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NOV 0 32009 A?
SHERRY L. SMALL : IN THE COURT OF COMMON PLEAS
n/k/a SHERRY LYNN HARHIGH, : CUMBERLAND COUNTY, PENNSYLVANIA
PLAINTIFF,
: FAMILY DIVISION
V.
: NO. 2362 CIVIL TERM 1985
BRIAN M. SMALL,
DEFENDANT. : ACTION IN DIVORCE
DOMESTIC RELATIONS ORDER
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AND NOW, this b day of November, 2009, the attached Stipulation and
Agreement, entitled "Approved Domestic Relations Order," entered into by the parties in
the above-captioned case and dated October 27, 2009, is hereby incorporated, but not
merged, into this Order of Court.
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Distribution. /Samuel L. Andes, Esquire
525 North 12th Street
Lemoyne, PA 17043
Attorney for Plaintiff/Alternate Payee
Jeffrey R. Boswell, Esquire
315 N. Front Street
P. O. Box 741
Harrisburg, PA 17108-0741
Attorney for Defendant/Member
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Jeffrey R. Boswell, Esquire
Supreme Court I. D. No. 25444
BOSWELL, TINTNER & PICCOLA
315 North Front Street, P. O. Box 741
Harrisburg, PA 17108-0741
Telephone: (717) 236-9377
Attorney for Defendant Brian M. Small
SHERRY L. SMALL
n/k/a SHERRY LYNN HARHIGH,
PLAINTIFF,
V.
BRIAN M. SMALL,
DEFENDANT.
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 2362 CIVIL TERM 1985
: IN DIVORCE
APPROVED DOMESTIC RELATIONS ORDER
AND NOW, this 21'- day of October, 2009, the parties, Sherry L. Small, n/k/a
Sherry Lynn Harhigh, Plaintiff, and Brian M. Small, Defendant, do hereby Agree and
Stipulate, as follows:
WHEREAS, this Approved Domestic Relations Order ("ADRO") is entered to
create and recognize the existence of an Alternate Payee's right to receive a portion of
the Member's benefits payable under a governmental pension plan for Pennsylvania
Public School Employees, managed by the Public School Employees' Retirement
System ("PSERS"), which benefits are described in the Public School Employees'
Retirement Code (Act 96 of October, 1975), 24 Pa. C.S. § 8101 et seq.
WHEREAS, this ADRO is entered pursuant to the authority granted under the
applicable Divorce Code of the Commonwealth of Pennsylvania. This ADRO is entered
to enable Brian M. Small and Sherry L. Small, now known as Sherry Lynn Harhigh, to
fulfill a requirement under the Marriage Settlement Agreement dated September 6,
1985, to make a payment as stated in the Marriage Settlement Agreement. This ADRO
shall have conditions, terms, and obligations, as follows:
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I . Plan Information. This ADRO relates to the Commonwealth of
Pennsylvania, Public School Employees' Retirement System (hereinafter "Plan" or
"PSERS"), as provided by the Public School Employees' Retirement Code 24
Pa.C.S.§8101 et seq. ("Retirement Code").
2. Member Information. BRIAN M. SMALL, hereinafter referred to as
"Member," is a Member of the PSERS. The Member's date of birth is May 15, 1943,
and social security number is 161-34-1858. The Member's mailing address is 352
Furlong Lane, Camp Hill, PA 17011.
3. Alternate Payee Information. SHERRY L. SMALL, n/k/a SHERRY LYNN
HARHIGH, hereinafter referred to as "Alternate Payee," is the former spouse of
Member. Alternate Payee's date of birth is May 23, 1944, and social security number is
162-36-9419. The Alternate Payee's mailing address is 5830 Barnsley Drive,
Harrisburg, PA 17111.
4. Address Notification. The parties shall promptly notify PSERS of any
change in their address from those set forth in this ADRO.
5. Retirement Benefits. Member's retirement benefit is defined as all monies
paid to or on behalf of Member by PSERS, including any lump sum withdrawals and/or
any increases. Equitable Distribution of the marital property component of Member's
Retirement Benefit, as set forth in Paragraph Six (6) shall commence as soon as
administratively feasible after Member's effective date of retirement or the approval by
PSERS of a Domestic Relations Order incorporating this Stipulation and Agreement,
whichever is later.
6. Alternate Payee's Equitable Distribution of Member's Retirement
Benefit. Alternate Payee shall be entitled to receive as her Equitable Distribution share
of Member's, including any death benefits, calculated, as follows:
(a) The marital property component of Member's Retirement Benefit equals
the Coverture Fraction multiplied by the Member's Retirement Benefit as
of Member's actual retirement date of June 30, 2009;
(b) The Coverture Fraction is a fraction which has a value of less than 1.0.
The numerator shall be 19.0, which is the time period from the date of the
marriage, June 18, 1966, until the date of separation, June 18, 1985, the
period of marriage and living together, as per the parties' September 6,
1985, Property Settlement Agreement. The numerator shall be divided by
the denominator. The denominator shall be 44.0, which is the amount of
Member's credited service, as defined by PSERS, for the period from
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September 1, 1965, dated of enrollment, to the Member's effective date of
retirement, June 30, 2009. Thus, the coverture fraction is .432; and
(c) 50% of the marital property component of Member's Retirement Benefit is
to be allocated to Alternate Payee for the purpose of Equitable Distribution
of this marital asset.
7. Death of Member. Member shall nominate Alternate Payee as an
irrevocable beneficiary to the extent of the Alternate Payee's (marital) Equitable
Distribution share in Member's Retirement Benefit for any death benefits payable by
PSERS. In addition, Member shall execute the deliver to Alternate Payee an
authorization, in a form acceptable to PSERS, which will authorize PSERS to release to
Alternate Payee all information concerning Member's retirement account, including but
not limited to Member's current Nomination of Beneficiaries form for death benefits.
Alternate Payee shall deliver the authorization to PSERS, allowing Alternate Payee to
determine if Member has properly nominated Alternate Payee as a beneficiary as per
the terms of this paragraph. Member shall name a beneficiary for the non-marital
portion of Member's death benefit.
8. Death of Alternate Payee. In the event of the death of Alternate Payee, prior
to the receipt of all of her payments payable to her from PSERS under this ADRO, then
any death benefit or retirement benefit, payable to the Alternate Payee by PSERS, shall
be paid to the Alternate Payee's children, as Contingent Alternate Payees, as specified
below to the extent of Alternate Payee's equitable distribution portion of Member's
retirement benefit.
The Alternate Payee's beneficiaries will be Contingent Alternate Payees and
shall be her children, as follows:
Kristin Lynn - 20%
DOB: March 11, 1968
SSN: 166-42-4262
Address: 8150 SW Barnes Road
Apartment J-100
Portland, OR 97225
Pamela Lynn Seetoo - 20%
DOB: August 1, 1970
SSN: 200-58-4683,20%
Address: 706 Darby Place
Harrisburg, PA 17109
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Angela Lynn Riordan - 20%
DOB: December 18, 1971
SSN: 200-58-4473
Address: 3 West 87th Street
Apartment 4D
New York, NY 10024
Brent Brian Small - 20%
DOB: August 29, 1974
SSN: 200-58-4323
Address: 1403 SE 24"' Street
Portland, OR 97214
Meghan Lynn Hegaman - 20%
DOB: March 28, 1977
SSN: 200-58-4701
Address: 5242 Wynnewood Road
Apartment C
Harrisburg, PA 17109
PSERS shall make payment equally to any or all of the above-stated children
who survive the Alternate Payee. If there are not any surviving beneficiaries, payment
from PSERS shall be made to the Alternate Payee's estate.
9. Retirement Option Selection. (a) Member shall select Special Option 4-
Customized Option and name Sherry Lynn Harhigh as his irrevocable Survivor
Annuitant for the marital portion of his benefit at the time Member files an Application for
Retirement with PSERS. Member may elect any option for the non-marital portion as
long as it does not negatively affect the Alternate Payee's equitable distribution. The
intent of the Special Option 4 selection is to maintain levelized payments to the
Alternate Payee for life in the event of the Member's death after retirement, as
well as to provide separately the balance of the Member's marital and non-marital
portions of the benefits using any option chosen by the member, including a
provision for a second survivor annuitant, if chosen. The Alternate Payee shall
receive her equitable distribution percentage portion of the annuity which is payable to
Member during this lifetime, so that she shall receive a portion of the Member's check
during his lifetime and the same amount, all other things being equal, as a survivor
annuity if the Member predeceases her after his retirement. The Alternate Payee
acknowledges that if she predeceases the Member after the Member's retirement, then,
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under this Special Option 4, selection no survivor annuity is payable to the Alternate
Payee's estate or successor. As a result of the Member's requirement to elect Special
Option 4, the Alternate Payee shall bear the entire cost for this option selection.
(b) If the Alternate Payee is not living, the Member shall elect a maximum single life
annuity based upon the equitable distribution portion (as defined in Paragraph 6)
adjusted actuarially for any accumulated deductions paid to the Alternate Payee's
beneficiaries or estate (pursuant to Paragraph 10). Such annuity shall be. paid to the
Alternate Payee's beneficiaries, as specified in Paragraph 8, for the lifetime of the
Member.
(c) Member may choose any option with respect to the excess of his entire benefit over
the portion awarded the Alternate Payee or her beneficiaries or her estate and over any
accumulated deductions paid to the Member under Paragraph 10. Any option selected
shall not reduce the amount that is to be paid to the Alternate Payee, her beneficiaries
or her estate under the provisions of this ADRO.
10. Lump Sum Benefit. Upon retirement, Member may elect to receive a
lump sum payment pursuant to 24 Pa.C.S. § 8345(a)(4)(iii) as part of his Retirement
Benefit. Member shall elect to receive, by lump sum, a total (100%) withdrawal of his
accumulated deductions. The portion of the accumulated deductions to be paid to the
Alternate Payee or her beneficiaries (as specified in Paragraph 8) or her estate which
portion shall be 21.59% of the accumulated deductions as of June 30, 2009, with
installment interest from June 30, 2009, until the date payments commence to the
Member.
11. Tax Liabilities. PSERS shall issue individual tax forms to Member and
Alternate Payee for the amounts paid to each.
12. Limitations on the Alternate Payee. Alternate Payee may not exercise
any right, privilege or option offered by PSERS. In no event shall the Alternate Payee
or her Estate have greater benefits or rights than those that are available to the
Member. The Alternate Payee or her Estate is not entitled to any benefit not otherwise
provided by PSERS. The Alternate Payee or her Estate is only entitled to the specific
benefits offered by PSERS as provided in this ADRO. All other rights, privileges, and
options offered by PSERS not granted to the Alternate Payee or her Estate by this
ADRO are preserved for the Member.
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13. Disability Annuities. The Alternate Payee is not entitled to any disability
portion of any disability annuities paid to the Member by PSERS. No disability benefits
that would have the effect of reducing Member's basic pension benefits are currently
due and payable to Member.
14. Cost of Living Adjustments (COLAs). It is specifically intended and
agreed by the parties hereto that this Stipulation and Agreement:
(a) Does not require PSERS to provide any type or form or amount of benefit
or option not otherwise provided under the Retirement Code; and
(b) Does not require PSERS to provide increased benefits (determined on the
basis of actuarial value) unless increased benefits are paid to Member
based upon cost-of-living adjustments or on other than actuarial values.
15. Intent of the Parties. The parties intend and agree that the terms of this
Stipulation and Agreement shall be approved, adopted, and entered as a Domestic
Relations Order.
16. Amendments. The Court of Common Pleas of Cumberland County,
Pennsylvania, shall retain jurisdiction to amend any Domestic Relations Order based on
this Stipulation and Agreement, but only for the purpose of establishing it or maintaining
it as a Domestic Relations Order; provided, however, that no such amendment shall
require PSERS to provide any type or form of benefit, or any option not otherwise
provided by PSERS, and further provided that no such amendment or right of the Court
to so amend will invalidate any existing ADRO.
17. Effective Date. Upon its entry as an Approved Domestic Relations Order
("ADRO"), a certified copy of this Stipulation and Agreement, and any attendant
documents shall be served upon PSERS immediately. The ADRO shall take effect
immediately upon its approval and the approval of any attendant documents by PSERS,
and shall remain in effect until further Order of Court.
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WHEREFORE, the parties, intending to be legally bound by the terms of this
Stipulation and Agreement, do hereunto place their hands and seals.
Dated:
Sh4jry L. Small, n/k/a SherrUy9n HarhigQ
Plaintiff/Alternate Payee
5830 Barnsley Drive
Harrisburg, PA 17111
Dated: Z-g 0?±ZQ79'--F fuel L. A rdes, Esquire
525 North 12th Street
Lemoyne, PA 17043
Attorney for Plaintiff/Alternate Payee
Dated: /?G?7J „? 1tQ09
/B?rianS efendant/Member
352 Furlo Camp Hill011
d: AY- -& 2. ""
Date
Jeffrey R. Boswell, Esquire
315 N. Front Street
P. O. Box 741
Harrisburg, PA 17108-0841
Attorney for Defendant/Member
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