF CONSENT REQUIRED BY SECTION 3301 (C) OF
THE DIVORCE CODE:
a. Plaintiff: 4/17/2004
b. Defendant: 4/23/2004
OR
DATE OF EXECUTION OF THE PLAINTIFF'S AFFIDAVIT REQUIRED BY SECTION 3301(D) OF
THE DIVORCE CODE AND DATE OF SERVICE OF THE PLAINTIFF'S 3301 (D) AFFIDAVIT UPON
THE DEFENDANT:
a. Date of Execution: N/A
b. Date of Filing: N/A
C. Date of Service: N/A
4. RELATED CLAIMS PENDING:
No issues are pending. All issues have been resolved pursuant to the parties'
Marital Agreement dated April 17, 2004, which Agreement is to be incorporated
into but not merged with the Divorce Decree.
5. DATE AND MANNER OF SERVICE OF THE NOTICE OF INTENTION TO FILE PRAECIPE TO
TRANSMIT RECORD, A COPY OF WHICH IS ATTACHED, IF THE DECREE IS TO BE ENTERED
UNDER SECTION 3301(D)(1)(I) OF THE DIVORCE CODE:
a. Date of Service: N/A
b. Manner of Service: N/A
OR
DATE WAIVER OF NOTICE IN SECTION 3301(C) DIVORCE WAS FILED WITH THE
PROTHONOTARY:
a. Plaintiff's Waiver: 4/26/04
b. Defendant's Waiver: 4/29/04
NE? DCLIFF, ESQUIRE
3448 Trindl Road
PA 17011
Supreme Court ID # 32112
Phone: (717) 737-0100
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DIANE G. RADCLIPP
3448 TRINDLE ROAD
CANIP HILL. PA 17011
(717) 737-0100
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
KATHY G. STONE,
Plaintiff l /ry
v. : NO. (?V
MICHAEL L. STONE,
Defendant
: CIVIL ACTION - LAW
: DIVORCE
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 divorce is indignities or irretrievable
breakdown of the marriage, you may request marriage counseling. A
list of marriage counselors is available in the office of the
Prothonotary at the Cumberland County Courthouse, Carlisle,
Pennsylvania.
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY,
COUNSEL FEES OR EXPENSES BEFORE THE FINAL DECREE OF DIVORCE OR
ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO
NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE
OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
%ND COUNTY BAR ASSOCIATION
2 LIBERTY AVENUE
CARLISLE, PA 17013
(717) 249-3166
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IN THE COURT OF COMMON PLEAS OF ,i
CUMBERLAND COUNTY, PENNSYLVANIA [(!!
KATHY G. STONE, plaintiff
NO. gel' -/'/2 CIVIL TERM
V.
MICHAEL L. STONE, CIVIL ACTION - LAW
Defendant DIVORCE
AND NOW, this Lb-yday of December, 1999, comes the Plaintiff,
KATHY G. STONE, by her attorney, DIANE G. RADCLIFF, ESQUIRE, and
files this Complaint in Divorce of which the following is a
statement:
nnr DIVORCE
1. The Plaintiff is KATHY G. STONE, an adult individual residing
at 46 Quill Road, Levittown, PA 19057-2017.
2• The Defendant is MICHAEL L. STONE, an adult individual
residing at 1400 Princeton Road, Mechanicsburg, PA 17055.
3. Plaintiff and/or Defendant have been bona fide residents of
the Commonwealth for at least six (6) months previous to the
filing of this Complaint.
4. Plaintiff and Defendant were married on July 1, 1978 at
Levittown, PA.
5. There have been no prior actions of divorce or annulment
between the parties.
6• Plaintiff has been advised of the availability of counseling
and the right to request that the Court require the parties to
participate in counseling.
DIANE G. RADCLIFF
3418 TRINDLE ROAD
CAMP HILL, PA 17011 -2-
(717) 737-0100
DIANE O. RADCLIFF
3418 TRINDLE ROAD
CAMP HILL. PA 17011
(717) 737-0100
7. The Defendant is not a member of the Armed Services of the
United States or any of its Allies.
8. The Plaintiff avers that the grounds on which the action is
based are:
a. That the marriage is irretrievably broken;
Or in the alternative,
b. That the parties are now living separate and apart, and
at the appropriate time, Plaintiff will submit an
Affidavit alleging that the parties have lived separate
and apart for at least two (2) years and that the
marriage is irretrievably broken.
Or in the alternative,
c. That Defendant has offered such indignities to the person
of the Plaintiff, the innocent and injured spouse, as to
render her condition intolerable and life burdensome, and
that this action is not collusive.
WHEREFORE, Plaintiff requests this Honorable Court to enter a
decree in divorce, divorcing the Plaintiff and Defendant.
COTJM II• EQUITABLE DTSTRTB3?'PT07?
9. Paragraphs 1 through 8 are incorporated by reference hereto as
fully as though the same were set forth at length.
10. Plaintiff and Defendant have acquired property and debts, both
real and personal, during their marriage from July 1, 1978
until November 17, 1999, the date of separation, all of which
are "marital property" or "marital debts".
Ill. Plaintiff and/or Defendant have acquired, prior to the
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marriage or subsequent thereto, "non-marital property" which
has increased in value since the date of marriage and/or
j subsequent to its acquisition during the marriage, which
increase in value is "marital property".
12. Plaintiff and Defendant have been unable to agree as to an
equitable division of said property and debts as of the date
of the filing of this Complaint.
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WHEREFORE, Plaintiff requests this Honorable Court to
equitably divide all marital property and debts of the parties.
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CO NT TTT. ALIMONY P NT1FNTE T TT AT_ 1MQYY
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13. Paragraphs 1 through 12 are incorporated by reference hereto
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as fully as though the same were set forth at length.
14. Plaintiff lacks sufficient property to provide for her
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appropriate employment.
15. Plaintiff requires reasonable support to adequately maintain
herself in accordance with the standard of living established
during the marriage.
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WHEREFORE, Plaintiff requests this Honorable Court to enter an
award of alimony pendente lite until final hearing and hereafter
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enter an award of alimony permanently thereafter.
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16. Paragraphs 1 through 15 are incorporated by reference hereto
as fully as though the same were set forth at length.
DIANE G. RADCLIFF
3448 TRINDLE ROAD
CAMP HILL. PA 17011
1717) 737-0100 -4-
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17. Plaintiff has employed Diane G. Radcliff, Esquire, as counsel
but is unable to pay the necessary and reasonable attorney's
fees for said counsel.
18. The Plaintiff is in need of hiring various experts to appraise
the parties' marital assets and does not have the funds to pay
the necessary and reasonable fees.
WHEREFORE, Plaintiff requests this Honorable Court to enter an
award of interim counsel fees, costs and expenses and to order such
additional sums hereafter as may be deemed necessary and
appropriate and at final hearing to further award such additional
counsel fees, costs and expenses as are deemed necessary and
appropriate.
Respectfully submitted,
DIANE G. FFI
rin le Road
Hill PA 17011
Supreme ourt ID if 32112
Phone: (717) 737-0100
Fax: (717) 975-0697
DIANE G. RADCLIPP
3448 TRINDLE ROAD
CAMP HILL. PA 17011
(717) 737-0100
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VERIFICATION
KATHY G. STONE verifies that the statements made in this
Complaint are true and correct. KATHY G. STONE understands that
false statements herein are made subject to the penalties of 18
Pa.C.S. Section 4904, relating to unsworn falsification to
authorities.
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KATHY G STONE
DIANE G. RADCLIFF
3448 TRINDLE ROAD
CAMP HILL. PA 17011
(717) 737-01(X)
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Johnson, Duffle, Stewart & Weidner
By: Melissa Peel Greevy
I.D. No. 77950
301 Market Street
P. O. Box 109
Lemoyne, Pennsylvania 17043-0109
(717) 761-4540
KATHY G. STONE,
Plaintiff
V.
MICHAEL L. STONE,
Defendant
IN DIVORCE
MARITAL SETTLEMENT AGREEMENT
THIS AGREEMENT, made this 1-1_ day of ICi I _, 2004, by and between
MICHAEL L. STONE of Mechanicsburg, Pennsylvania, (hereinafter "HUSBAND") and KATHY G. STONE, of
Lewitown, Pennsylvania, (hereinafter "WIFE");
WITNESSETH:
WHEREAS, the parties hereto were married on July 1, 1978, in Levittown, Pennsylvania; and
WHEREAS, a divorce action was filed by WIFE on or about December 10, 1999, in the Cumberland
County Court of Common Pleas, and docketed at 99-7427 Civil Term; and
WHEREAS, there is one minor child of the marriage, Jordan L. Stone, born June 18,1990; and
WHEREAS, difficulties have arisen between the parties and it is therefore their intention to live
separate and apart for the rest of their lives and the parties are desirous of settling completely the economic
and other rights and obligations between each other, including but not limited to: the equitable distribution of
the marital property; past, present, and future spousal support; alimony, alimony pendente lite, and in
Attorneys for Defendant
IN THE COURT OF COMMON PLEAS OF THE
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 99-7427 CIVIL TERM
CIVIL ACTION - LAW
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general, any and all other claims and possible claims by one against the other or against their respective
estates; and
NOW THEREFORE, in consideration of the covenants and promises hereinafter to be kept and
performed by each party and for other good and valuable consideration, the parties, intending to be legally
bound hereby, do hereby agree as follows:
1. ADVICE OF COUNSEL.
The provisions of this agreement and their legal effect has been fully explained to the parties by their
counsel. WIFE is represented by Diane G. Radcliff, Esquire. HUSBAND is represented by Melissa Peel
Greevy, Esquire of Johnson, Duffle, Stewart & Weidner.
Each party acknowledges that he or she has had the opportunity to discuss with counsel of their
choosing, the concept of marital property under Pennsylvania law and each is aware of his or her right to
have the real and/or personal property, estate and assets, earnings and income of the other assessed or
evaluated by the courts of this Commonwealth or any other court of competent jurisdiction.
The parties further declare that each is executing the Agreement freely and voluntarily having
obtained sufficient knowledge and disclosure of their respective legal rights and obligations. The parties
each acknowledge that this Agreement is fair and equitable and is not the result of any fraud, coercion,
duress, undue influence or collusion.
2. DIVORCE ACTION.
The parties acknowledge that their marriage is irretrievably broken and that they shall secure a
mutual consent no fault divorce pursuant to § 3301(c) of the Divorce Code. The parties agree to execute
Affidavits of Consent for divorce and Waiver of Notice of Intention to Request Entry of a Divorce Decree
contemporaneously with the execution of this Marital Settlement Agreement.
This Agreement shall remain in full force and effect after such time as a final decree in divorce may
be entered with respect to the parties. The parties agree that the terms of this Agreement shall be
incorporated into any Divorce Decree which may be entered with respect to them and specifically referenced
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in the Divorce Decree. This Agreement shall not merge with the Divorce Decree, but shall continue to have
independent contractual significance.
3. DATE OF EXECUTION.
The "date of execution" or "execution date" of this Agreement shall be defined as the date upon
which it is executed by the parties if they have each executed the Agreement on the same date. Otherwise,
the "date of execution" or "execution date" of this Agreement shall be defined as the date of execution by the
last party executing this Agreement.
4. MUTUAL RELEASES.
Each party absolutely and unconditionally releases the other and the estate of the other from any and
all rights and obligations which either may have for past, present, or future obligations, arising out of the
marital relationship or otherwise, including all rights and benefits under the Pennsylvania Divorce Code of
1980, and amendments except as described herein.
Each party absolutely and unconditionally releases the other and his or her heirs, executors and
estate from any claims arising by virtue of the marital relationship of the parties or as provided in his or her
Last Will and Testament existing as of the date of this Agreement. The above release shall be effective
whether such claims arise by way of the other party's existing Last Will and Testament; widow's or widower's
rights, family exemption, or under the intestate laws, or the right to take against the spouse's will, or the right
to treat a life time conveyance by the other as testamentary, or all other rights of a surviving spouse to
participate in a deceased spouse's estate, whether arising under the laws of Pennsylvania, any state,
Commonwealth, or territory of the United States or any other country.
Except for any cause of action for divorce which either party may have or claim to have, each party
gives to the other by the execution of this Agreement an absolute and unconditional release from all claims
whatsoever, in law or in equity which either party now has against the other.
5. FINANCIAL DISCLOSURE.
The parties represent and warrant that each have made full and fair disclosure to the other of his or
her respective income, assets and liabilities, whether such are held jointly or In the name of one party alone.
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Neither party wishes to make or append hereto any further enumeration or statement. Each party warrants
that he or she is not aware of any marital asset which is not identified in this Agreement. The parties confirm
that each has relied on the accuracy of the financial disclosure of the other as an inducement to the
execution of this Agreement. Each party understands that he/she had the right to obtain from the other parry
a complete inventory or list of all property that either or both parties owned at the time of separation or
currently and that each party had the right to have all such property valued by means of appraisals or
otherwise. Both parties understand that they have a right to have a court hold hearings and make decisions
on the matters covered by this Agreement. Both parties hereby acknowledge that this Agreement is fair and
equitable, and the terms adequately provide for his or her interests, and that this Agreement is not the result
of fraud, duress, or undue influence exercised by either party upon the other or by any person or persons
upon either party. Each party further covenants and agrees for himself and herself and his or her heirs,
executors, administrators or assigns, that he or she will never at any time hereafter sue the other party or his
or her heirs, executors or assigns, in action of contention, direct or indirect, and allege therein that there was
a denial of any rights to full disclosure, or that there was any fraud, duress, undue influence, or that there
was a failure to have available full, proper and independent representation by legal counsel.
6. SEPARATION-INTERFERENCE.
WIFE and HUSBAND may and shall, at all times hereafter, live separate and apart. They shall be
free from any interference, direct or indirect, by the other in all respects as if fully as if they were unmarried.
Each may, for his or her separate use or benefit, conduct carry on and engage in any business, occupation,
profession or employment which to him or her may seem advisable. WIFE and HUSBAND shall not harass,
disturb or malign each other or the respective families of each other.
7. DEBTS.
HUSBAND assumed responsibility for and paid the parties' credit card debt whether held in joint
names or his name alone, and the home equity loan at the time of separation. As part of the equitable
distribution described in this Agreement, HUSBAND waives any contribution from WIFE on debt created
during the marriage.
WIFE shall assume responsibility for payment of any credit debt created by her on or after November
17, 1999. WIFE shall indemnify and save HUSBAND harmless from any and all claims and demands made
against him by reason of such debts or obligations. WIFE represents and warrants to HUSBAND that since
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he filing of the Divorce she has not and in the future will not, contract or incur any debt or liability for which
HUSBAND or his estate might be responsible, and she shall indemnify and save HUSBAND harmless from
any and all claims and demands made against him by reason of such debts or obligations incurred by her
since the date of final separation, on November 17, 1999.
HUSBAND shall assume responsibility for any credit debt created by him on or after November 17,
1999. HUSBAND shall indemnify and save WIFE harmless from any and all claims and demands made
against him by reason of such debts or obligations. HUSBAND represents and warrants to WIFE that in the
future he will not, contract or incur any debt or liability for which WIFE or her estate might be responsible,
and he shall indemnify and save WIFE harmless from any and all claims and demands made against her by
reason of such debts or obligations incurred by him since the date of their final separation, November 17,
1999.
The parties agree that they shall take prompt action regarding any remaining joint credit accounts
which have not been closed and agree that they shall immediately close such accounts.
In order to effect the over all equitable distribution scheme which is more specifically detailed through
out this Agreement, the parties stipulate and agree that they shall contemporaneously execute the Marital
Settlement Agreement, Affidavit of Consent, and Waiver of Notice.
g, RETIREMENT BENEFITS.
After separation, WIFE became employed by Neshaminy School District and began to participate in
the Public School Employees Retirement pension plan as a result of said employment. WIFE was the owner
of a National City Investment Plan, which is a marital asset. HUSBAND specifically waives all right title and
interest in any retirement benefits, pension benefits, or 401(k) plans held in WIFE'S name alone.
HUSBAND has a Morgan Stanley IRA Rollover Retirement Account which had a total asset value of
twenty three thousand thirty four ($23,034) dollars as of June 30, 2003 and from which no withdrawals have
been made after the date the injunction previously entered in the above referenced case prohibiting such
withdrawals. The Morgan Stanley contains the funds rolled over from HUSBAND'S Bit group Pension plan
earned by HUSBAND with a prior employer. WIFE shall receive fifty (50%) percent of the Morgan Stanley
Account, as of the date of this Agreement plus any gains or losses thereon from that dale until the date
WIFE'S share of the account is distributed to her. WIFE'S share of the account shall be paid to her by way of
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tax free roll over of retirement benefits betweens spouses as permitted under IRS regulations. It is expected
that WIFE'S share of the 401(k) can be rolled over to her without the necessity of a Qualified Domestic
Relations Order. Based on information from the Morgan Stanley Account representative, the fee for a roll
over to another Morgan Stanley account for WIFE will be forty ($40) dollars, which HUSBAND will pay. In the
event a Qualified Domestic Relations Order is needed to effect the equitable distribution plan, it shall be
prepared by counsel for WIFE.
WIFE specifically waives any and all right, title or interest in HUSBAND'S FKI 401(k) Retirement
Savings plan, which had a balance of one thousand two hundred thirty four ($1234) dollars on December 31,
1999. Except as specified above, WIFE waives all right title and interest which she may have in any of
HUSBAND'S retirement, pension or 401(k) plans.
9. LIQUID MARITAL ASSETS.
The parties agree that they had credit union, checking and savings accounts during the marriage and
that previously existing joint accounts and individual accounts have been divided to their satisfaction. Any
individual accounts now owned by the parties shall become the sole and separate property of the party in
whose name the account is currently titled. Both parties waive any rights they may have to the bank or
credit union account(s) of the other.
10. AUTOMOBILES.
HUSBAND and WIFE agree that HUSBAND will retain the value of the 1989 Jeep Cherokee and the
1992 Ford Ranger Truck or the value of those vehicles if previously sold. HUSBAND shall be solely
responsible for all costs associated with the vehicles, to include registration, maintenance, and insurance
related to any vehicle which he may now own. WIFE agrees to execute any documents needed to effect the
transfer of all of her right, title and interest in said vehicles to HUSBAND alone.
HUSBAND and WIFE agree that WIFE shall retain the 1989 Mercury Marquis or the value of that
vehicle if previously sold. WIFE shall be solely responsible for all costs associated with the vehicle, to
include registration, maintenance, and insurance related to any vehicle which she may now own.
HUSBAND agrees to execute any documents needed to effect the transfer of all of his right, title and
interest in said vehicle to WIFE alone.
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11. REAL ESTATE.
The parties were the owners of a residence at 1400 Princeton Avenue, Mechanicsburg, Cumberland
County, Pennsylvania. The home has been sold and the mortgage obligations have been satisfied in full.
The remaining proceeds were divided equally and to the parties satisfaction. HUSBAND and WIFE waive
any and all further claims that one may have against the other related to the sale, maintenance or repair of
the home.
Following separation, on or about July 15, 2003, HUSBAND purchased a home at 205 South
Washington Street, Mechanicsburg, Cumberland County, Pennsylvania. HUSBAND represents that this
purchase was made with his separate, post marital assets. WIFE waives all right, title and interest which she
may have in that or another real estate purchased or to be purchased, by HUSBAND after November 17,
1999 and HUSBAND waives all right, title and interest which he may have in any real estate purchased or to
be purchased by WIFE after November 17, 1999.
12. SAVINGS BONDS.
HUSBAND was the owner of savings bonds with a face value of approximately one thousand seven
hundred ($1700) dollars. HUSBAND shall retain the value of his savings bonds.
WIFE was the owner of savings bonds with a face value of approximately five hundred ($500)
dollars. WIFE shall retain the value of her savings bonds.
WIFE has possession of savings bonds purchased for the parties' children. The bonds for Jonathan
and Jason shall be returned to them in person within fourteen (14) days of the execution date of this
Agreement; provided, however, that if either of them is not able to receive the direct transfer of these bonds,
then WIFE shall give that child's bonds to him in person within fourteen (14) days of the date that child
becomes available to receive such direct transfer. The parties stipulate and agree that WIFE shall retain any
and all savings bonds purchased for Jordan Stone with the requirement that they be used for the benefit of
Jordan Stone in conjunction with his post-high school education.
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13. LIFE INSURANCE.
WIFE is the owner of a John Hancock Life insurance policy. WIFE shall retain the value of this
policy. HUSBAND waives all right title and interest that he may have in the value of this policy.
HUSBAND has a term life insurance policy through his place of employment. The parties stipulate
and agree that each may designate such beneficiaries of their life insurance policies as they deem
appropriate. However, any designation of the other party as a beneficiary of the death or other benefits of
the life insurance policy or policies, which designation is in existence as of the date of this Agreement, shall
be deemed to be null and void and of no legal Import or significance.
14. HOUSEHOLD GOODS AND PERSONAL PROPERTY.
The parties agree that they have previously divided the household goods, and personal property to
their mutual satisfaction. The parties agree that this distribution of goods and personal property is
satisfactory and equitable.
15. ALIMONY PENDENTE LITE AND ALIMONY.
The parties acknowledge that there is an existing alimony pendente lite Order, payable to WIFE,
PACSES number 608101828, and docketed to 99-7427 Civil term in the Domestic Relations Section of the
Court of Common Pleas of Cumberland County, Pennsylvania. With respect to the alimony pendent elite,
order the following shall apply:
(a) The parties stipulate and agree that this Order shall be terminated effective March 31, 2004
and be converted to an alimony order effective April1, 2004 under the terms hereafter set forth.
(b) If upon termination any arrears or credits remain on the APL Order, they shall be transferred
to and become part of the alimony order.
(c) In order to effect the intent of this Agreement, HUSBAND and WIFE agree that a copy of this
Agreement and the Decree in Divorce shall be presented to the Domestic Relations Office, allowing for an
administrative disposition of the changes in the Order specified herein without the need for the parties to
appear.
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Effective April 1, 2004, HUSBAND and WIFE agree that HUSBAND shall pay WIFE as alimony the
;um of six hundred four ($604) dollars per month for ninety six (96) months. n t horder e payment shall be made via
,vage attachment in the same frequency as the present alimony p paid.
The monthly amount of the payment shall not be modifiable except upon an involuntary decrease in
earning capacity of HUSBAND which modification shall be subject to the following terms:
(a) Should there be an involuntary decrease in HUSBAND'S earning capacity, then the monthly
amount of the alimony obligation shall be reduced by the same percentage as HUSBAND'S net monthly
earning capacity has been reduced by reason of the involuntary decrease in his earning capacity.
(b) The foregoing notwithstanding, should HUSBAND obtain a decrease in the monthly amount
of the alimony as a result of his involuntary decrease in his earning capacity, then the difference between the
six hundred four ($604) dollars per monthly alimony minus the reduced amount paid to WIFE as aforesaid
shall accumulate and become due and payable in such monthly amounts that would have been payable
based on his reduced earning capacity, or if none, than at the amount of six hundred four ($604) dollars per
month calculated in the same manner as if there had been no termination of alimony. These "make up"
payments to commence at the first month after termination of the alimony obligation aforesaid and continue
until the total dollar amount of the reduction has been "made up" to WIFE.
The alimony obligation shall terminate upon the death of either party or remarriage of WIFE. Said
termination shall not effect nor negate the obligation to pay the regular or make up alimony payments that
have accrued up to and including the date of termination. Otherwise, the duration of the alimony obligation
shall not be modifiable. For purposes of Federal Income Taxation, the parties intend that that the alimony
payments shall be tax deductible for HUSBAND and included in WIFE'S income.
The parties acknowledge and agree that the amount of the alimony has been determined after
consideration of WIFE'S child support obligation to HUSBAND for the parties' minor child, Jordan L. Stone.
In other words, HUSBAND'S alimony obligation has been reduce dollar for dollar by WIFE'S obligation to
HUSBAND for child support for Jordan L. Stone. As a result of which HUSBAND specifically waives,
renounces and forever abandons any right to seek and claim any child support from WIFE, and WIFE, so
long as she remains unmarried, shall not be obligated to pay HUSBAND child support for that minor child. In
the event that HUSBAND seeks and obtains child support from WIFE prior to her re-marriage, the alimony to
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be paid by HUSBAND to WIFE shall be increased by the amount of the child support that WIFE is obligated
to pay HUSBAND so that WIFE always has a net cash flow of alimony due WIFE minus child support due
HUSBAND of six hundred four ($604) dollars per month for the ninety six (96) month period aforesaid.
16. PAST DUE TAXES.
The parties have heretofore filed joint Federal and state tax returns. Both parties agree that in the
event any deficiency in Federal, state or local income tax is proposed, or any assessment of any such tax is
made against them, each will indemnify and hold harmless the other from and against any loss or liability for
any such tax deficiency or assessment and any interest, penalty and expense incurred in connection
therewith. Such tax, interest, penalty or expense shall be paid solely and entirely by the individual who is
finally determined to be the cause of the misrepresentations or failures to disclose the nature and extent of
his or her separate income on the aforesaid joint returns.
17. COOPERATION.
WIFE and HUSBAND shall mutually cooperate with each other in order to carry through the terms of
the Agreement, including but not limited to the signing of deeds and other documents. The parties will sign
Affidavits of Consent and Waivers of Notice of Intent to Request Entry of a Divorce Decree
contemporaneously with the execution of this Agreement. WIFE will sign a Petition to Dismiss the Support
Proceedings contemporaneously with this Agreement.
18. ATTORNEY FEES. COURT COSTS.
WIFE paid the filing fees associated with the filing of the Complaint in Divorce and HUSBAND shall
be responsible for the counsel fees associated with the preparation of this Agreement, and the counsel fees
to prepare the Petition to Dismiss Support Proceedings. Otherwise, each party hereby agrees to be solely
responsible for his or her own counsel fees, costs and expenses. Neither shall seek contribution thereto
from the other party except as otherwise expressly provided herein.
-10-
19. ATTORNEYS' FEES FOR ENFORCEMENT.
In the event that either party breaches any provisions of this Agreement and the other party retains
counsel to assist in enforcing the terms thereof, the breaching party will pay all reasonable attorneys' fees,
court costs and expenses (Including interest and travel costs, if applicable) which are incurred by the other
party in enforcing the Agreement, whether enforcement is ultimately achieved by litigation or by amicable
resolution. However, the alleged breaching party shall not be required to pay the other party's attorney's
fees, costs and expenses if the breach is cured within 14 days of a written demand by one party to the other
and providing notice of intent to seek counsel fees. Demand shall be adequate if it is sent via certified mail
and provides at least fourteen (14) calendar days from the date of mailing for compliance. For purposes of
this provision, and in absence of notice to Defendant to the contrary, the presumptive correci mailing
address for notice to the Plaintiff shall be:
KATHY G. STONE
1350 Woodbourne Road, Apt. F 91
Levittown, PA 19057
For purposes of this provision, and in absence of notice to the Plaintiff to the contrary, the
presumptive correct mailing address for notice to the Defendant shall be:
MICHAEL L. STONE
205 South Washington Street
Mechanicsburg, PA 17055
In absence of a notice to the other party of change of address, a breaching or alleged breaching
party shall not be relieved of obligation for attorney's fees, costs and expenses under this paragraph for
failure to receive written demand.
It is the specific Agreement and intent of the parties that a breaching or wrongdoing party shall bear
the obligation of any and all costs, expenses and reasonable counsel fees incurred by the nonbreaching
party in protecting and enforcing his or her rights under this Agreement.
-11-
20. WAIVER OF RIGHTS.
Both parties hereby waive the following procedural rights:
(a) The right to obtain an inventory and the appraisement of all marital and non-
marital property;
(b) The right to obtain an income and expense statement of either party;
(c) The right to have all property identified and appraised;
(d) The right to further discovery as provided by the Pennsylvania Rules of Civil
Procedure and the Pennsylvania Divorce Code, including but not limited to, written
interrogatories, motions for production of documents, the taking of oral deposition, any all
other means of discovery permitted under the law;
(e) The right to have the court make all determinations regarding marital and non-
marital property, equitable distribution, spousal support, alimony pendente lite, alimony,
counsel fees and costs and expenses.
21. VOID CLAUSES.
If any term, condition, clause or provision of this Agreement, shall be determined or declared to be
void or invalid in law or otherwise, then only that term, condition, clause or provision shall be stricken from
this Agreement, and in all other respects this Agreement shall be valid and continue in full force, effect and
operation.
22. APPLICABLE LAW.
This Agreement shall be construed under the laws of the Commonwealth of Pennsylvania.
-12-
23• ENTIRE AGREEMENT.
understanding of the parties, and
This Agreement contains
set for herein. are no representations, entire warranties, covenants or undertakings other
24. CONTRACT INTERPRETATION.
For purposes of contract interpretation and for the purpose of resolving any ambiguity herein, the
h arties
parties agree that this Agreement was prepared jointly by 1 e p
IN WITNESS WHEREOF, the parties hereto have set their hands and seals of the day first written
above.
Witness
MICHAEL L. STONE
Witness
:221303
-A ? Y G. STONE
-13-
%OMMONWEALTH OF PENNSYLVANIA : ss.
;OUNTY OF (aitb O l d u ?
On the dayof &1' 2004, before me, a Notary Public in and for the
t
}
:,ommonwealth of Pennsylvania, the undersigned officer, personally appeared MICHAEL L. STONE known
to me (or satisfactorily proven) to be one of the parties executing the foregoing instrument, and he
acknowledges the foregoing Instrument to be his free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and notarial sal the day and year first above
written. 1
Notary Public
Notarial Seal
Krislee K. Myers, Notary Public
Lemoyne aom, CumberiarW county
My commission Expires Dec. 2.2006
Member, Pennsylvania Auanalion a Nouuies
COMMONWEALTH OF PENNSYLVANIA ss.
COUNTY OF SC Ks
On the J-'?- day of ?l 2004, before me, a Notary Public in and for the
Commonwealth of Pennsylvania, the undersigned officer, personally appeared KATHY G. STONE, known to
me (or satisfactorily proven) to be one of the parties executing the foregoing instrument, and she
acknowledges the foregoing instrument to be her free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and notarial seal the day and year first above
written.
Notary Public
LDC^.'un iup.' ;,.? 1-2004
is5ro!Exr' `?' '
-14-
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DIANE O. RADCLIFF
3448 TRINDLE ROAC
CAMP HILL, PA 1701
PI [ONE (717) 737-010
FAX (717) 975.11697
ID # 32112
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
KATHY G. STONE,
Plaintiff
V. NO. 99-7427 CIVIL TERM
MICHAEL L. STONE, CIVIL ACTION - LAW
Defendant DIVORCE
I, the undersigned attorney for the Defendant in the above
captioned action, being duly authorized by said Defendant, hereby
accept service of the Complaint filed in the above captioned matter
on December 10, 1999. ??C?? // ? /7
???-.? ESQUIRE
Date: MEL SSA PEEL GREEVY, ES
Attorney for the Defendant
ar
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
KATHY G. STONE
Plaintiff
V.
MICHAEL L. STONE,
Defendant
NO. 99-7427 CIVIL TERM
CIVIL ACTION - LAW
DIVORCE
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 Waiver are true and correct. I understand that false
statements herein are made subject to the penalties of 18 Pa.C.S. §4904 relating to unswom
falsification to authorities.
Dated: U 19.04 ggur `.I. An, )
at y U Stone, f
LLJ
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
KATHY G. STONE
Plaintiff
V. : NO. 99-7427 CIVIL TERM
MICHAEL L. STONE, : CIVIL ACTION - LAW
Defendant : DIVORCE
AFFIDAVIT OF CONSENT
A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on It 19 110 I91
2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have
elapsed from the date of filing and service of the Complaint.
3. I consent to the entry of a final Decree in Divorce after service of notice of intention to
request entry of the decree.
I verify that the statements made in this Affidavit are true and correct. I understand that false
statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904 relating to unswom
falsification to authorities.
Dated: q- %hip /J. 4?my'
namy G. a one, aintiff
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Johnson, Duffle, Stewart & Weidner
BY: Melissa Pcel Grcevy
I.D. No. 77950
301 Markel Street
P. O. Box 109
Lemoyne, Pennsylvania 1 7043-0 1 09
(717) 761-4540
KATHY G. STONE,
Plaintiff
V.
MICHAEL L. STONE,
Defendant
Attorneys I'or Defendant
IN THE COURT OF COMMON PLEAS OF THE
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 99-7427 CIVIL TERM
CIVIL ACTION - LAW
IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO
RE UEST ENTRY OF A DIVORCE DECREE
UNDER SECTION 3301 c OF THE DIVORCE CODE
I • I consent to the entry of a final Decree in Divorce without notice.
2. 1 understand that I may lose rights concerning alimony, division of property, lawyer's fees or
expenses if I do not claim them before a divorce is granted.
3. 1 understand that I will not be divorced fl
r
a copy of the Decree will be sent to me immediately after it sDfiilled with the Prothonotaryby the Court and that
I verify that the statements made in this Affidavit are true and correct. I understand that false
tatements herein are made subject to the penalties of 18 Pa.C.S. §4904 relating to unsworn falsification to
uthorities.
ate: 9A,3/0 3/Q C
Michael L. Stone, Defendant
?3226.4
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Johnson, Duffle, Stewart & Weidner
By: Melissa Peel Grecvy
I.D. No. 77950 Attorneys for Defendant
301 Market Street
P. O. Box 109
Lemoyne, Pennsylvania 17043-0109
(717) 761-4540
KATHY G. STONE, IN THE COURT OF COMMON PLEAS OF THE
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
NO. 99-7427 CIVIL TERM
V.
CIVIL ACTION - LAW
MICHAEL L. STONE,
Defendant IN DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on or about
December 10, 1999.
2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety days have elapsed
from the date of filing and service the Complaint.
3. 1 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: ? O?J/b
Michael L. Stone, Defendant
:223226-3
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
KATHY G. STONE,
Plaintiff
V.
MICHAEL L. STONE,
Defendant
NO. 99-7427 CIVIL TERM
CIVIL ACTION - LAW
DIVORCE
ORDER
Re: PETITION FOR INJUNCTION REGARDING IRA ACCOUNT
AND NOW, this
3d day of 0
, 2000, upon
consideration of the within Petition, IT IS HEREBY ORDERED that a
Rule is issued upon the Respondent, Michael L. Stone, to show cause
why the relief requested in the within Petit ion should not be
granted. The Rule is returnable at a hearing to be held in this
matter on the Z3-06 day of iocf 6 &? 2000, at o'clock,
A m. in Courtroom 6_ of the Cumberland County Courthouse,
Carlisle, Pennsylvania.
The parties shall appear at that date and time and give
testimony and argument on the issues raised in the within Petition.
Pending the hearing on the Petition, the Respondent, Michael L.
Stone, is hereby enjoined from making any withdrawals or other
dispositions from his Morgan, Stanley, Dean Witter rollover IRA
Account #410041545, without prior written consent of the
Petitioner, Kathy G Stone.
Distribution to:
BY THE COURT:
CCPA o l M,
1o-6-ao
Diane G. Radcliff, Esquire Melissa Peel Greevy, Esquire
3448 Trindle Road 214 Senate Avenue
Camp Hill, PA 17011 Suite 602
Camp Hill, PA 17011
?° l
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
KATHY G. STONE,
Plaintiff
V.
MICHAEL L. STONE,
Defendant
NO. 99-7427 CIVIL TERM
CIVIL ACTION - LAW
DIVORCE
PETITION FOR INJUNCTION REGARDING IRA ACCOUNT
AND NOW this dT?- day of 2000, comes the
Petitioner, Kathy G. Stone, by her attorney, Diane G. Radcliff.
Esquire, and files the above referenced Petition and represents
that:
1. Your Petitioner is Kathy G. Stone, (hereinafter referred to as
"Wife") and is the Plaintiff in the above captioned divorce
action.
2. Your Respondent is Michael L. Stone (hereinafter referred to
as "Husband"), and is the Defendant in the above referenced
divorce action.
3. The parties were married on July 1, 1978.
4. The parties were separated on November 17, 1999.
5. During the course of the marriage, the parties acquired the
assets and incurred the debt set forth on the Marital Estate
Analysis dated July 17, 2000, attached hereto marked Exhibit
"A" and made a part hereof.
6. The only major asset set forth on Exhibit "A" is Husband's
Morgan, Stanley, Dean Witter Rollover IRA Account #410041545
which as of date of separation had a value of $53,526.80.
7. Since the date of separation, Husband has been making
withdrawals from said IRA Account without Wife's knowledge
and/or consent.
8. If Husband is permitted to continue to make withdrawals from
the IRA Account, Wife's equitable distribution claim therein
as well as in all of the marital assets and debts will be
substantially reduced and potentially denied.
9. Wife will suffer irreparable harm if Husband is not enjoined
from making further withdrawals from the IRA Account absent
her consent thereto.
10. On July 20, 2000 Wife's attorney wrote to Husband's attorney
requesting that Husband agree to an injunction being entered
in this matter enjoining Husband from making further
withdrawals from his IRA Account absent Wife's consent and
that she should respond to this inquiry no later than July 25,
2000 or a Petition for an injunction would be filed. On July
25, 2000 Husband's attorney contacted Wife's attorney and
indicated that she had not spoken with husband on the issue
but informed Wife's attorney that she would recommended that
he agree to the injunction provided that withdrawals could be
made for purposes of making the mortgage payments for the
marital home in which he resides. Wife's attorney then
requested that she contact her client and advise her of
husband's agreement to such an injunction. On August 1, 2000
Wife's attorney contacted husband's attorney to see if she had
secured husband's approval of the injunction and husband's
attorney advised her that Husband refuses to consent to the
same.
il. No judge has previously been assigned to this divorce case.
WHEREFORE, Petitioner respectfully requests this Honorable Court to
enter an Order enjoining Husband from transferring, conveying,
disposing or making any withdrawals from Husband's Morgan, Stanley,
Dean Witter Rollover IRA Account #410041545, except upon written
consent and authorization of Wife.
Respectfully submitted,
II G. CLIF QUIRE
3448 Trindl Road
PA 17011
Phone: (717) 737-0100
Fax: (717) 975-0695
Supreme Court ID # 32112
Attorney for Plaintiff
CERTIFICATE OF SERVICE
AND NOW, this a a-A day of &?' 2000, I, DIANE
G. RADCLIFF, ESQUIRE, hereby certify that I have this day served a
copy of the within Petition for Injunction Regarding IRA Account,
by mailing same by first class mail, postage prepaid, addressed as
follows:
Melissa Peel Greevy, Esquire
214 Senate Avenue
Suite 602
Camp Hill, PA 17011-2336
Camp Hill, PA 17011
Supreme Court ID#32112
Phone: (717) 737-0100
Fax: (717) 975-0697
EXHIBIT A
MARITAL ANALYSIS
MARITAL ESTATE ANALYSIS
DATE OF MARRIAGE: 7/1/78
DATE OF SEPARATION: 11/17/99
DATE PREPARED: July 17, 2000
ITEM DESCRIPTION OF PROPERTY OR VALUE PROPOSED PROPOSED
NO. LIABILITY DISTRIBUTION DISTRIBUTION
TO HUSBAND TO WIFE
` J
` REALESTATE
+REAL,ESTATE, e :?
>
A 1400 Princeton Road To Be Sold Half of Half of
Camp Hill, PA and Proceeds Proceeds Proceeds
should sell for about Divided
170000 estimate 15,000 Equally
equity upon sale
B National City Mortgage on Pay upon Sale Pay upon Sale Pay upon Sale
Princeton Rd.
wr2?i ti ANDkIrIET7S1?
SMOTOR VEHICLES r = f C
. i
A 1989 Mercury Grand Marquis TED ENTIRE VALUE
13.1 19? Ford Ranger Truck TED ENTIRE VALUE
B.2 Member's 18° Used Vehicle TED ENTIRE
Loan BALANCE
Note #015757
Monthly Payment ?
$3743.05 Balance at
Separation
C.1 19? Jeep Cherokee TED ENTIRE VALUE
C.2 Member's 16C Used Vehicle TED ENTIRE
Loan BALANCE
Note #015982
Monthly Payment $133.05
$2,621.91 Balance at
Separation
Page 1
ITEM DESCRIPTION OF PROPERTY OR VALUE PROPOSED PROPOSED
NO. LIABILITY DISTRIBUTION DISTRIBUTION
TO HUSBAND TO WIFE
- 3 "STOCKS'&:SECURITIES 1
,
. rh. P
•h.Y.l .
A Us Savings Bonds TBD Divide Divide
1700 Face Value Equally Equally
! 4° CERTIFICATES OF::DE°OSLT
I
-77
None
5 CHECKING
t Yi:lr Y
A Allfirst Account TBD TBD
#00383-0575-5
B Acco York Federal C U 126.00 126.00
#3948.00
11/12/99
C Acco York Federal C U 799.19 799.19
#3948.40
11/12/99
rri?6lstZ 'MONEY` 4
t`SAVINGSACCOIINTS , r. ,
t ru L ,
tav11 v4 y e. l ?i I_. J- + -yt .i
a .
1. 'ry +
!AND oSAVINGS
a
s y
??
Y
` i
.
! R i
iGERTIEICATES
? ? i•:
, .
a ,,
.? b
A Allfirst Statement Savings 33.85 33.85
48-700-531-4617315
10/26/99
B Dauphin Deposit Statement TBD TBD
Savings Account #8-700-531-
4617323
No Current Statement
C Member's 1" 25.00 25.00
#129912
T CONTENTS OEiSAFETY DEPOSIT
ZI ,
B r
OXES I
None
8x'
•v %TRUSTS
y
l
None
Page 2
ITEM DESCRIPTION OF PROPERTY OR VALUE
PROPOSED PROPOSED
NO. LIABILITY
DISTRIBUTION DISTRIBUTION
TO HUSBAND TO WIFE
9 LIFE.iiINSURANCE POLICIES r `j a
None
10 ANNUITIES
None
13 -";,COPYRIGHTS-;';'
O
`
;INDENTI
NS
& ROYAPTIES i
Page 3
ITEM DESCRIPTION OF PROPERTY OR VALUE PROPOSED PROPOSED
NO. LIABILITY DISTRIBUTION DISTRIBUTION
TO HUSBAND TO WIFE
sfl19r 1tRETTREMENT;PLXNS AND:'IRA `s =
e54 ,a t
' r rr t
nACCOUNTS' y _.. i , r a ,
r
r
A Wife's National City 1
361
27
,
. 1,361.27
Savings And Investment Plan
6/30/99
Update To 12/1/99
B Husband's Morgan Stanley 53,526.80 DIVIDE
Dean Witter Roll Over IRA DIVIDE
#410041545 EQUALLY EQUALLY
12/31/99
rP f'?al
.12;O;N , s , r?o
v
DISABPLITY'?PP.YMENT$ t ?rf ' r
?+ ' + a :
'
,
,
, t
None
' it { e
?yS [4; ! L r
TIGP
TIOIS CTAIMSf
r '
ZS
s
mi
i,;
a ?
S
r
t r
w
t
.t S'r r
.,
y.F ? n f ?.. 4. Yl '
ir4?
None
r t FI .
-ITNE
? S ? ` [f
-NA.u .h.1:I .
E=TS
Fi M. ;,
None
y"r23 ?-0 rJ I]LICATIONBENEE TSB rJi n2N4
1 a
/t
"
f+'.t,.x-..el
.'.r
r
:v
w
ra i?T
i •`t 4r N
? f
t Ga .
t•:,
v ?? i
rt 4? t rS ie. i a i?
.
.
_.
.
.
.
x y
;r,
None
„. ?^ 1;f/ t
^r24 ra. F
.F
`
? ,x.bm ?'r nr ? t rurrr rn „-,r r -d t .. {
DEBTSr DUE INCLUDIN `LIOANSi } >,
?
? ..
t `, d +' r r
1 cl '. Z
y.^ '
rv
a
V
?;
?.s"..tl1yy
FU !n
.r sl
t.'+5 -47:c4 w 1{?+f tY:4rp ? ?
m
:. `' 1 a..v xrYf ?? ah, ,
,
} ,
µ
None
'r 2 t
? IiOUSEHODD, GOODS AND?H T Y .. t ° ' ?:
:?? ? aylJ p
F,[IRNISHTNGSr?{y".`.}???% tpRJ'aFa t
o , '' r
t
?
'-, , a't»r..T.Y .:n , ?T?ff?a:l:?5L1j?.',k1.A1? k.ry, F ,.'? •: t
r.'`r' 1'J ? z i
To Be Determined TBD
husband sold assets and
Page 4
ITEM DESCRIPTION OF PROPERTY OR VALUE PROPOSED PROPOSED
NO. LIABILITY DISTRIBUTION DISTRIBUTION
TO HUSBAND TO WIFE
x726 ° i OTHER ASSETS 4
None
29 is =OTHER MORTGAGES'
N
on
e
?`?Z? ? r}
I
1
?
? J '( jU, 11 1 V?,\t t
F1YOGYV ih?
f y
',J ?
4
^i,.
S -,(.( 'I ?
^,f
? .
l
Y } ? f
None
29 ,
FCREDIT.", CARDS
A Members 15° Visa #4121 4499 (2,088.15) (2,088.15)
9129 9129
11/23/99
B Husband's Texaco Credit (737.99) (737.99)
Card #13-420-0637-4
1/24/00
Update'to-12/1/99
t fit{ f
Y'S3 Q?yw
? y74r , 7 e { ,
OTHElUjDEBTS?
4 '.: .,
.... . ? ?,r_? , v..V_.?_ .v ..t ,. 1. .,,c , :t - w.F,..7`r.a
.'i ,? '' ,. ; • ;i
A ATT Wireless Phone Bill (166.10) (166.10)
#200-167-8006; Phone Number
319-1408
1/2/00
Update to 12/1/00
B Jonathan Stone's Tuition N/A
3144 Prorated Amount
C JW Music Paid Through N/A
10/20/99
3 ar f,..J.,? Y ? ? •
TOTAL` (>
i-',i i
?-' i.q -?
: , t
54,114.60 (773.47) 1,361.27
Husband has sold personal
proceeds. Said was going
information. Wife signed
marital debts and has not
injunction for the IRA to
account post separation t
property and has not accounted to wife for
to apply to debts but has given her no
over income tax refund check to husband to pay
received any accounting. Wife wants an
prevent husband from taking further $ out of the
D pay the mortgage.
Page 5
VERIFICATION
I verify that the statements made in the foregoing Petition
for Injunction regarding IRA Account 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.
.GI ? OLD Illf.+
:ztmi G. tone
DIANE G. RADCLIFF
3448 TRINDLE ROAD
CAMP HILL. PA 17011
PHONE (717) 737.0100
FAX (717) 975.0697
ID # 32112
ORDER/NOTICE TO WITHHOLD INCQME FOR SUPPORT
-bC/ /icy 5 /99
State Commonwealth of Pennsylvania P/ICSfS 2/??/U/Sr/Cti OOriginal Onlar/Notice
Co./City/Dist. Of CUMBERLAND y, O Amended Ouler/Nolice
Date of Order/Notice 09/15/00 b&. 99-N/,;L7 CffU/f- i O Terminate Orcler/Nolice
Court/Case Number (See Addendum for case summary) A*5F5 C^O 51019"? ?
EmployerMilhholder's Federal EIN Numlx•r
ACCO CHAIN AND LIFTING PRODUCT
Employer[Wilhhulder's Name
C/O LIFTING PRODUCTS
EmployenWilhWder s Addn•ss
PO BOX 792
76 ACCO DR
YORK PA 17405-0792
ZYz „79,}7.,?
IRE:STONE, MICHAEL L.
1 Employee/Ohligor's Name Ra%l, Fircl, hill
1 178-48-4413
1 Employee/Obligor's Social Securily Numlxor
1 1196100446
Employee/Obligor'. Case Idenlifier
(See Addendum for plaintiff names associated with cases on attachment)
Cusuxli.d Parent's Name (Lasl, Fiol, Nil)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 985.00 per month in current support
$ 60.00 per month in past-due support Arrears 12 weeks or greater? Oyes (9) 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 S 1, 045.00 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:
$ 241.15 per weekly pay period.
$ 482.31 per biweekly pay period (every two weeks).
$ 522.50 per semimonthly pay period (twice a month).
$ 1.045.00 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
the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on pg. 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1-877.676-9580 for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAI L.
DRO: RT Shadday BY THE COURT:
xc: defendant
Date of Order: September 18, 2000
Edward E. Guido JUDGE
Form EN-028
Service Type M nuin0:0970.015+ Worker ID $IATT
hldwlLn, D,1n. it/l,Nn
- ?- . `P:9Y
?. ;?n
I'
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? If checked you are required to provide a copy of this form to your employee.
1. Priority: Withholding under this Order/Nrtke has priority over any other legal process under State law agaln5t the same income.
Federal tax levies in effect hefore receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more titan one employee/obligor's income in a single payment
to each agency requesting withholding. Yrlu nnhst, however, separately Identify tlle- portion of the single payment that Is attribthtable to
each enhployee/obligor.
3.' -Reporting-the PaydatelDatrof- Withholding-You must report file paydatelda"I'vvithholding-whensending the payment-The-
paydatrldate-ofwithholding-is-thrdate on-whichamounrwas-withheld -from-the.-empleyees-wages: You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.' EmployeelOhligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support
against this employee%obligorand you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must
follow the law of the state of enployee s/obligor s principal place of enployment. You must honor all Orders/Notices to the greatest
extent possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longerworking for
you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
WITHHOLDER'S ID: 0525000106
EMPLOYEE'S/OBLIGOR'S NAME: STONE, MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Paymenls: You may he required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay, If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should
have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs
unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from
employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding.
Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is
employed governs.
9.' Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit
Protection Act (13 U.S.C. §1673 (h)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes.
10.
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
Requesting Agency: If you or your employee/obligor have any questions,
.DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT
P.O. BOX 320 by telephone at (717) 240-6225 or
CARLISLE PA 17013 by FAX at (717) 240-6248 or
by Internet a
Service Type M
Page 2 of 2
Form EN-028
Worker ID $IATT
OAn vo.: n?m.oi 34
rgfl,aun, nn.- 12131mo
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES ase Numher 488101846/'7''? J
Plaintiff Name
KATHY G. STONE
Docket Attachment Anhnmy
01104 8 1999 $ 785.00
Child(ren)'s Name(s):
JORDON L. STONE
? 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
Do_ ket Attachment Anhnunt
$ 0.00
Child(ren)'s Name(s): DOB
?If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PAGES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
?if checked, you are required to enroll the child(ren)
identified above it, any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Numher 608101828/27.'x/ ')-
Plaintiff Name
CATH TONE
Docket Attar hment Amount
99-7427 CIVIL$ 660.00
DOB
Child(ren)'s Name(s):
DOB
06/18/90
?ffche(ked, 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
Dorket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
?if checked, you are required to enroll the child(ren)
identified above it, any health insurance coverage available
through the enhployee's/ohligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll tike child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
Addendum
Form EN-028
Worker ID $IATT
Service Type M obrn vo.: owaa 154
r,N,nnm mia i]b 1 ron
t
KATHY G. STONE,
Plaintiff/Petitioner
VS.
MICHAEL L. STONE
Defendant/Respondent
DR 29,272
PACSES ID 608101828
IN THE COURT OP COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
DOMESTIC RELATIONS SECTION
CIVIL ACTION - LAW
NO. 99-7427 CIVIL. TERM
ORDER OF COURT
AND NOW, this I" day of February, 2000, based upon the Court's determination that
Petitioner's monthly net income/earning capacity is $1,045.43 per month and Respondent's monthly
net income/earning capacity is $4,046.00 per month, it is hereby Ordered that the Respondent pay to
the Pennsylvania State Collection and Disbursement Unit, $660.00 a month payable bi-weekly as
follows; $303.73 bi-weekly ($276.12 bi-weekly for alimony pendente lite and $27.61 bi-weekly on
arrears). First payment due with next pay date. Arrears set at $1,160.00 as of January 31, 2000. The
effective date of the order is December 10, 1999.
This order is based upon the fact that Defendant has the care and custody of two children and
he is paying mortgage payment on the marital home. Defendant is given credit for a $40.00 direct
payment.
Failure to make each payment on time and in full will cause all arrears to become subject to
immediate collection by all of the means as provided by 23 Pa.C.S. § 3703. Further, if the Court finds,
after hearing, that the Respondent has willfully failed to comply with this Order, it may declare the
Respondent in civil contempt of Court and its discretion make an appropriate Order, including, but not
limited to, commitment of the Respondent to prison for a period not to exceed six months.
Said money to be turned over by the PA SCDU to: Kathy G. Stone. Payments must be made
b check or money order. All checks and money orders must be made payable to PA SCDU and
y
mailed to:
PA SCDU
P.O. Box 69110
Harrisburg, PA 17106-9110
Payments must include the defendant's PACSES Member Number or Social Security Number in order
to be processed. Do not send cash by mail.
Unreimbursed medical expenses that exceed $250.00 annually are to be paid 0% by the
respondent and 100% by petitioner. The plaintiff is responsible to pay the first $250.00 annually in
unreimbursed medical expenses. Petitioner to provide medical insurance coverage. Within thirty (30)
days after the entry of this order, the Petitioner shall submit written proof that medical insurance
coverage has been obtained or that application for coverage has been made. Proof of coverage shall
consist, at a minimum, of 1) the name of the health care coverage provider(s); 2) any applicable
identification numbers; 3) any cards evidencing coverage; 4) the address to which claims should be
made; 5) a description of any restrictions on usage, such as prior approval for hospital admissions, and
the manner of obtaining approval; 6) a copy of the benefit booklet or coverage contract; 7) a
description of all deductibles and co-payments; and 8) five copies of any claim forms.
This Order shall become final ten days after the mailing of the notice of the entry of the Order
to the parties unless either party files a written demand with the Prothonotary for a hearing de novo
before the Court.
Consented:
Plaintiff/Petitioner
Defendant/Respondent
DRO: R. J. Shadday
Mailed copies on Petitioner
3 00 to: < Respondent
Diane Radcliff, Esquire
Melissa Greevy, Esquire
Plaintiff/Petitioner's Attorney
Defendant/Respondent's Attorney
BY THE COURT,
.1 6
Edward E. Guido I
I. I r
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
Defendant Name: MICHAEL L. STONE
Member ID Number: 1196100446
I'lease note: Au correspondence must Include the Jtember ID Number.
ACCO CHAIN AND LIFTING PRODUCT
C/O LIFTING PRODUCTS
PO BOX 792
76 ACCO DR
YORK PA 17405-0792-92
ORDER OF ATTACHMENT OF INCOME
$$S /
5 /
TOTAL ATTACHMENT AMOUNT: $ 499.29
To: ACCO CHAIN AND LIFTING PRODUCT
Financial Break Down of Multi le Cases on Attachment
Plaintiff Name PACSES Docket
KATHY G, STONE ?eyW73 Case Number Number Attachment Amount/Frequency
4(ATHY;G:•. STONE 488101846 01104 8 - 999
o?9a7o1 608101528( 99-7427 CIVIL 195.57 /BI-WEEK
/ '.303.73?BI-WEERi„
Pursuant to the laws of the Commonwealth of Pennsylvania the income of
MICHAEL L. STONE , defendant obligor, SSN 178-48-4413
of.
1400 PRINCETON RD, MECHANICSBURG, PA, 17055-7328
seven business days of the date the defendant obligor is paid.
CHECKS SHOULD BE MADE PAYABLE TO: PA SCDU
AND SENT TO:
is hereby attached to the following extent.
You are directed to pay to the Pa State Collection and Disbursement Unit the sum of
$ 499.29 per BI-WEEK from the income due the defendant obligor. The
attachment payment must be sent to the Pa State Collection and Disbursement Unit within
Pennsylvania SCDU
P.O. Box 69112
Harrisburg, Pa 17106-9112
Service Type M
Form EN-028
Worker ID $IATT
:f'rf+
90
MICHAEL L. STONE
PACSES Member Number: 1196100446
PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES
MEMBER ID OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO
NOT SEND CASH BY MAIL.
This order of attachment for support is binding upon you until further notice and shall have
priority over any attachment, execution, garnishment or wage attachment under state or local
law except one relating to a prior support order. You must commence the attachment of the
defendant obligor's income as soon as possible but no later than fourteen days from the date
of the issuance of this Order of Attachment.
You are notified further that pursuant to law:
1. The defendant obligor has been notified that an order of attachment for support would
be issued.
2. Willful failure to comply with this order may result in (i) your being adjudged in contempt
of court and committed to jail or fined by the court; (ii) your being held liable for any
amount not withheld or withheld but not forwarded to the Domestic Relations Section; and
(iii) attachment of your funds or property.
3. The attachment of income or the possibility thereof as a basis, in whole or in part, for the
discharge of an employee or any disciplinary action against or demotion of an employee is
prohibited. Violation may result in (i) your being adjudged in contempt and committed to
jail or fined by the court and (ii) an action against you by the employee for damages.
4. If there are in your employment one or more additional employees whose incomes are
subject to an attachment of support, you may combine the attachment payments into a
single payment to the Pa SCDU and separately identify the portion attributable to each
obligor.
5. You must notify the Domestic Relations Section or the Pa SCDU when the defendant
obligor terminates employment and provide the Section with the employee's last known
address and the name and address of the new employer, if known.
Page 2 of 3 Form EN-028
Service Type M Worker ID $IATT
MICHAEL L. STONE PACSES Member Number: 1196100446
6. The maximum amount of the attachment shall not exceed so % of the employee's
net income which is within the limits set in the Consumer Credit Protection Act, 15
U.S.C. §1673.
7. The term "income" as defined by law includes compensation for services, including, but
not limited to, wages, salaries, fees, compensation in kind, commissions and similar
items; income derived from business; gains derived from dealings in property; interest,
rents; royalties; dividends; annuities; income from life insurance and endowment
contracts; all forms of retirement; pensions; income from discharge of indebtedness;
distributive share of partnership gross income; income in respect of a decedent; income
from an interest in an estate or trust; military retirement benefits; railroad employment
retirement benefits; social security benefits; temporary and permanent disability benefits;
worker's compensation; unemployment compensation; other entitlements to money or
lump sum awards, without regard to source, including lottery winnings; income tax
refunds; insurance compensation or settlements; awards or verdicts; and any form of
payment due to and collectable by an individual regardless of the source.
GENERAL INSTRUCTIONS
i. Employers may elect to deduct up to 2% of the attachment amount for their costs. This
amount must not be deducted from the attachment. It must be paid from the employee's
net earnings after the income attachment deduction has been made.
2. If you choose to make payments via an electronic funds transfer, contact the Pa SCDU
Employer Customer Service at 1-877-676-9580.
Date of Order: February 1, 2000
DRO: R.7 Shadday
xc: defendant
Service Type M
B 75k
Edward E. Guido JUDGE
Page 3 of 3
Form EN-028
Worker ID $IATT
G: J
L: llL
L•.
?
? U i?
KATHY G. STONE, IN THE COURT OF COMMON PLEAS OF
PlaintifT/Pelilioncr CUMBERLAND COUNTY, PENNSYLVANIA
VS. CIVIL ACTION - DIVORCE
NO.99-7427 CIVILTERM
MICHAEL L. STONE, IN DIVORCE
Dcfcndant/Rcspondent DR# 29,272
Pacses# 608101828
ORDER OF COURT
AND NOW, this 71i day of January, 2000, upon consideration of the attached Petition for
Alimony Pendcnlc Lite and/or counsel fees, it is hereby directed that the panics and their respec(ive
counsel appear before R.J. Shaddav on January 31. 2000 at 10:30 A.M. for a conference, at 13 N.
Hanover St., Carlisle, PA 17013, after which the conference officer may recommend that an Order for
Alimony Pcndcntc Lite be entered.
YOU are further ordered to bring to the conference:
(1) a Ime copy of your most recent Federal Income Tax Return, including W-2's as filed
(2) your pay stubs for the preceding six (6) months
(3) the Income and Expense Statement attached to this order, completed as required by Rule
1910.110
(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 Petitioner
1-7-00 to: < Respondent
Diane Radcliff, Esquire
Melissa a Grcc? Greevy, Esquire
Dale of Order: January 7. 2000
R. J. Sh day, Conference Officer
YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND
REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO
OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET
LEGAL HELP.
CUMBERLAND COUNTY BAR ASSOCIATION
2 LIBERTY AVE.
CARLISLE, PENNSYLVANIA 17013
(717) 249-3166
r NOTARY
0 JAN I I PM 2: 31
U213?;u?`:D COUNTY
PFNiS (LVANIA
YOUR 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 AVENUE
CARLISLE, PA 17013
(717) 249-3166
The Court of Common Pleas of Cumberland County is required by
l
information aw to comply with the Americans with Disabilities Act of 1990. For
about accommodations available accessible facilities aindividuals a having reasonable
before the court, please contact our office. All arrangements must
be made at least 72 hours prior to any hearing or business before
the court. You must attend the scheduled conference or hearing.
BY OR FOR THE COURT:
DIANE 0. RADCLIPP
3.148 TRINDIX ROAD
CAMP 1111.1.. PA 17011
(717) 7374111X)
- 2 -
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
KATHY G. STONE,
Plaintiff
V. No.Aq-747-7 CLv4Tirrv?
MICHAEL L. STONE, : CIVIL ACTION - LAW
Defendant DIVORCE
RF PETITION FOR ALIMONY PENDENTE LTTE
AND INTERIM COUNSEL FEES AND COSTS
TO THE HONORABLE, THE JUDGES OF SAID COURT:
AND NOW, this tD ? day of December, 1999, comes the
Petitioner, Kathy G. Stone, who files the this Petition for Alimony
Pendent Lite and Interim Counsel Fee: and Costs and respectfully
represents that:
1. The Petitioner, Kathy G. Stone, is an adult individual
residing at 46 Quill Road, Levittown, PA 19057-2017.
2. The Respondent, Michael L. Stone, is an adult individual
residing at 1400 Princeton Road, Mechanicsburg, PA 17055.
3. The Petitioner and Respondent were married on July 1, 1978, at
Levittown, PA and separated on November 17, 1999.
4. The Respondent has not sufficiently provided support for the
Petitioner.
5. The Petitioner is not on a financial par with the Respondent
in prosecuting and/or defending this Divorce action and is
unable to support herself in accordance with the standard of
living established during the marriage and to pay her-
anticipated reasonable attorney's fees and costs incurred or.
to be incurred in the within divorce action.
6. The within action was instituted by the filing of a Divorce
DIANE G. RADCLIPP
3-448 TRINDLG ROAD
CA\II' HILL, PA 17011
(717)737-m(e) - 3 -
Complaint by the Petitioner concurrently with the filing of
this Petition.
7. The divorce Complaint includes claims for Alimony Pendente
Lite, Interim Counsel Fees and Costs.
8. A background information sheet pertaining to these claims has
or will be filed with The Domestic Relations Office as
required by Local Rules of Court.
9. The amount asked by the Petitioner for Alimony Pendente Lite
is the maximum amount provided for under the guidelines.
10. The amount of Interim Counsel Fees and Costs requested by the
Petitioner is $2,000.00.
WHEREFORE, Petitioner prays that the court enter an Order:
1. Requiring the Respondent to pay the Petitioner Alimony
Pendente Lite in the maximum amount provided for by law under
the state support guidelines;
2. Requiring the Respondent to provide medical support for the
Petitioner;
3. Requiring the Respondent to pay a reasonable amount towards
the Petitioner's Interim Counse'. Fees and Costs.
Respeccfully submitted,
DI D ESQUIR
48 Trindl Road I/
Ca PA 17011
Supreme Court ID # 32112
Phone: (717) 737-0100
Fax: (717) 975-0695
Attorney for Petitioner
DIANE O. RADCLIFF
3448 TRINDLB ROAD
CAD61P HILL, PA 17011
(717) 737-01M
- 4 -
VERIFICATION
I verify that the statements made in this Petition for Alimony
Pendent Lite and Interim Counsel Fees and Costs 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.
/I 04 'd- 1kni)
KATHY STONE
DIANE G. RADCLIFF
3.1148 TRINDLE ROAD
CANIP HILL, PA 17011
(717) 737-0100
- 5 -
KATIIY G. STONE IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
V.
MICHAEL L. STONE : NO. 99-7427 CIVIL TERM
AND NOW, this J212 day of OCTOBER, 2000, after conference with counsel,
Defendant Michael L. Stone is hereby enjoined from making any withdrawals from the
Morgan Stanley Dean Witter rollover IRA Account #410041545 without the prior written
consent of Plaintiff Kathy G. Stone or further order of this Court.
We will schedule a hearing to vacate or modify this order upon request of either
party.
Diane Radcliff, Esquire
For the Plaintiff
Melissa Greevy, Esquire
For the Defendant
:sld
By the C
Edward E. Guido, J.
z- * jj
)0-13-00
RXS
I
V
ORDER/NOTICE TO WIT {OLD INCOME FOR SUPPORT
•5 /CrL
OOriginal Order/Notice
State Commonwealth of Pennsylvania ?S,/C/
Co./City/Dist. Of CUMBERLAND ( / Amended Order/Notice
?'? 94.7ya7f)r? 0
Date of Order/Notice 12/08/00 X'a?' dIO k/G)l ryCr D..?-O Terminate Order/Notice
Court/Case Number (See Addendum for case summary) L ?q '17 3
Employer/Withholder's Federal EIN Number
FKI INDUSTRIES INC
Employer/Wlthhddce, Name
T BOX 792
ployer/Wilhholders Address
ACCO CHAIN & LIFTING PROD
YORK PA 17405-0792
ryz
)RE: STONE, MICHAEL L.
Employee/Obligor's Name (Last, First, MO
1 178-48-4413
1 Employee/Obligor's social security Number
1196100446
1 Employee/Obligor's Case Identifier
(See Addendum for plaintiff names associated with cases on attachment)
Custodial Parent's Name (Last, First, Mn
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 98s. oo per month in current support
$ o.00 per month in past-due support Arrears 12 weeks or greater? Oyes ® no
$ 0.00 per month in medical support
$ o. oo per month for genetic test costs
$ per month in other (specify)
for a total of 5 985.00 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 hew much to withhold:
$ 227.31 per weekly pay period.
$ 454.62 per biweekly pay period (every two weeks).
$ 492, so per semimonthly pay period (twice a month).
$ 98s, oo per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on pg. 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1-877-676-9580 for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
DRO: R.T Sha99ay
xc: defenlant
r
Date of Order: December 12. 2000
Service Type M
BY THE CO
FjMrd E. Guido JUDGE
Form EN-028
0.118 No, 0970-0159 Worker ID IATT
4pimion n+lc WPM
4 1
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? If checked you are required to provide a copy of this form to your employee.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee%bligor's income in a single payment
to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to
each employee%bligor.
3.' -Reporting-the-Paydate Mt"t-wlthholtltng-TouY mmporrrnepayoatouarcv mmnuiul„b .vncn mnul,,b %,- vuy... ,,.. ..._
paydate date-ofwithholding-irthedatronwhich?mountA aswithheld-from-the-empkryee "w es; You must comply with the law of the
stale of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.' Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support
against this employeelobligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must
follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest
extent possible. (See 99 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for
you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
WITHHOLDER'S ID: 0602414700
EMPLOYEE'S/OBLIGOR'S NAME: STONE MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should
have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs
unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employeelobligor from
employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding.
Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is
employed governs.
9,* Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.C. §1673 MI; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes.
10.
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
Requesting Agency: If you or your employee/obligor have any questions,
DOMESTI RELATIONS SECTION contact WAGE ATTACHMENT UNIT
P.O. BOX 320 by telephone at (717) 240.6225 or
CARLISLE PA 17013 by FAX at (717) 240-6248 or
by Internet
Page 2 of 2 Form EN-028
Service Type M O.MB,%a.:097"154 Worker ID $1ATT
F,Ptmma Nw. rvilmo
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L. -f PACSES Case Number 488101846/-0';11 J PACSES Case Number 608101820/J4c 7,7)-
Plaintiff Name Plaintiff Name
KATHY O, STONE KATHY G. STONE
Docket Attachment Amount Docket Attachment Amount
01104 S 1999 $ 385.00 99-7427 CIVIL$ 600.00
Child(ren) s Name(s): DOB Child(ren)'s Name(s): DOB
JORDON L. STONE 06118190
? If checked, you are required to enroll the child(ren) ? I f checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available identified above in any health insurance coverage available
through the employee's/obligor's employment. through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docke AttachmentAmount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket AttachmentAmount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
Addendum Form EN-028
Worker ID $IATT
Service Type M ave no.: 0e7-015+
E,piaaon Dec tvnroo
CAPITAL REGION LAND TRANSFER, INC.
3310 Market Street
Camp Hill, PA 17011
717-761-6190
Fax 717-761-4072
CUMBERLAND COUNTY DOMESTIC RELATIONS
REQUEST FOR SUPPORT RECORD SEARCH
Date of Application: January 11. 2001
Domestic Relations Case Number if Known:
Party Requesting Information: Capital Region Land Transfer, I .
Tel. No. 717-761-6190 331 Mar St., am %1701
Fax No. 717-761-4072
Stgnatu
A Ten Dollar ($10.00) Fee is due per Social Security Number.
Check payable to : DRS/Lien Search
SS€# 178-48-4413
X INITIAL REQUEST
Has No Record in Domestic Relations as of
Support Arrears as of End of Month Prior to Date of Application: (Date)
$ .;?Go?, '75
Monthly Total Support Obligation: $ L"'.0
The amount shown above is reflected in the Domestic Relations Section Office of
Cumberland County, Pennsylvania. qj znih t r `
?l iL I c,o Li
Domestic Relations Case Number: f i t s o< `#I f. U 41 D 1 Y 7 Y
Signed:
DJrector/Ass't Du., Lien Coordinator Date
BRING-DOWN REQUEST
Support Arrears
As of:
Date
Signed:
Director/Ass't Dir., Lien Coordinator
Date
Address: 1400 Princeton Road, Mechanicsburg, PA 17055
' Li
': i
MIA
KATHY G. STONE,
Plaintiff/Respondent
VS.
MICHAEL L. STONE,
Defendant/Petitioner
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
99-7427 CIVIL
CIVIL ACTION - LAW
IN DIVORCE
IN RE: PETITION FOR SPECIAL RELIEF
ORDER
AND NOW, this / 9 +' day of January, 2001, following telephone conference with
counsel, this order reflects the agreement of the parties that the plaintiff/respondent, Kathy G.
Stone, will execute any and all necessary documents at the settlement on the marital home which
is to occur on January 22, 2001. It is further directed that the proceeds of said sale be escrowed.
BY THE COURT,
Diane G. Radcliff, Esquire
For the Plaintiff
Melissa Peel Greevy, Esquire
For the Defendant
Am
Kevi A. Hess, J.
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KATHY G. STONE,
Plaintiff/Respondent,
No. 99-7427 CIVIL TERM
MICHAEL L. STONE,
DefendandResponclcm:
AND NOW, this
IN THE COURT OF COMMON PLEAS OF
OF CUMBERLAND COUNTY, PENNSYLVANIA
IN DIVORCE
ORDER OF COURT
day of
2001, upon
consideration of the within Petition, IT IS HEREBY ORDERED that a Rule is issued upon the
Respondent, Kathy G. Stone, to s how cause why the relief requested in the within Petition
should not be granted. The Rule is returnable at a hearing to be held in this matter on the
day of , 2001 at O'clock, m. in Courtroom
of the Cumberland County Courthouse, Carlisle, Pennsylvania.
The parties shall appear at that date and time and give testimony and argument on the
issues in the within petition.
BY THE COURT,
Dist: Diane G. Radcliff, Esquire
3448 Trindle Rd.
Camp Hill, PA 17011
Melissa Peel Greevy, Esquire
214 Senate Avenue Suite 105
Camp Hill, PA 17011
J.
V-
KATHY G. STONE,
Plaintiff/Respondent,
MICHAEL L. STONE,
Defendant/Respondent:
IN THE COURT OF COMMON PLEAS OF
OF CUMBERLAND COUNTY, PENNSYLVANIA
No. 99-7427 CIVIL TERM
IN DIVORCE
EMERGENCY PETITION FOR SPECIAL RELIEF
AND NOW, comes the Defendant, by and through his counsel, Melissa Peel Greevy,
Esquire and files the above referenced Petition and represents that:
Your Petitioner is Michael L. Stone (hereinafter referred to as "Husband") and is
the Defendant in the above captioned divorce action.
2. Your Respondent is Kathy G. Stone (hereinafter referred to as "Wife") and is the
Plaintiff in the above captioned divorce action.
The parties were married on July 1, 1978 and there are three children to the
marriage.
4. The parties were separated on November 17, 1999 when Wife left the marital
home with the parties' youngest son.
5. Wife subsequently filed for divorce on December 10, 1999.
6. The parties agreed to sell the marital home located at 1400 Princeton Road,
Mechanicsburg, Pennsylvania.
Two real estate agents had suggested to Husband that certain repairs be done to
increase the potential sale price of the home.
8. In February 2000, Husband informed Wife that the realtor had recommended
repairs and informed her that he would arrange for them to be done.
9. After four months of showing the home, with no offers on the property, the real
estate agent reported the biggest complaint by persons viewing the property was
the poor condition of the carpet. The realtor recommended that as much carpet as
could be replaced be replaced.
10. Husband arranged for work to be done to the home to improve the marketability
and with the expectation that the parties would obtain a better price at time of
sale.
11. The work done included, inter alia, painting, replacing carpeting, repair to walls,
pressure washing of the siding of the home, replacement of rotted front railings,
replaced broken windows, patching the roof, repairs to toilet fixtures, replacement
of a kitchen counter top, extensive repairs to the laundry room due to damage by
pet dogs and replacement of the garbage disposal.
12. Much of the work was done by Cumberland Services, Inc. (hereinafter "CSI")
(See invoice attached as Exhibit "A").
13. Some of the work was done by the Husband.
14. John Lane of Cumberland Services Inc. had agreed to be paid for his services at
the time of the settlement on the home.
15. When Wife learned that Mr. Lane expected to be paid from proceeds of the sale of
the home, she told Husband that she had not signed anything agreeing to pay Mr.
Lane would not agree to share in these expenses to prepare the home for sale.
16. Mr. Lane subsequently filed a Mechanics lein on the (tome.
17. Mr. Lane filed a complaint with District Justice Clement, docketed at No. CV -
0000723-00, seeking compensation for his work from
18. The district justice hearing is to be heard on January 23, 2001. (See Exhibit "13").
19. A copy of the CSI invoice was included with December 1, 2000 correspondence
from Husband's counsel to Wife's counsel asking whether Wife would agree to
pay CSI at settlement so that the parties would not lose the opportunity to sell the
home.
20. Wife's counsel did not respond.
21. Settlement on the marital home is to occur on January 22, 2001. The buyers are to
take possession the day of settlement.
22. Husband signed a contract to purchase another home for himself and the parties'
three sons, which settlement is to take place the afternoon of January 22, 2001.
23. Husband's loan for the purchase of the new home is contingent upon the sale of
the marital home.
24. Husband elected to have John M. Eakin, Esquire to represent him in real estate
settlement matters.
25. Wife has informed Husband that she may not cooperate with the sale of the
marital home unless he indemnifies her from the CSI claim.
26. Wife's counsel informed Husband's real estate counsel, Mr. Eakin, that Wife will
not sign the spousal waiver to purchase the new home unless Husband assumes
sole responsibility for the contractor debt to CSI and obtains a release of her
liability from Mr Lane. (See Exhibit "C")
27. If Wife causes the planned sale of the marital home to fail, the parties may be
subject to liability for breach of contract, Husband and children will have no place
to live and Husband may be forced to file bankruptcy.
a ;. n
WHEREFORE. Petitioner respectfully requests this Honorable Court to enter an Order:
a. Requiring Respondent to cooperate with the January 22, 2001 settlement on the
marital home by signing all documents necessary to effectuate the sale of the
property; and
b. Requiring any proceeds from the sale of the home to be held in escrow pending
the outcome of the economic settlement of the divorce; and
c. Require Respondent to sign the spousal waiver of any claim to the home which
Petitioner intends to purchase following the sale of the marital home; and
d. Require Respondent to share equally in the costs of the services provided by CSI
or alternatively, preserve the issue of Respondent's contribution to the CSI bill
for disposition at the time of the settlement of the economic issues of the divorce.
I verify that the statements made in the foregoing Petition for Special Relief are true and
correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C. S.
j 4904 relating to unswom falsification to authorities.
lvzz?
Michael L. Stone - Petitioner
Respectfully submitted,
L4p-j
Melissa Peel Greevy, Esquire
I.D. No. 77950
214 Senate Avenue Suite 105
Camp Hill, PA 17011-2336
(717) 763-8995
Counsel for Petitioner
"w"c5?
EXHIBIT "A"
¦
11/JU/LCUU 14: L9 /111418S1J
Cumbalmd Services, Inc.
F.O. Box 693 ¦ 3 S. 401h St. 9 C my Hill. PA I
ACUu uc
resat ee
YOUR QUALITY SERVICE SPECIALISTS
FOR YOUR
COMMERCIAL • INDUSTRIAL • RESIDENTIAL
NEEDS
? SPARRU WASH'
CONTRACT & SPECIALTY CLEANING
HIGH PRESSURE WA$HING
PROFESSIONAL BUILDING MAINTENANCE TRUCKS • BUILDINGS • SIDING • ANYTHING
MIKE STONE INVOICE NUMBER: 0011107-IN
1400 PRINCETON ROAD INVOICE DATE: 05/15/00
MECHANICSBURG PA 17050 CUSTOMER N0: 02-9STONE
CUSTOMER P.O.:
CONTACT: NET 30 DAYS
A FINANCE CHARGE OF 1% % PER MONTH, WHICH IS AN ANNUAL PERCENTAGE PATE OF LOW.
WILL EE CHARGED ON ALL BALANCES OVER 30 DAYS PAST OUR. MINIMUM CHARGE IS $1.00
SALES CD DESCRIPTION QUANTITY PRICE AMOUNT
1.
CLEAN/REPAIR/PAINTING - !6773.13
PRESSURE-WASH SIDING 9205_00
MATERIAL - 91071.88
MARK UP 10% 1 107.19
TOTAL: x8157.20
TAXABLE AMOUNT 2,039.45
NON TAXABLE AMOUNT 6,117.75
PROFE.SSIONAL BUILDMO MAINTENANCE a CONTRACT JANITORIAL • HIGH PRESSURE WASHING
• Contract & Specialty Cleaning TAXABLE: 2,039.45
NON TAXABLE: 6.117.75
• Tile Floor & Carpet Care SALES TAX: 122.37
• Ultrasonic Blind & Light Lente Cleaning INVOICE TOTAL! 8,279.57
• Ceiling Cleaning & Pro-coating
EXHIBIT "B"
COMMONWEALTH OF PENNSYLVANIA CIVIL ACTION
COUNTY OF: CUMBERLAND
FDJ iA. No... PLAINTIFF: HEARING NOTICE
NAME and ADDRESS
9-1-01 rCUMBERLAND SERVICES INC. 1
o: Han. 3 SOUT H 40TH
CHARLES A. CLEMENT, JR. CAMP HILL, PA 17011
' 1106 CARLISLE ROAD
CAMP HILL, PA L J
DEFENDANT: VS.
Telephone: (717) 761-4940 17011 r- NAME and ADDRESS
STONE, MIRE -I
1400 PRINCETON ROAD
MECHANICSBURG, PA 17055
MIRE STONE L J
1400 PRINCETON ROAD FDateFiled: tNo.: CV-0000723-00
MECHANICSBURG, PA 17055 12/21/00
A civil complaint has been filed against you in the above captioned case. A hearing has been set in this matter for:
I -- ••? ...??.r wvac'r V7-1-
Time: 10:00 AM 1106 CARLISLE ROAD
CAMP HILL, PA 17011
NOTICE TO DEFENDANT
If You Intend to enter a defense to this complaint, you should so notify this office immediately at above
phone number. the
You must appear at the hearing and present your defense. UNLESS YOU DO, JUDGMENT WILL BE ENTERED
AGAINST YOU BY DEFAULT.
If you have a claim against the plaintiff which is within district justice jurisdiction and which you intend to assert
at the hearing, you must file it on a complaint form at this office at least five (5) days before the date set for the
hearing. If you have a claim against the plaintiff which is not within district justice jurisdiction, you may request
information from this office as to the procedures you may follow.
NOTICE TO PLAINTIFF
If the defendant enters a Notice of Intent to Defend, you will be notified of the date and time of the scheduled hearing
and must appear.
If you are disabled and require assistance, please contact the Magisterial District office at the address
above.
AOPC3088.9a DATE PRINTED: 12/21/00
11.
EXHIBIT "G"
DIANE G ESQUIR11,
, RAI7L.i..1F:EJ
,
Attu niey at Law ?.
3445'1'rindle. Road Phonc: (717) 7-17-0100
Camp Bill, Pennsylvania Facsimile (717) 975.0697
January 4, 200'- +i^
r ;
John M• Eakin, Escuire
Maa.n & Ma.rket Streets
Mechanicsburg, PP. 17055
Re: Michael Ston(_
Real Estate Spousal Vmiver `'-
Dear John:
i
I spoke with Kathy Stone w;.th regard to your request that she
Sign a epousal waiver s o as to permit her husband, Michael, to
purchase a new home upon the sale of the waritai home. She
indicated that she wi.i.l. not do so :::iless Michael assumes Fo:.e '...
responsibility for the contractor debt owed to Mr. Mayne, and
::•
obcains a release of any liability that :she may have on chat ceot
.y.
'
from Mr. Wayne. ;
? ,
•
1 trust. that you wil l advirie Mr. Stone of his wife's position. i i
-.
Waxy trulyyurs,
1
Cr ACie.•6 .. U4LiFF? ESQUIRE
LGR/dr
i,
Enclceurc: None
cc: Kathy Stone
J?
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• (t
CERTIFICATE OF SERVICE
AND NOW, this /?[?day of 2001, I, Melissa Peel
Greevy, Esquire, hereby certify that I have tl ' day served opy of the within petition for
Special Relief by mailing the same by first class mail, po ge prepaid, addressed as follows:
Diane G. Radcliff, Esquire
3448 Trindle Road
Camp I-lill, PA 17011
Melissa Peel Greevy, Esquire
I.D. No. 77950
214 Senate Avenue Suite 105
Camp Hill, PA 17011-2336
(717) 763-8995
Counsel for Petitioner
r•t -
v -
_i
KATHY G. STONE, IN THE COURT OF COMMON PLEAS OF
Plaintiff/Petitioner/Respondent CUMBERLAND COUNTY, PENNSYLVANIA
VS. CIVIL ACTION - DIVORCE
NO. 99-7427 CIVIL TERM
MICHAEL L. STONE, IN DIVORCE
Defendant/Respondent/Petitioner: DR029272
Pacsesk608101828
ORDER OF COURT
AND NOW, this 5" day of February, 2001, a petition has been filed against you, Kathy G. Stone,
to modify an existing Alimony Pendente Lite Order. You are ordered to appear in person at the Domestic
Relations Section, 13 North Hanover Street, Carlisle, Pennsylvania, on February 212001 at 10:30 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 for Modification may be entered against you.
You are further ordered to bring to the conference:
(1) a true copy of your most recent Federal Income Tax Return, including W-2's as filed
(2) your pay stubs for the preceding six (6) months
(3) the Income and Expense Statement attached to this order, completed as required by the Rule
1910.11.
(4) verification of child care expenses
(5) proof of medical coverage which you may have, or may have available to you
IF you fail to appear for the conference or bring the required documents, the Court may issue a
warrant for your arrest.
Copies mailed
2-5-01 to:< Petitioner
Respondent
Diane Radcliff, Esquire
Melissa Greevy, Esquire
Date of Order: February 5, 2001
BY THE COURT,
George E. Hoffer, President Judge
Shadday, Conference Office
YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND
REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR
TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL
HELP.
CUMBERLAND COUNTY BAR ASSOCIATION
2 LIBERTY AVE.
CARLISLE, PENNSYLVANIA 17013
(717) 249-3166
?c?
i?IF;,- ca
F,.
`.A
KATHY G. STONE,
Plaintiff,
V.
MICHAEL L. STONE,
Defendant.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DR 29,272
PACSES ID 608101828
DOMESTIC RELATIONS SECTION
No. 99-7427
PETITION FOR MODIFICATION OF AN EXISTING ORDER
FOR ALIMONY PENDENTE LITE
AND NOW, comes the Defendant, by and through his counsel, Melissa Peel Greevy,
Esquire, and files the above referenced Petition and represents that:
1. Your petitioner is Michael L. Stone, the Defendant in the above captioned matter.
2. Your Respondent is Kathy G. Stone, the Plaintiff in the above captioned matter.
3. On February 1, 2000 an Order of Court was entered for alimony pendent lite to be
paid by Defendant to Plaintiff, Kathy G. Stone. A true and correct copy of the
Order is attached to this petition.
4. Petitioner is entitled to a modification of this Order be cause of the following
material and substantial changes in circumstance:
a. Respondent has had an increase in pay.
b. Petitioner now has primary physical custody of all three of the parties
children pursuant to and Order of Court dated December 5, 2000. A true
and correct copy of the Order is attached to this petition.
WHEREFORE, Petitioner requests:
a. That one conference scheduled to address this Petition, the Defendant's petition
for child support of the parties' children: Johnathan Micahel Stone, born March 3,
1983, Jason Russell Stone born September 26, 1984, and Jordan L Stone, born
June 18, 1990; and Defendant's petition to terminate support to the Plaintiff for
the support of the child, Jordan L Stone, born June 18, 1990.
b. That the Court modify the existing Order for Alimony Pendente Lite.
I verify that the statements made in the foregoing Petition to Modify Alimony Pendente Lite 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.
??Zr?\11r
Michael L. Stone - Petitioner
IF::_:
Respectfully submitted,
el sa Peel Greevy, Esquire
1. D. No. 77950
214 Senate Avenue Suite 105
Camp Hill, PA 17011-2336
(717) 763-8995
Attorney for Petitioner
CERTIFICATE OF SERVICE
And now, this a (56 day of January, ?001,1, Melissa Peel Grecvy, Esquire,
counsel for the Petitioner, hereby certify that I have this day served a copy of the foregoing
Petition for Modification of an Existing Order for Alimony Pendente Lite to the Respondent's
counsel at the address listed below:
Diane G. Radcliff, Esquire
3448 Trindle Road
Camp Hill, PA 17011
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DR 29,272
PACSES ID 608101828
KATHY G. STONE,
Plaintiff/Petitioner/Respondent
Vs.
MICHAEL L. STONE,
Defendant/Respondent/Petitioner
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
DOMESTIC RELATIONS SECTION
CIVIL ACTION - LAW
: NO. 99-7427 CIVIL TERM
ORDER OF COURT
AND NOW, this 26u' day of February, 2001, based upon the Court's determination that
Petitioner's monthly net income/eaming capacity is $1,375.35 per month and Respondent's monthly
net income/eaming capacity is $3,908.24 per month, it is hereby Ordered that the Respondent pay to
the Pennsylvania State Collection and Disbursement Unit, $542.00 per month payable bi-weekly as
follows; $542.00 per month for alimony pendente lite and $0.00 on arrears. First payment due with
wage attached payment. Credit set at $976.03 as of February 23, 2001. The effective date of the
order is December 18, 2000.
The current credit is to be liquidated by $200.00 per month less the ordered amount.
Failure to make each payment on time and in full will cause all arrears to become subject to
immediate collection by all of the means as provided by 23 Pa.C.S.§ 3703. Further, if the Court
finds, after hearing, that the Respondent has willfully failed to comply with this Order, it may declare
the Respondent in civil contempt of Court and its discretion make an appropriate Order, including,
but not limited to, commitment of the Respondent to prison for a period not to exceed six months.
Said money to be turned over by the PA SCDU to: Kathy G. Stone. Payments must be made
by check or money order. All checks and money orders must be made payable to PA SCDU and
mailed to:
PA SCDU
P.O. Box 69110
Harrisburg, PA 17106-9110
Payments must include the defendant's PACSES Member Number or Social Security Number in
order to be processed. Do not send cash by mail.
c - n
0/14-9 "`!J^„V
This Order shall become final ten days after the mailing of the notice of the entry of the Order
to the parties unless either party files a written demand with the Prothonotary for a hearing de novo
before the Court.
DRO: R.1. Shadday
Mailed copies on Petitioner
?;!!L)L to: < Respondent
Melissa Grecry, Esquire
Diane Radcliff, Esquire
BY THE COURT,
44e4
Edward E. Guido J.
L -
W_
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsylvania ?R' q%r/ v/Z' 0Original OnW/Notice ??? F ?C ,
CO./City/Dlst.O( CUMBER 14))o sus
LAND OAmende(I Ortler/Nolicn
Date of Order/Notice 02/23/01 O Terminate Onrer/Nolicc
Court/Case Number (See Addendum for case summary)
Employer/Withholder's Federal EIN Number
ACCO CHAIN & LIFTING PROD
Employer/Wilhlwlder's Name
C/O FKI INDUSTRIES INC
Employer/Wilhholder's Address
PO BOX 792
YORK PA 17405-0792
)RE: STONE, MICHAEL L.
I Employee/Obligor's Name (Last, First, m)
1 178-48-4413
Employee/Obligor's Social Security Number
1196100446
1 Employeel0bligor's Case Identifier
(See Addendum for plaintiff names associated with cases on altadrmen0
I Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 542. 00 per month in current support
$ o. oo per month in past-due support Arrears 12 weeks or greater! 0 yes ® no
$ 0.00 per month in medical support
$ 0.00 per month for genetic test costs
$ per month in other (specify)
for a total of $ 542. oo per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ 125.08 per weekly pay period.
$ 250.15 per biweekly pay period (every two weeks).
$ 271.00 per semimonthly pay period (twice a month).
$ 542, oo per monthly pay period.
REMITTANCE INFORMATION.
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on pg. 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1-877.676-9580 for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAMEAND THE PACSES MEMBER ID (shown
above as (lie Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
. 4.711 BY THE COURT:
xc: a"'+as-ari.s m.ma?a? *e4
DRO: defniant enianty
.r5
Date of Order: FelmT 26, 2001
E E. Guldo JUDGE
Form EN-028
Service Type m 0118 NO.: 0970.015+ Worker ID $IATT
E.pLnlon Dec IY31NO
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? If checked you are required to provide a copy of this form to your employee.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment
to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to
each employee%bligor.
3.' -Reportingthe-Paydate/Dat"f-Withholding-Yotrmustmport-the-paydate/dateofwithholdingwhensending-the-payment-The
paydate(dateafwithholding-is-the date-o?mountwaswithheld-from-the-employeetrwa .. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.' Employee/Obligorwith Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support
against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must
follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest
extent possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the entployee%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: 0602414700
EMPLOYEE'S/OBLIGOR'S NAME: STONE. MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should
have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs
unless the obligor is employed :n another State, in which case the law of the State in which he or she is employed governs.
B. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from
employment, refusing to employ, or taking disciplinary action against any employee/obligor because ofa support withholding.
Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is
employed governs.
9.' Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.C. 41673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes.
10.
'NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
Requesting Agency:
]DOMESTIC RELATIONS SECTION
P.O. BOX 320
CARLISLE PA 17013
Service Type M
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240.6225 or
by FAX at (717) 240-6248 or
by Internet
Page 2 of 2
O.NB No.: 09704154
rnpinlion D4tc 1951100
Form EN-028
Worker ID $IATT
1:_.
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES Case Number 60e101826/Z`/,;?r?2 PACSES Case Number
Plaintiff Name Plaintiff Name
KATHY o. STONE
Docket Attachment Amount Docket Attachment Amount
99-7427 CIVICS 542.00 ;; 0.00
Child(ren)'s Name(s): DOB Child(ren's Name(s):
? If checked, you are required to enroll the child(ren)
identified above in any Ihealtlh insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment 0 in
S 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
! O.00
Child(ren)'s Name(s): DOB
DOB
?If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the enployee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
5 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PAGES Case Number
Plaintiff Name
Docket Attachment Amount
S 0.00
Child(ren)'s Name(s): DOB
?If checked, you are required to enroll the child(ren) ?If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available identified above in any health insurance coverage available
through the enployee's/obligor's employment. through the employee's/obligor's employment.
Service Type M Addendum Form EN-028
o.MBN.409ra0154 WorkerlD $IATT
Explraion Data 1]31100
LIEN SATISFACTION
Name: Michael Stone
Social Security Number: 178-48-4413
Paeses# 608101828
No. 99 CV 7427
DR# 29272
Judgment Lien Satisfied as of -January 24, 2001
Amount Paid S 202.75
Signed: Q,u ?C )JI. tU,cf
( ien Coordinator)
3-9-01
(Date)
G
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? ??
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ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
JK(. y?• / ??'? ?r/G%CL 0 Original Omer/Notice
State Commonwealth of Pennsylvania UC`r?'???d ?d
Co./City/Dist. Of CUMBERLAND /OwsC`S ` i O Amended Order/Notice
Date of Order/Notice 03/30/01 /? O Terminate Order/Notice
Court/Case Number (See Addendum for case summary)
Employer/Withholder's Federal EIN Numlxr
ACCO CHAIN & LIFTING PROD
Employer/Withholder's Name
C/O FKI INDUSTRIES INC
Employer/Withholder's Address
PO BOX 792
YORK PA 17405-0792
)RE: STONE, MICHAEL L.
Employee/Obligor's Name (Last, First, MI)
178-48-4413
Employee/Obligor's Social Security Numlxr
1196100446
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 604. 00 per month in current support
$ o. oo per month in past-due support Arrears 12 weeks or greater? Dyes ® no
$ 0.00 per month in medical support
$ 0. oo per month for genetic test costs
$ per month in other (specify)
for a total of $ 604. 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:
$ 139.38 per weekly pay period.
$ 278.77 per biweekly pay period (every two weeks).
$ 302. oo per semimonthly pay period (twice a month).
$ 604. oo per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on pg. 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1.877-676-9580 for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAMEAND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
DRD- dRefeniadcda ^v' r* A BY THE COURT:
Date of Order: A3)rl1 2. 2001 0?7
Ekimrd E. Gulao JUDGE
Form EN-028
Service Type m ouBnn.:oe)o.ols4 Worker ID $IATT
r.pfuuon Dn¢ 1213 1100
?11 • 'l
ii
X11
` Aus
C
t -?
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? If checked you are required to provide a copy of this form to your employee.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment
to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to
each employeelobligor.
3.' -ReportinVhe-Paydate/Dat"f-Withholding-You-must-report-thrpaydate/date-ohvithholding-whe"endingthepayment. The-
naydatddat"fwithhokling-isibe date or hki"mountyvastivithheld-from-theemployees vages-. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.- Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support
against this employee%obligorand you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must
follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest
extent possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for
you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
WITHHOLDER'S ID: 0602414700
EMPLOYEE'S/OBLIGOR'S NAME: STONE. MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should
have withheld from the employee%bligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs
unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from
employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding.
Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is
employed governs.
9.' Withholding Limits: You may not withhold more than the lesser of 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes.
10.
"NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
Requesting Agency: If you or your employee/obligor have any questions,
DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT
P.O. BOX 320 by telephone at (717) 240-6225 or
CARLISLE PA 17013 by FAX at (717) 240.6248 or
by Internet
Page 2 of 2 Form EN-028
Service Type M O.\IR no.: 09100154 Worker ID $IATT
Expiration D.lc 12131/00
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES Case Number_ 60E101e2Y ? /ut PACSES Case Number
Plaintiff Name Plaintiff Name
KATHY o. STONE Docket Attachment Amount
Docket Attachment Amount S 0.00
99-7427 CIVILS 604.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s):
?if checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
-' $ 0.00
Child(ren)'s Name(s): DOB
DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PAGES Case Number
Plaintiff Name
Docket Attachment Amount
g 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
If checked, you are required to enroll the child(ren)
? If checked, you are required to enroll the child(ren) ?
identified above in any health insurance coverage available tl oughdthe employee s/obligors employmentage available
through the employee's/obligor's employment.
Addendum Form EN-028
Worker ID $IATT
Service Type m 011060.:00104154
[,0inticn ml6 1213 1100
II?tY-30-03 12:38 FROM-Cumberland County Domestic Re Iat ionr TIT2406248 T-453 P 001/002 F-585
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RFLATIONS SECTION
Docket Number 99-7427 C1t L
KATHY G. STONE )
Plaintiff
PACSES Casq Number 608101628
VS. )
MICHAEL L. STONE ) Other State ID Number
Defendant PETITION FOIE'AODIFICATION
OF AN EXISTING S EWE ORDER
KATHY G. STONE respectfully
1. The petition of
represents that on FEBRUARY 23, 2001 . an order of Court was entered for
Alimony Pendente Lite for
KATHY G. STONE
A true and correct copy of the order is. attached to this petition.
Form OM-501
Worker ID 21 105
SeNlCe Type m
tip.. _. ...-?
MAY-30-03 12:38 FROM-Cumberland County Domenic Relationt
TIT2406240
T-453 P 002/002 F-585
STONE V. STONE
PACSES Case Number: 608101 a28
2. Petitioner is entitled to ® increase 0 decrease 0 termination 0 reinstatement
0 other of this order because of the following material and substantial change(s) i
circumstance:
(COMPLETE 6 RETURN TO DRO)
Jason R. Stone is 18 years old (since September 26, 2002),
and will be graduating from high school on June 9, 2003.
WHEREFORE, Petitioner requests that the Court modify the existing order for Sup : M.
Petitioner Attorney for Petitioner
I verify that the statements made in this complaint are true and correct. 1 undersl; nd
that false statements herein are made subject to the penalties of 18 Pa. C.S. § 4904 rela. ng to
unsworn falsification to authorities.
-U-A-05
Date
wy
Petitioner
Page 2 of 2 Form OM•501
Service Type M Worker ID 2 i 105
._?`
;u4z.. .
KA'T'HY G. STONE.
Plaintiff/Feliloner
vs.
MICIIAEL L. STONE,
Defendant/Respondent
IN TIME COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - DIVORCE
NO. 1999-7427 CIVIL TERM
IN DIVORCE
Paeses!t 608101828
ORDER OF COUR'T'
AND NOW, this 18°i day of June, 2003,;1 petition has been tiled against you. Michael Stonc, to
modify an existing Alimony Pendente Lite Order. You are ordered to appear in person at the Domestic
Relations Section, 13 North Hanover Street. Carlisle, Pennsylvania, on Jn/v 28, 2003 at 9:00 A.AL fora
conference and to remain until dismissed by the Court. I I' you fail to appear as provided in this Order, an
Order of Court may be entered against you.
You are further ordered to bring to the conference:
(1) a true copy of your most recent Federal Income Tax Return, including W-2's as filed
(2) your pay stubs for the preceding six (6) months
(3) the Income and Expense Statement attached to this order, completed as required by the Rule
1910.11.
(4) verification of child care expenses
(5) proof of medical coverage which you may have, or may have nvailable to you
IF you fail to appear for the conference or bring the required documents, the Court may issue a
warrant for your arrest.
BY THE COURT,
George E. Hoffer, President Judge
Copies mailed
6-18-03 to:< Petitioner
Respondent
Diane Radcliff, Esquire
Melissa Greevy. Esquire
Date of Order: June 18, 2003
i
T.Shadday,Conlcrcnc eOfficer
YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND
REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR
TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL
HELP.
CUMBERLAND COUNTY BAR ASSOCIATION
2 LIBERTY AVE.
CARLISLE, PENNSYLVANIA 17013
(717)249-3166
nee (o
C:
c. i.
J
IJ - V-
I
V u U
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
KATHY G. STONE ) Docket Number 99-7427 CIVIL
Plaintiff )
VS. ) PACSES Case Number 608101828
MICHAEL L. STONE )
Defendant ) Other State ID Number
ORDER
AND NOW, to wit on this 28TH DAY OF JULY, 2001 IT IS HEREBY
ORDERED that the Q Complaint for Support or ® Petition to Modify or Q Other
filed on JUNE 18, 2003 in the above captioned
matter is dismissed without prejudice due to:
PETITIONER WITHDRAWING HER PETITION FOR MODIFICATION OF THE ALIMONY PENDENTE
LITE ORDER.
O The Complaint or Petition may be reinstated upon written application of the plaintiff
petitioner.
DRO: RJ Shadday
xc: plaintiff
defendant
Diane Radcliff, Esquire
Melissa Greevy, Esquire
Service Type M
BY THE COURT:
Edward E. Guido JUDGE
Form OE-506
Worker ID 21005
r°
CO
C U •
-1
L:
r= .?Z
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
DOMESTIC RELATIONS SECTION N
KATHY G. STONE
Plaintiff
V.
MICHAEL L. STONE
< .fir Fj
:> rn
DOCKET NUMBER 99=i 27 GTVIL
PACSES Case Number 608101828
Other State ID Number:
PRAECIPE TO WITHDRAW PETITION FOR MODIFICATION
Please withdraw the Petition for Modification of an Existing
Support Order filed by Plaintiff on June 6, 2003 in the above
captioned matter.
Respectfully submitted,
39 Trind e Road
C H' PA 17011
PHONE: (717) 737-0100
Fax: (717) 975-0697
I.D. No. 32112
Attorney for Plaintiff
- 1 -
Co.
C) Ic
u" - 'iii
0
V.-I
SOCIAL SECURITY INFORMATION SHEET
PURSUANT TO 23 Pa.C.S.A. SECTION 4304.1, ALL DIVORCES MUST INCLUDE THE
PARTIES' SOCIAL SECURITY NUMBERS. PLEASE FILL IN THE APPROPRIATE
INFORMATION AND RETURN TO THE PROTHONOTARY'S OFFICE.
COUNTY Cumberland
DOCKET NUMBER 99-7527
PLAINTIFF'S NAME Kathy G. Stone
PLAINTIFF'S SS # 201-46-4645
DEFENDANT'S NAME Michael L. Stone
DEFENDANT'S SS# 178-48-4413
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
KATHY G. STONE ) Docket Number 99-7427 CIVIL
Plaintiff )
VS. ) PACSES Case Number 608101628
MICHAEL L. STONE )
Defendant ) Other State ID Number
ORDER
AND NOW, to wit, on this 20TH DAY OF MAY, 2004 IT IS HEREBY
ORDERED that the support order in this case be o Vacated or OSuspended or
(j) Terminated without prejudice or Q Terminated and Vacated,
effective APRIL 1, 2004 , due to:
THE PARTIES' SETTLEMENT AGREEMENT AND AN AGREEMENT FOR ALIMONY BEING ENTERED.
THE CREDIT OF $958.06 ON THE ALIMONY PENDENTE LITE ACCOUNT WILL BE DIRECTED TO
THE ALIMONY ACCOUNT.
DRO: RJ Shadday
xc: plaintiff BY THE COURT:
defendant -
Diane Radcliff, Esquire
Melissa Greevy, Esquire
Edward E. Guido JUDGE
i
Form OE-504
Service Type M Worker ID 21005
r l_
Y
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-?
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V---
ORDERINOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsylvania
Co./City/Dist. of CUMBERLAND
Date of Order/Notice 01/26/05
Case Number (See Addendum for case summary)
Employer/Withholder's Federal EIN Number
O Original Order/Notice
O Amended order/Notice
O Terminate Order/Notice
RE: STONE, MICHAEL L.
Employee/Obligor's Name (Last, First, MI)
FRY COMMUNICATIONS INC
800 W CHURCH RD
MECHANICSBURG PA 17055-3179 /i /qg9-7y?.7 eV
P4t?5 1,oylol?2
178-48-4413
Employee/Obligor's Social Security Number
1196100446
Employee/Obligor's Case Identifier
(See Addendum tw plaintiff names
associated with cases w attadunenO
Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee'stobligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 604.00 per month in current support
$ o, oo per month in past-due support Arrears 12 weeks or greater? Oyes ® no
$ 0. oo per month in current and past-due medical support
$ o. oo per month for genetic test costs
$ per month in other (specify)
for a total of $ 604. oo per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ 139.38 per weekly pay period.
$ 278.77 per biweekly pay period (every two weeks).
$ 3o2. oo per semimonthly pay period (twice a month).
$ 6o4. oo per monthly pay period.
REMITTANCE INFORMATION:
You mint begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1-877.676-9580 for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BYMAIL.
- - BY THE COURT:
JAN 2 7 2005 ---_caZ?c?---11 -
Date of Order:
F&01go4 S U/ JzJ E
Form
Service Type M EN-028
ONIa No, 09700154 WorkerlD $IATT
5?
Ilk
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? I , hecntk?d you are required to pr vile a opy of this form to your m loyee. If yo r employeg orks in a state that is
i?ere from the state that issuer this order, a copy must be provucer?to your empYoyee even d i?te box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal lax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor.
3.• Repo. ingthe-Paydate/Date-of-Withholding-You-mustreportthepaydatekfatevfvvithholdingwherrsending-thepayment-The-
pagdatchiatevfwithholdingis-thedat"nwhichamounrwas-withheld-fromthe-employe&s-wages. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.• Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employeelobligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employeelobligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEEIOBLIGOR NO LONGER WORKS FOR: 2318859790
EMPLOYEE'S/OBLIGOR'S NAME: STONE, MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employeelobligor's income and other penalties set by Pennsylvania State law. Pennsylvania Stale law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employeetobligor from employment,
refusing to employ, or taking disciplinary action against any employeelobligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.• Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.C. § 1673 MI; or 2) the amounts allowed by the State of the emplo•; ee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional
'NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
11.Submitted By:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
Service Type M
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
OATS No, e97aa154
Form EN-028
WorkerlD $IATT
,rte 'wfi?
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES Case Number 608101828 PACSES Case Number
Plaintiff Name Plaintiff Name
KATHY G. STONE
Docket Attachment Amount Docket Attachment Amount
99-7427 CIVILS 604.00 S 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB
?If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
?lf checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
S 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
S o.oo
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
Service Type M
Addendum
OMB No, 0910-0154
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
5 0.00
Child(ren)'s Name(s): DOB
? if checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
Child(ren) s Name(s): DOB
? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
S o.oo
Form EN-028 fI
Worker ID $IATT
[_
k
n N ,?
O b
:i
co i
CV
a
? J
O cv U
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsylvania
Co./City/Dist. of CUMBERLAND
Date of Order/Notice 01/26/05
Case Number (See Addendum for case summary)
Employer/Withholder's Federal EIN Number
ACCO CHAIN & LIFTING PROD
C/O FKI INDUSTRIES INC
PO BOX 792
YORK PA 17405-0792
O Original Order/Notice
O Amended Order/Notice
Q Terminate OrderMotice
RE: STONE, MICHAEL L.
Employee/Obligor's Name (Last, First, MI)
??/• /t?IiS- '7V;7 1"V
19RIScS 05/D/ ?)
178-48-4413
Employee/Obligor's Social Security Number
1196100446
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ o. 00 per month in current support
$ o. oo per month in past-due support Arrears 12 weeks or greater? Oyes ® no
$ o. oo per month in current and past-due medical support
$ o. oo per month for genetic test costs
$ per month in other (specify)
for a total of $ o . o o per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ o. oo per weekly pay period.
$ o. oo per biweekly pay period (every two weeks).
$ o. oo per semimonthly pay period (twice a month).
$ o. oo per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1-877-676-9580 for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAMEAND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
JAN 2 7 2005
Date of Order:
Service Type M
THE COURT:
vGr/?IKD G G G'r / J pis.
Form EN-028
o+se No.: 097M 154 WorkerlD $IATT
r {
l
??(?[ ed ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
t
d'i?fheck froyo the elate that i to pgivthiso ide a ferPa copylsmust bte provided io your lemployee elvoen if IXe box is not checked.
1. Priority: Withholding under this order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employeelobligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor.
3.•-Reponin&eftyC[ate t)ate-orvvnnnolomg. rvu mI,?I i<N..l„1- rurm--._ _..... . _._.__ _ -
paydaMldaten(withholding-is-thetlateonwhichamountwaswithheidfrom-the-employee'rwages. 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.
4.' Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employeetobligor 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'stobligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employeelobligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEEIOBLIGOR NO LONGER SWORKS FO : 06 L 14700
EMPLOYEE'S/OBLIGOR'S NAME:
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employeetobligor from employment,
refusing to employ, or taking disciplinary action against any employeelobligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the Stale in which he or she is employed governs.
9." Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.C. §1673 Ml; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
'NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
11.Submitted By:
JDOMESTIC RELATIONS SECTION
13 N HANOVER5T
P.O. BOX 320
CARLISLE PA 17013
If you or your employeelobligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
Service Type N
OnIB NO.:097MI5l
Form EN-028
Worker ID $IATT
- M
:
C-
?•? L
C,
lu CV
'- U
-f- CL
t 7O i
LL Oj
XLU 7- j.
u_
U n
G
L
1
AS OF a-ag o?
CASE# 1999 71-ld-r7
HAS BEEN SCANNED.
ALL EARLIER
FILINGS TO THIS
CASE HAVE BEEN
MICROFILMED.
ORDEWNOTICE TO WITHHOLD INCOME FOR SUPPORT CP _ Tr.7 '7 Ov P L
State Commonwealth of Pennsylvania O Original Order/Notice
Co./City/Dist. of CUMBERLAND O Amended Order/Notice
Date of Order/Notice 02/27/07 O Terminate Order/Notice
Case Number (See Addendum for case summary)
RE: STONE, MICHAEL L.
Employer/Withholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI)
FRY COMMUNICATIONS INC
800 W CHURCH RD
MECHANICSBURG PA 17055-3179
178-48-4413
Employee/Obligor's Social Security Number
1196100446
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ o . 00 per month in current support $ o . oo per month in past-due support
Arrears 12 weeks or greater? Oyes (9) no
$ 0.00 per month in current and past-due medical support
$ o . 00 per month for genetic test costs
$ per month in other (specify)
for a total of $ 0.00 per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ o. oo per weekly pay period.
$ o. oo per biweekly pay period (every two weeks).
$ o. oo per semimonthly pay period (twice a month).
$ o. oo per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten 00) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. S 4374(b)) to remit by electronic payment method, please call
Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580
for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
Date of Order: FEB 2 8 2007
BY THE COURT:
Form EN-028 Rev. '
Worker ID IATT
Service Type M OMB No.: 0970-0154 $
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? If hecke l you are required to rpvide a Gopy (copy f t is form to pour employee. If yoyr mployee oYorks in a state that is
di Brent rom the state that issued this order, a must be rovi to our employee even if the box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employeetobligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor.
3.* Reporting the Paydat&Oate of Withholdinge You must report the paydate/date of withholding hen sending the payment. The
You must comply with the law of the
paydate/date of withholding is the date on which amount was withheld fiDm the employee's wages. state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employeelobligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Omer/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 2318859790
EMPLOYEE'S/OBLIGOR'S NAME: STONE. MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employeelobligor from employment,
refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.* Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit
Protection Act 0 5 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
11. Submitted By: If you or your employee/obligor have any questions,
DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT
13 N HANOVER ST by telephone at (717) 240-6225 or
P.O. BOX 320 by FAX at (717) 240-6248 or
CARLISLE PA 17013 by internet www.childsupport.state.pa.us
Page 2 of 2
Service Type M
OMB No.: 0970.0154
Form EN-028 Rev. 1
Worker ID $IATT
i %
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONES, MICHAEL L.
PACSES Case Number 608101828 PACSES Case Number
Plaintiff Name Plaintiff Name
KATHY G. STONE
Docket Attachment Amount Docket Attachment Amount
99-7427 CIVIL$ 0.00 $ 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB
PACKS Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available identified above in any health insurance coverage available
through the employee's/obligor's employment. through the employee's/obligor's employment.
Addendum Form EN-028 Rev. 1
Service Type M Worker ID $IATT
OMB No.: 0970-0154
f"S ? Q
L" .s 'T 1
t091v[19ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT qvl _ 74a-7 OWL
State Commonwealth of Pennsylvania original Order/Notice
Co./City/Dist. of CUMBERLAND O Amended Order/Notice
Date of Order/Notice 02/27/07 O Terminate Order/Notice
Case Number (See Addendum for case summary)
RE: STONE, MICHAEL L.
E mployer/With holder's Federal EIN Number Employee/Obligor's Name (Last, First, MI)
WAGGONER COSNTRUCTION
135 BENTZ MILL RD
EAST BERLIN PA 17316-9109
178-48-4413
Employee/Obligor's Social Security Number
1196100446
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 604 . op per month in current support
$ o. oo per month in past-due support Arrears 12 weeks or greater? Oyes ® no
$ 0.00 per month in current and past-due medical support
$ 0 . o per month for genetic test costs
$ per month in other (specify)
for a total of $ 604.00 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:
$ 139.38 per weekly pay period.
$ 278.77 per biweekly pay period (every two weeks).
$ 302. oo per semimonthly pay period (twice a month).
$ 604.00 per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call
Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580
for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAMEAND THE PACSES MEMBER ID (shown
above as the EmployeelObligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
Date of Order: FEB 2 8 2001
Service Type M
BY THE COURT:
X -7
Form EN-028 Rev.
OMB No.: 0970-0154 \/Vnrkar in $ IATT
6)
i ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? I heck you are re quired to pr vide a opy of this form to your m loyee. If yo r employee orks in a state that is
Aerent from the state that issuerpthis order, a copy must be provi3ec?to your employee even if tie box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor.
3.* Reporting
paydate/date otwithhulding, is the date on which amount was Withheld from the employee's . You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employeelobligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 2326302820
EMPLOYEE'S/OBLIGOR'S NAME:- STONE, MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary action against any employeelobligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.* Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
11. Submitted By:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
Service Type M
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
OMB No.: 0970-0154
Form EN-028 Rev. 1
Worker ID $IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACKS Case Number 608101828 PACSES Case Number
Plaintiff Name Plaintiff Name
KATHY G. STONE
Docket Attachment Amount Docket Attachment Amount
99-7427 CIVIL$ 604.00 $ 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
XXXXX
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACKS Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACKS Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available identified above in any health insurance coverage available
through the employee's/obligor's employment. through the employee's/obligor's employment.
Addendum Form EN-028 Rev. 1
Service Type M Worker ID $IATT
OMB No.: 0970-0154
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In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Defendant Name: MICHAEL L. STONE
Member ID Number: 1196100446
Please note: All correspondence must include the Member ID Number.
ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS
Financial Break Down of Multiple Cases on Attachment
Plaintiff Name
KATHY G. STONE
PACSES Docket
Case Number Number
608101828 99-7427 CIVIL
TOTAL ATTACHMENT AMOUNT: $ 604.00
Attachment Amount/Frequency
$ 604.00 MONTH
/
S J
J
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 $13 9.0 0
per week, or 50 %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
MICHAEL L. STONE Social Security Number 178-48-4413 , Member
ID Number 1196100446 . 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 APRIL 29, 2007 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: MAY 0 8 2007
§ icAype M hadday
Edward E. Guido, ' JUDGE
Form EN-530
Worker ID $ IATT
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608101828
99-7427 CIVIL
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsylvania
CO./City/Dist. of CUMBERLAND
Date of Order/Notice 07/10/07
Case Number (See Addendum for case summary)
Employer/Withholder's Federal EIN Number
CARMEUSE LIME INC
FL 11
11 STANWICK ST
PITTSBURGH PA 15222-1312
Employee/Obligor's Name (Last, First, MI)
178-48-4413
Employee/Obligor's Social Security Number
1196100446
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 604 . 00 per month in current support
$ o. oo per month in past-due support Arrears 12 weeks or greater? Dyes ® no
$ o . 00 per month in current and past-due medical support
$ o . 00 per month for genetic test costs
$ 0.00 per month in other (specify)
for a total of $ 604.00 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:
$ 13 9,318 per weekly pay period.
$ 278 ."72 per biweekly pay period (every two weeks).
$ 302. oo per semimonthly pay period (twice a month).
$ 604. oo per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten 00) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call
Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580
for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
Date of Order: JU 11 2007
DRO: R.J. Shadday
Service Type M
O Original Order/Notice
O Amended Order/Notice
O Terminate Order/Notice
RE: STONE, MICHAEL L.
BY THE COUR
Wwarcl E. u o, ge
OMB No.: 0970-0154
Form EN-028 Rev. 1
Worker I D $ IATT
.x
604
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t
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? If hecke?l you are required to provide a copy of this form to yoursm loyee. If yoyr employee works in a state that is
di erent frrom the state that issued this order, a copy must be provi edpto your employee even if the box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor.
3.*
,. You must report the paydate/date of withholding when sending the paymelit. The
paydate/ddte of withholding is. the date on which aniount was Withheld froin the employee's vvagges. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 3639331400
EMPLOYEE'S/OBLIGOR'S NAME: STONE, MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employeelobligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
11 -Submitted By:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
Service Type M
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
OMB No.: 0970-0154
Form EN-028 Rev. 1
Worker ID $ IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES Case Number 608101828
Plaintiff Name
KATHY G. STONE
Docket Attachment Amount
99-7427 CIVIL$ 604.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACKS Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
Addendum Form EN-028 Rev. 1
Service Type M Worker ID
OMB No.: 0970.0154 $ IATT
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608101828
99-7427 CIVIL
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsylvania
Co./City/Dist. Of CUMBERLAND
Date of Order/Notice 07/10/07
Case Number (See Addendum for case summary)
Employer/Withholder's Federal EIN Number
WAGGONER COSNTRUCTION
135 BENTZ MILL RD
EAST BERLIN PA 17316-9109
RE: STONE. MICHAEL L.
O Original Order/Notice
O Amended Order/Notice
O Terminate Order/Notice
Employee/Obligor's Name (Last, First, MI)
178-48-4413
Employee/Obligor's Social Security Number
1196100446
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ o . go per month in current support
$ o. oo per month in past-due support Arrears 12 weeks or greater? Oyes ® no
$ 0.00 per month in current and past-due medical support
$ 0.00 per month for genetic test costs
$ 0. 00 per month in other (specify)
for a total of $ 0.00 per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ 0.00 per weekly pay period.
$ o. oo per biweekly pay period (every two weeks).
$ o. oo per semimonthly pay period (twice a month).
$ o. oo per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten 00) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call
Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580
for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAMEAND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
Date of Order: JUL 1 1 2007
DRO: R.J. SHadday
Service Type M
BY THE COU ! : e
Edward E. Guido, J ge
Form EN-028 Rev.
OMB No.: 0970-0154 Worker I D $ IATT
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? If 4hecke? you are required to provide agopy of this form to your mployee. If yo r employee works in a state that is
di erent ffrom the state that issued this o er, a copy must be proviS2 to your employee even if the box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor.
3.* Reporting the Paydate/Date of Wit' il toldii %. YOU MUSt repoit the paydate/date of withholding vyhe? i sending tile payrneirt. TI le
paydate/ddte of withholding is the date on wl iiLl i amount was itl ilield fion, tl e employee's VVdr
. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 2326302820
EMPLOYEE'S/OBLIGOR'S NAME: STONE, MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
Submitted By:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
Service Type M
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
OMB No.: 0970-0154
Form EN-028 Rev. 1
Worker ID $IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES Case Number 608101828 PACSES Case Number
Plaintiff Name Plaintiff Name
KATHY G. STONE
Docket Attachment Amount Docket Attachment Amount
99-7427 CIVIL$ 0.00 $ 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
Addendum Form EN-028 Rev. 1
Service Type M Worker ID $IATT
OMB No.: 0970.0154
C? N - j
ril-
co `c
R
99-7427 CIVIL
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State _Commonwealth of Pennsylvania
Co./City/Dist. of CUMBERLAND
Date of Order/Notice 03/12/08
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
CARMEUSE LIME INC
FL 11
11 STANWICK ST
PITTSBURGH PA 15222-1312
RE: STONE. MICHAEL L.
Employee/Obligor's Name (Last, First, MI)
178-48-4413
Employee/Obligor's Social Security Number
1196100446
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ o . oo per month in current support
$ o . 00 per month in past-due support Arrears 12 weeks or greater? Dyes ® no
$ 0.00 per month in current and past-due medical support
$ o . 00 per month for genetic test costs
$ o . 00 per month in other (specify)
for a total of $ 0.00 per month to be forwarded to payee below.-
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ o. oo per weekly pay period.
$ o. oo per biweekly pay period (every two weeks).
$ o. oo per semimonthly pay period (twice a month).
$ o. oo per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call
Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580
for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
BY THE COURT:
Date of Order: MAR 1 .1 202
EDWARD E. GUIDO, JUDGE
DRO: R.J. SHADDAY Form EN-028 Rev. 1
Service Type M OMB No.: 0970-0154 Worker ID $IATT
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? If4heckefl you are required to provide aapy of this form to yourgmoloyee. If yoyr employee works in a state that is
di Brent rrom the state that issued this or er, a copy must be provi a to your employee even if the box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor.
3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The
paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 3639331400
EMPLOYEE'S/OBLIGOR'S NAME: STONE, MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employeelobligor from employment,
refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.* Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit
Protection Act 0 5 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
11.Submitted By: If you or your employee/obligor have any questions,
DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
Service Type M
OMB No.: 0970-0154
Form EN-028 Rev. 1
Worker ID $IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES Case Number 608101828
Plaintiff Name
KATHY G. STONE
Docket Attachment Amount
99-7427 CIVIL$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACKS Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
Addendum
Service Type M
OMB No.: 0970-0154
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
Form EN-028 Rev. 1
Worker ID $IATT
r:r rn
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsylvania
Co./City/Dist. of CUMBERLAND
Date of Order/Notice 04/18/08
Case Number (See Addendum for case summary)
608101828 O Original Order/Notice
99-7427 CIVIL O Amended Order/Notice
0 Terminate Order/Notice
Employer/Withholder's Federal EIN Number
COOPER TOOLS-CAMPBELL CHAIN
3990 E MARKET ST
YORK PA 17402-2769
RE: STONE, MICHAEL L.
Employee/Obligor's Name (Last, First, MI)
178-48-4413
Employee/Obligor's Social Security Number
1196100446
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 604.00 per month in current support
$ 0. oo per month in past-due support Arrears 12 weeks or greater? Dyes ® no
$ 0.00 per month in current and past-due medical support
$ o . oo per month for genetic test costs
$ 0. 00 per month in other (specify)
for a total of $ 604.00 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:
$ 139.38. per weekly pay period.
$ 278.77. per biweekly pay period (every two weeks).
$ 302. oo per semimonthly pay period (twice a month).
$ 604. oo per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call
Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580
for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
BY THE COURT-
t
Date of order: APR 2 1 2008
EDWARD E. GUIDO, JUDGE
DRO: R. J. SHADDAY Form EN-028 Rev. 1
Service Type M OMB No.: 097M1 54 Worker ID $IATT
604•x
12•+
S2•
139.38*
wr
6 0.4 • x
12-
•
2 6
278 ?
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? If hecke you are required to provide a opy of this form to your mployee. If yo r employee works in a state that is
diferent from the state that issued this o er, a copy must be provi?ed to your employee even if the box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor.
3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The
paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employeelobligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 6705100018
EMPLOYEE'S/OBLIGOR'S NAME: STONE MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act 0 5 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
11. Submitted By: If you or your employeelobligor have any questions,
DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
by telephone at (717) 240-6225 _ or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
Service Type M
OMB No.: 0970-0154
Form EN-028 Rev. 1
Worker ID $IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACKS Case Number 608101828 PACKS Case Number
Plaintiff Name Plaintiff Name
KATHY G. STONE
Docket Attachment Amount Docket Attachment Amount
99-7427 CIVIL$ 604.00 $ 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACKS Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available identified above in any health insurance coverage available
through the employee's/obligor's employment. through the employee's/obligor's employment.
Addendum Form EN-028 Rev. 1
Service Type M OMB No.: 0970-0154 Worker ID $IATT
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Defendant Name: MICHAEL L. STONE
Member ID Number: 1196100446
Please note: All correspondence must include the Member ID Number.
ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS
Financial Break Down of Multiple Cases on Attachment
Plaintiff Name
KATHY G. STONE
PACSES Docket
Case Number Number
608101828 99-7427 CIVIL
Attachment Amount/Freauenc
$ 604.00 MONTH
/
/
TOTAL ATTACHMENT AMOUNT: $ 604.00
Now, by Order of this Court, the Department of Labor and Industry, Office of Unemployment
Compensation Benefits (OUCB), is hereby directed to attach the lesser of $ 13 9.0 0
per week, or 50 %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
MICHAEL L. STONE Social Security Number XXX-XX- 4413 ,
Member ID Number 1196100446 . OUCB is ordered to remit the amount attached to the Department of
Public Welfare (DPW). DPW shall forward the amount received from OUCB 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 OUCB and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated NOVEMBER 9, 2008 is exhausted, expired or deferred.
OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
Date of Order: DEC 9 008
DRO: R.J. SHADDAY
Service Type M
-r
EDWARD E. GUIDO, JUDGE
Form EN-530 Rev.2
Worker ID $ IATT
C7
51-
t
3
.1 .r
Ar
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsylvania
Co./City/Dist. of CUMBERLAND
Date of Order/Notice 05/04/09
Case Number (See Addendum for case summary)
Employer/Withholder's Federal EIN Number
COOPER TOOLS-CAMPBELL CHAIN
3990 E MARKET ST
YORK PA 17402-2769
99-7427 CIVIL
0original Order/Notice
OAmended Order/Notice
X@Terminate Order/Notice
OOne-Time Lump Sum/Notice
Employee/Obligor's Name (Last, First, MI)
178-48-4413
Employee/Obligor's Social Security Number
1196100446
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
per month in current child support
per month in past-due child support
per month in current medical support
per month in past-due medical support
per month in current spousal support
per month in past-due spousal support
per month for genetic test costs
per month in other (specify)
Arrears 12 weeks or greater? Oyes ®no
one-time lump sum payment
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 semimonthly pay period
(twice a month)
$ 0.00 per biweekly pay period (every two weeks) $ 0.00 per monthly pay period.
REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10)
working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of
withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work
state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of
the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding,
the following information is needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call
Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580
for instructions. PA FIPS CODE 42 000 00
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME CSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECUR NUMBER ORDER TO BE PROCESSED.
.
DO NOT SEND CASH BY MAIL. C -1,191-K
BY THE COURT:
DRO: R.J. Shadday
Service Type M
OMB No.: 0970-0154
RE: STONE, MICHAEL L.
, Judge
Form EN-028 Rev. 4
Worker ID $IATT
4
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
If hecked you are required to provide a copy of this form to yoursmployee. If your employee works in a state that is
di Brent from the state that issued this order, a copy must be provi edd to your employee even if the box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor.
3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The
paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employee/obligor and you are unable to honor all support order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. 6705100018
THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : ED THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: E3
EMPLOYEE'S/OBLIGOR'S NAME: STONE, MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446
LAST KNOWN HOME ADDRESS:
LAST KNOWN PHONE NUMBER:
DATE OF SEPARATION:
FINAL PAYMENT AMOUNT:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order./Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act (CCPA) (15 U.S.C. 1673 (b)); or 2) the amounts allowed by the State or Tribe of the employee's/obligor's principal place of
employment. Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes, Social
Security taxes, statutory pension contributions and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is
supporting another family and 60% of the disposable income if the obligor is not supporting another family.However, that 50% limit is
increased to 55% and that 60% limit is increased to 65°/, if the arrears are greater than 12 weeks. If permitted by the State, you may
deduct a fee for administrative costs. The support amount and the fee may not exceed the limit indicated in this section.
Arrears greater than 12 weeks : If the Order Information does not indicate whether the arrears are greater than 12 weeks, then the
employer should calculate the CCPA limit using the lower percentage. For Tribal orders, you may not withhold more than the amounts
allowed under the law of the issuing Tribe. For Tribal employers who receive a State order, you may not withhold more than the lesser of
the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(d) of the
CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may need to take into consideration the amounts paid for health
care premiums in determining disposable income and applying appropriate withholding limits.
10. Additional info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state
that issued this order with respect to these items.
11. Send Termination Notice and
other correspondence to:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
Service Type M OMB No.: 0970-0154
Form EN-028 Rev. 4
Worker ID $ IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES Case Number 608101828 PACSES Case Number
Plaintiff Name Plaintiff Name
KATHY G. STONE
Docket Attachment Amount Docket Attachment Amount
99-7427 CIVIL$ 0.00 $ 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s):
PACKS 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 Name(s): DOB
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
DOB
DOB
Addendum Form EN-028 Rev. 4
Service Type M OMB No.: 0970-0154 Worker ID $ IATT
FILE i. i 'CE:
OF THE
2009 MAY -5 PM 3: ? 0
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsylvania
Co./City/Dirt. Of CUMBERLAND
Date of Order/Notice 05/04/09
Case Number (See Addendum for case summary)
Employer/Withholder's Federal EIN Number
GENERAL DYNAMICS CORPORATE**
PO BOX 7707
2044 INDIA RD STE 300
CHARLOTTESVILLE VA 22906-7707
99-7427 CIVIL
OOriginal Order/Notice
OAmended Order/Notice
O Terminate Order/Notice
OOne-Time Lump Sum/Notice
RE: STONE, MICHAEL L.
Employee/Obligor's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ o.00 per month in current child support
$ 0.00 per month in past-due child support Arrears 12 weeks or greater? Oyes ® no
$ 0.00 per month in current medical support
$ 0.00 per month in past-due medical support
$ 604.00 per month in current spousal support
$ 0 . oo per month in past-due spousal support
$ 0.00 per month for genetic test costs
$ o . oo per month in other (specify)
$ one-time lump sum payment
for a total of $ 604.00 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:
$ 139.38 per weekly pay period. $ 302. oo per semimonthly pay period
(twice a month)
$ 278.77 per biweekly pay period (every two weeks) $ 604.00 per monthly pay period.
REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10)
working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of
withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work
state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of
the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding,
the following information is needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call
Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580
for instructions. PA FIPS CODE 42 000 00
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME E PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SEC Y NUMB IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
BY THE COURT:
DRO: R.J. Shadday
Service Type M
Edward E.
178-48-4413
Employee/Obligor's Social Security Number
1196100446
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
Judge
Form EN-028 Rev. 4
Worker ID $IATT
OMB No.: 0970-0154
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
If hecked you are required to provide a opy of this form to your mployee. If yo r employee works in a state that is
di erent from the state that issued this or?er, a copy must be provi?ed to your emplyoyee even if the box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor,
3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The
paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4. * Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. 1316735810
THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : 0 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 0
EMPLOYEE'S/OBLIGOR'S NAME: STONE, MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
LAST KNOWN PHONE NUMBER: FINAL PAYMENT AMOUNT.
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act (CCPA) 0 5 U.S.C. 1673 (b)); or 2) the amounts allowed by the State or Tribe of the employee's/obligor's principal place of
employment. Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes, Social
Security taxes, statutory pension contributions and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is
supporting another family and 60% of the disposable income if the obligor is not supporting another family.However, that 50% limit is
increased to 55% and that 60% limit is increased to 65% if the arrears are greater than 12 weeks. If permitted by the State, you may
deduct a fee for administrative costs. The support amount and the fee may not exceed the limit indicated in this section.
Arrears greater than 12 weeks : If the Order information does not indicate whether the arrears are greater than 12 weeks, then the
employer should calculate the CCPA limit using the lower percentage. For Tribal orders, you may not withhold more than the amounts
allowed under the law of the issuing Tribe. For Tribal employers who receive a State order, you may not withhold more than the lesser of
the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(d) of the
CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may need to take into consideration the amounts paid for health
care premiums in determining disposable income and applying appropriate withholding limits.
10. Additional info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state
that issued this order with respect to these items.
11. Send Termination Notice and
other correspondence to:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2 Form EN-028 Rev. 4
Service Type M OMB No, 0970-0154 Worker ID $IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES Case Number 608101828 PACSES Case Number
Plaintiff Name Plaintiff Name
KATHY G. STONE
Docket Attachment Amount Docket Attachment Amount
99-7427 CIVIL$ 604.00 $ 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s):
PACKS 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 Name(s): DOB
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
DOB
DOB
Addendum Form EN-028 Rev. 4
Service Type M OMB No.: 0970-0154 Worker ID $IATT
FILED-C,,+-'4
'r-
OF ?Yc F0, , t i, NIO?AAw
2009 MAY -5 PM 3: 10
CUIOL" ". N r'r
P E ti ?\ 7 i L.V,`,Nl?i
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsylvania
CO./City/Dist. of CUMBERLAND
Date of Order/Notice 05/11/09
Case Number (See Addendum for case summary)
Employer/Withholder's Federal EIN Number
GENERAL DYNAMICS CORPORATE"
PO BOX 7707
2044 INDIA RD STE 300
CHARLOTTESVILLE VA 22906-7707
0Original Order/Notice
OAmended Order/Notice
X@Terminate Order/Notice
OOne-Time Lump Sum/Notice
Employee/Obligor's Name (Last, First, MI)
178-48-4413
Employee/Obligor's Social Security Number
1196100446
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
per month in current child support
per month in past-due child support
per month in current medical support
per month in past-due medical support
per month in current spousal support
per month in past-due spousal support
per month for genetic test costs
per month in other (specify)
Arrears 12 weeks or greater? O yes ® no
one-time lump sum payment
for a total of $ o . o o 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 semimonthly pay period
(twice a month)
$ 0.00 per biweekly pay period (every two weeks) $ 0.00 per monthly pay period.
REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10)
working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of
withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work
state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of
the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding,
the following information is needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call
Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580
for instructions. PA FIPS CODE 42 000 00
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND CSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY BER IN RDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
BY THE COURT:
DRO: R.J. Shadday
Service Type M
OMB No.: 0970-0154
608101828
99-7427 CIVIL
RE: STONE, MICHAEL L.
Form EN-028 Rev. 4
Worker I D $ IATT
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
If hecked you are required to provide gopy of this form to your mployee. If yo?r employee works in a state that is
di Brent from the state that issued this or er, a copy must be provi?ed to your emp oyee even if the box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor.
3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The
paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4. * Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. 1316735810
THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : C3 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: E3
EMPLOYEE'S/OBLIGOR'S NAME: STONE, MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION
LAST KNOWN HOME ADDRESS:
LAST KNOWN PHONE NUMBER:
NEW EMPLOYER'S NAME/ADDRESS:
FINAL PAYMENT AMOUNT:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.* Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit
Protection Act (CCPA) 0 5 U.S.C. 1673 (b)); or 2) the amounts allowed by the State or Tribe of the employee's/obligor's principal place of
employment. Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes, Social
Security taxes, statutory pension contributions and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is
supporting another family and 60% of the disposable income if the obligor is not supporting another family.However, that 50% limit is
increased to 55% and that 60% limit is increased to 65% if the arrears are greater than 12 weeks. If permitted by the State, you may
deduct a fee for administrative costs. The support amount and the fee may not exceed the limit indicated in this section.
Arrears greater than 12 weeks : If the Order Information does not indicate whether the arrears are greater than 12 weeks, then the
employer should calculate the CCPA limit using the lower percentage. For Tribal orders, you may not withhold more than the amounts
allowed under the law of the issuing Tribe. For Tribal employers who receive a State order, you may not withhold more than the lesser of
the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(d) of the
CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may need to take into consideration the amounts paid for health
care premiums in determining disposable income and applying appropriate withholding limits.
10. Additional info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state
that issued this order with respect to these items.
11. Send Termination Notice and
other correspondence to:
DOMESTIC RELATIONS SECTION
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2 Form EN-028 Rev. 4
Service Type M OMB No.: 0970-0154
Worker ID $IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES Case Number 608101828 PACSES Case Number
Plaintiff Name Plaintiff Name
KATHY G. STONE
Docket Attachment Amount Docket Attachment Amount
99-7427 CIVIL$ 0.00 $ 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s):
DOB
PACSES Case Number PACSES Case Number
Plaintiff Name Plaintiff Name
Docket Attachment Amount Docket Attachment Amount
$ 0.00 $ 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB
PACSES Case Number PACKS Case Number
Plaintiff Name Plaintiff Name
Docket Attachment Amount Docket Attachment Amount
$ 0.00 $ 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB
Addendum Form EN-028 Rev. 4
Service Type M OMB No.: 0970-0154 Worker I D $ IATT
O THE
i?Y
200,9 H s 12 f ' ill ! ;)
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT 99-7427 CIVIL
@Original Order/Notice
State Commonwealth of Pennsylvania OAmended Order/Notice
CO./City/Dist. of CUMBERLAND
Date of Order/Notice 05/22/09 OTerminate Order/Notice
Case Number (See Addendum for case summary) QOne-Time Lump Sum/Notice
RE: STONE, MICHAEL L.
Employer/Withholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI)
178-48-4413
Employee/Obligor's Social Security Number
SAPPHIRE TECHNOLOGIES LP 1196100446
60 HARVARD MILL SQ Employee/Obligor's Case Identifier
WAKEFIELD MA 01880-3208 (See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 0.00 per month in current child support
$ o . oo per month in past-due child support Arrears 12 weeks or greater? Oyes ® no
$ 0.00 per month in current medical support
$ 0.00 per month in past-due medical support
$ 604.00 per month in current spousal support
$ o. oo per month in past-due spousal support
$ o.00 per month for genetic test costs
$ o. oo per month in other (specify)
$ one-time lump sum payment
for a total of $ 604.00 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:
$ 139,.-38 I per weekly pay period. $ 302. oo per semimonthly pay period
(twice a month)
$ 278.77 per biweekly pay period (every two weeks) $ 604.00 per monthly pay period.
REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10)
working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of
withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work
state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of
the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding,
the following information is needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. S 4374(b)) to remit by electronic payment method, please call
Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580
for instructions. PA FIPS CODE 42 000 00
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAMEAND THE PACSES'MEMBER /D (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUDtR TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
BY THE COURT:
Edward t.
DRO: R. J. Shadday
Service Type M OMB No.: 0970-0154
Form EN-028 Rev. 4
Worker I D $ IATT
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? If 4hecke l you are required to provide a jopy of this form to your?euloyee. If yoyr employee vrorks in a state that is
Brent rom
di the state that issued this o er, a copy must be provi to your emp oyee even if t e box is not checked
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employeelobligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employeelobligor.
3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The
paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employee(obligor and you are unable to honor all support order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. 2633051320
THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : 0 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 0
EMPLOYEE'S/OBLIGOR'S NAME: STONE, MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
LAST KNOWN PHONE NUMBER: FINAL PAYMENT AMOUNT-
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary action against any employeelobligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.* Withholding Limits: You may not withhold more than the lesser of 1) the amounts allowed by the Federal Consumer Credit
Protection Act (CCPA) 0 5 U.S.C. 1673 (b)); or 2) the amounts allowed by the State or Tribe of the employee'slobligor's principal place of
employment. Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes, Social
Security taxes, statutory pension contributions and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is
supporting another family and 60% of the disposable income if the obligor is not supporting another family.However, that 50% limit is
increased to 55% and that 60% limit is increased to 65% if the arrears are greater than 12 weeks. If permitted by the State, you may
deduct a fee for administrative costs. The support amount and the fee may not exceed the limit indicated in this section.
Arrears greater than 12 weeks : If the Order Information does not indicate whether the arrears are greater than 12 weeks, then the
employer should calculate the CCPA limit using the lower percentage. For Tribal orders, you may not withhold more than the amounts
allowed under the law of the issuing Tribe. For Tribal employers who receive a State order, you may not withhold more than the lesser of
the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(d) of the
CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may need to take into consideration the amounts paid for health
care premiums in determining disposable income and applying appropriate withholding limits.
10. Additional info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state
that issued this order with respect to these items.
1 1. Send Termination Notice and
other correspondence to:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2 Form EN-028 Rev. 4
Service Type M OMB No.: 0970-0154 Worker ID $IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES Case Number 608101828
Plaintiff Name
KATHY G. STONE
Docket Attachment Amount
99-7427 CIVIL$ 604.00
Child(ren)'s Name(s): DOB
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 Name(s): DOB
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
PACKS 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 Name(s): DOB
Addendum Form EN-028 Rev. 4
Service Type M OMB No.: 0970-0154 Worker ID $IATT
I'T« ?Tl
t ??,{
ORDERMOTICE TO WITHHOLD INCOME FOR SUPPORT
State: Commonwealth of Pennsylvania 608101828
Co./City/Dist. of: CUMBERLAND 99-7427 CIVIL
Date of Order/Notice: 03/09/11
Case Number (See A en um for caselsummary)
EmployerNVithholder's Federal EIN Number
SAPPHIRE TECHNOLOGIES LP
60 HARVARD MILL SQ
WAKEFIELD MA 01880-3208
See Addendum for
RE: STONE. MICHAEL L.
0 Original Order/Notice
Q Amended Order/Notice
Q Terminate Order/Notice
O One-Time Lump Sum/Notice
Employee/Obligor's Name (Last, First, MI)
178-48-4413
Employee/Obligors Social ecunty um er
1196100446
Employee/Obligors Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Ord r/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/obligo 's income until further notice even if the Order/Notice is not issued by your
State.
$ 0.00 per month in current
$ 0.00 per month in past-dt.
$ 0.00 per month in current
$ 0.00 per month in past-dL
$ 0.00 per month in current
$ 0.00 per month in past-dL
$ 0.00 per month for geneti
$ 0.00 per month in other (:
$ one-time lump sum I
for a total of $ 0.00 per monl
You do not have to vary your pay cycle t(
the ordered support payment cycle, use i
$ 0.00 per weekly pay period
$ 0.00 per biweekly pay perio
;hild support
child support Arrears 12 weeks or greater? O. `)es `Q rr
nedical support C=
medical support -0.
rnca
s
:01.
i 3 r
spousal support ,
spousal support ter- _._ o
test costs -+C
y ent ='c os
C N ?
i to be forwarded to payee below.
be in compliance with the support order. If your pay cycle does not match
e following to determine how much to withhold:
$ 0.00 per semimonthly pay period
(twice a month)
i (every two weeks) $ 0.00 per monthly pay period .
REMITTANCE INFORMATION: You mu begin withholding no later than the first pay period occurring ten (10)
working days after the date of this Order/ otice. Send payment within seven (7) working days of the paydate/date of
withholding. You are entitled to deduct a be to defray the cost of withholding. Refer to the laws governing the work
state of your employee for the allowable mount. The total withheld amount, and your fee, cannot exceed 55% of
the employee's/ obligor's aggregate disp sable weekly earnings. For the purpose of the limitation on withholding,
the following information is needed (See on page 2).
Pennsylvania law (23 PA C.S. § 4374(b) requires remittance by an electronic Raayment method if an
employer is ordered to withhold inco a from more than one employee and employs 15 or more persons, or
if an employer has a history of two or ore returned checks due to nonsufficient funds. Please call the
Pennsylvania State Collections and Di bursement Unit (PA SCDU) Employer Customer Service at
1-877-676-9580 for instructions. PA FI S CODE 42 000 00
Make Remittance Payable to: P SCDU
Send check to: Pennsylvania S DU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCL DE THE DEFENDANT' THE PACSES MEMBER ID
(shown above as the Employee/Oblig is Case Identifier) ? URITY NUMBER IN ORDER TO BE
PROCESSED. DO NOT SEND CASH B MAIL. "PA
BY THE COURT:
DRO: R. J. Shadday
Service Type M
OMB No.: 0970-0154
Form EN-028
Worker ID $IATT
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
E] If checked 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. Priority: Withholding under this Order/Noticehas priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this Order have priority. If there are Federal tax levies in effect please contact the
requesting agency listed below.
2. Combining Payments: You can combine wit held amounts from more than one employee/obligor's income in a single payment
to each agency requesting withholding. You mint, however, separately identify the portion of the single payment that is attributable to
each employee/obligor.
i
3.* Reporting the Paydate/Date of Withholdin : You must report the paydate/date of withholding when sending the payment. The
paydate/date of withholding is the date on which mount was withheld from the employee's wages. You must comply with the law of
the state of the employee's/obligor's principal pla a of employment with respect to the time periods within which you must implement
the withholding order and forward the support pa ments.
4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support
against this employee/obligor and you are unabl to honor all support Order/Notices due to Federal or State withholding limits, you
must follow the law of the state of employee's/ob igor's principal place of employment. You must honor all Orders/Notices to the
greatest extent possible. (See #9 below)
5. Termination Notification: You must promptl notify the Requesting Agency when the employee/obligor is no longer working for
you. Please provide the information requested a d return a copy of this Order/Notice to the Agency identified below. 2633051320
THE PERSON HAS NEVER WORKED FOR TH S EMPLOYER: O THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: O
EMPLOYEE'S/OBLIGOR'S NAME:
EMPLOYEE'S CASE IDENTIFIER:
LAST KNOWN HOME ADDRESS:
LAST KNOWN PHONE NUMBER: _
NEW EMPLOYER'S NAME/ADDRESS:.
6. Lump Sum Payments: You may be requi
severance pay. If you have any questions ab,
MICHAEL L.
DATE OF SEPARATION:
FINAL PAYMENT AMOUNT:
to report and withhold from lump sum payments such as bonuses, commissions, or
lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should
have withheld from the employee/obligor's inco a and other penalties set by Pennsylvania State law. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fit e determined under State law for discharging an employee/obligor from
employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding.
Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she
is employed governs.
9.* Withholding Limits: You may not withhold ore than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act (CCPA) (15 U.S.C. 1673 (b)); or ) the amounts allowed by the State or Tribe of the employee's/obligor's principal place
of employment. Disposable income is the net in ome left after making mandatory deductions such as: State, Federal, local taxes,
Social Security taxes, statutory pension contribu ions and Medicare taxes. The Federal limit is 50% of the disposable income if the
obligor is supporting another family and 60% of the disposable income if the obligor is not supporting another family. However, that
50% limit is increased to 55% and that 60% limit is increased to 65% if the arrears are greater than 12 weeks. If permitted by the State,
you may deduct a fee for administrative costs. he support amount and the fee may not exceed the limit indicated in this section.
Arrears greater than 12 weeks: If the Order Inf rmation does not indicate whether the arrears are greater than 12 weeks, then the
employer should calculate the CCPA limit using he lower percentage. For Tribal orders, you may not withhold more than the amounts
allowed under the law of the issuing Tribe. For Tribal employers who receive a State order, you may not withhold more than the lesser
of the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(d) of
the CCPA (15 U.S.C. 1673 (b)). Depending upo applicable State law, you may need to take into consideration the amounts paid for
health care premiums in determining disposable income and applying appropriate withholding limits.
10. Additional info:
*NOTE: If you or your agent are served with a cc
state that issued this order with respect to these
11. Send Termination Notice and
other correspondence to:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
17013
of this order in the state that issued the order, you are to follow the law of the
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
OMB No.: 0970-0154
Form EN-028
Worker ID $IATT
Service Type M Page 2 of 2
? t
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES Case Number 608101828 PACSES Case Number
Plaintiff Name Plaintiff Name
KATHY G. STONE
Docket Attachment Amount
99-7427 CIVIL $ 0.00
Child(ren)'s Name(s): DOB
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
PACSES Case Number
Plaintiff Name
DOB
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
IL
PACSES Case Number
Plaintiff Name
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
Addendum Form EN-028
Service Type M OMB No.: 0970-0154 Worker ID $IATT
ORDERMOTICE TO WITHHOLD INCOME FOR SUPPORT
State: Commonwealth of Pennsylvania
Co./City/Dist. of: CUMBERLAND
Date of Order/Notice: 03/14/11
Case Number (See A eor case summary)
Employer/Withholder's Federal EIN Number
IVOCLAR VIVADENT MFG, INC.
500 MEMORIAL DR
SOMERSET NJ 08873-1278
RE: STONE, MICHAEL L.
99-7427 CIVIL
Original Order/Notice
Q Amended Order/Notice
0 Terminate Order/Notice
0 One-Time Lump Sum/Notice
Employee/Obligor's Name (Last, First, MI)
178-48-4413
mp oy igo s Social Secuffi71Tu_mI5e_r
1196100446
mp oyee Igor s Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts
from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your
State.
$ 0.00 per month in current child support
$ 0.00 per month in past-due child support Arrears 12 weeks or greater? Q yes p no
$ 0.00 per month in current medical support
N
$ 0.00 per month in past-due medical support
$ 604.00 per month in current spousal support
-,
$ 0.00 per month in past-due spousal support
$ 0.00 per month for genetic test costs --' ? c
$ 0.00 per month in other (specify) w u '
$ one-time lump sum payment "
for a total of $ 604.00 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 dbes`bot match
the ordered support payment cycle, use the following to determine how much to withhold:
$ i pia 3.9 per weekly pay period. $ 302.00 per semimonthly pay period
(twice a month)
$ 278.77 per biweekly pay period (every two weeks) $ 604.00 per monthly pay period.
REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10)
working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of
withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work
state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of
the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding,
the following information is needed (See #9 on page 2).
Pennsylvania law (23 PA C.S. § 4374(b)) requires remittance by an electronic payment method if an
employer is ordered to withhold income from more than one employee and employs 15 or more persons, or
if an employer has a history of two or more returned checks due to nonsufficient funds. Please call the
Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at
1-877-676-9580 for instructions. PA FIPS CODE 42 000 00
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P ox 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLU E DE ffFNDANT'S NAME AND THE PACSES MEMBER /D
(shown above as the Employee/Obl' is Ca tifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE
PROCESSED. DO NOT SEND CASH
BY THE COURT:
Edward E. Guido, Judge
DRO: R. J. Shadday OMB No.: 0970-0154 Form EN-028
Service Type M Worker ID $IATT
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? If checked you are required to provide a copy of this form to your employee. 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. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the
requesting agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment
to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to
each employee/obligor.
3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The
paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of
the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement
the withholding order and forward the support payments.
4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support
against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you
must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the
greatest extent possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for
you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. 2021518160
THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER: O THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: O
EMPLOYEE'S/OBLIGOR'S NAME: STONE, MICHAEL L.
EMPLOYEE'S CASE IDENTIFIER: 1196100446 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
LAST KNOWN PHONE NUMBER:
NEW EMPLOYER'S NAME/ADDRESS:
FINAL PAYMENT AMOUNT:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should
have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from.
employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding.
Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she
is employed governs.
9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act (CCPA) (15 U.S.C. 1673 (b)); or 2) the amounts allowed by the State or Tribe of the employee's/obligor's principal place
of employment. Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes,
Social Security taxes, statutory pension contributions and Medicare taxes. The Federal limit is 50% of the disposable income if the
obligor is supporting another family and 60% of the disposable income if the obligor is not supporting another family. However, that
50% limit is increased to 55% and that 60% limit is increased to 65% if the arrears are greater than 12 weeks. If permitted by the State,
you may deduct a fee for administrative costs. The support amount and the fee may not exceed the limit indicated in this section.
Arrears greater than 12 weeks: If the Order Information does not indicate whether the arrears are greater than 12 weeks, then the
employer should calculate the CCPA limit using the lower percentage. For Tribal orders, you may not withhold more than the amounts
allowed under the law of the issuing Tribe. For Tribal employers who receive a State order, you may not withhold more than the lesser
of the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(d) of
the CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may need to take into consideration the amounts paid for
health care premiums in determining disposable income and applying appropriate withholding limits.
10. Additional info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the
state that issued this order with respect to these items.
11. Send Termination Notice and
other correspondence to:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
Service Type M
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
OMB No.: 0970-0154
Page 2 of 2
Form EN-028
Worker ID $IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES Case Number 608101828
Plaintiff Name
KATHY G. STONE
Docket Attachment Amount
99-7427 CIVIL $ 604.00
Child(ren)'s Name(s): DOB
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
PACSES Case Number
Plaintiff Name
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 Name(s): DOB
Addendum Form EN-028
Service Type M OMB No.: 0970-0154 Worker ID $IATT
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
KATHY G. STONE ) Docket Number: 99-7427 CIVIL
Plaintiff
vs. )
PACSES Case Number: 608101828
MICHAEL L. STONE )
Defendant ) Other State ID Number:
ORDER TO CREDIT ARREARS
AND NOW, on this 3RD DAY OF MAY, 2012 IT IS HEREBY ORDERED that
credit be given on the above captioned case in the amount of $902.00. There O is
O is not an agreement of the parties to the credit.
This credit is for:
® Direct Payments.
?
Purchases made or services performed by the Defendant on behalf of the Plaintiff
or children.
Time children resided with the Defendant as agreed upon by parties, or addressed
in a partial custody order for the following time periods:
From to
From to
From to
Other:
Plaintiff
Defendant
3RD DAY OF MAY, 2012
Date
Service Type M
C_-5 i
rn QD
Cj)
-?
' +p
cc.
n
- -4
c
,
Date-
Date
BY THE COURT:
arwdZ JUDGE
Form FI-002
Worker ID 21205
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' ( 17) 0-6248
Defendant Name: MICHAEL L. STONE` --
Member ID Number: 1196100446
7!: W -
Please note: All correspondence must include the Member ID Number.
ORDER TO VACATE ATTACHMENT OF UNEMPLOYMENT BENEFITS
Financial Break Down of Multiple Cases on Attachment
Plaintiff Name
KATHY G. STONE
PACSES Docket
Case Number Number
608101828 99-7427 CIVIL
TOTAL ATTACHMENT AMOUNT:
Attachment Amount/Frequency
604.00 MONTH
604.00
The prior Order of this Court directing the Department of Labor and Industry, Office of
Unemployment Compensation Benefits (OUCB), to attach $139.00 or 50% per week of
the Unemployment Compensation benefits of MICHAEL L. STONE, Social Security
Number XXX-XX-4413, Member ID Number 1196100446 is hereby vacated.
This Order to Vacate shall be effective upon receipt of the notice of the Order by the
Department and shall remain in effect until a further Order of the Court is filed.
BY THE COURT
Date of Order: JUN 0 4 2012
o JUDGE
Form EN-035
Service Type M Worker ID $IATT
INCOME WITHHOLDING FOR SUPPORT it C
O ORIGINAL INCOME WITHHOLDING ORDERMOTICE FOR SUPPORT (IWO)
O AMENDED IWO G1 `7 1-? Civil
O ONE-TIMEORDER/NOTICE FOR LUMP SUM PAYMENT `T
Q TERMINATION OF IWO
.+a.c. vwv it i c
? Child Support Enforcement (CSE) Agency ® Court ? Attorney ? Private Individual/Entity (Check One)
NOTE: This IWO:must be regujakon its face. Under certain circumstances you must reject this IWO and return it to the sender (see IWO
instructions http•//www acf hhs agv/programs/oe/newhire/em lgyer/publication/publication htm forms). If you receive this document from
someone other than a State or Tribal CSE agency or a Court, a copy of the underlying order must be attached.
Statp/Trihrarrarritnr r n^-n-. If . s o.....-_..?..__:_ _ ... .. ._
- - - ----- - ••..•.....,.. r•cnnudnce iuennner tinciuae wlpayment): 1196100446
City/County/Dist./Tribe CUMBERLAND Order Identifier: (See Addendum for order/docket lnformalton)
Private Individual/Entity CSE Agency Case Identifier: (See Addendum for case summarvl
IVOCLAR VIVADENT MFG, INC.
500 MEMORIAL DR
SOMERSET NJ 08873-1278
Employer/Income Withholder's FEIN 202151816
Child(ren)'s Name(s) (Last, First, Middle) Child(ren)'s Birth Date(s)
RE: STONE, MICHAEL L
Employee/Obligor's Name (Last, First, Middle)
178-48-4413
Employee/Obligor's Social Security Number
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Party/Obligee's Name (Last, First
Middle)
NOTE: This IWO must be regular on its face.
Under certain circumstances you must reject
this IWO and return it to the sender (see IWO
instructions
=•/hv+Nw acf hhs gov/programsicse/newhira/
emploXlpublication/public-ation htm forma. If
you receive this document from someone other
than a State or Tribal CSE agency or a Court, a
copy of the underlying order must be attached.
2021518160
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This document is based on the support or withholding order from CUMBERLAND County,
Commonwealth of Pennsylvania (State/Tribe). You are required by law to deduct these amounts frMr tW
?employee/
obligor's income until further notice. -.;
$ 0.00 per month in current child support 771'
$ 0.00 per month in past-due child support - Arrears 12 weeks or greater? Q yes po
$ 0.00 permonth in current cash medical support ?.
$ 0.00 per month in past-due cash medical support ?-
$ 0.00 per month in current spousal support
.3
$ 0.00 per month in past-due spousal support
$ 0.00 per month in other (must specify) '
for a Total Amount to Withhold of $ 0.00 per month.
AMOUNTS TO WITHHOLD: You do not have to vary your pay cycle to be in compliance with the Order Information.
If your pay cycle does not match the ordered payment cycle, withhold one of the following amount:
$ 0.00 per weekly pay period. $ 0.00 per semimonthly pay period (twice a month)
$ 0.00 per biweekly pay period (every two weeks) $ 0.00 per monthly pay period.
$ Lump Sum Payment: Do not stop any existing IWO unless you receive a termination order.
REMITTANCE INFORMATION: If the employee/obligor's principal place of employment is within the Commonwealth
of Pennsylvania (State/Tribe), you must begin withholding no later than the first pay period that occurs ten 10
working days after the date of this Order/Notice. Send payment within seven 7 working days of the pay date. If
you cannot withhold the full amount of support for any or all orders for this employee/obligor, withhold up to 55% of
disposable income for all orders. If the employee/obligor's principal place of employment is not within the
Commonwealth of Pennsylvania (State/Tribe), the employer can obtain withholding limitations, time requirements,
and any allowable employer fees at httl2://www acf hhs gov/programs/cse/newhire/employer/contacts/contact map
htm for the employee/obligor's principal place of employment.
Document Tracking Identifier
OMB No.: 0970-0154 Form EN-028 06/12
Service Type M Worker ID $IATT
? Return to Sender [Completed by Employer/income Withholder]. Payment must be directed to an SDU in
accordance with 42 USC §666(b)(5) and (b)(6) or Tribal Payee (see Payments to SDU below). If payment is not
directed to an SDU/Tribal Payee or this IWO is not regular on its face, you must check this bo urn the IWO to
the sender.
Signature of Judge/Issuing Official (if required by State or Tribal law):
Print Name of Judge/Issuing Official:
Title of Judge/Issuing Official:
Date of Signature:
If the employee/obligor works in a State or for a Tribe that is different from the State or Tribe that issued this order, a copy of this I WO
must be provided to the employee/obligor.
? If checked, the employer/income withholder must provide a copy of this form to the employee/obligor.
ADDITIONAL INFORMATION FOR EMPLOYERS/INCOME WITHHOLDERS
Pennsylvania law (23 PA C.S. § 4374(b)) requires remittance by an electronic payment method if an employer is ordered
to withhold income from more than one employee and employs 15 or more persons, or if an employer has a history of
two or more returned checks due to nonsufficient funds. Please call the Pennsylvania State Collections and
Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as
the Emp/oyWObligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT
SEND CASH BY MAIL.
State-specific contact and withholding information can be found on the Federal Employer Services website located at:
lhtp://v •^a acf hhs gov/ grams/csatnewhire/em"er/contacts/contarA man htm
Priority: Withholding for support has priority over any other legal process under State law against the same income (USC 42
§666(b)(7)). If a Federal tax levy is in effect, please notify the sender.
Combining Payments: When remitting payments to an SDU or Tribal CSE agency, you may combine withheld amounts from
more than one employee/obligor's income in a single payment. You must, however, separately identify each employee/
obligor's portion of the payment.
Payments To SDU: You must send child support payments payable by income withholding to the appropriate SDU or to a
Tribal CSE agency. If this IWO instructs you to send a payment to an entity other than an SDU (e.g., payable to the custodial
party, court, or attorney), you must check the box above and return this notice to the sender. Exception: If this IWO was sent
by a Court, Attorney, or Private Individual/Entity and the initial order was entered before January 1, 1994 or the order was
issued by a Tribal CSE agency, you must follow the "Remit payment to" instructions on this form.
Reporting the Pay Date: You must report the pay date when sending the payment. The pay date is the date on which the
amount was withheld from the employee/obligor's wages. You must comply with the law of the State (or Tribal law if
applicable) of the employee/obligor's principal place of employment regarding time periods within which you must implement
the withholding and forward the support payments.
Multiple IWOs: If there is more than one IWO against this employee/obligor and you are unable to fully honor all IWOs due to
Federal, State, or Tribal withholding limits, you must honor all IWOs to the greatest extent possible, giving priority to current
support before payment of any past-due support. Follow the State or Tribal law/procedure of the employee/obligor's principal
place of employment to determine the appropriate allocation method.
Lump Sum Payments: You may be required to notify a State or Tribal CSE agency of upcoming lump sum payments to this
employee/obligor such as bonuses, commissions, or severance pay. Contact the sender to determine if you are required to
report and/or withhold lump sum payments.
Liability: If you have any doubts about the validity of this IWO, contact the sender. If you fail to withhold income from the
employee/obligor's income as the IWO directs, you are liable for both the accumulated amount you should have withheld and
any penalties set by State or Tribal law/procedure.
Anti-discrimination: You are subject to a fine determinedunder State or Tribal law for discharging an employee/obligor from
employment, refusing to employ, or taking disciplinary action against an employee/obligorbecause of this IWO.
OMB Expiration Date - 05/3112014. The OMB Expiration Date has no bearing on the termination date of the IWO; it identifies the version of the form currently in use.
Form EN-028 06/12
APrvira Tvne M Page 2 of 3 Worker ID $IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: STONE, MICHAEL L.
PACSES Case Number 608101828
Plaintiff Name
KATHY G. STONE
Docket Attachment Amount
99-7427 CIVIL $ 0.00
Child(ren)'s Name(s): DOB
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 Name(s): DOB
Service Type M
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
PACSES Case Number
Plaintiff Name
cket Attachment Amount
$ - 0.00
Child(ren)'s Name(s): DOB
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB`
Addendum
OMB No.: 0970-0154
Form EN-028 06/12
Worker ID $IATT
Employer's Name: IVOCLAR VIVADENT MFG, INC. Employer FEIN: 202151816
Employee/Obligor's Name: STONE MICHAEL L. 1196100446
CSE Agency Case Identifier: (See Addendum for case summary) Order Identifier: (See Addendum for order /docket Information)
Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection
Act (CCPA) (15 U.S.C. 1673(b)); or 2) the amounts allowed by the State or Tribe of the employee/obligor's principal place of
employment (see REMITTANCE INFORMATION). Disposable income is the net income left after making mandatory deductions such
as: State, Federal, local taxes; Social Security taxes; statutory pension contributions; and Medicare taxes. The Federal limit is 50% of
the disposable income if the obligor is supporting another family and 60% of the disposable income if the obligor is not supporting
another family. However, those limits increase 5% - to 55% and 65% - if the arrears are greater than 12 weeks. If permitted by the State
or Tribe, you may deduct a fee for administrative costs. The combined support amount and fee may not exceed the limit indicated in
this section.
For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Tribal employers/income
withholders who receive a State IWO, you may not withhold more than the lesser of the limit set by the law of the jurisdiction in which
the employer/income withholder is located or the maximum amount permitted under section 303(d) of the CCPA (15 U.S.C. 1673 (b)).
Depending upon applicable State or Tribal law, you may need to also consider the amounts paid for health care premiums in
determining disposable income and applying appropriate withholding limits.
Arrears greater than 12 weeks? If the Order Information does not indicate that the arrears are greater than 12 weeks, then the
Employer should calculate the CCPA limit using the lower percentage.
Additional Information:
NOTIFICATION OF EMPLOYMENT TERMINATION OR INCOME STATUS: If this employee/obligor never worked for you or you a
no longer withholding income for this employee/obligor, an employer must promptly notify the CSE agency and/or the sender by
returning this form to the address listed in the Contact Information below: 2021518160
Q This person has never worked for this employer nor received periodic income.
O This person no longer works for this employer nor receives periodic income.
Please provide the following information for the employee/obligor:
Termination date:
Last known address:
Final Payment Date To SDU/Tribal Payee:
New Employer's Name:
Last known phone number:
Final Payment Amount:
New Employer's Address:
CONTACT INFORMATION:
To Employer/Income Withholder: If you have any questions, contact WAGE ATTACHMENT UNIT (Issuer name)
by phone at (717) 240-6225, by fax at (717) 240-6248, by email or website at: www.childsupportstate, pa us.
Send termination/income status notice and other correspondence to: DOMESTIC RELATIONS SECTION, 13 N. HANOVER ST
P.O. BOX 320, CARLISLE PA 17013 (Issuer address).
To Employee/Obligor: If the employee/obligor has questions, contact WAGE ATTACHMENT UNIT (Issuer name)
by phone at (717) 240-6225, by fax at (717) 240-6248, by email or website at www.childsupport state a s.
IMPORTANT: The person completing this form is advised that the information may be shared with the employee/obligor.
Service Type M
OMB No.: 0970-0154
Page 3 of 3
Form EN-028 06/12
Worker ID $IATT