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HomeMy WebLinkAbout09-0161STEPHEN M. BOBB, Plaintiff v. COLLEEN B. BOBB, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA No. ~1- 1~~ ~~~~~~~t 7-1r1-1-, CIVIL ACTION -LAW IN DNORCE 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, Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania 17013. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYERS'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 (717) 249-3166 or (800) 990-9108 OM ~' LITLILAKIS i Michelle L. Sommer, Esquire Attorney I.D. #: 93034 36 South Hanover Street Cazlisle, PA 17013 (717)249-0900 STEPHEN M. BOBB, Plaintiff v. COLLEEN B. BOBB, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA NO. ©9- D /~ / ~~ / CIVIL ACTION -LAW IN DIVORCE 1. Plaintiff is Stephen M. Bobb, who currently resides at 769 Dogwood Terrace, Boiling Springs, Cumberland County, Pennsylvania. 2. Defendant is Colleen B. Bobb, who currently resides at 1254 Alma Lane, Mechanicsburg, Cumberland County, Pennsylvania. 3. The Plaintiff and Defendant have been bona fide residents in the Commonwealth for at least six (6) months immediately previous to the filing of this Complaint. 4. The Plaintiff and Defendant were married on September 6, 1998 at Boiling Springs, Cumberland, Pennsylvania. COUNT I -DIVORCE 5. Paragraphs one (1) through four (4) of this Complaint are incorporated herein by reference as though set forth in full. 6. There have been no prior actions of divorce or for annulment between the parnes. 7. Divorce is sought pursuant to the provisions of the Divorce Code, §§ 3301 (c) and 3301(d), in that: a. The marriage is irretrievably broken. b. Plaintiff and Defendant have lived separate and apart since August 20, 2008 and continue to do so. 8. Plaintiff has been advised that counseling is available and that Plaintiff may have the right to request that the court require the parties to participate in such counseling. 9. The Plaintiff in this action is not a member of the Armed forces. WHEREFORE, the Plaintiff requests the Court to enter a decree of Divorce. COUNT II -EQUITABLE DISTRIBUTION 10. Paragraphs one (1) through nine (9) of this Complaint are incorporated herein by reference as though set forth in full. 11. Plaintiff and Defendant have acquired property, both real and personal, during their marriage from September 6, 1998, until August 20, 2008, the date of their separation, which property is "marital property". 12. Plaintiff and Defendant may have owned, prior to marriage, property which has increased in value during the marriage and/or which has been exchanged for other property, which has increased in value during the marriage, all of which property is "marital property" 13. Plaintiff and Defendant have been unable to agree as to an equitable division of said property prior to the filing of this Complaint. WHEREFORE, the Plaintiff requests this Honorable Court to equitably divide all marital property. DATE _ ~ ~ 10 ~ txt Respectfully submitted, ABOM ~ KUTULAKIS, L.L.P. Michelle L. Somm squire Supreme Court ID No. 93034 36 South Hanover Street Carlisle, PA 17013 (717) 249-0900 Attorney for Plainti~' I, Stephen M. Bobb, verify that the statements made in this Divorce Complaint are true and correct to the best of my knowledge, information, and belief. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. X4904 relating to unsworn falsification to authorities. Date v o ~ 1,~~~~ j~ S PHEN M. BOBB F-- ~~r, i ~,~ (~ s~ r .~~.. N ~~~~d ~` ~ y w -~ LU ~~ ~ lJW ~ °t-~ n G ~,~ ~. _ :-. ~Y~_ ._,f t.. ,~ ,-. T , ;, ,,._ i _, t,. ~,=. w f.._ G? A -~.? GCt ~' STEPHEN M. BOBB, Plaintiff V. COLLEEN B. BOBB, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA NO. 09-0161 CIVIL ACTION - LAW IN DIVORCE PLAINTIFF'S PRE-TRIAL STATEMENT The Plaintiff, Stephen M. Bobb, files the following Pre-Trial Statement c-, LIST OF ASSETS - MARITAL AND NON-MARITAL The Plaintiff, Stephen M. Bobb, requests a stipulation that the date of final separation was August 20, 2008. The inventory is supplemented with the values of the marital and non-marital property on the attached charts: H cn O O ? G? O I w o O u O o ? A O ca a? a? cad a? O o c` Go 00 N ccn can p 0 o o??v N ? N ? O u oa ca N I?-A ? O N p N N M a o ? o ? o o ? o G` O N N ¢ `? u N N 00 cA UJ O O ca r v _4 p v `? v Q •? V u ? ? p 'O C.a ? ? Ov O ,r ? J cn ? o ? N U N N Ln Ln 1- 00 ? O C? 411 Ica I? o V d ? cn '? o? ? ? o O ?O N O O O A V a O G W ? I?'N aG .V ? O O ? O ? O c CA C"' o N j .? o .? W o ? o o G O ?. O ° o O a? c!? O -d O aN O O O ? v U O ? G., U 0 0 ? ? o ? N -? 0 w a `? o C) I , r? O Lr'r cl? O n? W U W s? N U V ? - ie? a? 0 PLA N ? ¢ iI1 N u ?? ?i EXPERT WITNESSES: None at this time. Defendant reserves the right to call expert witnesses, if necessary. OTHER WITNESSES Colleen B. Bobb, Defendant Stephen M. Bobb, Plaintiff, as on cross. Defendant reserves the right to call additional witnesses, if necessary. EXHIBITS: Exhibit A - Account Summary from July 8, 2009 from Member's 111 showing the balances of the Checking Account, Savings Account, 11 & 15-year CD's Exhibit B - Account Summary from August 31, 2008 from PA Central FCU showing The balances of the Checking and Savings Accounts Exhibit C - Account Summary from August 27, 2008 showing the balance from Conewago Enterprises, Inc., 401(k) Plan Exhibit D - Account Summary from June 30, 2009 from MorganStanley SmithBarney Roth IRA Exhibit E - Account Summary from December 31, 2007 from Baltimore Life Insurance Company Exhibit F - Kelley Blue Book value on the 1996 Ford Explorer Exhibit G - Kelley Blue Book value on the 1995 Ford F-150 Exhibit H - Account Summary on Justin Bobb's Checking Account with his Father Exhibit I - Unum Life Insurance Policy information Exhibit J - Visa Balance from PA Central FCU as of August 11, 2008 PLAINTIFF'S GROSS INCOME: See attached pay stub period ending September 4, 2010 for the Plaintiff, Exhibit K. PERSONAL PROPERTY: See attached list from the Plaintiff of items that he would like to remove immediately from the martial residence; however, this list is in no way a final list since he has not be allowed in the martial residence since the date of separation and believes there would be significantly more items to add to this list, Exhibit L. MARITAL DEBTS: See attached Inventory and Expense Statement for Plaintiff, Exhibit M. See attached Inventory for Plaintiff, Exhibit, N. PROPOSED RESOLUTION OF ECONOMIC ISSUES: Plaintiff is willing to negotiate an amicable resolution of all economic issues so that the divorce can be finalized, the equity in the marital home can be divided equally and a Qualified Domestic Relations Order can be entered for both the Defendant and Plaintiffs retirement plans. Respectfully submitted, DATE _ 1 16 I I ABOM & KUTULAKIS, L.L.P Michelle L. Somme , squire Supreme Court ID # 93034 2 West High Street Carlisle, Pennsylvania 17013 (717) 249-0900 Attorney for Plaintiff STEPHEN M. BOBB, Plaintiff V. COLLEEN B. BOBB, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA NO. 09-0161 CIVIL ACTION - LAW IN DIVORCE PLAINTIFF S PRE-TRLkL STATEMENT I, Stephen M. Bobb, verify that the statements made in this Pre-Trial Statement 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 v S e ,jmen M. Bobb Account Summary Account Summary Transfers eStatements Bill Payer Services Visa Loan Applications My Profile Messages Subject ( Date New Service Feature - EZ Transfer, 07/08/2009 -.t Product on Ycw A(cuu,A Account Description Available Balance YTD Dividend Prior Year Dividends REGULAR SAVINGS $9,248.77 $9,253.77 $25.81 $4.40 CHECKING $1,280.42 $1,280.42 $0.00 $0.00 11 MONTH CERT $3,529.22 $4,029.22 $54.30 $0.00 15 MONTH CERT $1,729.40 $2,229.40 $20.49 $0.00 Total $15,787.81 $16,792.81 $100.60 $4.40 Please Note: YTD totals displayed above do not include closed shares. To view YTD Totals which include closed shares please dick bare Account Open Date Description Available Balance Payment Due Rate --- N/A --- Total $0.00 $0.00 $0.00 Of4 = ,., q ,- edit Card Increase your deposits or bans with us and eam m free services, rate r bonuses,and a more! D LEARN MORE --- N/A --- 9 EXHIBIT https://m 1 online.members 1st.org/OnlineBanking/AccountSummary/AccountSummary.px 7/20/2009 TO REPORT ERRORS OR MAKE INQUIRIES ABOU- LOANS MARKED WITH AN ISTATEMENT OF ACCOUNT WRITE TO PENNSYLVANIA CENTRAL FCU 959 EAST PARK DRIVE N HARRISBURG PA 17111-2810 ?34 _ RETURN SERVICE REQUESTED PA Central Toll Free 800-356-3875 FEDERAL C R E D I T U N I O N Fax 717-564-1503 www.pacentralfcu.com >00684 5457813 001 092119 STEPHEN M BOBB p 26 PHEASANT RIDGE RD DILL.SBURG PA 17019-8500 IU Y-UYI -.1+YUYS UK MAKI INIUUINItS AoUU1 "ELEC TROMCC FUNDS TRANSFERS- WRITE TO THE ADDRESS AT LEFT DR CALL: 71'/564-4661 12.5001BP 1111. ACCOUNT NUMBER Immom STA_TEME'NT PERIOD FROM TO 08-01-08 08-31-08 SOCIAL SECURITY NO. S.S.N. SECURED REF LOC PAGE. 1 DATE MO/DAYIY TYPE OF ACCOUNT ! TYPE OF TRANSACTION ANNUAL` PERCENT- FINANCE FEES OR CHANGES LATE TO BALANCE AGE RATE CHARGE CHARGES LANCE 083108 011 SHARE ACCOUNT NO TRANSACTIONS THIS PERIOD ---------------------------------- --- PREVIOUS BALANCE : NEW BALANCE 432:59 43259 *021 SIGNATURE LOAN --- -- - ----------- '-- PREVIOUS BALANCE --__ ______ OQ PERIODIC RATE 000000% .00 09,3108 NO TRANSACTIONS THIS PERIOD ---------------------------------- ----- --- NEW BALANCE :- -- :00 083108 071 SHARE DRAFT ACC NO TRANSACTIONS THIS. PERIOD - --- - -- -------- PREVIOUS BALANCE NEW BALANCE ---- ------ --- 4:38 4.38 D. 51.25 REGULAR DIVIDENDS THE PA CENTRAL CREDIT UNION VIP SCHOLARSHIP WINNER IS...KERI ROWE FROM DUNCANNON,;PA. KER I IS PURSUING HER DOCTORATE DEGREE IN BEHAVORIAL HEALTH. SHE HAS A:4.0 CiFA AND SPENDS COUNTLESS HOURS SERVING OTHERS IN THE U.S. AND OTHER COUNTRIES. CONGRATULATIONS KIM! EXHIBIT See Reverse Side For Imnortant In nnRAe ?A9 ]- nnn- Page 1 of 4 Print This Page , 1mlwrw ? Conewago Enterprises, Inc. 401(k) Plan STEPHEN M BOBB 1254 ALMA LN MECHANICSBURG, PA 17055- Your Account Summary Beginning Balance Your Contributions Employer Contributions Balance Forward Change in Market Value Ending Balance Additional Information Vested Balance Your Personal Rate of Return This Period Retirement Savings Statement $ Customer Service: (800) 294-4015 Fidelity Investments Institutional Operations Company, Inc. 82 Devonshire Street Boston, MA 02109 Statement Period: 01/01/2008 to 08/27/2008 $0.00 $2,772.90 $831.88 $36,379.94 -$3,337.19 $36,647.53 $36,647.53 -8.9% Your Personal Rate of Return is calculated with a time-weighted formula, widely used by financial analysts to calculate investment earnings. It reflects the results of your investment selections as well as any activity in the plan account(s) shown. There are other Personal Rate of Return, formul2s used that may yield different results. Remember that past performance is no guarantee of future results. Your Asset Allocation Statement Period: 01/01/2008 to 08/27/2008 EXHIBIT https://plansponsorservices300.fidelity.com/plansponsor/sponsor/online_statement detail.do 8/2900OR OR N o o @ C r+ Sv 7 S ti o n ° c v rn r. w rz? Q p a tt3 N Q 1 y ? N N V ybbl? efl m I ('? p "' 1 pp a ? 1 in N i tV N ?. L o .? H fA ON N ? Vp? O T, n O 0 ZZ03 7? N. 3 03 OIL CD E 0, --T cr CD G ro O N N A tD N G N. "6 G TM a m 9, C, C, ro c il. o? ?an aN ? r°.a N n ° D !rte CD N 0? .? yrt -? o N N N „'? =F ro O a c? m a ? rA cr 40 - ' J N . d. 0 W D w N N m a C) o g $ O i ;a tT O O N r T,., tr N N ? O N N Q ? N N O Q i?! 0 N N IV '? t.? p0 O OD m av (*) n dat Rg aomm ?C)0? Do ZOOM Z? 0 03 G) Z to m m OD DDN -4 Z4 D CD ? W C W ? 0 CD y N C? o? O W 0 m 0 ?i -n ? 10 = w?? co F ' Oro c N D ID a7 U1 v OS3. S AN D O CX o G CD M C> 0 s ? N 14 n ? 3 ? ro D m n v tr a o C7 3 O C o> w N THE BALTIMORE LIFE INSURANCE COMPANY 10075 RED RUN BLVD OWINGS MILLS, MD 21117 410-581-6600 STEPHEN M BOBB 1254 ALMA LANE MECHANICSBURG, PA 17055 ? CORRECTED (if checked) TRUSTEE'S or ISSUER'S name, street address, city, state, and ZIP code 1 IRA contributions lother than amounts THE BALTIMORE LIFE INSURANCE COMPANY in boxes 2-4 and 8-10) 10075 RED RUN BLVD OWINGS MILLS, MD 21117 _ 410-581-6600 2 Rollover contributions TRUSTEE'S or ISSUER'S federal PARTICIPANT'S social security number 3 Roth IRA conversion amount identification no. PARTICIPANT'S name, street address, city, state, and ZIP code STEPHEN M BOBB 1254 ALMA LANE MECHANICSBURG, PA 17055 Account number (see instructions) 5 Fair market value of account $10,711.65 IRA SEP a ? OMB No. 1545-0747 2007 IRA Contribution Form 5498 Information 4 Recharacterized contributions Copy B For Participant This information 6 Life insurance cost included in box t is being furnished to the internal Revenue Service. SIMPLE Roth IRA ? ? 8 SEP contributions 10 Roth IRA contributions 9 SIMPLE contributions 11 If checked, required minimum distribution for 2008 ? Form 5498 (Keep Tor your 5498 Instructions for Participant Note. If you postponed making a contribution to vour IRA or certain retirement plans or repaid a qualified reservist distribution, the box tc the left of box 10 should show a reason code, the amount of the contribution or repayment, and the year to which the payment was credited, if applicable. Also, certain catch-up contributions under a section 401 (k) plan -ill be shown in the blank box. See Farm 8606 and its instructions for more nformation. The information on Form 5498 is submitted to the Internal Revenue Service by the trustee or issuer of your individual retirement arrangement ORA) to report contributions, including any catch-up contributions, and the fair market value of the account. For information about IRAs, see Pub. 590, Individual Retirement Arrangements (IRAs), and Pub. 560, Retirement Plans for Small Business (SEP, SIMPLE, and Qualified Plans). Account number. May show an account or other unique number the trustee assigned to distinguish your account. Box 1. Shows traditional IRA contributions for 2007 you made in 2007 and through April 15, 2008. These contributions may be deductible on your Form 1040 or 1040A. However, if you or your spouse was an active participant in an employer's pension plan, these contributions may not be deductible. This box does not include amounts in boxes 2-4 and 8-10. Box 2. Shows any rollover, including a direct rollover to a traditional IRA or Roth IRA, you made in 2007. It does not show any amounts you converted from your traditional IRA, SEP IRA, or SIMPLE IRA to a Roth IRA. They are shown in box 3. See the Form 1040 or 1040A instructions for information on how to report rollovers. If you have ever made any nondeductible contributions to your traditional IRA or SEP IRA and you did not roll over the total distribution, use Form 8606, Noneeductible IRAs, to figure the taxable amount. If property was rolled over, see Pub. 590. Box 3. Shows the amount converted from a traditional IRA, SEP IRA, or SIMPLE IRA to a Roth IRA in 2007. Use Form 8606 t0 figure the taxable amount. Department of the Treasury - Internal Revenue Service Box 4. Shows amounts recharacterized from transferring any part of the contribution (plus earnings) from one type of IRA to another. See Pub. 590. Box 5. Shows the fair market value of all investments in your account at year end. However, if a decedent's name is shown, the amount reported may be the FMV on the date of death. If the FMV shown is zero for a decedent, the executor or administrator of the estate may request a date-of-death value from the financial institution. Box 6. For endowment contracts only, shows the amount allocable to the cost of life insurance. Subtract this amount from your allowable IRA contribution included in box 1 to compute your IRA deduction. Box 7. May show the kind of IRA reported on this Form 5498. Box 8. Shows SEP contributions made in 2007, including contributions made in 2007 for 2006, but not including contributions made in 2008 for 2007. If made by your employer, do not deduct on your income tax return. If you made the contributions as a self-employed person (or partner), they may be deductible. See Pub. 560. Box 9. Shows SIMPLE contributions made in 2007. If made by your employer, do not deduct on your income tax return. If you made the contributions as a self-employed person (or partner), they may be deductible. See Pub. 560. Box 10. Shows Roth IRA contributions you made in 2007 and through April 15, 2008. Do not deduct on your income tax return. Box 11. It the box is checked, you must take a required minimum distribution (RMD) for 2008. An RMD may be required even if the box is not checked. The amount, or offer to compute the amount, and date of the RMD will be furnished to you by January 31 either on Form 5498 in the blank box to the left of box 701 or in a separate statement. If you do not take the RMD for 2008, you are subject to a 50% excise tax on the amount not distributed. See Pub. 590 for details. EXHIBIT Page 1 of 1 orer - r vote Party Pricing Report - Ke11eN Blue Book ![ , Kdk,y Blae Book ... ;E AA CH k THE TRJ5TED RBOURCE 111:. .._ _....._ .. _.... __. _. . i.. A. .: <.. r used Cars Rr er rch & Explore News & Revievv€ Dealers & Inventory O'1's"fieds t.oans & nsuf All!, •- p.a ;ree=f ?. V I. Sr 1. i_ . I (. t'o f,t d Pre (Jwned Comp- Vehicle, I ?crfcrt Ca f nder ! Most R, he 1 Vet?e les I '-AR; A% \IPh. cle Histu , w 1 B-1, 1 K ZIP Code _IC0" I rWT TE!_L SMALL IT CAN'T 00 BIG. Latest Car News CS WIC IM t vale LIORE. ? io-t ea a .3i, _ c Enplore' sport utniiy 40 1996 Ford Explorer, Sport Utility 4D Private Party Value 81 U1 BOOK PRIVATE PARTY VALUE " el,?el! VC. - ":,?, r Condition Value Excellent $4,074 ?jr• Good $3,745 ( :air $3,370 o Shopping Tools N EXT ST E SEARCH LOCAL LIS"flraGS P: >RI A' . Free CARFAx Record Check es smwX. Pa: rt a. o. _ ,.rv. to _.,. .,. i. . BUS a CSEC :AF On Blue Book Classifieds` For E.p' IE le 50 f1 ZIP Code 1100 To View Ads, Click HNO !i+ el HT:AR Compare Used vs. New Under 5,,000 Both rlr,. and 1.1111 5UV To View list, Click 11EW ANOTHER VWUl tielea Yei.. Average Consumer Aatir 4.3 out of 5 Sin'lllar Nev, Vehicles 2010 Ford Explorer Photos Revlew mn9 Vehicle H,. ghlights g (695 Reviews) Read Re.iewr pe'-n thi '!•=h?c le 2010 Honda Pilol' .Co' PhPrising Mileage: 131,000 Engine: V6 4.0 Lifer Transmission: Automatic Drivetrain: 4WD Selected Equipment standard .. ?I•d tr(i, II AMFM Stece . .,e -,tee Dual Front Air B.14, optional ...,.r ,.. r, Cnr 1, C-t-i Moll, Comoa.t Die ,?.e. „ooock leather ,- .. M.- R.01 More Results Change Equipment. AB':, 4 VC!'-i Rrin B-,r I Power `. edl °] -'-_ „2h1;'I, Frrn. 'i 3 r',U?.'r r1NF1 e tv Estimated Payments 4 65 /ma @ 5.49% APR ,e. ? Pre Uv. 7 1 r ,t r Ae .el In a a t 1t?.011 E EXHIBIT Page I oi'2 http:/'??- w,kbb.corn/KBf3;llsedCars/PrieingReport.aspx?Yearld--1996&Mileage=l )7(W . I I/A7_/?009 00 w N O O O "OP a ? O 0 !?'v n 00 000 0 0 0 0 0 0 0 w uti w w O? O *'d O d C!/ ? b O O a b O ? o n O ro .. Q ro W W C ? c? ?-S ?• °o 0 0 0 0 O N P"+ O r n G tic O w -1 ? W C N A ?w ? O r N W O ?r ro r w i r coo ? a CONFIRMATION OF BENEFIT ELECTIONS CONEWAGO ENTERPRISES, INC. STEPHEN BOBB SS#: Policy/Plan #: Billing Group: DOB: Coverage as of: 1 /O1/ 09 (Based on 52 paychecks per year) We are pleased to confirm the benefit options you have selected. You must be actively at work on the effective date for coverage to begin. BENEFIT EFFECTIVE OPTION COST Short Term Disability 10/01/2009 A $ 0.00:.- Life/Accidental Death & Dismemberment 10/01/2009 $35,000 $ 0.00 YOUR TOTAL WEEKLY POST-TAX SALARY DEDUCTION ... ........................... _$ 0.00 The amounts shown are subject to all limitations/exclusions in your certificate of coverage. If you have questions concerning this letter, please call our Customer Service number at 1-877-275-3539 If you agree with the information, please attach this page(s) to your certificate of coverage. The insurance options above then become part of your certificate of coverage. Date: 10/01/2009 15:22 EXHIBIT Unum Lite Insurance Company of America unum STEPHEN M BOBB ace , o` 2 PA Central Account Number: a-! _ FEDERAL CREDIT UNION Closing Date: 08/11/08 VISA Credit Limit: $10,000 Available Credit: $9,564 Account Inquiries Account Summary Customer Service: Previous Balance $ 351.49 (800) 433-0505 NATL 800 Purchases + 229.56 (800) 356-3875 CARD COORD Cash + 0.00 Credits - 0.00 To Report a Card Lost or Stolen: Payments 151.49 (800) 356-3875 LOCAL Insurance + 0.00 (800) 991-4961 AFTER HRS Other Debits + 0.00 ' Please Direct Written Inquiries to: Finance Chaves + 5.50 CUSTOMER SERVICE NEW BALANCE $ 435.06 PO BOX 30495 TAMPA, FL 33630 To view or pay your account on-line: www.eZCardInfo. cgm Payment Information Total Minimum Payment Due $15.00 Minimum Payment $ 15.00 Payment Due Date 09/05/08 16? Past Due Amount $ 0.00 Over Limit / Fees $ 0.00 Mail Payments to: PENNSYLVANIA CENTRAL FCU PO BOX 4519 CAROL STREAM IL 60197-4519 " important News ? YOU HAVE EARNED $3.40 IN CASHBACK SO FAR THIS YEA R! ? MANAGE YOUR CARD ACCOUNT ONLINE. IT'S FREE! IT'S EASY! SIMPLY GO TO WWW.EZCARDINFO.COM AND ENROLL IN OUR ONLINE SERVICE. YOU CAN REVIEW ACCOUNT INFORMATION, TRACK SPENDING, SET ALERT NOTIFICATIONS, DOWNLOAD FILES, AND MUCH MORE. MANAGING YOUR ACCOUNT IS FAST, SECURE AND EASY WITH EZCARDINFO. ENROLL TODAY! ? SAY FAREWELL TO SUMMER. USE YOUR SCORECARD FOR A VACATION WHILE EARNING CASHBACK. Account ACtiVity Since Your Last Statement Trans Date Date I Post Date Post Date MCC Code I MCC Reference Number I Number I Description Description Amount 07117 07118 5411 24226388200360269034966 WM SUPERCENTER E 222.57 CARLISLE PA 07/20 07121 4899 24692168202000866111242 SRR`SIRIUS RADIO 6 99 888-539-7474 NY ------------- ----------------------------------------- PAYMENTS, ADJUSTMENTS AND OTHERS----------------------------- ------------------------- 08/08 08108 0000 74109738221001530213579 PAYMENT - THANK YOU 15149- EXHIBIT ta ii? j - I r F y^ 4' a s EXHIBIT K L„ VI i Com wago Enterprises,InC: 2730 BTLPRW M 80819 Filing Status S - 3 FwH Addon Period End Date 09-04-2010 Stntui? FULL Employee Check Audit Rtport Page 1 Direct Deposit pay Date09-10-2010 # 1! I BTZ:MN M 130ED 769 DOCwow T870RACL BOILING BPAIEN08 PA 7,7007 Eo Certified Date Job in Pay Rate Units Amount class 00-30-10 078975 REG 36.750 2.50 91.88 08-30-10 093105 REG 36.750 .50 18.38 09-30-10 093075 REG 36.750 so 18.38 08-30-10 093087 OT 55.125 1.00 SS.13 08-30-10 103143 REG 36.750 .50 18.38 OR-30-10 103110 REG 36,750 1100 36.75 00-30-10 103142 REG 36.750 3100 110.25 00-31-10 1031,42 REG 36.750 8.00 294,00 OR-31-10 103142 OT 55.125 ,50 27.56 09-01-10 093075 REG 36.750 9.50 312.38 09-02-10 093105 REG 36.750 4.00 147.00 09-02-10 078975 REG 36,750 2,00 73.50 09-02-10 093075 RRG 36.750 1.50 55.13 09-02-10 103142 REG 36.750 1.00 :36.75 09-03-10 093075 REG 36.750 1.00 36.75 09-03-10 0930R7 REG 36.750 1.00 36.75 09-03-10 093105 REG 36.750 1100 36.75 09-03-10 076975 REp 36.750 .50 18.38 09-03-10 103142 REG 36.750 1.50 55.13 09-03-10 103143 REG 36.750 1100 76.75 09-03-10 103110 REG 36.750 1100 36175 Time Tot als 41.50• 1,552.73• EMPLOYLE TOTAL6 <------------- -- FICA ------------- -> c --- -----FVJH -------} c-------- SWH-------? GROSS TAXA15L9 MEP TAX 30C TAX TAXABLE TAX TAXABLE TAX Current Period 1,552.73 11468. 09 11.2 9 91.02 1,312.75 194.56 1,460.02 46.31 Year To Date 53,426.82 50,382. 42 730.!; 5 3,123.71 '45,039.70 6,093.67 50,392,42 1,547,98 401K 401K, 1401K LOCAL 4018 ROTH MID MATCH CANCER INSURANCE AFLAC AFLAC-D Currant period 23.49 155.27 .00 .00 46.58 .00 67.00 .00 .00 Year To Date 858.00 5,342.72 .00 .00 1, 602.84 100 2,406.00 .00 .00 CLOTHING XMAS MISC TAX DARN, SUPPORT CINTAS Current Period .00 .00 .00 .00 103.39 .00 Year To Date 00 ,00 .00 .00 3,717.07 .00 UNUM USABLE; Vision Dental NET PAY CurrentPeriod .00 .00 1.62 16.09 942.70 Year To Date .04 .00 58.32 S80.09 28,927.17 `Direct Deposits Mader ACOt Type Amount Checking 842.70 EXHIBIT L w 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 NOVEMBER 16, 2009 Fax: (717) 240-6248 COLLEEN B. BOBB ) Docket Number 00763 S 2008 Plaintiff ) vs. ) PACSES Case Number 050110282 STEPHEN M. BOBB Defendant ) Other State ID Number Please note: All correspondence must include the PACSES Case Number. Income Statement THIS FORM MUST BE FILLED OUT .AND YOU MUST PROVIDE DOCUMENTS TO SUPPORT ALL AMOUNTS PROVIDED IN THIS INCOME STATEMENT (If you are self-employed or if you are salaried by a business of which you are owner in whole or in part, you must also fill out the Supplemental Income Statement which appears below.) INCOME STATEMENT OF (Name) (PACSES Number) I verify that the statements made in this Income Statement are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S.A. § 4904 relating to u s orn falsification to authorities. Date: Plaintiff or efendant INCOME Employer: Address: Type of Work: Payroll Number: Pay Period Gross Pay per Pay Period $ Itemized Payroll Deductions: Federal Withholding $ FICA OZ. Local Wage Tax Z1. 13 State Income Tax j, Mandatory Retirement Union Dues Health Insurance ??:i••'k?„? , l Other (specify) Net Pay per Pay Period: Service Type M EXHIBIT ?i D .o 9 Form IN-008 Rev. 3 Worker ID 21205 Income Statement (Continued) Other Income: Interest Dividends Pension Distributions Annuity Social Security Rents Royalties Unemployment Comp. Workers Comp Employer Fringe Benefits Other TOTAL INCOME PROPERTY OWNED Checking accounts Savings accounts Credit Union Stocks/bonds Real Estate Other INSURANCE Hospital Blue Cross Other Medical Blue Shield Other Health/Accident Disability Income Dental Other PACSES Case Number 050110282 Week Month Year (Fill in Appropriate Column) $ $ ` $ $ I =?1 $ Ownership* Description Value H W J X11. 41 Total $ J Z, 73 3. 'S Coverage* Company Policy No. H W C r i414Z_ 4 Y *H = Husband; W =Wife; J == Joint; C =Child Page 2 of 3 Form IN-008 Rev. 3 Service "Type M Worker ID 21205 Income Statement (Continued) PACSES Case Number 050110282 SUPPLEMENTAL INCOME STATEMENT (You only need to complete the below portion if you are self-employed or if you are salaried by a business of which you are owner in whole or in part) (a) This form is to be filled out by a person (check one): ? (t) who operates a business or practices a profession, or ? (2) who is a member of a partnership or joint venture, or ? (3) who is a shareholder in and is salaried by a closed corporation or similar entity. (b) Attach to this statement a copy of the following documents relating to the partnership, joint venture, business, profession, corporation or similar entity: (1) the most recent Federal Income Tax Return, and (2) the most recent Profit and Loss Statement. (c) Name of business: Address and telephone number: (d) Nature of business (check one) ? (1) partnership ? (2) joint venture ? (3) profession ? (4) closed corporation ? (5) other (e) Name of accountant, controller or other person in charge of financial records: (f) Annual income from business: (1) How often is income received? (2) Gross income per pay period: (3) Net income per pay period: (4) Specific deductions, if any: Service Type M Page 3 of 3 Form IN-008 Rev. 3 Worker ID 21205 Expense Statement EXPENSE STATEMENT OF (Na ` e) (F'acses Number) I verify that the statements made in this Expense Statement are true and correct- I understand that false statements herein are made subject to the penalties of IS Pa. C S.A.. § 4904 relating to unsworn falsification to authorities. n Date f 5Z Plaintiff r efendan EXPENSES MONTHLY TOTAL MONTHLY CHILDREN MONTHLY PARENT . EXPENSES _-_ MONTHLY TOTAL MONTHLY CHILDREN MONTHLY PARENT HOME - Medical Mortgage or Rent J C'y'e=' _ Medical Insurance Maintenance Doctor Lawn Care Dentist 71, 2nd Mortgage Ho s ital Medication UTILITIES _ _ Counseling/Therapy Electric 5, Orthodontist Gas Special Needs (glasses Oil ,,<c , etc-) {??i?cri ?'Svs•:?1'? -7 C J Telephone _ Cell Phone _ EDUCATION Water Tuition Sewer Tutonno Cable TV _ Lessons Internet _ Other Trash/Recycling _ EXPENSES MONTHLY TOTAL MONTHLY CHILDREN MONTHLY PARENT EXPENSES _ MONTHLY TOTAL MONTHLY CHILDREN MONTHLY PARENT TAXES PERSONAL Real Estate _ Debt Service Personal Property Clothing Groceries INSURANCE Halrcare 40 Homeowners/Renters Membership-, Automobile - Life MISCELLANEOUS Accident/Disablh _ Child Care _ Excess Coverage _ Long-Term Care Household H Summer CanQ Pa ers/Books/klaciazines _ AUTOMOBILE _ Entertainment Lease or Loan Payment,, Pet Ex, enses _ Fuel _ _ Vacations _ Repairs _ Gifts ~-- -- Membershi s _ -Legal Fees/Prof Fees G) -- Charitable Contributions Children's Parties (-hildren's Allowances _ Other Child SuM)ort _ Alimony Pavr-ients ---- ------- - - -- TOTAL MONTHLY EXPENSES C?i3 STEPHEN M. BOBB, Plaintiff V. COLLEEN B. BOBB, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA : NO. 09-0161 CIVIL ACTION - LAW IN DIVORCE INVENTORY OF STEPHEN M BOBB Plaintiff, Stephen M. Bobb, files the following inventory of all property owned or possessed by either party at the time this action was commenced and all property transferred within the preceding three years. ASSETS OF THE PARTIES Defendant marks on the list below those items applicable to the case at bar and itemizes the assets on the following pages. (X) 1. Real Property (X) 2. Motor Vehicles (X) 3. Stocks, Bonds, Securities and Options (X) 4. Certificates of Deposit ()q 5. Checking Accounts, Cash (X) 6. Savings Accounts, Money Market and Savings Certificates ( ) 7. Contents of Safe Deposit Boxes ( ) 8. Trusts 9. Life Insurance. Policies (indicate face value, cash surrender value, and current beneficiaries) ( ) 10. Annuities ( ) 1.1. Gifts ( ) 12. Inheritances ( ) 13. Patents, Copyrights, Inventions, Royalties ( ) 14. Personal Property Outside the Home ( ) 15. Business (list all owners, including percentage of ownership, and officer/ director positions held by a party with company) ( ) 16. Employment Termination Benefits -- Severance Pay, Worker's Compensation Claim/Award EXHIBIT ( ) 17. Profit Sharing Plans ( ) 18. Pension Plans (indicate employee contribution and date plan vests) (X) 19. Retirement Plans, Individual Retirement Accounts ( ) 20. Disability Payments ( ) 21. Litigation Claims (matured and unmatured) ( ) 22. Military/V.A. Benefits ( ) 23. Education Benefits (X) 24. Debts Due, including Loans, Mortgages held (X) 25. Household Furnishings and Personalty (include as a total category and attach itemized list if distribution of such assets is in dispute) ( ) 26. Other MARITAL PROPERTY Defendant lists all marital property in which either or both spouses have a legal or equitable interest individually or with any other person as of the date this action was commenced: ITEM NUMBER DESCRIPTION OF PROPERTY NAMES OF ALL OWNERS 1 Marital Home purchased on March 24, 2000 1254 Alma Lane, Mechanicsburg, PA 17050 Stephen Bobb and Colleen Bobb 2 1995 Volkswagen etta _ Colleen Bobb 2 2003 Ford Escape Colleen. Bobb 4 11- ear Certificate of Deposit Ste here Bobb 4 15-year Certificate of Deposit Stephen Bobb 4 Savings Bonds Stephen Bobb and Colleen Bobb 5 Member's 1't - Checking Stephen Bobb 5 PA Central Federal Credit Union - Checking Ste hen Bobb 5 Members 1't - Checking Colleen Bobb 6 Member's 1't - Savings Stephen Bobb 6 PA Central Federal Credit Union - Savings Ste hen Bobb 6 Members V t - Savings Colleen Bobb 19 Conewa o Enterprises 401N Plan Stephen. Bobb 19 Phico 401 Plan Colleen Bobb 19 _ Morgan Stanley Conversion IRA Ste hen Bobb 19 Baltimore Life IRA Stephen Bobb 19 F:rie Family Life Insurance IRA Colleen Bobb 25 Personal Property Stephen Bobb and Colleen Bobb NON-MARITAL PROPERTY Defendant lists all property in which a spouse has a legal or equitable interest which is claimed to be excluded from marital property: ITEM NUMBER DESCRIPTION OF PROPERTY REASON FOR EXCLUSION 2 1996 Ford F-150 Purchased prior to marriage in 1997 2 1996 Ford Explorer Purchased after the date of separation on 06/23/09 5 Checking Account in Minor Child's Name and Father's Name In son's name with Father listed on Account as a joint co-signer since he is a minor 9 Unum Life Insurance Policy Effective after date of se aration J5_ Personal Property Acquired after date of separation LIABILITIES ITEM NUMBER DESCRIPTION OF PROPERTY NAME OF CREDITORS NAMES OF ALL DEBTORS 24 Mortgage Countrywide Home Loans Stephen & Colleen Bobb 24 Credit Card Bon-Ton Colleen B. Bobb 24 Credit Card Kohl's Colleen B. Bobb 24 Credit Card Mac 's Colleen B. Bobb 24 Credit Card Boscov's Colleen B. Bobb 24 Credit Card Visa Colleen B. Bobb 24 Credit Card Visa Stephen M. Bobb STEPHEN M. BOBB, Plaintiff V. COLLEEN B. BOBB, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA NO. 09-0161 CIVIL ACTION - LAW IN DIVORCE PLAINTIFF'S INCOME AND EXPENSE STATEMENT I, Stephen M. Bobb, verif , that the statements made in this Income and Expense Statement 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 ` e en M. Bobb CERTIFICATE OF SERVICE AND NOW, this 13th day of September, 2009, I, Michelle L. Sommer, Esquire, of ABOM & KUTULAKIS, LLP., hereby certify that I did serve a true and correct copy of the foregoing Pre-Trial Statement by depositing, or causing to be deposited, same in the United States Mail, First-class mail, postage prepaid addressed to the following: Lisa M. Coyne, Esq. Coyne & Coyne, P.C. 3901 Market Street Camp Hill, PA 17011-4227 Attorney for Defendant E. Robert Elicker Office of Divorce Master Cumberland County Court of Common Pleas 9 North Hanover Street Carlisle, PA 17013 Cumberland County Divorce Master Respectfully submitted, ABOM & KUTULAKis, L.L.P 9 L? DATE Michelle L. Sommer, Esquire Supreme Court ID: 93034 2 West High Street Carlisle, Pennsylvania 17013 (717) 249-0900 Attorney for Plaint f COYNE & COYNE, P.C. Lisa Marie Coyne, Esquire Pa. Supreme Ct. No. 53788 3901 Market Street Camp Hill, PA 17011-4227 (717) 737-0464 r nC: Attorney for Defendant STEPHEN M. BOBB, Plaintiff V. COLLEEN B. BOBB, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 09-161 CIVIL TERM ACTION IN DIVORCE ANSWER AND COUNTER CLAIM TO THE HONORABLE, JUDGES OF SAID COURT: AND NOW COMES, Defendant, COLLEEN B. BOBB, by and through her counsel, Lisa Marie Coyne, Esquire, of Coyne & Coyne, P.C., and files this Answer and Counterclaim: I. Admitted. 2. Admitted. 3. Admitted. 4. Admitted. COUNT I - DIVORCE 5. Paragraphs 1 through 4 are incorporated herein by reference. 6. Admitted on information and belief. 7. a. Admitted. b. Admitted. 41q. oo PA AT?-/ at 1.358 0,081109 arc e? 8. Denied. After reasonable investigation, Defendant is without sufficient knowledge; or information to form belief as to truth of the averments of Paragraph 7 and Defendant has no knowledge of what, if anything, the Plaintiff was advised and same is therefore denied and, strict proof demanded at the time of trial. 9. Neither admitted nor denied, as this is a conclusion of law to which no response is required. WHEREFORE Defendant respectfully requests this Honorable Court dismiss the request for entry of a No-Fault Divorce under Section 3301(c) and 3301(d) of the Divorce Code. COUNT II - EQUITABLE DISTRIBUTION M Paragraphs 1 through 9 are incorporated herein by reference. 11. Admitted. 12. Admitted. 13. Admitted. WHEREFORE, Defendant requests this Honorable Court to equitably divide all marital property and debt pursuant to the Divorce Code. COUNTER CLAIM: COUNTI REQUEST FOR ALIMONY, ALIMONY PENDENTE LITE, ATTORNEY FEES, EXPENSES AND COSTS 14. Paragraphs I through 13 of this Answer are incorporated herein by reference. 15. Defendant lacks sufficient property to provide for her reasonable means and is unable to support herself in the standard of living established during the marriage through appropriate employment. 16. Defendant has employed counsel, but is unable to pay the necessary and reasonable attorney fees for said counsel. 17. Defendant is unable to sustain herself during the course of this litigation and will require alimony pendent lite in order to do so. 18. Defendant requires reasonable alimony to adequately maintain herself in accordance with the standard of living established during the marriage following the issuance of any decree in divorce. 19., Plaintiff has adequate earnings to provide for the Defendant's support and to pay Defendant's counsel fees, costs and expenses. WHEREFORE, Defendant, respectfully requests the Court to: (1) enter an award of Alimony Pendente Lite, interim counsel fees, costs and expenses, until final hearing and thereupon award such additional counsel fees, costs and expenses as deemed appropriate; (2) enter an award of alimony in his favor; and (3) all other relief deemed appropriate by this Honorable: Court. Dated: C1 b Respectfully submitted: COYNE & COYNE, P.C. By: llnM,'?__V?-, Lisa Marie Coyne, Es wire Pa. Ct. No. 53788 l Market Street Camp Hill, PA 17011-4227 (717) 737-0464 Attorney f 9r Defendant VERIFICATION Che facts set forth in the foregoing are true and correct to the best of the undersigned's knowledge, information and belief and are verified subject to the penalties for unsworn falsification to authorities under 18 Pa. C.S.A. § 4904. Dated: V/ - I 0 6&C/x- /u A'Lf J- it / COLLEEN B. BOBB CERTIFICATE OF SERVICE 1, Lisa Marie Coyne, Esquire, of Coyne & Coyne, P.C., hereby certify that true copy of the foregoing Answer and Counter Claim was served this date upon the below-referenced individuals at the below listed address by way of first class mail, postage pre-paid: Michelle L. Sommer, Esquire Abom & Kutulakis, LLP 2 West High Street Carlisle, PA 17013 Dated: 9 ' 0 16 a arie Coyne, Esq ire P". Ct. No. 53788 3901 Market Street Camp Hill, PA 17011-4227 (717) 737-0464 Attortiey, for Defendant STEPHEN M. BOBB, IN THE COURT OF COMMON PLEAS Plaintiff CUMBERLAND COUNTY, PA V. NO. 09-161 - 3 0 COLLEEN B. BOBB, CIVIL ACTION - LAW 0 Defendant IN DIVORCE -< 00 ' e-n MOTION TO VACATE ORDER APPOINTING MASTER -? .- 1. The above-captioned parties have reached an amicable resolution to this matter and have fully executed a Marital Settlement Agreement. 2. A Divorce Master is no longer necessary. WHEREFORE, it is respectfully requested that the Order Appointing a Divorce Master be VACATED. Respectfully Submitted, Date 1-2 ( 0 ABOM & KUTULAKIS, L.L.P. Michelle L. Somm , Esquire Attorney ID No. 93034 2 West High Street Carlisle, PA 17013 (717) 249-0900 CERTIFICATE OF SERVICE AND NOW, this 8 h day of December, 2010, I, Michelle L. Sommer, Esquire, hereby certify that I did serve a true and correct copy of the foregoing Motion to Vacate Appointment of Divorce Master upon the below listed counsel of record and/or parties by depositing, or causing to be deposited, same in the United States Mail, First-class mail, postage prepaid addressed to the following: Lisa Marie Coyne, Esquire Coyne and Coyne, P.C. 3901 Market Street Camp Hill, PA 17011 Attorney for the Defendant OM & KUTULAKIS, L.L.P. Michelle L. So , Esquire Attorney ID No. 93034 2 West High Street Carlisle, PA 17013 (717) 249-0900 STEPHEN M. BOBB, IN THE COURT OF COMMON PLEAS Plaintiff CUMBERLAND COUNTY, PA V. NO. 09-161 COLLEEN B. BOBB, CIVIL ACTION - LAW 2 C= ; ? -.? Defendant IN DIVORCE m Kip r " c? - -am 73 y. , -< C) CD I MARITAL SETTLEMENT AGREEMENT ?-4 Uqp '- THIS AGREEMENT, made this day of N;,o<ember, 201 0 between CO - . EWfil BOBB, (hereinafter referred to as Wife), and STEPHEN M. BOBB, (hereinafter referred to as `Husband). WITNESSETH: WHEREAS, Husband and Wife were lawfully married on September 6, 1998, in Boiling Springs, Cumberland County, Pennsylvania; WHEREAS, disputes and difficulties have arisen between the parties, and it is the present intention of Husband and Wife to live separate and apart, and the parties hereto are desirous of settling their respective financial and property rights and obligations as between each other, including without limitation by specification: the settling of all matters between them relating to the past, present, and future support and/or maintenance of Wife by Husband or Husband by Wife; the settling of all matters between them relating to the equitable division of marital property; and, in general, the settling of any and all claims and possible claims by one against the other or against their respective estates; and WHEREAS, Husband and Wife declare that each has had a full and fair opportunity to obtain independent legal advice of counsel of his or her selection; that Husband is represented by Michelle L. Sommer, Esquire, of Abom & Kutulakis, L.L.P., and that Wife is represented by Lisa Marie Coyne, Esquire, of Coyne & Coyne, P.C. The parties represent and warrant that they have fully disclosed to each other all assets of any nature owned by each, all debts or obligations for which the other party may be liable in whole or part, and all sources and amounts of income. The parties acknowledge that they fully understand the facts, and they acknowledge and accept that this Agreement, is, under the 1 hl?? circumstances, fair and equitable, and that it is being entered into freely and voluntarily, with such knowledge and that execution of this Agreement is not the result of any duress or undue influence and that it is not the result of any improper or illegal agreement or agreements. NOW THEREFORE, in consideration of the premises and of the mutual promises, covenants and undertakings hereinafter set forth and for other good and valuable consideration, receipt of which is hereby acknowledged by each of the parties, hereto, Husband and Wife, each intending to be legally bound hereby, covenant and agree as follows: 1. PERSONAL RIGHTS. It shall be lawful for each Husband and Wife at all times hereafter to live separate and apart from the other party at such place as he or she may from time to time choose or deem fit. The parties shall be free from any control, restraint, interference or authority, direct or indirect, by the other in all respects as fully as if they were unmarried, except as may be necessary to carry out the provisions of this Agreement. Husband and Wife shall not molest, harass, disturb or malign each other or the respective families of each other nor compel or attempt to compel the other to cohabit or dwell by any means in any manner whatsoever with him or her. The foregoing provision shall not be taken as an admission on the part of either party of the lawfulness or unlawfulness of the causes leading to their living apart. 2. MUTUAL RELEASE. Husband and Wife each do hereby mutually remise, release, quitclaim and forever discharge the other, for all time to come, and for all purposes whatsoever, of and from any and all rights, titles and interests, or claims in or against the property (including income and gains from property hereinafter accruing) of the other or against the estate of such other, of whatever nature and wheresoever situate, which he or she now has or at any time hereafter may have against such other, the estate of such other or any part thereof, whether arising out of any former act, contracts, engagements or liabilities of such other or by way of dower or curtsey; or claims in the nature of dower or curtsey or widow's or widower's rights, family exception or similar allowance, or under the intestate laws, or the right to take against the spouse's will; or the right to treat a lifetime conveyance by the other as testamentary, or all other -tights of a surviving spouse to participate in a deceased spouse's estate, whether arising under the law of Pennsylvania, any state, commonwealth or territory of the United States, or any other country, or the right to act as personal representative of the estate of the other; or any rights which any party may now have or any time hereafter have for past, present, future 2 e? support, maintenance, alimony, alimony pendente lite, counsel fees, costs or expenses, whether arising as a result of the marital relation or otherwise; except all rights and agreements and obligations of whatsoever nature arising or which may arise under this Agreement or for breach of any provision hereof. It is the intention of Husband and Wife to give to each other, by the execution of the Agreement, a full, complete and general release with respect to any and all property of any kind or nature, real, personal or mixed, which the other now owns or may hereafter acquire, except and only except all rights and agreements and obligations of whatsoever nature arising or which may arise under this Agreement or for the breach of any provision hereof. It is further specifically understood and agreed by and between the parties hereto that each accepts the provisions herein made by the other in lieu of and in full settlement and satisfaction of any and all of their rights against the other or any past, present and future claims on account of support and maintenance; that it is specifically understood and agreed that the payments, transfers and other considerations herein and discharge any and all such claims by each other against the other, and are, inter alia, in full settlement and satisfaction and in lieu of their past, present and future claims against the other on account of maintenance and support, and also alimony, alimony pendente lite, counsel fees, costs and expenses, as well as any and all claims to equitable distribution of property, both real and personal, and any other charge of any nature whatsoever pertaining to any divorce proceedings which may have been or may be instituted in any court in the Commonwealth of Pennsylvania or any other jurisdiction, including any other counsel arising in any manner whatsoever, except as may be incurred in connection with a breach of the Agreement as set forth hereinafter. 3. RELEASE OF TESTAMENTARY CLAIMS. Except as provided for in this Agreement, each of the parties hereto shall have the right to dispose of his or her property by last will and testament or otherwise, and each of them agrees that the estate of the other, whether real, personal or mixed, shall be and belong to the person or persons who would have become entitled thereto as if the decedent had been the last to die. Except as set forth herein, this provision is intended to constitute a mutual waiver by the parties of any rights to take against each other's estate whatsoever, and is intended to confer third-party beneficiary rights upon the other heirs and beneficiaries of each. Either party may, however, make such provision for the other as he or she may desire in and by his or her last will and testament; and each of the parties further covenant and agree that he or she will permit any will of the other to be probated and allowed administration; and that neither Husband not Wife will claim against or contest the will and estate of the other except as necessary to enforce any breach by the 3 decedent of any provision of this Agreement. Each of the parties hereby releases, relinquishes and waives any and all rights to act as personal representative of the other party's estate. Each of the parties hereto further covenants and agrees for himself and herself and his or her heirs, executors, administrators or assigns, for the purpose of enforcing any of the right relinquished under this Agreement. 4. FINANCIAL DISCLOSURE. The parties waive their rights to require the filing of financial statements by the other, although the parties have been advised by their respective attorneys that it is their legal right to have these disclosures made prior to entering into this Agreement. Without reliance upon financial disclosure, the parties are forever waiving their right to request or use that as a basis to overturn this Agreement or any part thereof. 5. INCOME TAX CONSIDERATIONS. The transfers of property pursuant to this Agreement are transfers between Husband and Wife incident to their divorce and as such are nontaxable, with no gain or loss recognized. The transferee's basis in the property shall be the adjusted basis of the transferor immediately before the transfer. The transfers herein are an equal division of marital property for full and adequate consideration and as such will not result in any gift tax liability. 6. PENSION, PROFIT-SHARING RETIREMENT, CREDIT UNION, 401(k) IRA, KEOGH OR OTHER EMPLOYMENT-RELATED PLANS. The parties agree to waive any interest they may have in each other's pension, profit-sharing, retirement, credit union accounts, 401(k), IRA, Keogh or other employment-related plans. 7. EQUITABLE DISTRIBUTION OF MARITAL PROPERTY. The parties have attempted to distribute their marital property in a manner which conforms to the criteria set forth in §3502 of the Pennsylvania Divorce Code and taking into account the following considerations: the length of marriage; the age, health, station, amount and sources of income, vocational skills, employability, estate, liabilities and needs of each of the parties; the contribution of each party to the education, training or increased earning power of the other party; the opportunity of each party for further acquisitions of capital assets and income; the sources of income of both parties, including but' not limited to medical, retirement, insurance or other benefits; the contribution or dissipation of each party in the acquisition, preservation, depreciation or appreciation of the marital property, including the 4 cp contribution of each spouse as a homemaker, the value of the property set apart to each party; the standard of living of the parties established during the marriage; and the economic circumstances of each party at the time the division of the property is to become effective. The division of existing marital property is not intended by the parties to constitute in any way a sale or exchange of assets, and the division is being effected without the introduction of outside funds or other, property not constituting marital property. The division of property under this Agreement shall be in full satisfaction of all marital rights of the parties. a. MOTOR VEHICLES. Each party shall become solely responsible for the financial obligation associated with the vehicle he or she is to retain pursuant to this Agreement and each party agrees to indemnify and hold harmless the other party from any and all liability. 1. 2003 Ford Escape. Wife shall retain exclusive possession of the 2003 Ford Escape titled in Wife's name. b. DISTRIBUTION OF PERSONAL PROPERTY. The parties hereto mutually agree that they have effected a satisfactory division of the furniture, household furnishings, appliances, and other household personal property between them, and they mutually agree that each party shall from and after the date hereof be the sole and separate owner of all such tangible personal property presently in his or her possession, and this Agreement shall have the effect of an assignment or bill of sale from each party to the other from such property as may be in the individual possession of each of the parties hereto. From and after the date of the signing of this Agreement, both parties shall have complete freedom of disposition as to their separate property and any property which is in their possession or control, pursuant to this Agreement, and may mortgage, sell, grant, convey, or otherwise encumber or dispose of such property, whether real or personal, whether such property was acquired before, during, or after marriage, and neither Husband nor Wife need join in, consent to, or acknowledge any deed, mortgage, or other instrument of the other pertaining to such disposition of property. C. SALE OF REAL ESTATE. It is understood and agreed that the parties are joint owners of certain real estate located at 1254 Alma Lane, Mechanicsburg, Cumberland County, Pennsylvania, 17050 which is encumbered by a mortgage held by Bank of America. The parties agree that Wife will become the sole owner of the marital residence and will assume sole responsibility of all financial obligations associated with the residence. 5 `? The parties acknowledge that the marital residence is currently encumbered with Mortgage held by Bank of America. Wife shall be solely responsible for all future mortgage payments due and owing on the Mortgage held by Bank of America and hold Husband harmless for the obligation associated with the Mortgage Loan. Contemporaneously with the execution of this Agreement, Husband shall execute and deliver to Wife a Deed transferring sole and absolute ownership, right, title and interest in and to the said premises to Wife. Said Deed shall be held in escrow by Wife's attorney until the refinance of the marital home. Husband hereby releases and relinquishes any claim he may now or hereafter have to the said property. d. FINANCIAL ACCOUNTS AND INSTRUMENTS. Husband and Wife agree that Husband will retain exclusive possession and right to payment on the eleven month and fifteen month certificates of deposit that are in Husband's name issued by Member's First Federal Credit Union in the amount of $4,029.22 and $2,229.40, respectively. 8. DEBTS. Husband represents and warrants to Wife that since the separation he has not, and in the future he will not, contract or incur any debt or liability for which Wife or her estate might be responsible, and he shall indemnify and save Wife harmless from any and all claims or demands made against her by reason of such debt or obligation incurred by him since the date of said separation, except as otherwise set forth herein. Husband also agrees to assume all of the debt associated with the Visa Credit Card that was used by the parties prior to separation. Wife represents and warrants to Husband that since the separation she will not in the future contract or incur any debt or liability for which husband or his estate might be responsible, and she shall indemnify and save Husband harmless from any and all claims or demands made against him by reason of such debts or obligations incurred by her since the date of said separation, except as otherwise set forth herein. 9. COUNSEL FEES AND COSTS. Husband and Wife each agree to pay and be responsible for their own attorney's fees and costs incurred with respect to the negotiation of this property settlement agreement and the divorce proceedings related thereto. 10. ALIMONY ALIMONY PENDENTE LITE AND SPOUSAL SUPPORT. Spousal support shall terminate effective the date of entry of a final Divorce Decree and the parties 6 shall submit a copy of this Agreement and a copy of the Divorce Decree to vacate the support Order effective the date of entry of final Divorce Decree. However, Husband agrees upon the entry of a final Divorce Decree to pay Wife the sum of Seven Thousand Two-Hundred Dollars and Zero Cents ($,7,200.00) as alimony payable to Wife at the rate of Three Hundred Dollars and Zero Cents ($300.00) for Twenty-Four (24) consecutive months through the Cumberland County Domestic Relations Section. This payment of alimony shall be paid beginning with the month a final Divorce Decree is entered. During the Twenty-Four (24) consecutive months which Husband shall pay alimony to Wife, Husband shall, at Husband's exclusive cost and expense, maintain for Wife's benefit life insurance coverage on Husband's life for the benefit of Wife in amount of at least Seven Thousand Two- Hundred Dollars and Zero Cents ($,7,200.00). This Agreement has been negotiated, in part, upon consideration of the cost of Wife to obtain health insurance for herself upon the issuance of a final Divorce Decree and Wife's ineligibility for COBRA overage under Husband's health insurance policy through his employer and upon the assumption that the payments described in this Paragraph shall be deductible by Husband and includible in the income of Wife. Therefore, it is the intention, understanding and agreement of the parties that the payments described in this Paragraph [to the extent permitted by law] shall constitute "alimony" as that term is defined in Section 71 of the Internal Revenue Code and that, accordingly, all such payments shall be includible in Wife's gross income and deductible by Husband for federal income tax purposes pursuant to Sections 71 and 215 of the Internal Revenue Code. Wife must report payments received under this Paragraph in her gross income for federal and, if applicable, for local and state income tax purposes. Wife shall be solely responsible for income taxes with respect to those payments. If Wife should fail to report these payments on her tax returns as required by this Paragraph, Wife shall exonerate and indemnify Husband against and hold Husband harmless from any expenses and/or liability, including reasonable counsel and accountants' fees, arising from that failure. 11. DIVORCE. A Complaint in divorce has been filed to Docket No. 09-161 in the Court of Common Pleas of Cumberland County, Pennsylvania, and either party shall be free to proceed without further delay to secure the divorce. Both parties shall sign an affidavit evidencing their consent to the divorce, pursuant to §3301(c) of the Divorce Code. In the event, for whatever reason, either party fails or refuses to execute such affidavit upon the other party's timely request, that party shall indemnify, defend and hold the other harmless from any and all additional expenses, including actual 7 0 ?V counsel fees, resulting from any action brought to compel the refusing party to consent. Each party hereby agrees that a legal or equitable action may be brought to compel him or her to execute a consent form and that, absent some breach of this Agreement by the proceeding party, there shall be no defense to such action asserted. 12. BANKRUPTCY. The parties further warrant that they have not heretofore instituted any proceedings pursuant to the bankruptcy laws not are there any such proceedings pending with respect to them which have been initiated by others. It is stipulated and agreed by the parties that the terms of this Agreement as they resolve the economic issues between the parties incidental to their divorce and the obligations of the parties to each other resulting therefrom shall not be dischargeable in bankruptcy, should either party file for protection under the Bankruptcy Code at any time after the date of execution of this Agreement. 13. RECONCILIATION. Notwithstanding reconciliation between the parties, this agreement shall continue to remain in full force and effect absent a writing signed by the parties stating that this Agreement is null and void. 14. INCORPORATION IN FINAL DIVORCE DECREE The terms of this Agreement shall be incorporated but shall not merge in the final divorce decree between the parties. The terms shall be incorporated into the final divorce decree for the purposes of enforcement only and any modification of the terms hereof shall be valid only if made in writing and signed by both of the parties. Any court having jurisdiction shall enforce the provision of this Agreement as if it were a Court Order. This Agreement shall survive in its entirety, resolving the spousal support, alimony, equitable distribution and other interests and rights of the parties under and pursuant to the Divorce Code of the Commonwealth of Pennsylvania, and no court asked to enforce or interpret this Agreement shall in any way change the terms of this Agreement. This Agreement may be enforced independently of any support order, divorce decree or judgment and its terms shall take precedence over same, remaining the primary obligation of each party. This Agreement shall remain in full force and effect regardless of any change in the marital status of the parties. It is warranted, covenanted and represented by Husband and Wife, each to the other, that this Agreement is lawful and enforceable, and this warranty, covenant and representation is made for the specific purpose of inducing the parties to execute the Agreement. 8 ?X 15. DATE OF EXECUTION. The "date of execution" or "execution date" of the 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 party last executing the Agreement. 16. FULL DISCLOSURE. Each party asserts that he or she has made or shall make a full and complete disclosure of all the real and personal property of whatsoever nature and wheresoever located belonging in any way to each of them, of all debts and encumbrances incurred in any manner whatsoever by each of them, and of all sources and amounts of income received or receivable by each party. 17. ENTIRE AGREEMENT. This Agreement contains the entire understanding of the parties, and there are no representations, warranties, covenants or undertakings other than those expressly set forth herein. No modification of the Agreement is valid unless it is in writing and executed in the same formality of this Agreement. 18. BREACH. If either party breaches any provision of this Agreement, the other party shall have the rights, at his or her election, either to pursue his or her rights in having the terms of this Agreement enforced as an Order of Court or to sue for specific performance or for damages for such breach, and the party breaching this Agreement shall be responsible for all reasonable legal fees and costs incurred by the non-breaching party in enforcing his or her rights under this Agreement. 19. PENNSYLVANIA LAW. The parties agree that the terms of this Agreement and any interpretation and/or enforcement thereof shall forever be governed by the Laws of the Commonwealth of Pennsylvania. 20. WAIVER OF MODIFICATION TO BE IN WRITING. No modification or waiver of any of the terms hereof shall be valid unless made in writing and signed by both of the parties. 9 ? W'PN 21. ADDITIONAL INSTRUMENTS. Each of the parties shall from time to time, at the request of the other, execute, acknowledge, and deliver to the other party any and all further instruments, including Deeds and other real estate-related documents, titles, or other documents that may be reasonably required to give full force and effect to the provisions of this Agreement. 22. SEVERABILITY. 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 shall continue in full force, effect and operation. 23. WARRANTY. Husband and Wife again acknowledge that they have each read and understood this Agreement, and each warrants and represents that it is fair and equitable to each of them. 24. DESCRIPTIVE HEADINGS. The descriptive headings used herein are for convenience only. They shall have no effect whatsoever in determining the rights or obligations of the parties. IN WITNESS WHEREOF, and intending to be legally bound hereby, the parties hereto have hereunto set their hands and seals the day and year first above written. This Agreement is executed in duplicate, and each party hereto acknowledges receipt of a duly executed copy thereof. WITNESSES: 1 ! z 4 i u (SEAL) PHEN M. BOBB (SEAL) COLLEEN B. BOBB 10 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. On this 0, day of NCeAAyZ , 2010, before me, the undersigned officer, personally appeared STEPHEN M. BOBB, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Agreement, and acknowledged that he executed the same for the purposes therein contained. Oyrppi,rH OF MINgytvAN1A L S public 1_ Notwsf Deba rel? RY8° y? Coudy Catliete ? Jume 11, 2014 lion COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. On this 30 day of MMov ee - , 2010, before me, the undersigned officer, personally appeared COLLEEN B. BOBB, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Agreement, and acknowledged that she executed the same for the purposes therein contained. CTMMONWEAlTM Y"ANIA f4pTARiAI SEAL Public Lisa Marie Coyne. Notary Mompden -r Swnsh'p Cumberland Cau^[ . My COM04ssivn EXPirss Jum,10, 201 11 OM CSC" &N ULAKIS Michelle L. Sommer, Esquire Attorney I.D. #: 93034 2 West High Street Carlisle, PA 17013 (717) 249-0900 STEPHEN M. BOBB, Plaintiff V. COLLEEN B. BOBB, Defendant C_ T FILED-OFFICE HEPROTHOP,O 2010 DEC 14 PH 3:25 CLJMBERLAtiD CGO'.'I' PENNSYt_v.Af 11 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA : NO. 09-161 CIVIL ACTION - LAW IN DIVORCE 1. A Complaint in divorce under §§ 3301(c) and 3301(d) of the Divorce Code was filed on January 13, 2009. 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 of 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. §4904 relating to unsworn falsification to authorities. Date: STEPHEN M. BOBB COYNE & COYNE, P.C. Lisa Marie Coyne, Esquire Pa. Supreme Ct. No. 53788 3901 Market Street Camp Hill, PA 17011-4227 (717) 737-0464 f-I EC-0PFECE Ln 10 DEC 14 PH 3: 25 f'''JMBERLANi) COUI 4 T l? P NPdS YL M y For Defendant STEPHEN M. BOBB, Plaintiff, VS. COLLEEN B. BOBB, Defendant. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : NO. 09-0161, CIVIL TERM : IN DIVORCE AFFIDAVIT OF CONSENT AND WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF DIVORCE DECREE UNDER SECTION 3301(c) OF THE DIVORCE CODE 20091. A complaint in divorce under § 3301(c) of the Divorce Code was filed on January 13, . 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 of divorce without formal notice of intention to request entry of the decree. 4. 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. 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: 16 &A- COLLEEN B. BOBB, Defendant _A OM & &U ULAKIS Michelle L. Sommer, Esquire Attorney I.D. #: 93034 2 West High Street Carlisle, PA 17013 (717) 249-0900 O f' THE PRO TH01Y n 2919 or-C 14 PH 3:2-5 ??. CUMBERLAND tl-iN STEPHEN M. BOBB, IN THE COURT OF COMMON PLEAS Plaintiff CUMBERLAND COUNTY, PA V. NO. 09-161 COLLEEN B. BOBB, Defendant CIVIL ACTION - LAW IN DIVORCE 1. I consent to the entry of a final Decree of Divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. I understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the Prothonotary. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. §4904 relating to unsworn falsification to authorities. Date: % Z G EN M. BOBB, Plaintiff COYNE & COYNE, P.C. Lisa Marie Coyne, Esquire Pa. Supreme Ct. No. 53788 3901 Market Street Camp Hill, PA 17011-4227 (717) 737-0464 Op Pia vFFOCe 2010 DEC A ,yet? Attorney For Defendant STEPHEN M. BOBB, Plaintiff, VS. COLLEEN B. BOBB, Defendant. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA NO. 09-0161, CIVIL TERM IN DIVORCE WAIVER OF NOTICE OF COUNSELING I, Colleen B. Bobb, Defendant, being duly sworn according to law, deposes and says: 1. I have been advised of the availability of marriage counseling and understand that I may request that the court require that my spouse and I participate in counseling. 2. I understand that the court maintains a list of marriage counselors in the Prothonotary's Office, which list is available to me upon request. 3. Being so advised, I do not request that the court require that my spouse and I participate in counseling prior to a divorce decree being handed down by the Court. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. No. 4904 relating to unsworn falsification to authorities. Dated: //- 30 -1d -d& fir' COLLEEN B. BOBB, Defendant ABOM & ICLITLILAKIS Michelle L. Sommer, Esquire Attomey I.D. No.: 93034 2 West High Street Carlisle, Pennsylvania 17013 (717) 249-0900 STEPHEN M. BOBB, Plaintiff V. COLLEEN B. BOBB, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA : NO. 09-161 CIVIL ACTION - LAW IN DIVORCE PRAECIPE TOTRANSMIT HE RECORD To the Prothonotary: Transmit the record, together with the following information, to the court for entry 0 voq7 --i decree: r- 1) Ground(s) for Divorce: r' a a) Irretrievable Breakdown under ?3301(c) of the Divorce Code. 2) Date and manner of service of the Complaint: r`) - a) February 4, 2009 by Certified Mail/Restricted Delivery. r rt 3) Date of execution of the Affidavit of Consent required by §3301(c) of the Divorce Code: a) by Plaintiff: December 6,2010; by Defendant:. November 30, 2010 4) Related claims pending: None 5) Date Waiver of Notice in §3301(c) Divorce was filed with the Prothonotary: a) by Plaintiff. December 14,2010; by Defendant; December 14, 2010. Respectfully submitted, 4BOM & KUTULAUSt L.L.P DATE 12 1H m r Michelle L. So r, Esquire Supreme Court ID #93034 2 West High Street Carlisle, PA 17013 (717) 249-0900 Attorney for Plaintiff 0 .1 1 DEC 0 9 2010 STEPHEN M. BOBB, Plaintiff V. COLLEEN B. BOBB, Defendant AND NOW, this IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA NO. 09-161 CIVIL ACTION - LAW IN DIVORCE C C '?i rf7 co Q ,. m © b O Q 2 C ) - _3 CJ z'2 N °i0 2010, the economic ORDER OF COURT 0e day of claims raised in the proceedings having been resolved in accordance with a marital settlement agreement dated December 6, 2010, the appointment of the Master is vacated and counsel can file a praecipe transmitting the record to the Court requesting a final decree in divorce. BY THE COURT, .r #14 Hess, P.J. cc: /Michelle L. Sommer, Esquire Attorney for Plaintiff ? Lisa Marie Coyne, Esquire Attorney for Defendant Co p'% e,5 rya fed la 11-31J1, STEPHEN M. BOBB IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA V. COLLEEN B. BOBB : NO. 09-161 DIVORCE DECREE a•3?,?. lad. AND NOW, it is ordered and decreed that STEPHEN M. BOBB plaintiff, and COLLEEN B. BOBB , defendant, are divorced from the bonds of matrimony. Any existing spousal support order shall hereafter be deemed an order for alimony pendente lite if any economic claims remain pending. The court retains jurisdiction of any claims raised by the parties to this action for which a final order has not yet been entered. Those claims are as follows: (If no claims remain indicate "None.") Marital Settlement Agreement dated December 6, 2010 is incorporated but not merged into this Decree. By t urt, 1114 Attest: J. Prothonotary &r1: &pcf lmiled 4 0 4Uq 'Sommer No-Nte + CoP4 nv?le+d +c, a#y "& ayne. ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT 09-161 CIVIL State Commonwealth of Pennsylvania OOriginal Order/Notice Co./City/Dist. of CUMBERLAND Ox Amended Order/Notice Date of Order/Notice 12/27/10 0Terminate Order/Notice Case Number (See Addendum for case summary) OOne-Time Lump Sum/Notice RE:BOBB, STEPHEN M. Employer/Withholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI) 170-64-6970 Employee/Obligor's Social Security Number CONEWAGO ENTERPRISES INC 2772000028 660 EDGE GROVE RD Employee/Obligor's Case Identifier PO BOX 407 (See Addendum for plaintiff names HANOVER PA 17331-0407 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? (S) yes O % $ 0.00 per month in current medical support c a -n -.? $ 0.00 per month in past-due medical support -,j ;,K o r i rn $ 0.00 per month in current spousal support $ 300.00 per month in past-due spousal support ==? -ur1n C $ o . oo per month for genetic test costs C::) n $ o. oo per month in other (specify) ?-- _ C:) $ one-time lump sum payment CD -n G for a total of $ 300.00 per month to be forwarded to payee below. -+ .. w You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle d'des not mech the ordered support payment cycle, use the following to determine how much to withhold: $ 69.23 per weekly pay period. $ 150.00 per semimonthly pay period (twice a month) $ X38.46 per biweekly pay period (every two weeks) $ 300.00 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. 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 Employee/Obligor's Case Identifier) OR S?C?4L SE5?Y NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. I I / / / BY THE COURT: J. Wesley Opr, DRO: R.J. Shadday op Service Type M OMB No.: 0970-0154 d 110 Form EN-028 Rev.5 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS If check. ? you are required to provide gopy of this form to your?mployee. If yoyr employee works in a state that is di erent irom the state that issued this or er, a copy must be provi to your, eemployee 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 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. 2327166610 THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : 0 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: ID EMPLOYEE'S/OBLIGOR'S NAME:BOBB, STEPHEN M. EMPLOYEE'S CASE IDENTIFIER: 2772000028 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 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 CARLISLE PA 17013 by FAX at (717) 240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Rev.5 Service Type M OMB No.: 0970-0154 Worker I D $ IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: BOBB, STEPHEN M. PACKS 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 Addendum Service Type M OMB No.: 0970-0154 PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Form EN-028 Rev.5 Worker ID $zATT a: ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT 00- ILD I 0-)V I i State Commonwealth of Pennsylvania OOriginal Order/Notice Co./City/Dirt. of CUMBERLAND OAmended Order/Notice Date of Order/Notice 01/06/11 XOTerminate Order/Notice Case Number (See Addendum for case summary) OOne-Time Lump Sum/Notice RE:BOBB, STEPHEN M. Employer/Withholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI) 170-64-6970 Employee/Obligor's Social Security Number CONEWAGO ENTERPRISES INC 2772000028 660 EDGE GROVE RD Employee/Obligor's Case Identifier PO BOX 407 (See Addendum for plaintiff names HANOVER PA 17331-0407 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 child support $ 0.00 per month in past-due child support Arrears 12 weeks or greater? nom $ 0.00 per month in current medical support MCQ C -ri $ o . oo per month in past-due medical support -- $ 0.00 per month in current spousal support - -` ?j $ o . oo per month in past-due spousal support $ 0.00 per month for genetic test costs $ o . o o per month in other (specify) >:J '- rv - rT $ 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). 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 Employee/Obligor's Case identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. / /I // BY THE COURT: Service Type M j/ OMB No.: 0970-0154 Form EN-028 Rev.5 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS If heckefl you are required to provide agopy of this form to your employee. If yoyr employee v?orks in a state that is d i Brent rrom the state that issued this or er, a copy must be provided to your emp oyee even if t e box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employeelobligor. 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. 2327166610 THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : 0 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: ED EMPLOYEE'S/OBLIGOR'S NAME:BOBB, STEPHEN M. EMPLOYEE'S CASE IDENTIFIER: 2772000028 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 employeelobligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any 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'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 by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Rev.5 Service Type M OMBNo.:0970.0154 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: BOBB, STEPHEN M. PACKS Case Number 050110282 Plaintiff Name COLLEEN B. BOBB Docket Attachment Amount 09-161 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 Addendum OMB No.: 0970-0154 PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Form EN-028 Rev.5 'Worker ID $IATT ORDERMOTICE TO WITHHOLD INCOME FOR SUPPORT 09-161 CIVIL State: Commonwealth of Pennsylvania Co./City/Dist. of: CUMBERLAND O Original Order/Notice Date of Order/Notice: 08/15/11 O Amended Order/Notice C 3se Number (See A en um for case summary) O Terminate Order/Notice 0 One-Time Lump Sum/Notice Employe er's Federal EIN Number RE. BOBB, STEPHEN M. Employee/Obligor's Name (Last, First, MI) POOLE ANDERSON CONSTRUCTION 170-64-6970 # 100 mpoyee igors Social ecun um er 2121 OLD GATESBURG RD 2772000028 STATE COLLEGE PA 16803-2267 mP oyee igors ase Identifier (See Addendum for plaintiff names associated with cases on attachment) See Addendum for dependent na Custodial Parent's Name (Last, First, MI) mes and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold I ncome for Support rt from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to upon from the above-named emplo deduct these amo unt ee' / bli ' y s s o gor 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 $ 0.00 per month in current di or greater? -- es?:.p pp", me cal support 0.00 per month in past-due medical support - M r= = .F $ 0.00 per month in current spousal support $ > L -I 300.00 per month in past-due spousal support $ I_.,?:: C_ 0.00 per month for genetic test costs $ D - =3- a 0.00 per month in other (specify) $ _ - one-time lump sum payment for a total of $ 300.00 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: $ 69 23 per weekly pay period. $ 150.00 per semimonthly pay period $ - 138 47 per biweekly pay period (every two weeks) $ 300.00 (twice a month) 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.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER /D (shown above as the Employee/Obligor's Case Identif+jer) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASI4 BYWAIL. /l /7 BY THE COURT: Service Type M J. Wesl 016r, ., Judge Ones No.: 0970-0154 _ Form EN-028 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS e works If checked you are required to provide a copy of this form to p your emplyee. If employee not checke your our employ een if the box 1st t e that is r,. different from the state that issued this order, a copy must be 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. hholding: sen when the ust re ent. 3.* Reporting the Paydng i the date?ton wh Cc amountnwas withheld f omdthe employee!shwages. You mustdc'omply wthrthe law of the state paydate/date of withholding 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 rt Order/Notices holding due to Federal or its, against this employee/obligorstate of employee's/obligor's principal p aoce of employment. You must honorrallllt0 derls/Noti esrto theou must follow the law of the greatest extent possible. (See #9 below) e employee/obligor is no return a copy of this Orderr/Noti entohthe Agency identified below 2518347190 for longer 5. Termination the information requested and notify you. Please provide ide the in THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER: O THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: EMPLOYEE'S/OBLIGOR'S NAME: BOBB, STEPHEN M. DATE OF SEPARATION: EMPLOYEE'S CASE IDENTIFIER: 2772000028 LAST KNOWN HOME ADDRESS: FINAL PAYMENT AMOUNT: LAST KNOWN PHONE NUMBER: 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 law. nia State have withheld from the employee/obligor's another State, newh which penalties case the law of the State ntwhich he or snnsylv he isaemp oyed Ig verns. governs unless the obligor is employed in 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from becaus support olding. employment, refusing to employ, or the obligor is employed in another State, in which case thelaw of the St t I inhwhich he or she Pennsylvania State law governs unless is employed governs. by the 2the lesser of: Federal g * Withholding Limits: You may not withhold by)ththe e State uor Tribe oofdthe emit oyee sl bligor's princ pal place Protection Act (CCPA) (15 U.S.C. 1673 (b)); ) S disposable income if the pension the net income left after employment. Disposable income contributions and Medicare making taxes. mandatory The Federal limit is 50% of he Social Security taxes, statutory p another family. However, that obligor is supporting another family and 60% of the disposable income if the obligor is not supporting er than perm weeks tted by 50% limit is increased to 55% and that 60% limit is increased r extceed the ?mit ndicat d in This section,State, you may deduct a fee for administrative costs. The support amount and the fee may not s are then the weeks than 12 Arrears greater than 12 weeks: If the Order nnfthe Information does indicate For Trbah orders, yourmay of w thhold more than the amounts employer should calculate the CCPA limit using he lesser allowed under the law of the issuing Tti which the employer is located o the maximum amount permitted under sect ont303(d) of of the limit set by the law of the jurisdiction in the CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may need to take into consideration the amounts paid or health care premiums in determining disposable income and applying appropriate withholding limits. 10. Additional info: *NOTE: If you or you agent are rservedt to these a copy of this order in the state that issued the order, you are to follow the law o the state that issued order this 11. Send Termination Notice and other correspondence to: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 240-6225 or 13 N. HANOVER ST by telephone at (717) P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www childsupport state pa us OMB No. 0970-0154 Form EN-028 o?„o 9 of 9 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: BOBB, STEPHEN M. PACSE Case Number 050110282 Plaintiff Name PACSES Case Number COLLEEN B. BOBB Plaintiff Name Docke Attachment Amount 09-161 CIVIL $ 300.00 Docket Alachment Amount Child(ren)'s Name(s): DOB $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket $?tachment Amount 0.00 Child(ren)'s Name(s): DOB R-AQ5ES Case, N Umber Plaintiff Name Docket Attachment Amount $ Child(ren)'s Name(s): 0.00 Service Type M DOB Addendum OMB No.: 0970-0154 PACSES Case A umb r Plaintiff Name Doc et Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB EACSES Case N mb r Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Form EN-028 Worker ID $IATT In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Defendant Name: STEPHEN M. BOBB Xm Member ID Number: 2772000028 r?nr Please note: All correspondence must include the Member ID Number, r-- 'c C, C =m y c'a 3 C ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION EFIT Sc=? Financial Break Down of Multiple Cases on Attachment PACSES Docket r Attachment Amo N b N mb C unt/Fre auencv er u e ase um Plaintiff Nam e COLLEEN B. BOBB 050110282 09-161 CIVIL 300.00 MO NTH TOTAL ATTACHMENT AMOUNT: $ 300.00 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 $ 69.04 per week, or 55%, of the Unemployment Compensation benefits otherwise payable to the Defendant, STEPHEN M. BOBB Social Security Number XXX-XX-6970, Member ID Number 2772000028. 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 DECEMBER 18, 2011 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: JAN 10 2012 JUDGE Form EN-530 Service Type M Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: BOBB, STEPHEN M. PACSES Case Number 050110282 Plaintiff Name COLLEEN B. BOBB Docket Attachment Amount 09-161 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 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 rM PACSES Case Number "`- Plaintiff Name _ o rv D . DoccLe Attachment Amoune >j $ 0.00 c Child(ren)'s N ame(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Addendum SP.rvicP Tvne M OMB No : 0970-0154 Form EN-028 01112 Worker ID $IATT INCOME WITHHOLDING FOR SUPPORT O ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO) Q AMENDED IWO c? I lD I C I I \1 t C ONE-TIMEORDERINOTICE FOR LUMP SUM PAYMENT Q TERMINATION OF IWO Date: 02/29/12 ? Child Support Enforcement (CSE) Agency ® Court ? Attorney ? Private Individual/Entity (Check One) 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 http://www acf hhs gov/programs/cse/newhire/employer/.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. StatefTribe/Territory Commonwealth of Pennsylvania _ Remittance Identifier (include w/payment): 2772000028 City/County/Dist.fTribe CUMBERLAND Order Identifier: (See Addendum for order/docket informaiton) Private Individual/Entity _ CSE Agency Case Identifier: (See Addendum for case summary) POOLE ANDERSON CONSTRUCTION # 100 2121 OLD GATESBURG RD STATE COLLEGE PA 16803-2267 Employer/Income Withholder's FEIN 251834719 Child(ren)'s Name(s) (Last, First, Middle) Child(ren)'s Birth Date(s) Custodial Party/Obligee's Name (Last, First, Middle) RE: BOBB, STEPHEN M Employee/Obligor's Name (Last, First, Middle) 170-64-6970 Employee/Obligor's Social Security Number (See Addendum for plaintiff names associated with cases on attachment) 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 htto•!/www acf hhs gov! rograms/cse/newhire/ employer/publication/publication.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. 2518347190 See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This document is based on the support or withholding order from CUMBERLAND County, Commonwealth of Pennsylvania (State/Tribe). You are required by law to deduct these amounts from the employee/ obligor's income until further notice. $ 0.00 per month in current child support $ 0.00 per month in past-due child support - Arrears 12 weeks or greater? O yes O no $ 0.00 per month in current cash medical support $ 0.00 per month in past-due cash medical support $ 0.00 per month in current spousal support $ 0.00 per month in past-due spousal support $ 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 CUMBERLAND County, 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 CUMBERLAND Coin, Commonwealth of Pennsylvania (State/Tribe), obtain withholding limitations, time requirements, and any allowable employer fees at http://www.acf.hhs.gov/programs/cse/newhire/employer/contacts/ contact map.htm for the employee/obligor's principal place of employment. Document Tracking Identifier OMB No.: 0970-0154 Form EN-028 01112 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 box and return the IWO to the sender. Signature of Judge/Issuing Official (if required by State or Tribal law): Print Name of Judge/issuing Official: - a, -Li1cle- Title of Judge/Issuing Official: Date of Signature: If the employee/obligor works in a State or for a Tribe that is different from the State or Tribe that issued this order, a copy of this IWO must be provided to the employee/obligor. ? If checked, the employer/income withholder must provide a copy of this form to the employee/obligor. ADDITIONAL INFORMATION FOR EMPLOYERS/INCOME WITHHOLDERS Pennsylvania law (23 PA C.S. § 4374(b)) requires remittance by an electronic payment method if an employer is ordered to withhold income from more than one employee and employs 15 or more persons, or if an employer has a history of two or more returned checks due to nonsufficient funds. Please call the Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00 Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER /D (shown above as the Employee/Obligor's Case Identifler) 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: httl2:Hwww acf hhs goy/proarams/cse/`newhire/employer/contacts/contact_map.htm Priority: Withholding for support has priority over any other legal process under State law against the same income (USC 42 §666(b)(7)). If a Federal tax levy is in effect, please notify the sender. Combining Payments: When remitting payments to an SDU or Tribal CSE agency, you may combine withheld amounts from more than one employee/obligor's income in a single payment. You must, however, separately identify each employee/ obligor's portion of the payment. Payments To SDU: You must send child support payments payable by income withholding to the appropriate SDU or to a Tribal CSE agency. If this IWO instructs you to send a payment to an entity other than an SDU (e.g., payable to the custodial party, court, or attorney), you must check the box above and return this notice to the sender. Exception: If this IWO was sent by a Court, Attorney, or Private Individual/Entity and the initial order was entered before January 1, 1994 or the order was issued by a Tribal CSE agency, you must follow the "Remit payment to" instructions on this form. Reporting the Pay Date: You must report the pay date when sending the payment. The pay date is the date on which the amount was withheld from the employee/obligor's wages. You must comply with the law of the State (or Tribal law if applicable) of the employee/obligor's principal place of employment regarding time periods within which you must implement the withholding and forward the support payments. Multiple IWOs: If there is more than one IWO against this employee/obligor and you are unable to fully honor all IWOs due to Federal, State, or Tribal withholding limits, you must honor all IWOs to the greatest extent possible, giving priority to current support before payment of any past-due support. Follow the State or Tribal law/procedure of the employee/obligor's principal place of employment to determine the appropriate allocation method. Lump Sum Payments: You may be required to notify a State or Tribal CSE agency of upcoming lump sum payments to this employee/obligor such as bonuses, commissions, or severance pay. Contact the sender to determine if you are required to report and/or withhold lump sum payments. Liability: If you have any doubts about the validity of this IWO, contact the sender. If you fail to withhold income from the employee/obligor's income as the IWO directs, you are liable for both the accumulated amount you should have withheld and any penalties set by State or Tribal law/procedure. Anti-discrimination: You are subject to a fine determined under State or Tribal law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against an employee/obligor because of this IWO. OMB Expiration Date - 05/31/2014. The OMB Expiration Date has no bearing on the termination date of the IWO; it identifies the version of the form currently in use. Form EN-028 01/12 Service Type M Page 2 of 3 Worker ID $IATT ? y s Employer's Name: POOLE ANDERSON CONSTRUCTION Employer FEIN: 251834719 Employee/Obligor's Name: BOBS, STEPHEN M. 2772000028 CSE Agency Case Identifier: (See Addendum for case summary) Order Identifier: (See Addendum for ordeddocket 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 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: 2518347190 Q This person has never worked for this employer nor received periodic income. 0 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: New Employer's Address: Last known phone number: Final Payment Amount: 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.childsupgort.state.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.childsuRportstate. pa us. 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 01/12 Worker ID $IATT ADDENDUM Summary Qf Cases on Attachment Defendant/Obligor: BOBB, STEPHEN M. PACSES Case Number 050110282 COLLEEN B. BOBB Docket Attachment Amount 09-161 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 r i ca i + .._ ?- PACSES Case Numbe 7 Plaintiff Name c-3 Docket Attachment Amount'' ' b• $ 0.00 - *- c.. :. 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 01/12 Worker ID $IATT INCOME WITHHOLDING FOR SUPPORT O ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO) Q AMENDED IWO r) - I ID CI V l Q ONE-TIMEORDERMOTICE FOR LUMP SUM PAYMENT () TERMINATION OF IWO Date: 02/29/12 ? Child Support Enforcement (CSE) Agency ® Court ? Attorney ? Private Individual/Entity (Check One) 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 http://www.acf hhs gov/programs/cse/newhire/employer/publication/QubliGation.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. State/Tribe/Territory Commonwealth of Pennsylvania Remittance Identifier (include wlpayment): Zf 1ZuuuuZs City/County/Dist./Tribe CUMBERLAND Order Identifier: (See Addendum for orderldocket informalton) Private Individual/Entity CSE Agency Case Identifier: (See Addendum for case summary) MCCOY BROTHERS INC PO BOX 7.300 1514 COMMERCE AVE CARLISLE PA 17013-7001 Employer/Income Withholder's FEIN 231277731 Child(ren)'s Name(s) (Last, First, Middle) Child(ren)'s Birth Date(s) RE: BOBB. STEPHEN M. Employee/Obligor's Name (Last, First, Middle) 170-64-6970 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 http://www acf hhs.aov/programs/cse/newhire/ employer/publication/publication.htm - form . 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. 2312777310 See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This document is based on the support or withholding order from CUMBERLAND County, Commonwealth of Pennsylvania (State/Tribe). You are required by law to deduct these amounts from the employee/ obligor's income until further notice. $ 0.00 per month in current child support $ 0.00 per month in past-due child support - Arrears 12 weeks or greater? (?) yes O no $ 0.00 per month in current cash medical support $ 0.00 per month in past-due cash medical support $ 0.00 per month in current spousal support $ 300.00 per month in past-due spousal support $ 0.00 per month in other (must specify) for a Total Amount to Withhold of $ 300.00 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: $ 69.23 per weekly pay period. $ 150.00 per semimonthly pay period (twice a month) $ 138.47 per biweekly pay period (every two weeks) $ 300.00 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 CUMBERLAND County, 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 CUMBERLAND County, Commonwealth of Pennsylvania (State/Tribe), obtain withholding limitations, time requirements, and any allowable employer fees at http://www.acf.hhs.gov/programs/cse/newhire/employer/contacts/ contact map.htm for the employee/obligor's principal place of employment. Document Tracking Identifier OMB No.: 0970-0154 Form EN-028 01/12 Service 7--ype M Worker ID $IATT ? Return to Sender [Completed by Employer/Income Withholder]. Payment must be directed to an SDU Ift accordance with 42 USC §666(b)(5) and (b)(6) or Tribal Payee (see Payments to SDU below). If payment is not directed to an SDU/Tribal Payee or this IWO is not regular on its face, you must check this box and return the IWO to the sender. _41 Signature of Judge/Issuing Official (if required by State or Tribal law): ?7N % f Print Name of Judge/Issuing Official: eY t/tt - ??? ?' Title of Judge/Issuing Official. Date of Signature: MAR-0 1 ]2 If the employee/obligor works in a State or for a Tribe that is different from the State or Tribe that issued this order, a copy of this IWO must be provided to the employee/obligor. ? If checked, the employer/income withholder must provide a copy of this form to the employee/obligor. ADDITIONAL INFORMATION FOR EMPLOYERS/INCOME WITHHOLDERS Pennsylvania law (23 PA C.S. § 4374(b)) requires remittance by an electronic payment method if an employer is ordered to withhold income from more than one employee and employs 15 or more persons, or if an employer has a history of two or more returned checks due to nonsufficient funds. Please call the Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00 Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER /D (shown above as the Employee/Obligor's Case /dentifrer) 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: hhttp://www acf hhs aov/programs/cse/newhire/em loyer/contacts/contacl map htm Priority: Withholding for support has priority over any other legal process under State law against the same income (USC 42 §666(b)(7)). If a Federal tax levy is in effect, please notify the sender. Combining Payments: When remitting payments to an SDU or Tribal CSE agency, you may combine withheld amounts from more than one employee/obligor's income in a single payment. You must, however, separately identify each employee/ obligor's portion of the payment. Payments To SDU: You must send child support payments payable by income withholding to the appropriate SDU or to a Tribal CSE agency. If this IWO instructs you to send a payment to an entity other than an SDU (e.g., payable to the custodial party, court, or attorney), you must check the box above and return this notice to the sender. Exception: If this IWO was sent by a Court, Attorney, or Private Individual/Entity and the initial order was entered before January 1, 1994 or the order was issued by a Tribal CSE agency, you must follow the "Remit payment to" instructions on this form. Reporting the Pay Date: You must report the pay date when sending the payment. The pay date is the date on which the amount was withheld from the employee/obligor's wages. You must comply with the law of the State (or Tribal law if applicable) of the employee/obligor's principal place of employment regarding time periods within which you must implement the withholding and forward the support payments. Multiple IWOs: If there is more than one IWO against this employee/obligor and you are unable to fully honor all IWOs due to Federal, State, or Tribal withholding limits, you must honor all IWOs to the greatest extent possible, giving priority to current support before payment of any past-due support. Follow the State or Tribal law/procedure of the employee/obligor's principal place of employment to determine the appropriate allocation method. Lump Sum Payments: You may be required to notify a State or Tribal CSE agency of upcoming lump sum payments to this employee/obligor such as bonuses, commissions, or severance pay. Contact the sender to determine if you are required to report and/or withhold lump sum payments. Liability: If you have any doubts about the validity of this IWO, contact the sender. If you fail to withhold income from the employee/obligor's income as the IWO directs, you are liable for both the accumulated amount you should have withheld and any penalties set by State or Tribal law/procedure. Anti-discrimination: You are subject to a fine determined under State or Tribal law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against an employee/obligor because of this IWO. OMB Expiration Date - 05/31/2014. The OMB Expiration Date has no bearing on the termination date of the IWO; it identifies the version of the form currently in use. Form EN-028 01/12 Service Tvoe M Paae 2 of 3 Worker ID SIATT Employer's Name: MCCOY BROTHERS INC Employer FEIN: 231277731 Employee/Obligor's Name: BOBB, STEPHEN M. 2772000028 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 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: 2312777310 O This person has never worked for this employer nor received periodic income. Q This person no longer works for this employer nor receives periodic income. Please provide the following information for the employee/obligor: Termination date: _ Last known phone number: Last known address: Final Payment Date To SDU/Tribal Payee: New Employer's Name: New Employer's Address: Final Payment Amount: 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.childsupport.state.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.pa.us. 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 01112 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: BOBB, STEPHEN M. PACSES Case Number 050110282 PACSES Case Number Plaintiff Name Plaintiff Name COLLEEN B. BOBB Docket Attachment Amount Docket Attachment Amou nt 09-161 CIVIL $ 300.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB y r-a f._ f :7" i-.3 C-) ..., .. Mme PACSES Case Number PACSES Case Number { Plaintiff Name Plaintiff Name :. Docket Attachment Amount Docket Attachment Amou nt $ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACKS Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Addendum Form EN-028 01/12 cam,,,;, o Tvr%o nn OMB No.: 0970-0154 Worker ID $IATT y ~ INCOME WITHHOLDING FOR SUPPORT O ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO) 0 S L7 1 I oa43 O AMENDEDIWO r, O ONE-TtMEORDERMOTICE FOR LUMP SUM PAYMENT U~ ~ ~,p ` Ci ~ I Q TERMINATION OF IWO- Date: 8117/12 ^ Child Support Enforcehient (CSE) Agency ® Court ^ Attorney ^ Private IndividuaUEntiry (Ch k One) NOi jW ~ rrl?tS'I~f~ce. Under certain circumstances you must reject this IWO and return it to the sender ( ee IWO instructions t~ tiff acfhh~w/programs/cse-/newhire/employer/publication/DUhllcation -++r*+ forms). If you receive this docu ent from someone other than•.a State or Tribal CSE agency or a Court, a copy of the underlying order must be attached. State/TribeReaitory Commonwealth of Pennsylvania Remittance Identifier (include w/payment): 277200002E City/County/Dist./Tribe CUMBERLAND Ober Identifrer: (SaaAdd~m lorwd~r/dbairlMfnMrnralMn) Private Individual/Entity CSE Agency Case Identifier: (Sae Adda-d4im for' case wmmary) MCCOY BROTHERS INC PO BOX 7300 1514 COMMERCE AVE CARLISLE PA 17013-7001 RE: Name (Last, Middle) Employee/Obligor's Social Securi Number (See Addendum f+ar p/alnNfr na es assoclafed with cases on attac ment) Custodial Party/Obligee's Name (~ast, First, Middle) Employer/Income Withholder's FEIN 231277731 Child(ren)'s Name(s) (Last, First, Middle) Child(ren)'s Birth Date(s) NOTE: This tW0 must be regular o its face. Under certain circumstances you st reject this IWO and return it to the sender (see IWO instructions emoloygr/gl~bNCatlon/publicat .If you receive this document from so eons other than a State or Tribal CSE agency r a Court, a copy of the underlying order must attached. 2312777310 See Addendum for dependent names and birth dates associated w/th cases on ORDER INFORMATION: This document is based on the support or withholding order from CUMBERLANI Commonwealth of Pennsylvania (State/Tribe). You are required by law to deduct these amounts f~yn tjap e obligor's income until further notice. C °° $ 0.00 per month in current child support ~ ~~+• $ 0.00 per month in past-due child support -Arrears 12 weeks or greater? , 0 t•J~ $ 0.00 per month in current cash medical support ~~ N $ 0.00 perm n h in past-due cash medical support ~-~ ~ ~~ ~ $ 0.00 perm n h in current spousal support ~, ~,~ ~ ~, _ $ 0.00 per m n in past-due spousal support ' ~~m 2 $ 0.00 per month in other (must specify) _~ 0 7~- ~ for a Total Amount to Withhold of 3 0.00 per month. , m ~~~ - D AMOUNTS TO WITHHOLD: You do not have to vary your pay cycle to be in complianceap~+l the Q-~ier !ni If your pay cycle does not match the ordered payment cycle, withhold one of the following al~unt: .~ $ 0.00 per weekly pay period. $ 0.00 per semimonth $ 0.00 per biweekl I~'pay pefitsd (twi y pay period (every two weeks) $ 0.00 per monthly paGy 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 ~ of Pennsylvania (State/Tribe), you must begin withholding no later than the first pay period that occurs ~ w r in days after the date of this Order/Notice. Send payment within seven (7) working days of the pay c you cannot withhold the full amount of support for any or all orders for this employee/obligor, withhold up to disposable income for all orders. If the employee/obligor's principal place of employment is not within the Commonwealth of Pennsylvania (StatelTribe), the employer can obtain withholding limitations, time require and any allowable employer fees at tip://www.acf.hhs.aov/oroaramS/rse/newhire/emDlover/contacts/cont~ h1;m for the employee/obligor's principal place of employment Document Tracking Identifier _,~ ~, r.:.. 3 ~. ,, .. a month) If r Of OMB No.: 0970-0154 Form EN-028 0 12 Service Type M Worker ID $IATT ^ Return to Sender Gam leted b E accordance with 42 USC §St~(b)(5) and (by(6~) or Trii b~al f~a~ Payment must be directed to an SDU in ok, Yee (see Peymsnts to SQU beioxv). If paymetr-t is not ''. directed to an SDU(Tribal Payee or this IWO is not regular pn its face, you must check this box and return #WC to a4.. w..~l.. U 1Q aCl i1JQ1 . Signature of Jutig~-/lssuing C3fFicia~l (if required by State or Tribal law): Print Name of Jutige/iss~uing Official: Title of Judgefissuing f~FficiaL• _ .. _ .. Date of Signature: If the employee/obligor works in a Stele or for a Tribe ##t+at is dltferent from the State or Tribe that issued this order, a copy of this IWO must. be providisd tti the eimpk5yeeiJ~iigrJr. ^ If checked, the employer/income withholder must provide a copy of this form to the employeelobligor. ~~. ~ .r.~_,.~..._ ADDI'~-L i~FAAT~d FQR EIY~PL©YEcR~lII1wiCOli~ lllfi"fHMQLDEFFS Pennsyivarila la~lr (23 PA C.S. ~ 4971{!b}) roquires remittance by an if an ®ntployer is ordered to '~ fr+~rm ir~+t~a'~'e ~ ate Is~~+s 13 or m0r+a ~, or if ttrt ernp#eyer has a hietory of twc~ ar more In~ttrneti°ct~ Its tea rro~isnt funds. Pivese cslli tlha Per-rutyhrania State Coiftionffi and Difsburaarr-®nt Unit (PA SCDU) LMti~jrer Cuatmaruar Servilcs at 1-877-57 for instructions. PA irii CE3i7E 42 00£i 00 ,lRi~nis f~a~-811bfa t©: PA SCDU S~ertcf cib~acic too: Ps~#v!~~ $~DU, P.4. ~[ ~~, erg, Pa 17't06-S`~ 12 IN AIi~LNFi141N, R,Ii Y11~A1~S ifl~f$T Ji+411Jit~ Ti'f~ B~fT9 ~ ACID TIC PASS A1EM4lff~ tt~ {shown a#~re a~ the ~$ 'LsS+a C?!R Sit ` .l~tR 141111 ?~1~ P'I~loClt" 1M9 i~E3'~ Sll C>+ISH rSY iN,Aill. State-specific contact and withholding information can be found on the Federal Employer Services website loc'c3ted at: Priority: Withholding for support has priority over any other lapel process under Sta#e law against the same income (USC 42 §~(bX7)). if a Federal tax i+llnry is r~ sue, p '~'. Cow P,rc~ts: Vlihen remitting 'to en SL~1J or Tritsal GStE may, You may oombicte witl~he~ amounts from more tl~an cxus ~pto/obiipor's income in a sinymertt. You rtu>s#, t;~, ~ ~+ en~pia~+ee/ obligor's portiorwvf the-payment Payments:To Sii11U: Yqumust send child support payments payable by income withholding to the appropriate SDU or to a Tribal CSC age. If,i~IVO instrusrts you to c#:apa~t to an.er~ty cth~n an SQU (s.p.,,payl[bip tb the custodial party, court: or Lek ~+ou must check ttie iyox' atxsve and rt~tim th~.S rioti~ tv ~r• ~!~'-: If this i1NC3 was sent ' by a Court, Attacaeyy, or`rivate IndividuallEntity and the init~l tudl~r war's ~ beR~re January 1,-1'984 or the order was issued by a Tribaf C~ ency, you must follow the "remit ~''~ 'if~~Qrts im tIP~B fiorm. i'teporti the iRay : You must report the pay date when saga payn}ertt. The pay date is .the d~t~s an which the amour-t eras wit~eld the employee/obligor's warms. You must l~ wi~r tine lour o~ ~ (or t'~ law if applicable}of tpe ers~loyiapel'bk~llgor's principal place of e~# rig' odds wl~i't wlrlch you mast Implement the withholding i~nd forward the support payments. Muitipis iWOs: if there is more than one IW4 a~iinst this empl ae/Qt~i~yor and you are unable to fully honor all IWOs due to Federal, ..State, or Tribal withltoHdlrtp limits, you rrrttst hour a~ to this t extent ~, ~rirt~ priority to current support before payment of any past-due`5upp~C: ~d~` t#i~ Stag ar Tt1~i ttNwt~ure of ttie`ern~oydtslcblipor's principal place of employrr~entto det~rr+mine'tP-e Irt~ atic~cation rrtnthod. Lump Sum Paytner~s: You may be rQcluired to notify a ate or Tr~i G~ ,. y of upcomir)g lu~ap sum payments to this employee/obligor such as banu>ses, ct~rrrrtiiss~+s, or sevel~r~e pay. Conte to dsrt+atrrtine if you are required to report and/or withhold lump sum payments. LiabiUty: If you have any doubts about the vlity of,I#tIs 11AIO, contest.#~ sander. if you fail to withhold income from the employee/obligor's income as the lWU directs, you ar®,.i fir #~t'h the sccumt~ted atr~ount you should have witl~-l^~eltl and any penalties set by State. or Tribal l~rw+lprocedwre. Anti-discrimirn: Yau are subject to a finQ de~-nin~ad urr S~tB ar Try Law.for dischar~eng an empl!oyeelcor from employment, refusing to employ, or taking disn>sry action asst a~n 1~'ttpi!bligcu because t~f the f1N0. OMB F~cpiration Date - 05!31 /2014. The OMB Expiration Date has no bearing. on the tsrminetfon dAte of the Iwo; it identifies the verai~xl of the form currently-in use. Form EN-E}28 08/12 Service Type M Page 2 of 3 Worker. ID $IATT l ` __ _ _ ._ _ __ _ _ _ _ _ _ _ r Employer's Name: MCCOY BROTHERS iNC Employee/Obligor's Name: BOBS STEPHEN M. CS E Agency Gase Identifier: (See Addendum for case summary) Order Identifier: Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Ci 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 employment (see REMITTANCE INFORMATION). Disposable income is the net income left after making mandatory ded as: State, Federal, local taxes; Social Security taxes; statutory pension contributions; and Medicare taxes. The Federal li the disposable income if the obligor is supporting another family and 60% of the disposable income if the obligor is not si another family. However, those limits increase 5°10 - to 55°1o and 65% - if the arrears are greater than 12 weeks. If permits or Tribe, you may deduct a fee for administrative costs. The combined support amount and fee may not exceed the limit this section. For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Tribal ems withholders who receive a State IWO, you may not withhold more than the lesser of the limit set by the law of the jurisdicl the employer/income withholder is located or the maximum amount permitted under section 303{d) of the CCPA {15 U.S. Depending upon applicable State or Tribal taw, you may need to also consider the amounts paid for health care premiu determining disposable income and applying appropriate withholding limits. Arrears greater than 12 weeks? If the Order Inforrnation does not indicate that the arrears are greater than 12 weeks, Employer should calculate the CCPA limit using the lower percentage. Additional information: dit Protection of ~tions such lit is 50% of sporting d by the State ~dicated in n in which 1673 (b)}. in the NOTIFICATION OF EMPLOYMENT TERMINATION OR INCOME STATUS: If this employee/obligor never worked for yo or you no longer withholding income for this employee/obligor, an employer must promptly notify the CSE agency and/or the se der by returning this form to the address tilted in the Contact Information below: 23 27773to Q This person has never worked for this employer nor received periodic income. ~ 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 SDUiTribal Payee: New Employer's Name: New Employer's Address: CONTACT INFORMATION: Last known phone number: Final Payment Amount: To Em Ip~yer/Income Withholder: If you have any questions, contact WAGE ATTACHMENT UNIT (Issuer name) by phone at L717) 240-6225, by fax at j717) 240-6248, by email or website at: www.childsuQoort.state,oa.us. Send termination/income status notice and other correspondence to: DOMESTIC RELATIONS SECTION, P.O. BOX 320. CARLISLE. PA. 17013 {Issuer address). To EmRloyee/Obliaor: If the employee/obligor has questions, contact WAGE ATTACHMENT UNiT (Issuer name} by phone at (717) 240-6225, by fax at (7171240-6248, by email or website at www.childsupport.state a.us. IMPORTANT: The person completing this form is advised that the information may be shared with the employee/obligor. Service Type M Empioyer FEiN: OMB No.; 0970-015d Page 3 of 3 Form EN-028 O6/ 2 Worker ID $IATT AQ,~r t~r~.f,~~': 8~8, .STEPHEN.. M, P,ACSES G~ r 050 9 1 0282... Plaintiff Name C~SLL~EhrhB. BC~BB l 09-481 GiVIL $ 0.00 Chlttl(ren}'s Name(s): b4B At1Wtlt $ t~.00 Chiict(ren)'s Name(s): i3~$ P~{,(;SES Cane Number P_Ia6il!~li~ e 8fthtGi'~~81 Oita Child(ren)"s Name(s): DOB LAS its $ d.~ - Chiid(ren)'s Name(s): pQB S $ 0.00 Child(ren}'s Name(s): D48 $A6~G Children}'s Name(s): Dt~$ Addendum Form EN-028 06/12 Service Type M a+~arw.:o~~cwa5a Wtjrlcer lD $IATT __ III '~ In the Gourt of Common Pleas of CUMBERLAND County, Pennsylvania ~, `"~ DOMESTIC RELATIONS SECTION ', 13 N. HANOVER 3T, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) 240-6248 :" Defendant Name: STEPHEN M. BOBB Member ID Number: 2772000028 Please note: All correspondence must include the Member ID Number Financial Break Down Qf Multi Ike Caste on Att nt Plaintiff Name COLLEEN B. BOBS PACSES Docket Case Number Number 050110282 09-161 CIVIL TOTAL ATTACHMENT AMOUNT: a• N '~ Z ~. W ', 4 -' Attachment Amount/Frequency 300.00 ~ MONTH $ / $ 300.00 The prior Order of this Court directing the Department of Labor and Industry, Office of Unemployment Compensation Benefits (OUCB), to attach $69.04 or 50% per week of t~ Unemployment Compensation benefits of STEPHEN M. BOBS, Social security Numbel XXX-XX-6970, Member ID Number 2772000028 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 TH Date of Order: 23 tit "~M A~ P'~ey ~, i ~.:.. ~~'' -~t~* x ~.:., ~~Y J ~' ..~ Form EN-035 Service Type M Worker ID $IATT In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIG RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) C G'~ N ...,1 Defendant Name: STEPHEN M. BOBB Member ID Number: 2772000028 Please note: All correspondence must include the Member ID Number Financial Break Down of Multiple Cafes on Attach~r y.~nt P18iQ~ Name COLLEEN B. BOBB PACSES Docket S,ase Number Number 050110282 0&161 CIVIL TOTAL ATTACHMENT AMOUNT: -o s tXl Attachment AmountlFrequency 300.00 ~ MONTH J $ / $ 300.00 The prior Order of this Court directing the Department of Labor and Industry, Office of Unemployment Compensation Benefits (OUCB), to attach $69.04 or 50% per week of 1 Unemployment Compensation benefits of STEPHEN M. BOBB, Social Security Numbe XXX-XX-6970, Member ID Number 2772000028 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 TH Date of Order:23 L'2- ~ A. lM~ecey ~, ~~ -~+tt ~~ ~~ ~: ~~ ~' ~% ..~ Form EPl-035 Service Type M Worker ID $IATT