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HomeMy WebLinkAbout09-6075C. STACY B. WOLF, ESQUIRE ATTORNEY ID NO. 88732 10 WEST HIGH STREET CARLISLE PA 17013 (717) 241-4436 ATTORNEY FOR PLAINTIFF BRETT A. KEESEMAN, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : CIVIL ACTION - LAW KARON M. KEESEMAN, : NO. 09 - 6 0 7S' CIVIL TERM Defendant : IN DIVORCE NOTICE You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree in divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other claim or relief requested in these papers by the plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, Cumberland County Courthouse, Carlisle, Pennsylvania 17013. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 32 South Bedford Street Carlisle, Pennsylvania 17013 717-249-3166 STACY B. WOLF, ESQUIRE ATTORNEY ID NO. 88732 10 WEST HIGH STREET CARLISLE PA 17013 (717) 241-4436 ATTORNEY FOR PLAINTIFF BRETT A. KEESEMAN, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : CIVIL ACTION - LAW KARON M. KEESEMAN, : NO. 09 - & 6 7- CIVIL TERM Defendant : IN DIVORCE COMPLAINT IN DIVORCE PURSUANT TO SECTION 3301(C) OF THE DIVORCE CODE NOW, comes the plaintiff and files this complaint in divorce against the defendant, representing as follows: 1. The plaintiff is Brett A. Keeseman, an adult individual with a mailing address of P.O. Box 455, Carlisle, Cumberland County, Pennsylvania 17013. 2. The defendant is Karon M. Keeseman, an adult individual residing at 2129 Newville Road, Carlisle, Cumberland County, Pennsylvania, 17015. 3. The plaintiff and defendant have been residents of the Commonwealth of Pennsylvania at least six months prior to the filing of this action in divorce. 4. The parties were married on September 3, 1988 in Carlisle, Pennsylvania. Pursuant to the Divorce Code, Section 3301(c), the plaintiff avers as the grounds upon which this action is based that the marriage between the parties is irretrievably broken. The plaintiff avers that he has been advised of the availability of counseling and that said party has the right to request that the court require the parties to participate in counseling. WHEREFORE, the plaintiff demands judgment dissolving the marriage between the parties and for such further relief as this Honorable Court may deem equitable and just. I verify that the statements made in this complaint are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities. ' -'9 2009 Brett A. Keeseman, Plaintiff WOLF & WOLF 2009 BY: STA B. OLF, ESQU)AA Supreme Burt ID #887 10 West High Street Carlisle, Pennsylvania 17013 (717) 241-4436 Attorney for Plaintiff PLED-OFFI OF TNT' a`t#f.`?lOTY 1009 SEP -8 AM f ! : 4 0 CUMB?E kU, 3 COUNTY PENNSYLVANIA Ck, LL 230 STACY B. WOLF, ESQUIRE ATTORNEY ID NO. 88732 10 WEST HIGH STREET CARLISLE PA 17013 (717) 241-4436 ATTORNEY FOR PLAIN'T'IFF BRETT A. KEESEMAN, Plaintiff V. KARON M. KEESEMAN, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW NO.09 - bO-IS CIVIL TERM IN DIVORCE PLAINTIFF'S MARRIAGE COUNSELING AFFIDAVIT The plaintiff, 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. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. b? , 2009 z 10 Brett A. Keeseman, Plaintiff RLED-4:), r E OF TE PPOT'' NOTARY 2009 SEP -8 AM 11:44 CUM fi"r" WLIJ TY PMZYLVAW? STACY B. WOLF, ESQUIRE ATTORNEY ID NO. 98732 10 WEST HIGH STREET CARLISLE PA 17013 (717) 241-4436 ATTORNEY FOR PLAINTIFF BRETT A. KEESEMAN, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : CIVIL ACTION - LAW KARON M. KEESEMAN, : NO. 09 - Ud15 CIVIL TERM nefenda t : IN DIVORCE I, Karon M. Keeseman certify that I am the defendant in this matter. Furthermore, I hereby certify that on , 2009, I received a certified copy of the divorce complaint filed in this action. )2009 A 09 'y /-60 Karon M. Keeseman Defendant „i- OF PR^?"f-47MTAF Y 2009 OCT -6 PM 1: 28 :<i:NI TY BRETT A. KEESEMAN, Plaintiff V. KARON M. KEESEMAN, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 09-6075 CIVIL TERM IN DIVORCE PRAECIPE FOR WITHDRAWAL AND ENTRY OF APPEARANCE TO THE PROTHONOTARY: Kindly withdraw my appearance on behalf of Karon M. Keeseman in the above referenced matter. Respectfully submitted, Date: q// 1/1Z Z matter. By: re E. Kelso, Esq. " orney I.D. # 209107 West High Street Carlisle, PA 17013 (717) 243-6222 Fax: (717) 243-6486 Email: jkelso,cussr-attorneys.com Kindly enter my appearance on behalf of Karon M. Keeseman in the above referenced Respectfully submitted, Date: 5/1 2 ???? 00 ftb?S?N3d 8.9 .01 Nb ?? ?kn3 4?? t1 94411 61 SAIDIS SULLIVAN & ROGERS By: Hannah White-Gibson, Esq. Attorney I.D. # 311679 26 West High Street Carlisle, PA 17013 (717) 243-6222 Fax: (717) 243-6486 Email: hwhite- ig bson a@ssr-attorney s Attorneys for Karon M. Keeseman BRETT A. KEESEMAN, IN THE COURT OF COMMON PLEAS Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - LAW NO. 09-6075 CIVIL TERM KARON M. KEESEMAN, Defendant IN DIVORCE CERTIFICATE OF SERVICE On Iv day of April, 2012, I, Hannah White-Gibson, Esquire, or the law firm SAIDIS, SULLIVAN & ROGERS hereby certify that on this date a copy of the attached document was served on the following individual, addressed as follows, by first-class mail. Stacy B. Wolf, Esquire Wolf & Wolf Ten West High Street Carlisle, PA 17013 SAIDIS, SULLIVAN & ROGERS Hannah White-Gibson Supreme Court ID No. 311679 26 West High Street Carlisle, PA 17013 717-243-6222 Attorney for Defendant Law Offices of Saidis Sullivan & Rogers 26 West High Street Carlisle, PA 17013 =M == %0 ..r. Ta r-- rn . l A C7-ri ? C C= D c? ; y, _? STACY B. WOLF, ESQUIRE ATTORNEY ID NO. 89732 10 WEST HIGH STREET CARLISLE PA 17013 (717) 2414436 ATTORNEY FOR PLAINTIFF n12 AUG -I PM 1: 16 BRETT A. KEESEMAN, Plaintiff V. KARON M. KEESEMAN, Defendant : CIVIL ACTION - LAW MON PLEAS OF , PENNSYLVANIA NO. 09 - 6075 CIVIL TERM IN DIVORCE PLAINTIFF'S AFFIDAVIT OF CONSENT A complaint in divorce under Section 3301(c) of the Divorce Code was filed in matter on or about September 8, 2009 and served upon defendant on or about September 9, 2009 2. The marriage of plaintiff and defendant is irretrievably broken and more than days have elapsed from the date of the service of the complaint. 3. I consent to the entry of a final decree in divorce after service of notice of in to request entry of the divorce. I verify that the statements made in this affidavit are true and correct. I understand that statements herein made are subject to the penalties of 18 Pa. C. S. Section 4904 relating to falsification to authorities. 3 , 2012 If V BRETT A. KEESEMAN STACY B. WOLF, ESQUIRE ATTORNEY ID NO. 88732 10 WEST HIGH STREET CARLISLE PA 17013 (717) 241-4436 ATTORNEY FOR PLAINTIFF BRETT A. KEESEMAN, Plaintiff V. KARON M. KEESEMAN, Defendant '.:...1 SHE PR0 VJL1N r4; '12 AUG - I PM I : f : IN THE COURT OF : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW : NO. 09 - 6075 CIVIL TERM : IN DIVORCE 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, fees or expenses if I do not claim them before a divorce is granted. I understand that I will not be divorced until a divorce decree is entered by the C 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 fa statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904 relating to falsification to authorities. 2012 V C/ CR BRETT A. KEESEMAN STACY B. WOLF, ESQUIRE ATTORNEY ID NO. 88732 10 WEST HIGH STREET CARLISLE PA 17013 (717) 241-4436 ATTORNEY FOR PLAINTIFF - D THE PROTHONJOT;" 2812 AUG - I PM 2: 31 C BRETT A. KEESEMAN, Plaintiff V. KARON M. KEESEMAN, Defendant CUUNTY : IN THEr( OM?IMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW NO. 09 - 6075 CIVIL TERM IN DIVORCE DEFENDANT'S AFFIDAVIT OF CONSENT 1. A complaint in divorce under Section 3301(c) of the Divorce Code was filed in matter on or about on or about September 8, 2009 and served upon defendant on or about September 9, 2009. 2. The marriage of plaintiff and defendant is irretrievably broken and more than days have elapsed from the date of the service of the complaint. 3. I consent to the entry of a final decree in divorce after service of notice of i to request entry of the divorce. I verify that the statements made in this affidavit are true and correct. I understand that statements herein made are subject to the penalties of 18 Pa. C. S. Section 4904 relating to falsification to authorities. 7 ,?G , 2012 1lILC?ZC ??.w?'J? KARON M. KEESEMAN STACY B. WOLF, ESQUIRE ATTORNEY ID NO. 88732 10 WEST HIGH STREE'T' CARLISLE PA 17013 (717) 241-4436 ATTORNEY FOR PLAINTIFF LL!#"? ' t? C Ht P R 0 T H 0 2,12 AUG - I PM 2: 31 CUMBERLAND CG iNTY BRETT A. KEESEMAN, Plaintiff V. KARON M. KEESEMAN, Defendant IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW : NO. 09 - 6075 CIVIL TERM : IN DIVORCE 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, 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 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 fal statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn falsification to authorities. 7/2C , 2012 M. KEESEMAN STACY B. WOLF, ESQUIRE ATTORNEY ID NO. 88732 10 WEST HIGH STREET CARLISLE PA 17013 (717) 241-4436 ATTORNEY FOR PLAINTIFF am AUG -2 PM I: 3 I rUMBERLA?' D COUNT, BRETT A. KEESEMAN, Plaintiff V. KARON M. KEESEMAN, Defendant : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW NO. 09 - 6075 CIVIL TERM IN DIVORCE PRAECIPE TO TRANSMIT RECORD To the Prothonotary: Transmit the record, together with the following information, to the court for entry of divorce decree: 1. Ground for divorce: Irretrievable breakdown under Section 3301(c) of the Divorce 2. Date and manner of service of the complaint: On or about September 9, 2009, was served with a copy of the divorce complaint via regular first class mail, addressed to (See Acceptance of Service previously filed, October 6, 2009.) 3. Complete either paragraph (a) or (b): (a) Date of execution of consent required by Section 3301(c) of the Divorce Code: By the Plaintiff- July 31, 2012 By the defendant: July 26, 2012 (b)(1) Date of execution of the affidavit required by Section 3301(d) of the Divorce C N/A. (b)(2) Date of filing and service of the plaintiff's affidavit upon the defendant: N/A. 4. Related claims pending: None 5. Complete either (a) or (b): (a) Date and manner of service of the notice of intention to file praecipe transmit record, a copy of which is attached: N/A. (b) Date plaintiff's Waiver of Notice in Section 3301(c) divorce was filed wl the Prothonotary: August 1, 2012 Date defendant's Waiver of Notice in Section 3301(c) Divorce was filed wl the Prothonotary: August 1, 2012 August 1) 2012 ; Ata,a-?- STACY B. V Attorney for .a to Brett A. Keeseman IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVA V. Karon M. Keeseman NO. 2009-6075 DIVORCE DECREE AND NOW, L ah)-- '20a. , it is ordered and decreed Brett A. Keeseman , plaintiff, and Karon M. Keeseman bonds of matrimony. defendant, are divorced from the 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.") The marital settlement agreement executed July 31, 2012 is incorporated but not merged into tMe Instant decree. By the Court, la Attest: Prothohotary of9'/?- A/A cvf? wow/ o//- 7 Al V y46? WWI a Ccppt,? 9 J INCOME WITHHOLDING FOR SUPPORT Q ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO) I Q AMENDED IWO Q ONE-TIMEORDERINOTICE FOR LUMP SUM PAYMENT 1 Ali j?[) j Q TERMINATION OF IWO :23`7 I I I x`) 3 0q - (Dbl s L I N, I Date: 09/05/12 ? Child Support Enforcement (CSE) Agency ® Court ? Attorney ? Private Individual/Entity (Check One) NOTE: This IWO mr Stibh+egZler'ton its face. Under certain circumstances you must reject this IWO and return it to the sender (see IWO instructions http•/iwww 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. State/ I ribe/Territory Commonwealth of Pennsylvania Remittance Identifier (include w/payment): 0452000036 City/County/Dist./Tribe CUMBERLAND Order Identifier: (See Addendum for order/docket Informaiton) Private Individual/Entity CSE Agency Case Identifier: (See Addendum for case summary) THE ARC OF FRANKLIN-FULTON CO 2314 PHILADELPHIA AVE CHAMBERSBURG PA 17201-8933 Employer/Income Withholder's FEIN 231596872 Child(ren)'s Name(s) (Last, First, Middle) Child(ren)'s Birth Date(s) RE: KEESEMAN. BRETT A Employee/Obligor's Name (Last, First, Middle) 186-50-8583 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/procirams/cse/newhire/ emr)loyer/publication/`publication.htm - formd. 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. 2315968720 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, CommonweaNth of Pennsylvania (State/Tribe). You are required by law to deduct these amounts from the e mployee/ 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 yew ( 0 - I $ 0.00 per month in current cash medical support -0:X $ 0.00 per month in past-due cash medical support :z rn rrn $ 349.00 per month in current spousal support r- -r?fr $ 0.00 per month in past-due spousal support cm $ 0.00 per month in other (must specify) r Cn for a Total Amount to Withhold of $ 349.00 per month. x? C:) AMOUNTS TO WITHHOLD: You do not have to vary your pay cycle to be in compliance with th>?Qrdg6inf0 nation. If your pay cycle does not match the ordered payment cycle, withhold one of the following amount---" c.ti $ SSp,, 54 per weekly pay period. $ 174.50 per semimonthly pay period (twice a month) IP y pay period (every two weeks) $ 349.00 per monthly pay period. $ Lump Sum Payment: Do not stop any existing IWO unless you receive a termination order. REMITTANCE INFORMATION: If the employee/obligor's principal place of employment is within the Commonwealth of Pennsylv5lnia (State/Tribe), you must begin withholding no later than the first pay period that occurs ten 10 working days after the date of this Order/Notice. Send payment within seven 7 working days of the pay date. If you cannot withhold the full amount of support for any or all orders for this employee/obligor, withhold up to 55% of disposable income for all orders. If the employee/obligor's principal place of employment is not within the Commonweolth of Pennsylvania (State/Tribe), the employer can obtain withholding limitations, time requirements, and any allowable employer fees at http://www acf hhs gov/programs/cse/newhire/employer/contacts/contact map htm for the employee/obligor's principal place of employment. Document Tracking Identifier OMB No: 0970-0154 Form EN-028 06/12 Service Type M Worker ID $IATT 21 Return to Sender [Completed by Employer/Income Withholder]. Payment must be directed to an SCDU it 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: Jir 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 F1PS 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: http://www.acf.hhsoov/programsicse/newhirelemmployer/contacts/contact r 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. Employer's Name: THE ARC OF FRANKLIN-FULTON CO Employer FEIN: 231596872 Employee/Obligor's Name: KEESEMAN, BRETT A. 0452000036 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 farm to the address listed in the Contact Information below: 2315968720 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 address: Last known phone number: Final Payment Date To SDU/Tribal Payee: New Employer's Name: Final Payment Amount: New Employer's Address: CONTACT INFORMATION: To Emnloyerftgome 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.child supportstate. 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 Em looyeeVObligor- If the employee/obligor has questions, contact WAGE ATTACHMENT UNIT (Issuer name) by phone at (7'17) 240-6225, by fax at (717) 240-6248, by email or website at www childsupportstate pa us. IMPORTANT: The person completing this form is advised that the information may be shared with the employee/obligor. Service Type M OM8 No.: 0970-0154 Page 3 of 3 Form EN-028 06/12 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KEESEMAN, BRETT A. PACSES Case Number 237111373 Plaintiff Name KARON M. KEESEMAN Docket Attachment Amount 09-6075 CIVIL $ 349.00 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 Docket Attachment Amount $ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name DOB In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) 240-6248 c., t-> C= Defendant Name: BRETT A. KEESEMAN rte',-tom cn ?` Member ID Number: 0452000036 am Please note: All correspondence must include the Member ID Number. ?CD <' "p C:) --T1 p" C-3 3- MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BE"Jgi -? D Financial Break Down of Multiple Cases on Attachment PACSES Docket Attachment Amount/Frequency Plaintiff Nome Case Number Number KARON M. KEESEMAN 237111373 09-6075 CIVIL 349.00 % MONTH 011 Lo l l I 1 ?)k '7EI 5 lX 1 $ r i i i TOTAL ATTACHMENT AMOUNT: $ 349.00 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 $80.32 per week, or 50.0%, of the Unemployment Compensation benefits otherwise payable to the Defendant, BRETT A. KEESEMAN Social Security Number XXX-XX-8583, Member ID Number 0452000036. 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 arrearage, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673(b)(2) and 23 Pa. C.S. § 4348(g). This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated JUNE 8, 2008 is exhausted, expired or deferred. OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT Date of Order: SEP 0 6 2&12 M.L. Ebert, & JUDGE Form EN-034 Service Type M Worker ID $IATT BRETT A. KEESEMAN, : IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION -LAW m4W C=) c-a F_ _ ? -4 i ry .. r _; KARON M. KEESEMAN, : NO. 2009-6075 CIVIL TERM n Defendant : IN DIVORCE STIPULATION AND AGREEMENT REGARDING ALIMONY 2012 by and LI lb da of JQ thi d _, y s e This Agreement, ma between Karon A. Keeseman, party of the first part, hereinafter referred to as "Wife," AND Brett A. Keeseman, party of the second part, hereinafter referred to as "Husband." WITNESSETH: WHEREAS, the parties are divorced from the bonds of matrimony, with a copy of the Divorce Decree being attached hereto and incorporated herein by reference as "Exhibit A." WHEREAS, the parties entered into a Separation and Property Settlement Agreement. WHEREAS, pursuant to the Separation and Property Settlement Agreement, JAW Offices Of sai" suiity= & Rogers 26 West H4h Sam CuMe, PA 17013 Husband shall pay to Wife alimony in the total amount of SIXTEEN THOUSAND, SEVEN HUNDRED AND FIFTY-TWO DOLLARS and 00/100 ($16,752.00), payable on a monthly basis such that Husband pays to Wife THREE HUNDRED AND FORTY-NINE DOLLARS and 00/100 ($349.00) a month, beginning the month after the entry of the divorce decree, September 1, 2012, through August 1, 2016. WHEREAS, the parties agree the alimony obligation shall be collected from Husband by Cumberland County Domestic Relations Office via wage attachment. Husband's total obligation is to be divided equally according to his biweekly pay periods. WHEREAS, Husband and Wife have agreed to the following Stipulation: 1. Husband shall pay to Wife alimony in the total amount of SDMEN THOUSAND, SEVEN HUNDRED AND FIFTY-TWO DOLLARS and 00/100 ($16,752.00), payable on a monthly basis such that Husband pays to Wife THREE HUNDRED AND FORTY-NINE DOLLARS and 00/100 ($349.00) a month, beginning the month after the entry of the divorce decree, September 1, 2012, through September- (3?K 1,2016, r? 2. Husband shall be wage attached through the Cumberland County Domestic Relations Office. IN WITNESS WHEREOF, the parties hereto have set their hands and seals Law Offices of 3aift Sullivan & Rage" 26 Wert Hidl? Sena Cadide. PA 17013 the day and year first above written. WITNESSED BY: Stacy W fjEsquire ate BRETT A. KEESEMAN Attorney(6 Brett A. Ke eman 0 4 12],b1'1 1? 1???tc??l. annall ZIAWhite-Gibson, Esquire Date KARON A. KEESEMAN Attorney for Karon A. Keeseman r-,=, _ . BRETT A. KEESEMAN, Plaintiff v. KARON M. KEESEMAN, Defendant : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION -LAW NO. 2009-6075 CIVIL TERM IN DIVORCE ORDER OF COURT h~ 1_ AND NOW this it ~. day of ~ L~ Q W Cr 2012, upon consideration of the attached Stipulation and Agreement, it is hereby ORDERED as follows: 1. Husband shall pay to Wife .alimony in the total amount of SIXTEEN THOUSAND, SEVEN HUNDRED AND FIFTY-TWO DOLLARS and 00/100 ($16,752.00), payable on a monthly basis such that Husband pays to Wife THREE HUNDRED AND FORTY-NINE DOLLARS and 00/100 ($349.00) a month, divided biweeldy, beginning the month after the entry of the divorce decree, September 1, 2012, through August 1, 2016. 2. Husband shall be wage attached through the Cumberland County Domestic Relations Office. Law Offices of Saidis Sullivan & Rogers 26 West High Street Cazlisle, PA 17013 DRO:'~R.J. Shadday ~/ Karon Keeseman ~/ Brett Keeseman / Stacy Wolf, Esquire ,/ Hannah White-Gibson, Esquire ~I' V o ~'.~' .... ~ 1 ~~. N "'~~;a rv -, ~~ .dep.+ ~ -~ r _ .~,, ...t• By the Court, In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) 240-6248 C) Defendant Name: BRETT A. KEESEMAN Member ID Number: 0452000036 rriLzo Please note: All correspondence must include the Member ID Number. cnr-- ORDER TO VACATE ATTACHMENT OF UNEMPLOYMENT BEI` ITS Plaintiff Name KARON M. KEESEMAN Financial Break Down of Multiple Cases on Attachment PACSES Docket Case Number Number 237111373 09-6075 CIVIL Attachment Amount/Frequency 349.00 / MONTH 1 TOTAL ATTACHMENT AMOUNT: $ 349.00 The prior Order of this Court directing the Department of Labor and Industry, Office of Unemployment Compensation Benefits (OUCB), to attach $80.31 or 50% per week of the Unemployment Compensation benefits of BRETT A. KEESEMAN, Social Security Number XXX -XX -8583, Member ID Number 0452000036 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. Date of Order: JUN .1 0 2CA4 Service Type M BY THE COURT Edward. Er ,Guido "JUDGE Form EN -035 Worker ID $IATT