Loading...
HomeMy WebLinkAbout10-2603FIL ED_tylr,; E t"c., v,O Barbara Sumple-Sullivan, Esquire Supreme Court #32317 2010 APR 21 AM 11: 429 549 Bridge Street New Cumberland, PA 17070 (717) 774-1445 rL! ??sv! ;?rsrt?r{ PATRICIA A. MERRIS, IN THE COURT OF COMMON PLEAS Plaintiff V. STEPHEN M. MERRIS, Defendant : CUMBERLAND COUNTY, PENNSYLVANIA NO. 10 - aJo.3 ??ViIT°?XM CIVIL ACTION -LAW IN DIVORCE NOTICE TO DEFEND AND CLAIM RIGHTS YOU HAVE BEEN SUED IN COURT, if you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the Court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody and visitation of your children. When the grounds for a divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary at the County Courthouse. 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, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. CUMBERLAND COUNTY BAR ASSOCIATION 32 S. Bedford Street Carlisle, PA 17013 (717) 249-3166 4350_-C>0 PD All-f C& q1?0 Pt &yo8(01 Barbara Sumple-Sullivan, Esquire Supreme Court #32317 549 Bridge Street New Cumberland, PA 17070 (717) 774-1445 PATRICIA A. MERRIS, IN THE COURT OF COMMON PLEAS Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. STEPHEN M. MERRIS, Defendant : NO. CIVIL ACTION -LAW IN DIVORCE COMPLAINT IN DIVORCE 1. Plaintiff is Patricia A. Merris, an adult individual residing at 1871 W. Lisburn Road, Carlisle, Cumberland County, Pennsylvania 17015. 2. Defendant is Stephen M. Merris, an adult individual residing at 1871 W. Lisburn Road, Carlisle, Cumberland County, Pennsylvania 17015. 3. Both Plaintiff and Defendant have been bona fide residents in the Commonwealth of Pennsylvania for at least six (6) months prior to filing this complaint. 4. Pennsylvania. The Plaintiff and Defendant were married on May 18, 1974 in Churchtown, 5. There are no minor children existing of this marriage. 6. There have been no prior actions for divorce or annulment between the parties. 7. Neither Plaintiff nor Defendant is in the military or naval service of the United States or its allies within the provisions of the Soldiers' and Sailors' Civil Relief Act of the Congress of 1940 and its amendments. 8. Plaintiff has been advised that counseling is available and that Plaintiff has the right to request that the court require the parties to participate in counseling. COUNT I - DIVORCE NO FAULT 9. The averments in paragraphs 1 through 8 of Plaintiffs Complaint are incorporated herein by reference thereto. 10. The marriage is irretrievably broken and no possibility of reconciliation exists. WHEREFORE, Plaintiff requests entry of a divorce decree in her favor in accordance with §3301 of the Pennsylvania Divorce Code. WHEREFORE, Plaintiff, Patricia A. Merris, prays this Honorable Court to enter judgment: 2 A. Awarding Plaintiff a decree in divorce; and B. Awarding other relief as the Court deems just and reasAnable. Dated: April 19, 2010 (717) 774-1445 Supreme Court I.D. No. 32317 3 Attorney for Plaintiff 549 Bridge Street New Cumberland, PA 17070-1931 Barbara Sumple-Sullivan, Esquire Supreme Court #32317 549 Bridge Street New Cumberland, PA 17070 (717) 774-1445 PATRICIA A. MERRIS, Plaintiff V. STEPHEN M. MERRIS, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. CIVIL ACTION -LAW IN DIVORCE AFFIDAVIT REGARDING COUNSELING 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 Domestic Relations Office, which list is available to me upon request. 3. Being so advised, I do not require 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.A Section 4904 relating to unsworn falsification-to-aut?iorities. C D\??NNX ate 2010 PATRICIA A. Barbara Sumple-Sullivan, Esquire Supreme Court #32317 549 Bridge Street New Cumberland, PA 17070 (717) 774-1445 PATRICIA A. MERRIS, Plaintiff V. STEPHEN M. MERRIS, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. CIVIL ACTION -LAW IN DIVORCE VERIFICATION I, Patricia A. Merris, hereby certify that the facts set forth in the foregoing Pleading are true and correct to the best of my knowledge, information and belief. I understand that any false statements made herein are subject to penalties of 18 Pa. C.S.A. Section 4904 relating to unsworn falsification to authorities. Dated: , 2010 PATRICIA A. Barbara Sumple-Sullivan, Esquire Supreme Court #32317 549 Bridge Street New Cumberland, PA 17070 (717)774-1445 PATRICIA A. MERRIS, Plaintiff v. STEPHEN M. MERRIS, Defendant FiLf r._ ~. ~_ ~~ i I- ~'~ ~ -~4r~.''+f Z~fQ ~i„'~ -J Fi'1 ~~ ~ ti:J ia~ ~ ~J' ~f IN THE COURT OF COMMQIrT! ~~~ r CUMBERLAND COUNTY, PENNSYLVANIA NO. 10 - 2603 CIVIL ACTION -LAW IN DIVORCE AFFIDAVIT OF SERVICE I, Barbara Sumple-Sullivan, Esquire, do hereby certify that I served a copy of the Divorce Complaint in the above-captioned matter by United States Mail, Restricted Delivery, Certified No. 7009 3410 0001 5603 8760, Return Receipt Requested, on the above-named Defendant, Mr. Stephen M. Merris, on Apri129, 2010 at Defendant's last known address: 1871 W. Lisburn Road, Carlisle, PA 17015. The original receipt and return receipt card are attached hereto as Exhibit "A". I hereby certify that the facts set forth above are true and correct to the best of my knowledge, information and belief. I understand that any false statements made herein are subject to penalties of 18 Pa. C.S.A. §4904 relating to unsworgfal~fication to authorities. Dated: May 3, 2010 Barbara~'G'ple-Sullivan, Esquire 549 Bridge Street New Cumberland, PA 17070-1931 (717)-774-1445 Supreme Court ID #32317 Attorney for Plaintiff .~ ~ ~ o ~• r - m ~. ~ 0 . ,,,p Postage $ - r'~ i ~ p ~ Return Receipt Fee (Endorsement Required) .'~~.' ~' ,a~ 1 ''~ i + ~ ~ ~ ~ Q Restricted Delivery Fee (Endorsement Required) (d-+ , ~ 1 C + ~}~ ~ / , - : ~~ Y ,.~' - O , ` ` ri / - ' ~.. Total Postage & Fees ~ , , .. _ _ e`''!;:,'r;; ~-~'~ m ~ nt To ~ , " ...•._ .. ~ Street, Apt'IVo.; . ( or PO Box No. 1 ~ ~ . l~ ~~ V (~ !t ~~~ • --------°----------- C/1y, State, ZIP+4 ---------------- ------- 0.r1~ 5j~ lJl.lC~ J~J t 1 -~ ----_ 1 "lU l~ _.._._. t ^ Complete (terns 1, 2, and 3. Also complete item 4 if Restricted DeQvery is desired,. ^ Print your name and address on the reverse so that we can return the card to you. A Attach this card to the hack of the mailpiece, or on the front if space permits. t. Article Addressed to: mac-. `fie p4~er~ Ct1 ~ i~les~t~; S ~ `b~l ~ ~ . ~;s~ufr~`~~,,GI C o~ c=~ ~ 5le `p~ ~ -1b ~5 A. Slgna ~ Apartt ~: ^ Addreaaae B: Received b7l (Printed Name) C. Date of DeNvery D. Is deNvery addroea different from item 1.7 ^ Yea n YES, ent9r deihrery address below: O No ~.:~ A Certl(led MaN O 6tpreea AAall O Registered ^ Return t~Ceipt tnr MerdrandlM ^ insured Wiali O c.0.o. 4. Raatrktad Deilreryt ~ra~Figl #.lfbe 2' ~~"'~` 7Q09 340 O[]Q1 5603 876Q ~m serves NbeA PS Form 381,1, February 2004 f~orrlaMb RNrxn ReoslpR eo¢seaax~, sw , EXHIBIT "A" USPS -Track & Confirm UlkttTEt7~` i~~..S'F.f~1l1C~+~ Home (Held (Sign In H , , ~,- , <,fl ,y ,, . ,. . ,.;..~:,~t .. _., ~. ~.;r.... ,.. - se. _ _____. Track & Confrcm FAQs Trask ~ ~ar~firrr~ ~alr~~ ~esu Label/Receipt Number: 7009 3410 0001 5603 8760 Class: First-Class Mail® Service(s): Certified Mail" Return Receipt Status: Delivered Your item was delivered at 9:03 AM on April 29, 2010 in CARLISLE, PA 17013. Detailed Results: • Delivered, Apri129, 2010, 9:03 am, CARLISLE, PA 17013 • Notice Left, April 28, 2010, 12:55 pm, CARLISLE, PA 17015 Acceptance, April 27, 2010, 3:57 pm, NEW CUMBERLAND, PA 17070 ~ra~clc ~ a Enter LabeVReceipt Number. t;~, ttca3tnst €~~ti~ Track & Confirm by email Get current event information or updates for your item sent to you or others by email. &~>~` Sfte AAao Customer Service Forms Gov't Services Careers Privacy Policy Terms of Use Business Customer Gateway http://trkcnfrml .smi.asps.com/PTSInternetWeb/InterlabelInquiry.do Copyright© 2010 USPS. All Rights Reserved. No FEAR Act EEO Data FOIA PATRICIA A. MERRIS, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA c ..,_. V. : NO. 10-2603 :zm :' G") n - : CIVIL ACTION -LAW : c o V STEPHEN M. MERRIS, o Defendant IN DIVORCE -? -0 -?,t ca ?' ..? r4.... e PRAECIPE FOR WITHDRAWAL/ENTRY OF APPEARANCE Kindly withdraw the appearance of Michael O. Palermo, Jr.,, Esquire, as counsel for the Defendant, Stephen M. Merris in the above-referenced matter. tcr& 44 /7.,1 Date: Respectfully submitted, • Michael O. Palermo, Jr, quire 17 West South Street Carlisle PA 17013 (717) 774-1445 (717) 774-7059 ENTRY OF APPEARANCE Kindly enter the appearance of Mark A. Mateya, Esquire, as counsel for the Defendant, Stephen M. Merris in the above-referenced matter. Respectfully submitted, Mark A. Mateya, Es e Attorney ID No. 78931 55 W. Church Avenue Carlisle, PA 17013 (717) 241-6500 Date: ( (717) 241-3099 - Fax CERTIFICATE OF SERVICE I, Mark A. Mateya, Esquire, hereby certify that I have served a copy of the foregoing document on the following person(s) by depositing a true and correct copy of the same in the United States Mail, by way of United States Mail, first class, postage prepaid, at Carlisle, Cumberland County, Pennsylvania addressed to: Barbara Sumple-Sullivan Esquire 549 Bridge Street New Cumberland PA 17070 Michael O. Palermo, Jr., Esq 17 West South Street Carlisle, PA 17013 Mark A. Mateya, uire 55 W. Church Avenue Carlisle, PA 17013 (717) 241-6500 (717) 241-3099 Fax Dated: ? ? ?? F'1 PATRICIA A. MERRIS, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA _ NO. 10-2603 CIVIL TERM V . STEPHEN M. MERRIS, : CIVIL ACTION - LAW x Defendant : IN DIVORCE ' - AFFIDAVIT OF SERVICE OF DISCOVERY LL` r7 ? DOCUMENTS UPON PLAINTIFF, PATRICIA A. MERRIS - ' - AND NOW, this 31st day of August, 2011, comes Mark A. Mateya, Esquire, Attorney for Stephen M. Merris, who, being duly sworn according to law, deposes and says that: 1. Interrogatories and Request for Production of Documents were served upon Barbara Sumple Sullivan, Esquire, counsel for Patricia A. Merris on August 31, 2011. 2. The responses to the Interrogatories and Request for Production of Documents are due within thirty (30) days therefrom, said date being on or before, October 3, 2011. Respectfully submitted, Mark A. MatefEs Attorney I.D. No. 78931 55 W. Church Avenue Carlisle, PA 17013 (717) 241-6500 (717) 241-3099 Fax Attorney for Stephen M. Merris a. CERTIFICATE OF SERVICE I, Mark A. Mateya, Esquire, hereby certify that I have served a copy of the foregoing document on the following person(s) by depositing a true and correct copy of the same in the United States Mail, by way of United States Mail, first class, postage prepaid, at Carlisle, Cumberland County, Pennsylvania addressed to: Barbara Sumple-Sullivan Esquire 549 Bridge Street New Cumberland PA 17070 Mark A. Mateya squire 55 W. Church Avenue Carlisle, PA 17013 ZR ? /r (717) 241-6500 (717) 241-3099 Fax Dated: PATRICIA A. MERRIS -:-IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff vs. STEPHEN M. MERRIS :-NO.. 2603 20_10 Defendant MOTION FOR APPOINTMENT OF MASTER Patricia A. Merris Plaintiff moves the court to appoint a master with respect to the following claims: ? Divorce O Distribution of Property ? Annulment ? Support ? Alimony ? Counsel Fees ? Alimony Pendente Lite O Costs and Expenses and in support of the motion states: 1. Discovery is complete as to the claims (s) for which the appointment of a master is requested. Request for Document Production is being served upon Defendant this date and it is expected responses will be received in thirty (30) days. 2. The defendant has appeared in the action (personally) (by his attorney,_ Mark A Mateya , Esquire). 3. The statutory ground (s) for divorce are: _o -- ; 3301(c), 3301(d) ; ncrr o - 4. Delete the inapplicable paragraph (s): A ?X B OX C ? XM ;C;;0 rrl c'3 1 9 -., ..? a. The action is not contested. -C> tD b. An agreement has been reached with respect to the following claims: f ' c-, ' > C. The action is contested with respect to the following claims: Divorce, Distribution of Property 5. The action floes not involve complex issues of law or fact. 6. The hearing is expected to take one d 7. Additional information, if any, relevant to the motion: None Date: December 16, 2011 Barbara Sumple-Sullivan. Esquire Print Name ORDER APPOINTING MASTER AND NOW , 20 master with respect to the following claims: By the Court, Esquire, is appointed J. 0. PATRICIA A. MERRIS J N THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff vs. 3. The statutory ground 3301(c), 3301(d) 4. Delete the inapplicable pi a. The action is i b. An agreement NO 2603 2010 Patricia A. Merris 1 Plaintiff , moves the court to appoint a master with respect to the following claims: 0 Divorce O Distribution of Property i7 Annulment ? Support O Alimony 13 Counsel Fees O Alimony Pe dente Lite ? Costs and Expenses and in support of the motion state 1. Discovery is complete as to the claims (s) for which the appointment of a master is requested. Request for Document Production 4 being served upon Defendant this date and it is expected responses will be received in thirty (30) days. 2. The defendant has appeared in the action (personally) (by his attorney,_ Defendant for divorce are: ;raph (s): A OX B i7X C ? contested. s been reached with respect to the following claims: C. The action is co tested with respect to the following claims: Divorce, Dis ibution of Property 5. The action does not involve complex issues of law or fact. 6. The hearing is expected t take one d 7. Additional information, if y, relevant to the motion: / None J Date: December 16, 201 Esquire). y 1.sJ fi?.3 :Z'o r` C6 A ? 0 cD .1_ C"' GJ rn;? r-= -4 t`. Barbara Sumple-Sullivan, Esquire Print Name ORDER APPOINTING MASTER .26L, AND NOW _, 201L, f- d"Wt - 644_'kQjt/ ,f7 Esquire, is appointed master with respect to the followi g claims: 14A - Oi.. ?Qr{?r? Stt C `? rylGr,? ?Q ?,? By the Court, 3 ? ??. N M, = a' .? Cli-rt r Ca s--1 G`S c? 4?? PATRICIA A. MERRIS, : IN THE COURT OF COMMON PLEAS C pr _ fG ??(j Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V 10-2603 CIVIL TERM NO ' . . STEPHEN M. MERRIS, CIVIL ACTION -LAW Defendant IN DIVORCE --- ?. PLAINTIFF'S PETITION FOR ALIMONY PENDENTE LITE t AND NOW comes Defendant, Stephen M. Merris, by and through his counsel, Mateya Law Firm, P.C., Mark A. Mateya, Esquire, and in support avers the following: Stephen M. Merris is an adult individual, presently residing at 689 S Middlesex Road, Carlisle PA, 17015, Cumberland County, Pennsylvania. 2. All legal papers may be served on Defendant by service on his Counsel, Mateya Law Firm, P.C., Mark A. Mateya, Esquire with a mailing address of 55 West Church Ave., Carlisle, PA 17013. 3. Plaintiff is Patricia A. Merris, an adult individual who currently resides at 363 Melbourne Lane, Mechanicsburg, Cumberland County, Pennsylvania. 4. Plaintiff filed a Complaint in Divorce on April 21, 2010. Defendant requires alimony pendente lite in order to prosecute this action and to maintain himself during the pendency of this litigation. WHEREFORE, Plaintiff requests this Court set the time and place to determine the Defendant's need of alimony pendent lite in order to sustain himself and to meet his financial obligations during the pendency of this divorce action. Respectfully submitted, Mateya `Law Firm, J?t. Mark A. Mateya, Esquire Attorney ID No. 78931 55 West Church Ave. Carlisle, PA 17013 (717) 241-6500 (717) 241-3099 Fax Counsel for Plaintiff I (2 Date: ?- VERIFICATION I, Stephen M. Merris, verify that the facts set forth in the foregoing document are true and correct to the best of my knowledge, information, and belief. I understand that false statements herein are subject to the penalties of 18 Pa. C.S. §4904, relating to unsworn falsification to authorities. Stephen M. erris DATED: /- 3/ -12- CERTIFICATE OF SERVICE I, Mark A. Mateya, Esquire, hereby certify that I have served a copy of the foregoing document on the following person(s) by depositing a true and correct copy of the same in the United States Mail, by way of United States Mail, first class, postage prepaid, at Carlisle, Cumberland County, Pennsylvania addressed to: Barbara Sumple-Sullivan Esquire 549 Bridge Street New Cumberland PA 17070 Dated: -7 / ( 2 JL?A Mark A. Mateya, EtAuire 55 W. Church Avenue Carlisle, PA 17013 (717) 241-6500 (717) 241-3099 Fax PATRICIA A. MERRIS, IN THE COURT OF COMMON PLEAS OF Plaintiff/Respondent CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE ° ? co Mr. NO. 10-2603 CIVIL TERM STEPHEN M. MERRIS, IN DIVORCE Defendant/Petitioner PACSES CASE: 158113037 Q";j ZQ N c: . ORDER OF COURT AND NOW, this 9th day of February, 2012, upon consideration of the Petition for Alimony Pendente Lite and/or counsel fees, it is hereby ordered that the parties and their respective counsel appear before R. J. Shadday on February 28, 2012 at 9:00 A.M. for a conference, at 13 N. Hanover St., Carlisle, PA 17013, after which the conference officer may recommend that an Order for Alimony Pendente Lite be entered. You are further ordered to bring to the conference: (1) a true copy of your most recent Federal Income Tax Return, including W-2's as filed (2) your pay stubs for the preceding six (6) months (3) the Income and Expense Statement attached to this order, completed as required by Rule 1910.110 (4) verification of child care expenses (5) proof of medical coverage which you may have, or may have available to you. CC361 If you fail to appear for the conference or to bring the required documents, the court may issue a warrant for your arrest and/or enter an interim order. The appropriate court officer may enter an order against either party based upon the evidence presented without regard to which party initiated the action. BY THE COURT, Date of Order: February, 2012 ?r'- 1 jj4 , O 'Thomas A. Placey, Judge YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. CUMBERLAND COUNTY BAR ASSOCIATION 32 S. BEDFORD ST. CARLISLE, PENNSYLVANIA 17013 (717)249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact our office at:. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled conference. Barbara Sumple-Sullivan, Esquire Supreme Court #32317 549 Bridge Street New Cumberland, PA 17070 (717) 774-1445 PATRICIA A. MERRIS, Plaintiff V. STEPHEN M. MERRIS, Defendant [N THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA : NO. 10 - 2603 CIVIL ACTION -LAW IN DIVORCE 0ADER AND NOW, this ZV day of_j&&vvw, .2012, upon consideration of Plaintiff's Motion to Compel Document Production Requests, said Motion is hereby GRANTED. It is further ORDERED and DECREED that: 1) Defendant, Stephen M. Merris, shall respond to Plaintiff's Document C s Order. Production Requests ,vithin WR ( days of thi je.rve4._ 01 BY THE COURT: Distribution: d Barbara Sumple-Sullivan, Esquire, 549 Bridge Street New Cumberland, PA 17070 c Mark A. Mateya, Esquire, 55 W. Church Ave-?ue, Carlisle, PA 17013 -OZ ^' -1 ?- Cv , es "A-mil /37 /i x n Cn rat ?n- r PATRICIA A. MERRIS, IN THE COURT OF COMMON PLEAS OF Plaintiff/Respondent . CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 10-2603 CIVIL TERM STEPHEN M. MERRIS IN DIVORCE riicr) "' ` Defendant/Petitioner PACSES CASE: 158113037 V,r i ? -o ORDER OF COURT C-) r%.) CZ) IT --i _< C,7 c Y3 7 70 AND NOW, this 28th day of February, 2012, based upon the Court's determination that the Petitioner's monthly net income/earning capacity is $ 2,657.71 and the Respondent's monthly net income/earning capacity is $ 3,619.99, it is hereby ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit Two Hundred Three and 00/100 Dollars ($ 203.00) per month payable semi-monthly as follows: $ 185.00 per month for Alimony Pendente Lite and $ 18.00 per month on arrears. The first payment due in accordance with the Respondent's pay schedule. The effective date of the order is February 1, 2012. Arrears set at $ 185.00 as of February 28, 2012. Failure to make each payment on time and in full will cause all arrears to become subject to immediate collection by all of the means as provided by 23 Pa.C.S.§ 3703. Further, if the Court finds, after hearing, that the Respondent has willfully failed to comply with this Order, it may declare the Respondent in civil contempt of Court and, at its discretion, make an appropriate Order, including, but not limited to, commitment of the Respondent to prison for a period not to exceed six months. Said money is to be turned over by the PA SCDU for distribution and disbursement in accordance with Rule 1910.17(d). Payments must be made by check or money order. All checks and money orders must be made payable to PA SCDU and mailed to: PA SCDU P.O. Box 69110 Harrisburg, PA 17106-9110 Payments must include the Respondent's name with their PACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. cc360 The monthly support obligation includes cash medical support in the amount of $250 annually for unreimbursed medical expenses incurred for the spouse. Unreimbursed medical expenses of the spouse that exceed $250 annually shall be allocated between the parties. The party seeking allocation of unreimbursed medical expenses must provide documentation of expenses to the other party no later than March 31st of the year following the calendar year in which the final medical bill to be allocated was received. The unreimbursed medical expenses are to be paid as follows: 0 % by Respondent and 100 % by Petitioner. [X] Respondent [] Petitioner [] Neither party to provide medical insurance coverage. Within thirty (30) days after the entry of this order, the [] Petitioner [X) Respondent shall submit written proof that medical insurance coverage has been obtained or that application for coverage has been made. Proof of coverage shall consist, at a minimum, of: 1) the name of the health care coverage provider(s); 2) any applicable identification numbers; 3) any cards evidencing coverage; 4) the address to which claims should be made; 5) a description of any restrictions on usage, such as prior approval for hospital admissions, and the manner of obtaining approval; 6) a copy of the benefit booklet or coverage contract; 7) a description of all deductibles and co-payments; and 8) five copies of any claim forms. It is further Ordered that, upon payor's failure to comply with this order, payor may be arrested and brought before the Court for a Contempt hearing; payor's wages, salary, commissions, and/or income may be attached in accordance with law; this Order will be increased without further hearing by 10% a month until all arrearages are paid in full. Payor is responsible for court costs and fees. Other conditions: This Order shall become final twenty (20) after the mailing of the notice of the entry of the Order to the parties unless either party files a written demand with the Office of the Prothonotary for a hearing de novo before the Court. Mailed copies on: BY THE CQUAT Thomas A. ®laLev. J. xc: Petitioner Respondent Mark A. Mateya, Esq. Barbara Sample-Sullivan, Esq. DRO: R.J. Shadday INCOME WITHHOLDING FOR SUPPORT ? I - l h E) ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO) LJ lU L _D 11' i O AMENDEDIWO O ONE-TIMEORDER/NOTICE FOR LUMP SUM PAYMENT O TERMINATION OF IWO Date: 02/28/12 ? Child Support Enforcement (CSE) Agency IR Court ? Attorney ? Private Individual/Entity (Check One) N9 jhis IWO must be regiWar,prA t§ 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. State/TribefTerritory Commonwealth of Pennsylvania Remittance Identifier (include w/payment): 3391102525 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) BOYER & RITTER CPA'S 211 HOUSE AVE PO BOX 8300 CAMP HILL PA 17001-8300 Employerfincome Withholder's FEIN 231311005 Child(ren)'s Name(s) (Last, First, Middle) Child(ren)'s Birth Date(s) RE: MERRIS. PATRICIA A Employee/Obligor's Name (Last, First, Middle) 177-42-0227 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 htt2/www.acf.hhs gov/programs/cse/newhire/ employer/publi ion/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. 2313110050 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 CUMBERLOD U?iunfy,-, Commonwealth of Pennsylvania (State/Tribe). You are required by law to deduct these amounts frort4_ ernipoye-w,?'_ i obligor's income until further notice. rT't?„ ' $ 0.00 per month in current child support ter $ 0.00 permonth in past-due child support - Arrears 12 weeks or greater? O yes cn C $ 0.00 permonth in current cash medical support f 4 -_= $ 0.00 per month in past-due cash medical support - ' $ 185.00 per month in current spousal support $ 0 00 th i l t d t -> ?- -t` . n pas ue spousa suppor per mon - ` $ 0.00 per month in other (must specify) for a Total Amount to Withhold of $ 185.00 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: $ 4231) per weekly pay period. $ 92.50 per semimonthly pay period (twice a month) $ 85.3r`t per biweekly pay period (every two weeks) $ 185.00 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 hftp://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 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 ;a Print Name of Judge/Issuing Official: Plac-ey- JUDGE 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 Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. State-specific contact and withholding information can be found on the Federal Employer Services website located at http://www acf hhs gov/programs/cse/newhire/emplloyer/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 dale 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 Employer's Name: BOYER & RITTER CPA'S Employer FEIN: 231311005 Employee/Obligor's Name: MERRIS, PATRICIA A. 3391102525 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 1WO, 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 are 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: 2313110050 Q This person has never worked for this employer nor received periodic income. O This person no longer works for this employer nor receives periodic income. Please provide the following information for the employee/obligor: Termination date: Last known address: Final Payment Date To SDU/Tribal Payee: New Employer's Name: 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 71( 7) 240-6225, by fax at (717) 240-6248, by email or website at: www.ghildsupport.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 childsupoort state. .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: MERRIS, PATRICIA A. PACSES Case Number 158113037 PACSES Case Number Plaintiff Name Plaintiff Name STEPHEN M. MERRIS Docket Attachment Amount Docket Attachment Amount 10-2603 CIVIL $ 185.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Addendum Form EN-028 01/12 Service Type M OMB No 0970-0154 Worker ID $IATT INCOME WITHHOLDING FOR SUPPORT ?? 0 ORIGINAL INCOME WITHHOLDING ORDERMOTICE FOR SUPPORT (IWO) LJ ? Ci L.I Vi I_ (F) AMENDED IWO Q ONE-TIMEORDER/NOTICE FOR LUMP SUM PAYMENT Q TERMINATION OF IWO Date: 03/01/12 ? Child Support Enforcement (CSE) Agency ® Court ? Attorney ? Private Individual/Entity (Check One) NOTE TJ4stIW0 qly, t. bg?r gy?la; yg . Under certain circumstances you must reject this IWO and return it to the sender (see IWO instrucrtidns http://vuw?v:ac?f.hhs', 6gD}b? ams/cse/newhire/employer/publication/iublication.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. StaterTribefrerritory Commonwealth of Pennsylvania Remittance Identifier (include w/payment): 3391102525 City/County/Dist.frribe CUMBERLAND Order Identifier: (See Addendum for order/docket informaiton) Private Individual/Entity CSE Agency Case Identifier: (See Addendum for case summary) BOYER & RITTER CPA'S 211 HOUSE AVE PO BOX 8300 CAMP HILL PA 17001-8300 Employer/Income Withholder's FEIN 231311005 Child(ren)'s Name(s) (Last, First, Middle) Child(ren)'s Birth Date(s) RE: MERRIS, PATRICIA A. Employee/Obligor's Name (Last, First, Middle) 177-42-0227 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.hh s.gov/programs/cse/newhire/ employer/publication/publication htm -form sl. 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. 2313110050 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 Cwnty, Commonwealth of Pennsylvania (State/Tribe), You are required by law to deduct these amounts from-the s rtplojiee/ obligor's income until further notice. -v3 r-q co M xr $ 0.00 per month in current child support z ? rY1 $ 0.00 per month in past-due child support - Arrears 12 weeks or greater? Q yeg?r fl nq C7 $ 0.00 per month in current cash medical support -<:r-- C71 CD $ 0.00 per month in past-due cash medical support <C_? - _ n $ 185.00 per month in current spousal support >' C-) ?>`r r,'3 $18-00 per month in past-due spousal support _ $ 0.00 per month in other (must specify) r 7` for a Total Amount to Withhold of $ 203.00 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: $ 46.?S per weekly pay period. $ 101.50 per semimonthly pay period (twice a month) $ 91-70 per biweekly pay period (every two weeks) $ 203.00 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) workin. g 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:/7'A" 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 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. 7:> Signature of Judge/Issuing Official (if required by State or Tribal law): Print Name of Judge/Issuing Official: MWM" Title of Judge/Issuing Official: Date of Signature: J ttr R ?t 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 Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. State-specific contact and withholding information can be found on the Federal Employer Services website located at: http://w N acf hhs gov/programs/cse/`newhire/employer/contacts/contagl mao 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 Employer's Name: BOYER & RITTER CPA'S Employer FEIN: 231311005 Employee/Obligor's Name: MERRIS, PATRICIA A. 3391102525 CSE Agency Case Identifier: (See Addendum for case summary) Order Identifier: (See Addendum for ord r d k 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: 2313110050 Q 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: MERRIS, PATRICIA A. PACSES Case Number 158113037 PACSES Case Number Plaintiff Name Plaintiff Name STEPHEN M. MERRIS Docket Attachment Amount Docket Attachment Amount 10-2603 CIVIL $ 203.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Doke Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Addendum Form EN-028 01112 Service Tvoe M OMB No.: 0970-0154 Worker ID $IATT PATRICIA A. MERRIS, : ;IN THE COURT OF COMMON PLEAS Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 2603-2010 STEPHEN.M. MERRIS CIVIL ACTION - LAW -O r 5 ::r Defendant IN DIVORCE n r- ? r - ` C G -v 75 NOTICE TO DEFENDANT = ' If you wish to deny any of the statements set forth in this Affidavit, you must file a Ca aphtet--) affidavit within TWENTY (20) DAYS after this affidavit has been served on you or the statements will be admitted. PLAINTIFF'S/DEFENDANT'S AFFIDAVIT UNDER SECTION 3301(D) OF THE DIVORCE CODE The parties to this action separated on March 21, 2010, and have continued to live separate and apart for a period of at least two (2) years. The marriage is irretrievably broken. 3. 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.A. SECTION 4904 RELATING TO UNSWORN FALSIFICATION TO AUTHORITIES. DATED: Defendant PATRICIA A. MERRIS, IN THE COURT OF COMMON PLEAS Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 2603-2010 STEPHEN M. MERRIS, CIVIL ACTION -LAW Defendant IN DIVORCE COUNTER-AFFIDAVIT UNDER SECTION 3301(d) OF THE DIVORCE CODE 1. Check either (a) or (b): _ (a) I do not oppose the entry of a divorce decree. _ (b) I oppose the entry of a divorce decree because (Check (I) (ii) or both): (I) The parties to this action have not lived separate and apart for a period of at least two years. _ (ii) The marriage is not irretrievably broken. 2. Check either (a) or (b): _ (a) I do not wish to make any claims for economic relief. 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. _ (b) I wish to claim economic relief which may include alimony, division of property, lawyer's fees or expenses or other important rights. I understand that in addition to checking (b) above, I must also file all of my economic claims with the prothonotary in writing and serve them on the other party. If I fail to do so before the date set forth on the Notice of Intention to Request Divorce Decree, the divorce decree may be entered without further notice to me, and I shall be unable thereafter to file any economic claims. I verify that the statements made in this counter-affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn falsification to authorities. Dated: Defendant NOTICE: If you do not wish to oppose the entry of a divorce decree and you do not wish to make any claim for economic relief, you should not file this counter-affidavit. can ? "'? rni"? PATRICIA A. MERRIS, : IN THE COURT OF COMMON PLEAS Plaintiff C.) : CUMBERLAND COUNTY, PENNSYLVA V. NO. 10-2603 CIVIL TERM 00 . 7 cn ` STEPHEN M. MERRIS, : CIVIL ACTION - LAW °j Defendant : IN DIVORCE AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301(c) or (d) of the Divorce Code was filed on April 21, 2010. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of filing and service of the Complaint. 3. I consent to the entry of a final decree in divorce after service of notice of intention to request entry of the decree. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. §4904 relating to unswom falsification to authorities. 4 Patricia A. Merris Plaintiff DATED: //Z -e-A.Z V PATRICIA A. MERRIS, Plaintiff V. STEPHEN M. MERRIS, Defendant 1. I consent to the entry of a final decree of divorce without notice. 11-1 CZZ) rN3 --c C. a 3 90 cn 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. -{ a 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 5/?N// Plaintiff Merris ?S? : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA NO. 10-2603 CIVIL TERM cc CIVIL ACTION - LAW IN DIVORCE PATRICIA A. MERRIS, : IN THE COURT OF COMMON PLEAS Plaintiff CUMBERLAND COUNTY, PENNSYL V A::1C ` ' W : r - v. NO. 10-2603 CIVIL TERM 9:1; STEPHEN M. MERRIS, : CIVIL ACTION - LAW" - Defendant : IN DIVORCE 00 C.n AFFIDAVIT OF CONSENT - , 1. A Complaint in Divorce under Section 3301(c) or (d) of the Divorce Code was filed on April 21, 2010. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of filing and service of the Complaint. 3. I consent to the entry of a final decree in divorce after service of notice of intention to request entry of the decree. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. §4904 relating to unsworn falsification to authorities. Stephen M. Merris Defendant DATED: ? - -, c ( 2- PATRICIA A. MERRIS, Plaintiff V. : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA NO. 10-2603 CIVIL TERM c?3 STEPHEN M. MERRIS, Defendant 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. r C4.) b. co V y ti Vr7 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 unswom falsification to authorities. : CIVIL ACTION - LAW r1neD zrn : IN DIVORCE r- ? DATE ? - - r " t ?-?-- Stephe M. Merris Defendant PATRICIA A. MERRIS, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA VS. NO. 10 - 2603 CIVIL STEPHEN M. MERRIS, `- Defendant IN DIVORCE ORDER OF COURT ?. C....".J AND NOW, this day of , 2012, counsel and the parties having entered into an agreement and stipulation resolving the economic issues on April 30, 2012, the date set for a conference, the agreement and stipulation having been transcribed, and the parties advised that the agreement was binding upon being placed on the record which the parties acknowledged,* the appointment of the Master is vacated and counsel can conclude the proceedings by the filing of a praecipe to transmit the record with the affidavits of consent and waivers of the parties so that a final decree in divorce can be entered. BY THE COURT, - ? A- 0,0. K1'01 A. Hess, P. J. cc: /Barbara Sumple-Sullivan Attorney for Plaintiff ? Mark A. Mateya Attorney for Defendant * Wife signed transcribed agreement; husband has not signed. Copes rv?-u.led PATRICIA A. MERRIS, Plaintiff VS. STEPHEN M. MERRIS, Defendant THE MASTER: IN THE COURT OF COMMON PLEAS 04 CUMBERLAND COUNTY, PENNSYL?r N NO. 10 - 2603 CIVIL - IN DIVORCE `' - C." C.J Today is Monday, April 30, 2012. This is the date set: for a conference in the above-captioned divorce proceedings. Present in the hearing room are the Plaintiff, Patricia A. Merris, and her counsel Barbara Sumple--Sullivan. Also present is the Defendant, Stephen M. Merris, and his counsel Mark A. Mateya. This action was commenced by the filing of a complaint in divorce on April 21, 2010, raising grounds for divorce of irretrievable breakdown of the marriage. Although an affidavit under Section 3301(d) was filed averring a separation in excess of two years, nevertheless, the parties are going to sign affidavits of consent and waivers of notice of intention to request entry of divorce decree within the next couple of days. Those affidavits and waivers will be filed with the Prothonotary's office and the divorce can proceed under Section 3301(c) of the Domestic Relations Code. The complaint did not raise any economic claims; however, a petition was filed on March 28, 2012, by 1 the Plaintiff raising a claim for equitable distribution. No claims have been raised by either party for alimony or counsel fees and costs. The Master has been advised that after negotiations this afternoon, the parties have reached a comprehensive settlement with respect to all marital claims. The agreement is going to be placed on the record in the presence of the parties. The agreement as placed on the record will be considered the substantive agreement of the parties, not subject to any changes or modifications except for correction of typographical errors which may be made during the transcription. Therefore, when the parties leave the hearing room today they are bound by the terms of the agreement even though there has been no signing of the agreement. However, we are going to prepare the transcribed agreement and send it to counsel for review for typographical errors. After any corrections are made, we will then ask the parties to sign the agreement affirming the terms of settlement as stated on the record. Upon receipt by the Master of the completed agreement, the Master will prepare an order vacating his appointment and counsel can then file a praecipe transmitting the record to the Court requesting a final decree in divorce. The parties were married on May 18, 1974, and 2 separated on March 21, 2010. They have two adult children of the marriage. Mr. Mateya. MR. MATEYA: 1. A payment of $13,500.00 will be made from husband to wife within thirty (30) days of the date of this agreement. 2. A roll over in the amount of $26,500.00 will be completed from husband's T. Rowe Price IRA to wife's IRA within thirty (30) days. 3. Husband agrees to discontinue the action for support effective April 30, 2012. 4. The time-share in Myrtle Beach, owned by husband and wife, will be sold and the proceeds thereof will be shared equally. Additionally, any costs incurred from this point forward until such time it has been sold will be shared evenly. It will be paid initially by husband and then reimbursed at the time of sale. THE MASTER: Off the record. (Whereupon, a discussion was held off the record.) THE MASTER: Back on the record. We have had an off the record discussion about personalty and the parties have gotten into a bit of a disagreement. What we are going to try and do is resolve it as well as we have resolved all of the other issues so that we have a comprehensive settlement today. Each party will keep what he or she has in his or her possession as their sole and separate property with the exception that if husband provides a list of any 3 family heirlooms or family pictures that he would like to have returned, he should provide that list to his counsel and then counsel can work on getting those items to husband within thirty (30) days of today's date. If nothing is provided within that thirty (30) days, then there are no further issues with regard to the personalty. The reason that we have made this statement that each party keeps what each has in his or her possession is because wife has the majority of the tangible property but wife has paid for that tangible property through the credit card debt. We are leaving husband an opportunity to get some personal items that wife may have as expressed above. Otherwise, the personalty issue is resolved. (Whereupon, a discussion was held off the record.) MR. MATEYA: Additionally, with the parties all being present they have agreed that husband is going to provide a modest list of household goods, such as dishes, plates, silverware which husband's counsel will provide to wife's counsel and those items will be prepared within thirty (30) days for delivery to husband. Counsel will arrange the pick-up and delivery of those items and the list will be mutually agreed upon between the parties. 5. This is a settling of all the claims between the parties that there are no outstanding debts. Each party 4 will take whatever debt and be liable for any debt in his or her name and will indemnify the other and hold them harmless from said marital debts. 6. Each party waives the claims that either may have against the other for alimony or counsel fees and costs. 7. Both parties warrant that other than the assets which have been described today in the pretrial statements and in the negotiation that there are no other individual assets including but not limited to the PNC certificate of deposit. 8. Except as herein otherwise provided, each party may dispose of his or her property in any way and each party hereby waives and relinquishes any and all rights he or she may now have or hereafter acquire under the present or future laws of any jurisdiction to share in the property or the estate of the other as a result of the marital relationship including without limitation, statutory allowance, widow's allowance, right of intestacy, right to take against the will of the other, and right to act as administrator or executor in the other's estate. Each will at the request of the other execute, acknowledge, and deliver any and all instruments which may be necessary or advisable to carry into effect this mutual waiver and relinquishment of all such interest, rights, and claims. MS. SUMPLE-SULLIVAN: Pat, you've been in the hearing room today and you heard the agreement as it has been dictated by attorney Mateya, myself, and the Master. Do you have any questions about the agreement? MS. MERRIS: No. MS. SUMPLE-SULLIVAN: Do you have any concerns about the agreement? MS. MERRIS: No. MS. SUMPLE-SULLIVAN: Is the agreement what we had discussed and is the agreement acceptable to you? 5 MS. MERRIS: Yes. MS. SUMPLE-SULLIVAN: And you understand that by doing this you are accepting responsibility for all of the other debts and obligations? MS. MERRIS: Yes. THE MASTER: You understand that when you leave here today you are bound by it even though you haven't signed anything? MS. MERRIS: Yes. MR. MATEYA: Steve, you've been here during this negotiation and during our discussion with opposing counsel and with the Divorce Master, and here on the record, do you understand the agreement as it was settled? MR. MERRIS: Yes. MR. MATEYA: And are you in agreement with each one of the parts of the agreement? MR. MERRIS: Yes. 6 MR. MATEYA: And you understand that when we are finished here today you are bound by this agreement? MR. MERRIS: Yes. THE MASTER: Thank you. I acknowledge that I have read the above stipulation and agreement, that I understand the terms of settlement as set forth herein, and that by signing below I ratify and affirm the agreement previously made and intend to bind myself to the settlement as a contract obligating myself to the terms of settlement and subjecting myself to the methods and procedures of enforcement which may be imposed by law and in particular Section 3105 of the Domestic Relations Code. WITXEcVS:/ DATE: ?e/ 2, Barbara Sumple-Sullivan Attorney for Plaintiff i Mark A. Mateya Attorney for Defendant Stephen M. Merris 7 Barbara Sump le-Sullivan, Esquire Supreme Court #32317 549 Bridge Street i i New Cumberland, PA 17070 (717) 774-1445 U Mi3ERLAi?D PATRICIA A. MERRIS, n E NN S Y,,,?`?t 1 V'??s ?.? f , ;,;,?N THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNS I'LVANIA V. STEPHEN M. MERRIS, Defendant To the Prothonotary: : NO. 2603-2010 CIVIL ACTION -LAW IN DIVORCE PRAECIPE TO TRANSMIT RECORD Transmit the record, together with the following information, to the Court for entry of a divorce decree: 1. Ground for divorce: Irretrievable breakdown under §3301(c) of the Divor,_- Code. 2. Date and manner of service of the complaint: Certified Mail Restricted Delivery on April 29, 2010. 3. Date of execution of the Affidavit of Consent required by § 3301(c) of the Divorce Code: by Plaintiff: April 30, 2012; by Defendant: April 30, 2012. 4. Related claims pending: None. All matters have been resolved by the parties' agreement reached before the Divorce Master on April 30, 2012. Said Agreement shall be incorporated but not merged into the Divorce Decree. 2012. 2012. 5. Date Plaintiffs Waiver of Notice in §3301(c) Divorc Date Defendant's Waiver of Notice in §3301(c) Divorce Dated: June 6, 2012 with Prothonotary: May 3, with Prothonotary: May 3, Barbara Sumple-Sullivan, Esquire 549 Bridge Street New Cumberland, PA 17070-1931 (717)-774-1445 Supreme Court ID #32317 Attorney for Plaintiff Barbara Sumple-Sullivan, Esquire Supreme Court #32317 549 Bridge Street New Cumberland, PA 17070 (717) 774-1445 PATRICIA A. MERRIS, Plaintiff V. STEPHEN M. MERRIS, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 2603-2010 CIVIL ACTION -LAW IN DIVORCE CERTIFICATE OF SERVICE I, Barbara Sumple-Sullivan, Esquire, do hereby certify that on this date, I served a true and correct copy of the foregoing Plaintiffs Praecipe to Transmit Record, in the above-captioned matter upon the following individual by first class mail, postage prepaid, addressed as follows: Mark A. Mateya, Esquire 55 W. Church Avenue Carlisle, PA 17013,-' DATED: June 6, 2012 Barbara Sumple-Sullivan, Esquire 549 Bridge Street New Cumberland, PA 17070 (717) 774-1445 Supreme Court I.D. No. 32317 Attorney for Plaintiff IN THE COURT OF COMMON PLEAS OF PATRICIA A. MERRIS CUMBERLAND COUNTY, PENNSYLVANIA V. STEPHEN M. MERRIS NO. 2603-2010 DIVORCE DECREE AND NOW, it is ordered and decreed that PATRICIA A. MERRIS , plaintiff, and STEPHEN M. MERRIS 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.") None. All matters have been resolved by the parties' agreement reached before the Divorce Master on April 30, 2012. Said Agreement shall be incorporated but not merged into the Divorce Decree. By the Court, otary 6.141 • /Z- e'ew V ,09 ke yep/ ma??P? V ?+ PATRICIA A. MERRIS, IN THE COURT OF COMMON PLEAS OF Plaintiff/Respondent CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 10-2603 CIVIL TERM t7l STEPHEN M. MERRIS, IN DIVORCE --i Az! Defend ant/Petitioner PACSES Case No: 158113037 x r=, ORDER OF COURT - ; 301, ? cn AND NOW to wit, this 21st day of June, 2012, it is hereby Ordered that the Alimony Pendente Lite order is terminated, effective April 30, 2012, pursuant to the parties' comprehensive settlement agreement before the Divorce Master on April 30, 2012 and the order of June 5, 2012. The payment of $101.50 that is being held is to be released to the Petitioner and the case is closed with a zero balance. RT: Thomas A. PI cey, J. DRO: R.J. Shadday xc: Petitioner Respondent Barbara Sumple-Sullivan, Esq. Mark A. Mateya, Esq. Form OE-001 Service Type: M Worker: 21005 lk INCOME WITHHOLDING FOR SUPPORT O ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO) O AMENDEDIWO O ONE-TIMEORDER/NOTICE FOR LUMP SUM PAYMENT Q TERMINATION OF IWO '75`4 1 13D37 ltd - awC)-:? CIVI? Date: 05/01/12 ? Child Support Enforcement (CSE) Agency ® Court ? Attorney ? Private Individual/Entity (Check One) NOTtr? Jii /O mug;* ulpk gWtSAWUnder certain circumstances you must reject this IWO and return it to the sender (see IWO instructions fttt`p://www acf hbsaov/programs/cselnewhire/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/rribe/Territory Commonwealth of Pennsylvania Remittance Identifier (include w/payment): 3391102525 City/County/Dist./Tribe CUMBERLAND Order Identifier: (See Addendum for order/docket Informa/ton) Private Individual/Entity CSE Agency Case Identifier: (See Addendum for case summary) BOYER & RITTER CPA'S 211 HOUSE AVE PO BOX 8300 CAMP HILL PA 17001-8300 RE: MERRIS, PATRICIA A. Employee/Obligor's Name (Last, First, Middle) 177-42-0227 Employee/Obligor's Social Security Number (See Addendum for plaintiff names associated with cases on attachment) Custodial Party/Obligee's Name (Last, First, Middle) Employer/Income Withholder's FEIN 231311005 Child(ren)'s Name(s) (Last, First, Middle) Child(ren)'s Birth Date(s) 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 hftp:l/~.acf.hhs.gov/D[Qgrams/cse/newhi re/ employerlgublication/12ublication.htm - formal. 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. 2313110050 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 n Commonwealth of Pennsylvania (State/Tribe). You are required by law to deduct these amount tll_m Iffim obligor's income until further notice. x ?rn $ 0.00 permonth in current child support cx $ 0.00 permonth in past-due child support - Arrears 12 weeks or greater? Q y O no $ 0.00 per month in current cash medical support $ 0.00 permonth in past-due cash medical support c~3 $ 0.00 per month in current spousal support -- $ 0.00 permonth in past-due spousal support $ 0.0o 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 Count, Commonwealth of Pennsylvania (State/Tribe), obtain withholding limitations, time requirements, and any allowable employer fees at http://www.acf.hhs.cov/proarams/cse/newhire/ MD[over/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 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 _ J__ Signature of Judge/Issuing Official (if required by State or Tribal law): Print Name of Judge/Issuing Official' Aw""W1 Title of Judge/Issuing Official: _ Date of Signature: 111IN 9 1 2412 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 EMPLOYERSIINCOME 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 Emp/oyeel0ofigor's Case Idend t o OR SOCIAL SECURITY NUWER 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: h /www acf hhs goyipmramot ,Wnewhire/-ernployer/ ont_gGtatcQn 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. Combirattg Payments: When remitting payments to an SDU or Tribal CSE agency, you may combine withheld amounts from more than one employOWobligor's income in a single payment. You must, however, separately identify each employee/ obligor's portion-of the payment. Payments To 49UU: You must send child support payments payable by income withholding to the appropriate SDU or to a Tribal CSE agerfcy. lf, hKs 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, Att'tey, 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 !Sate: 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 TWOS 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 - 05/3112014. The OMB Expiration Date has no bearing on the termination date of the IWO; it identifies the version of the form currently in use. Form EN-028 01/12 Service Type M Page 2 of 3 Worker ID $IATT Employer's Name: BOYER & RITTER CPA'S Employer FEIN: 231311005 Employee/Obligor's Name: M_ERRIS, PATRICIA A. 3391102525 CSE Agency Case Identifier: (See Addendum for case summary) Order Identifier: (See Addendum for order/docket information) Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (CCPA) (15 U.S.C. 1673(b)); or 2) the amounts allowed by the State or Tribe of the employee/obligor's principal place of employment (see REMITTANCE INFORMATION). Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; statutory pension contributions; and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is supporting another family and 60% of the disposable income if the obligor is not supporting another family. However, those limits increase 5% - to 55% and 65% - if the arrears are greater than 12 weeks. If permitted by the State or Tribe, you may deduct a fee for administrative costs. The combined support amount and fee may not exceed the limit indicated in this section. For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Tribal employers/income withholders who receive a State IWO, you may not withhold more than the lesser of the limit set by the law of the jurisdiction in which the employer/income withholder is located or the maximum amount permitted under section 303(d) of the CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State or Tribal law, you may need to also consider the amounts paid for health care premiums in determining disposable income and applying appropriate withholding limits. Arrears greater than 12 weeks? If the Order Information does not indicate that the arrears are greater than 12 weeks, then the Employer should calculate the CCPA limit using the lower percentage. Additional Information: NOTIFICATION OF EMPLOYMENT TERMINATION OR INCOME STATUS: If this employee/obligor never worked for you or you a no longer withholding income for this employee/obligor, an employer must promptly notify the CSE agency and/or the sender by returning this form to the address listed in the Contact Information below: 2313110050 Q This person has never worked for this employer nor received periodic income. O This person no longer works for this employer nor receives periodic income. Please provide the following information for the employee/obligor: Termination date: Last known address: Last known phone number: 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.childsugoortstate 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 childsupportstate a 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 of Cases on Attachment Defendant/Obligor: MERRIS, PATRICIA A. PACSES Case Number 158113037 PACSES Case Number Plaintiff ame Plaintiff Name STEPHEN M. MERRIS Docket Attachment Amount Docket A ach ent Amount 10-2603 CIVIL $ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case Number PACSES Cjkse rnber Plaintiff Name Plain ff Name lit Docket $ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case Number PACES Case Umber Plaintiff Name Plaintiff Nam Docket Attachment Amount Docket Attachment Amount $ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB Addendum Form EN-028 01/12 Service Type M oMBNo.:0970-0154 Worker ID $IATT LO-0' E eu THE PROT.?f"? Barbara Sumple-Sullivan, Esquire 2012 AUG -jM 2' 02 Supreme Court #32317 ti,Y 549 Bridge Street CUMBERLAND 000?" ? New Cumberland, PA 17070 PENNSYLVANIA (717) 774=1445 IN THE COURT OF COMMON PLEAS PATRICIA A. MERRIS, CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. 2603-2010 V. STEPHEN M. MERRIS, CIVIL ACTION -LAW IN DIVORCE Defendant RULE (? da of O4uc 2012 on consideration of AND NOW, this Y Plaintiff s Petition for Enforcement, a RULE is issued on Defendant to show cause, if any, why the Court should not grant the relief requested. The Rule is returnable within Z O days from the date of service hereof. ??ar &p/e - .:5?w/l u Qn, crsr ? M a'-k A ht 4eya , ??f 40P `44 &ale4 <_/b/ia BY THE COURT: PATRICIA A. MERRIS, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 10-2603 CIVIL TERM z} ?TT; C STEPHEN M. MERRIS, CIVIL ACTION -LAW Defendant IN DIVORCE ry. .' := C i r1. PETITION TO WITHDRAW AS COUNSEL .._ FOR DEFENDANT AT THE DIRECTION & REQUEST OF DEFENDANT AND NOW COMES Petitioner, Mark A. Mateya, Esquire, counsel for Defendant Stephen M. Merris, and in support avers the following: 1. The present action was commenced by Plaintiff by way of filing a Complaint Divorce on or about April 21, 2010. 'cd A.,) 7 4Y 2. Petitioner entered his appearance on behalf of Defendant Stephen M. Meets on about August 8, 2011. 3. Petitioner has represented Defendant in these proceedings which included hearings and negotiations with the Divorce Master's Office of Cumberland County. 4. A hearing was held with the Cumberland County Divorce Master's Office and Stipulation and Agreement was placed on the record on April 30, 2012. 5. Since the entry of the Stipulation and Agreement, the Divorce Decree was on or about June 13, 2012. 6. Defendant has failed to follow through with the Stipulation and Agreement 0 entered into with the Divorce Master's Office. i 7. Plaintiff's counsel has recently filed a Motion to Compel Defendant's with the Stipulation and Agreement entered into with the Divorce Master's Office. 8. Petitioner has attempted to communicate with Defendant in order to have Defendant comply with the terms of the Stipulation and Agreement. 9. Petitioner does not have the cooperation of Defendant and Defendant has expressed a desire to have Petitioner withdraw his appearance in the present matter. See Exhibit "A". 10. Petitioner has sought the concurrence from Plaintiff's counsel in filing the Petition to Withdraw; Plaintiff's counsel has not responded to Petitioners request to withdraw appearance and it is therefore believed that opposing counsel does not concur with said Petiti WHEREFORE, upon consideration of the foregoing, it is hereby respectfully that Petitioner's Petition to Withdraw Appearance in the instant matter is hereby granted. Respectfully submitted, Li ??t - *??:- Mark A. Attorney ID No. 78931 55 W. Church Avenue Carlisle PA 17013 (717) 241-6500 (717) 241-3099 Date: ( 6 1-2,- i RECEIVED AUG 0 .8 2011 TQ re-(( Yo(t 'r4.47- Y'vt( we.k,,-p No's- 76 0v Ay Mo w ?rGC rv? ice,. Oti MA-"14 U, :2-,v(2 ova or?r?? t-?, ?,?t r 7atf k?, A 7???? 5k to f? A V F, , tw- `?o ?t . ?f'v u ?• ? ? 2 gM ?uT T i? ????? Ala ?d K a-(t? !vo Lo.,?-6 ?'-? ? e. ? hes ?n??'l ,.c- ?a lvl if CERTIFICATE OF SERVICE I, Mark A. Mateya, Esquire, hereby certify that I have served a copy of the foregoing document on the following person(s) by depositing a true and correct copy of the same in the United States Mail, by way of United States Mail, first class, postage prepaid, at Carlisle, Cumberland County, Pennsylvania addressed to: Barbara Sumple-Sullivan Esquire 549 Bridge Street New Cumberland PA 17070 Stephen M Merris 689 S Middlesex Road Carlisle PA 17015 Mark A. Mateya, Esqu 55 W. Church Avenue Carlisle, PA 17013 (717) 241-6500 (717) 241-3099 Fax Dated: Z 'I ; PATRICI:A A. MERRIS, IN THE COURT OF COMMON PLEAS Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 10-2603 CIVIL TERM STEPHEN M. MERRIS, :CIVIL ACTION -LAW ~~ Defendant IN DIVORCE `~' ~'' ;~ ~~ :~: ~ ~ ~~ ._, ~_~ ~...., ~s~ ~ AMENDED PETITION TO WITHDRAW AS COUNSEL -< ~' ~' FOR DEFENDANT AT THE DIRECTION & REQUES_T_OF DEFENI~T ~'= AND NOW COMES Petitioner, Mark A. Mateya, Esquire, counsel for Defendant `:~' Stephen M. Merris, and in support avers the following: The present action was commenced by Plaintiff by way of filing a Complaint in Divorce on or about Apri121, 2010. 2. Petitioner entered his appearance on behalf of Defendant Stephen M. Merris on about August 8, 2011. Petitioner has represented Defendant in these proceedings which included hearings and negotiations with the Divorce Master's Office of Cumberland County. 4. A hearing was held with the Cumberland County Divorce Master's Office and Stipulation and Agreement was placed on the record on April 30, 2012. _, ~„ ; __ ~...F l..'.. mm., -_ ~, -~_' 5. Since the entry of the Stipulation and Agreement, the Divorce Decree was issued on or about June 13, '2012. 6. Defendant has failed to follow through with the Stipulation and Agreement ~~ entered into with the Divorce Master's Office. 7. Plaintiff s counsel has re;cently filed a Motion to Compel Defendant's compliance with the Stipulation and Agreement entered into with the Divorce Master's Office. 8. Petitioner has attempted to communicate with Defendant in order to have Defendant comply with the terms of the Stipulation and Agreement. 9. Petitioner does not have the cooperation of Defendant and Defendant has expressed a desire to have Petitioner withdraw his appearance in the present matter. See Exhibit "A". 10. Petitioner has sought the concurrence from Plaintiff's counsel in filing the Petition to Withdraw; Plaintiff s counsel has not responded to Petitioners request to withdraw appearance and it is therefore believed that opposing counsel does not concur with said Petiti 11. The Honorable Kevin A. Hess has presided over the instant matter and has previously signed Orders and the Divorce Decree. WHEREFORE, upon consideration of the foregoing, it is hereby respectfully that Petitioner's Petition to Withdraw Appearance in the instant matter is hereby granted. Respectfull submitted, Mark A. Mateya, ~qui: Attorney ID No. 78931 55 W. Church Avenue Carlisle PA 1701.3 (717) 241-6500 (71 ?) 241-3099 Date: ~' j ~ ~ ~ `~~ PATRICIA A. MERRIS, Plaintiff v. STEPHEN M. MERRIS, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 10-2603 CIVIL TERM CIVIL ACTION -LAW IN DIVORCE CERTIFICATE OF CONCURRENCE/NONCONCURRENCE I, Mark A. Mateya, Esquire, attorney for Defendant Stephen M. Merris telephoned Barbara Sumple-Sullivan, Esquire, Attorney for Plaintiff Patricia A. Meets, and requested her concurrence in a Petition to Withdraw Appearance on behalf of Defendant Stephen M. Merris. Attorney Sumple-Sullivan has not responded to Petition's request for concurrence. It is therefore believed and averred that Attorney Barbara Sumple-Sullivan does not concur with the Petition to Withdraw Appearance on Behalf of Defendant Stephen M. Merris. Respectfully submitted, Mark A. Mateya; ~squir Attorney ID No. 78931 55 W. Church Avenue Carlisle PA 17013 (717) 241-6500 (717) 241-3099 Fax Date: ~ ~ `'~ ~~ CERTIFICATE OF SERVICE I, Mark A. Mateya, Esquire, hereby certify that I have served a copy of the foregoing document on the following person(s) by depositing a true and correct copy of the same in the United States Mail, by way of United States Mail, first class, postage prepaid, at Carlisle, Cumberland County, Pennsylvania addressed to: Barbara Sumple-Sullivan Esquire 549 Bridge Street New Cumberland PA 17070 Stephen M Merris 689 S Middlesex Road Carlisle PA 17015 6~~ l Mark A. Mateya, E~'u 55 W. Church Avenue Carlisle, PA 17013 (717) 241-6500 (717) 241-3099 Fax i Dated: ~ ~ ~ LL ~ 2 RECEIVEb ~AUG ~ 81011 o ~Fl Ce ?.a S~ ~~ ~ ra ~ w ~-e (~ ~ s y, ~ fi~,rp ~ ~~ T~ fie.(( Y~~c .~.~ ~ r ~~~ ~ weir N~7' Tb ti~ AMY ~ o w ~~-GC Fvh ate, o~, ,Mr4Y, /(~ ~.v~z ~ ~r ~~e~ ~y ~~6 '. `yo ~ . ~v'~ d.ti f} ~.( sC~, mod, 'h~ (~-; ~ S ~,e,r 7`~ ~ 1~ ~,v S Tb~--,I~r" l ~ti~ ~o ~{ /{-(L-e- !moo C.o~- 5 e1^ ~ e~ ~e S e,v~"l ~, ~ ~ PATRICIA A. MERRIS, Plaintiff : vs. STEPHEN M. MERRIS, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION -LAW NO. 10-2603 CIVIL IN RE: PETITION TO WITHDRAW AS COUNSEL ORDER AND NOW, this ~b ~ day of August, 2012, a rule is issued on the partied to show cause why the relief requested in the within Petition ought not to be granted. This rule twenty (20) days after service. BY THE COURT, ~~ in .Hess, P. J. ~.~ ~ .. cam-, ;, "~~ -- Cr1 C ~" ' ~- J , ~~i ~ ~"f° ~` ~ -t` `--3 r°-"~ -'-3 w"\3 C.-1 .. '~ l1'12~y~, ~cJ ~r,~ .s,~~ck h9- /K~.~.-,s ~ QQr ~SU~' '~c~~~van~ ~s~ ~L