HomeMy WebLinkAbout05-2265
CARRIE D. JOHNSTON,
Plaintiff
v.
: IN THE COURT OF COMMON
: DAUPIllN COUNTY, PENNSYLVANIA
CL~\ L ~E.a.J
.
: NO. OS' - .JJI-S
ERIC L. JOHNSTON,
Defendant
: CIVIL ACl'ION - 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 deer of
divorce or annulment may be entered against you by the Court. A judgment ay
also be entered against you for any other claim or relief or property or other ri hts
important to you, including custody or visitation of your children.
When the ground for the divorce is indignities or irretrievable breakd wn
of the marriage, you may request marriage counseling, A list of marri ge
counselors is available in the Office of the Prothonotary, Dauphin Co ty
Courthouse, Front and Market Streets, Harrisburg, Pennsylvania,
IF YOU DO NCYl' FlLE A CLAIM FOR ALIMONY, DMSION OF
PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE R
ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF
THEM.
YOU SHOULD TAKE TIllS PAPER TO YOUR LAWYER AT ONCE. IF
YOU DO NCYl' HAVE A LAWYER OR CANNCYl' AFFORD ONE, GO TO R
TF.T .F.PHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE Y< U
CAN GET LEGAL HELP.
DAUPHIN COUNTY LAWYER REFERRAL SERVICE
213 North Front Street
Harrisburg, PA 17101
(717) 232-7536
CARRIE D. .JOHNSTON,
Plaintiff
v,
: IN THE COURT OF COMMON P
: CUMBERLAND COUN'lY, PENNSYLV:
CluJ.. ~
.
: NO. 0 S' - 0l.~t...S
ERIC L. .JOHNSTON,
Defendant
: CIVIL ACTION - DIVORCE
COMPLAINT UNDER SECTION 3301(c) or 3301(d)
OF THE DIVORCE CODE
1. Plaintiff is Carrie D. .Johnston, who resides at 30 North Old
Stonehouse Road, Carlisle, Pennsylvania 17013.
2, Defendant is Eric L, Johnston, who resides at 30 North ld
Stonehouse Road, Carlisle, Pennsylvania 17013.
3. Plaintiff and Defendant have been bona fide residents of his
Commonwealth for at least six months immediately previous to the filing of his
Complaint,
4. Plaintiff and Defendant were married on October 9, 1993, in Cra rd
County, Pennsylvania.
5. The parties have been living separate and apart since on or abou ,a
date prior to the filing of this Complaint.
6. There have been no prior actions of divorce or for annulment betw en
the parties.
7, Neither of the parties in this action is presently a member 0 the
Armed Forces on active duty.
8, Plaintiff and Defendant are both citizens of the United States,
9, Plaintiff has been advised of the availability of marriage couns ng
and of the right to request the Court to require the parties to participate in uch
counseling. Being so advised, Plaintiff waives the right to request that the C urt
require the parties to participate in counseling prior to a Divorce Decree bing
issued by the Court,
10. Plaintiff avers that this ground on which the action is based is hat
the marriage is irretrievably broken.
WHEREFORE, Plaintiff respectfully requests that Your Honorable C urt
enter a Decree of Divorce.
DATED: '1, 1.f~0;'
Respectfully submitted,
/ . /. /
/ ,
or F. Blair
Supreme Court ID 45513
5440 Jonestown Road
Post Office Box 6216
Harrisburg, PA 17112-0216
(717) 541-1428
VERIFICATION
I verify that the statement made in the foregoing document are true d
correct to the best of my knowledge, information and belief, I understand that the
statements therein are made subject to the penalties of 18 Pa, C,S, S 4904 rela ing
to unsworn falsification to authorities.
Dated: 0+/1 '1/ O!:,-
tJJ) -r:c-II.-
R> -<Q.
--
N ~ ...0
#- C)
.
....... W l0
\' -J:::: D
w w -v
~ ~
..... P-
-
fl
Q
f-"
ri,,:n::
--:~ '.,
""'---- ~..-
:;~: ~;,
S!.?~-,.
~~~
~
G
~,
=
=
<J'>
::x
"..
-<
,
w
o
'TI
~"
fl'lE
-0:"
-Oy
~i~~
\-2(~)
~'.:)rn
'.-.1
p;
::'CJ
-<
",.
::<3:
Ul
0->
-
CARRIE D. JOHNsTON,
Plaintiff
v.
ERIC L. JOHNSTON,
Defendant
: IN THE COURT OF COMMON
: CUMBERLAND COUN'IY, PENNSYLV:
~NO. 6S- .;z~~ ~uLL~~
: CIVil.. ACTION - DNORCE
PRAECIPE TO ENTER APPEARANCE
TO THE PROTHONOTARY:
Please enter my appearance as attorney for the Plaintiff in the ab ve-
captioned case.
DATED; i-f - 2 '6- i) J
RespectfullY,Subrnitted,
Nor F. Blair
Supreme Court ID 45513
5440 Jonestown Road
Post Office Box 6216
Harrisburg, PA 17112-0216
(717) 541-1428
/
~--- ----
"
\
o
~
~gr?
2~_~:;~.
"'..;-,.
~t;.:,
}::,:C
5~~
~
....,
=
=
c.n
::l!:
,.~
-<
I
W
o
-n
-I
:C....,
ri1----
-~F,;
#:~jC?
(~)-'-J
~~,..
~~~
-~~
"'"!,"
::<.:
E
....,-
-
U1
C1"
.'
MARRIAGE SETTLEMENT AGREEMENT
THIS AGREEMENT made this ~ 1h day of f.)}('f);m{}€/L; , 2005,
and between ERIC L. JOHNSTON, (hereinafter referred to
"Husband") and CARRIE D. JOHNSTON, (hereinafter referred to
"Wife") .
by
as
as
WITNESSETH:
WHEREAS, the Husband and Wife were lawfully married on October
9, 1993; and
WHEREAS, differences have arisen between Husband and Wife in
consequence of which they intend to live apart from each other; and
WHEREAS, Husband
Collaborative Law process
obligations; and
and Wife have worked through the
to settle and determine their rights and
WHEREAS, the parties hereto have mutually entered into an
agreement for the division of their jointly-owned assets, the
provisions for their liabilities and provisions for the resolution
of their mutual differences, after both have had free and ample
opportunity to consult with their respective attorneys, and the
parties now wish to have that agreement reduced to writing; and
NOW, THEREFORE, the parties intending to be legally bound
hereby do covenant and agree as follows;
1. SEPARATION
It shall be lawful for each party at all times hereafter
to live separate and apart from the other party at such place or
places as he or she may from time to time choose or deem fit, The
foregoing provisions shall not be taken as an admission by either
party as to the lawfulness or unlawfulness of the causes leading to
their living apart,
2. INTERFERENCE
Each party shall be free from interference, authority,
and contact by the other as fully as if he or she were single and
unmarried except as maybe necessary to carry out the provisions of
the agreement, Neither party shall molest the other nor attempt to
endeavor to molest the other, nor compel the other to cohabit with
the other, or in any way harass or malign the other, nor in any way
interfere with the peaceful existence, separate and apart from the
other.
3. DIVISION OF PERSONAL PROPERTY
The parties have equitably divided between them to their
mutual satisfaction the personal affects, household furniture and
furnishings and all other articles of personal property which
heretofore have been used by them in common,
4 , AUTOMOBILES
Each party is to keep their respective vehicles, Husband
shall have all right and title to the 1999 Jeep, He shall maintain
insurance on his vehicle and be responsible for all maintenance,
liens and other payments related thereto, Husband shall indemnify
and hold Wife harmless for all matters related to his vehicle,
Wife shall have all right and title to her 2005 Equinox, She shall
maintain insurance on her vehicle and be responsible for all
maintenance, Wife shall indemnify and hold Husband harmless for
all matters related to her vehicle.
5. DIVISION OF REAL PROPERTY
The parties marital residence at 30 North Old Stonehouse
Road, Carlisle, Cumberland County has been sold and the net
proceeds have been equitably distributed pursuant to an agreement
between the parties as set forth in a Partial Marital Settlement
Agreement, Wife has purchased a new residence at 1998 Daybreak
Circle, Harrisburg, Dauphin County, Pennsylvania, Husband
relinquishes any and all right or interest he may have in Wife's
residence.
6. FINANCIAL ACCOUNTS} STOCKS, BONDS AND INVESTMENTS
The parties have fully disclosed their marital financial
assets, Each party shall be liable for any tax consequences
related to the sale or exchange of their accounts, real estate,
stocks or bonds or other assets under their control. Each party
shall maintain their separate accounts and investments as set forth
in this agreement and hereby releases any interest they may have in
the other's accounts or investments and shall sign all documents
required to distribute the assets as set forth in this agreement.
The parties agree that the distributions of assets as set forth
above is a fair and equitable division of their marital assets
considering all the factors set forth under the Pennsylvania
Divorce Code.
2
7. MARITAL DEBTS
All marital debts have been equitably divided and or
satisfied. Husband shall be responsible for all debts solely in
his name and Wife shall be responsible for all debts solely in her
name. Each party agrees to indemnify and hold the other harmless
for any debt that they are responsible for pursuant to this
Agreement and shall take any action required to remove the other
from responsibility for a debt as set forth in this Agreement,
8, PENSION AND RETIREMENT ACCOUNTS
Husband and Wife shall maintain their separate pension
and/or retirement accounts, Husband relinquishes any and all
rights he may have in Wife's pension or retirement accounts. Wife
relinquishes any and all rights she may have in Husband's pension
or retirement accounts except as set forth below, Husband shall
transfer} pursuant to a QDRO prepared by Wife's attorney,
$53,000.00 from Husband' Teamster's Retirement Income Fund. The
$53,000,00 represents Wife's equitable interest in Husband's
pension accounts and is part of the overall equitable distribution
of the marital assets,
9.
SPOUSAL SUPPORT/ALIMONY/ALIMONY PENDENTE LITE
up any
support,
Each party hereby waives, releases, discharges and gives
rights either may have against the other to receive
alimony pendente lite or alimony,
10.
FILING OF IRS RETURN
Husband and Wife agree to be equally liable for any
deficiencies or refunds for jointly filed tax returns and agree to
file separate tax returns in future years. Wife shall be entitled
to claim the 2005 interest payments on the former marital home
mortgage note and real estate taxes on her 2005 tax return,
11 . DIVORCE
The parties agree to cooperate with each other in
obtaining a final divorce of the marriage that Wife has filed,
Cumberland County Court of Connon Pleas, docketed at 2005-2265.
The mandatory 90-day waiting periOd has expired, Upon execution of
this Agreement, the parties agree to sign and allow to be filed the
documents necessary to obtain an uncontested no-fault divorce.
3
12 , ATTORNEY FEES
Each party shall be responsible for their respective
attorney fees and costs.
13. INCORPORATION
This agreement is to be incorporated into any subsequent
Decree in Divorce,
14, CONTINUED COOPERATION
The parties agree that they will within fifteen days after
the execution of this agreement, on request of the other party,
execute any and all written instruments assignments, releases, deeds
or notes or other writings as may be necessary or desirable for the
proper effectuation of this agreement.
1 5 . BREACH
If either party breaches any provision of this agreement,
after working through the collaborative law process, the other party
shall have the right, at his or her election, to sue for damages for
such breach, and the party breaching this contract shall be
responsible for the payment of legal fees and costs incurred by the
other in enforcing their rights under this agreement or for seeking
such other remedies or relief as may be available to him or her,
16 , VOLUNTARY AGREEMENT
The provisions of this agreement are fully understood by
both parties and each party acknowledges that the agreement is fair
and equitable, that it is being entered into voluntarily, and that
it is not the result of any duress or undue influence. Each parties
has had the opportunity to review this agreement and their legal
rights with an attorney.
17. WAIVER OF CLAIMS AGAINST ESTATES
Except as herein otherwise provided, each party may
dispose of his or her property in any way, and each party hereby
wai.ves 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,
dower, curtesy, statutory allowance, widows allowance, right to take
in intestacy, right to take against the will of the other and the
right to act as administrator/executor of the other's estate.
4
18. BINDING AFFECT
This agreement shall be binding upon the parties' heirs,
successors and assigns,
19, MODIFICATION AND WAIVER
Any modification or waiver of any of the provisions of
this agreement shall be effective only if made in writing and
executed with the same formalities as this agreement. The failure
of either party to insist upon strict performance of any of the
provisions of this agreement shall not be construed as a waiver of
any subsequent default of the same or similar nature,
20. PRIOR AGREEMENTS
It is understood and agreed that any prior agreements,
except for the Partial Marital Settlement Agreement, which may have
been made or executed or verbally discussed prior to the date and
time of this agreement are null and void.
21 . ENTIRE AGREEMENT
This agreement contains the entire understanding of the
parties and there are no representations, warranties, covenants or
undertakings other than those expressly set forth herein,
22. DESCRIPTIVE HEADINGS
The descriptive headings used herein are for convenience
only, They shall not have any binding affect whatsoever in
determining the rights or obligations of the parties.
23. APPLICABLE LAW
This agreement shall be construed under the laws of the
Commonwealth of Pennsylvania.
IN WITNESS WHEREOF,
wLS f- .w&
l~ 1- .w&
the parties set their hands and seals
,,~R:-.~
Date
cc \ "_"---~
ERIC L. JOHN ON
_1'2...-r-o~-
Date
5
Commonwealth of Pennsylvania:
County of ~~~
ss
PERSONALLY APPEARED BEFORE ME, this gCh day of df}~, 2005,
a notary public, in and for the Commonwealth of Pennsylvania, ERIC
L, JOHNSTON, known to me (or satisfactorily proven to be) the
person whose name is subscribed to the wi thin agreement and
acknowledged that he executed the same for the purposes herein
contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal,
COMMONII'Ei'.L'1I OF PENNSYLVANIA
Notaf\al Sea\
Elizabeth Morgan, Not~ Public
City of Harrisburg, Dauphin County
My Commission Expires Oct. 9, 2008
Member, Pennsylvania AssocIation of Notaries
Nol!7t~~rz/lV
Commonwealth of Pennsylvania:
County of ~~
ss
PERSONALLY APPEARED BEFORE ME, this'!;z1, day ofdjJ~<lV , 2005,
a notary public, in and for the Commonwealth of Pennsylvania,
CARRIE D. JOHNSTON, known to me (or satisfactorily proven to be)
the person whose name is subscribed to the within agreement and
acknowledged that she executed the same for the purposes herein
contained.
COMMONWEP.I,TH OF PENNSYLVANIA
Notarial Sea'
Elizabeth Morgan, Not~ Public
City of Harrisburg, Dauphin County
My Commission Expires Oct. 9, 20M
Member, Pennsylvania Association of Notaries
t(~/hYm
Nbta Public ~
6
----/
(",::I
, .,
(')
-n
.A
~,~
',.".
<;-1-'
(""':"~
\.-)
-'
r...)
;\'>
,,0
o
.-,,' 0""
.-------
CARRIE D. JOHNSTON,
Plaintiff
: IN THE COURT OF COMMON PLEAS,
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 05-2265 Civil Term
ERIC L. JOHNSTON,
Defendant
: CIVIL ACTION - DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under section 3301(c) of the Divorce Code was
filed on May 3, 2005, and served on May 18, 2005,
2. The marriage of Plaintiff and Defendant is irretrievably broken and
ninety (90) days have elapsed from the filing of the Complaint and service of the
Complaint on Defendant.
3, I consent to the entry of a fmal Decree of Divorce after service of
Notice of Intention to Request Entry of Divorce Decree or at any time after the
signing of this Consent if I have also signed a Waiver of Notice of Intention to
Request Entry ofa Divorce Decree Under Section 330l(c) of the Divorce Code,
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.
DATED: &c., If; WOe;-
fr
6' @
Ji!lJtu 1 ~vf t(
1\RRIE D. JO STON
Plaintiff
c::.\
r"",
r'
, -
_--1
~_"\-;
\-',;
,'0
\..()
{:;:;
t..;,
CARRIE D. JOHNSTON,
Plaintiff
: IN THE COURT OF COMMON PLEAS,
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
; NO. 05-2265 Civil Term
ERIC L. JOHNSTON,
Defendant
: CIVIL ACTION - DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under section 3301(c) of the Divorce Code was
filed on May 3, 2005, and served on May 18, 2005.
2. The marriage of Plaintiff and Defendant is irretrievably broken and
ninety (90) days have elapsed from the filing of the Complaint and service of the
Complaint on Defendant,
3, I consent to the entry of a final Decree of Divorce after service of
Notice of Intention to Request Entry of Divorce Decree or at any time after the
signing of this Consent if I have also signed a Waiver of Notice of Intention to
Request Entry of a Divorce Decree Under Section 3301(c) of the Divorce Code.
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.
DATED: '\.'il. - cc-,~c-.o~
~"-~~-
ERIC L. JOHNSTON
Defendant
~,
"~co:')
,'::;.)
('J1
C)
-,',
:.~
':'1
c::-'
CO)
r<)
\..r,
c".:)
v.
: IN THE COURT OF COMMON PLEAS,
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 05-2265 Civil Term
: CIVTI... ACTION - DIVORCE
CARRIE D. JOHNSTON,
Plaintiff
ERIC 1.. JOHNSTON,
Defendant
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER SECTION
3301(c) OF THE DIVORCE CODE
1. I consent to the entry of a final Decree of Divorce without notice,
2, I understand that I may lose rights concerning alimony, division of
property, lawyer's fees or expenses if I do not claim them before a divorce is
granted.
3. I understand that I will not be divorced until a Decree of Divorce is
entered by the Court and that a copy of the Decree will be sent to me immediately
after it is filed with the Prothonotary.
I verify that the statements made in this Waiver are true and correct. I
understand that false statements herein are made subject to the penalties of 18
Pa.C.s. H904 relating to unsworn falsification to authorities,
DATED: 1!Jae- 8 [ 7JJO ~~
CARRIE D, JO
Plaintiff
; ~!.
"
i-:.:1 .~
(-";:
N
C::O
r:~
CARRIE D. JOHNSTON,
Plaintiff
: IN THE COURT OF COMMON PLEAS,
: CUMBERLAND COUNTY, PENNSYLVANIA
v,
: NO. 05-2265 Civil Term
ERIC L. JOHNSTON,
Defendant
: CIVIL ACTION - DWORCE
ACCEPrANCE OF SERVICE
I, Thomas D, Gould, Esquire, am the Attorney for the Defendant, Eric L,
Johnston, in the collaborative law process for resolution of his family law issues,
In that capacity, I am authorized to and have accepted service of the Complaint
in Divorce, as of this the /lJ'rl day of ma.::; , 2005, As
a part of the collaborative law process, I will be unable to represent Eric L.
Johnston if the parties leave the collaborative law process and proceed with
litigation.
1h-_.2J, ..~
Thomas D. Gould, Esquire
Attorney for Defendant
2 East Main Street
Shiremanstown, P A
f?l
I:~> 4J
~,_": ;i-1
r~0
:--~ .
-,
c::>
en
/----
CARRIE D. JOHNSTON,
Plaintiff
v.
ERIC L. JOHNSTON,
Defendant
: IN THE COURT OF COMMON PLEAS,
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 05-2265 Civil Term
: CIVIL ACTION - DIVORCE
PRAECIPE TO TRANSMIT RECORD
UNDER ~ 3301(c) OF THE DIVORCE CODE
To the Prothonotary:
Transmit the record, together with the following information, to the Court for entry of a divorce
decree;
1. Ground for divorce; irretrievable breakdown under ~ 3301(c) of the Divorce Code,
2, Date and manner of service of the complaint:
(a) Date of service; May 18, 2005,
(b) Manner of service: Acceptance of Service by Collaborative Law Attorney for
Defendant
3, Date of execution of the Affidavit of Consent required by ~ 3301(c) of the Divorce Code;
(a) By the Plaintiff; December 8, 2005
(b) By the Defendant; December 8, 2005
4. Date of execution of Waiver of Notice ofIntention to File Praecipe to Transmit Record:
(a) By the Plaintiff: December 8, 2005
(b) By the Defendant: December 8,2005
5. Related claims pending; NONE
DATED; December 8, 2005
~~)
1'0
C:J
C,')
.'
.
~ ~'" 'Ii 'f :Ii'"
~~'f'f'" 'Ii ~~:t:+. ~ ~~'f~'f ~ ~~:t:+.+ ~ ~+
i:;:/:+.+:1-+.'f:f:': 't''l;'f.;to
.
.
.
IN THE COURT OF COMMON PLEAS
.
.
OF CUMBERLAND COUNTY
';~
'>.
.
PENNA,
STATE OF
.
.
CARRIE D, JOHNSTON
2005
.
2265 CIVIL
No,
.
.
Plaintiff
.
VERSUS
.
.
.
.
.
ERIC L, JOHNSTON
Defendant
.
.
.
.
.
.
.
.
.
.
.
DECREE IN
DIVORCE
.
.
D~u >4 k,-,
Z.O~:'.IT IS ORDERED AND
Ib
AND NOW,
.
.
.
.
DECREED THAT CARRIE D, JOHNSTON
, PLAINTWF,
.
ERIC L, JOHNSTON
, DEFENDANT,
.
.
.
AND
ARE DIVORCED FROM THE BONDS OF MATRIMONY,
.
.
.
.
THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE
BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT
YET BEEN ENTERED;
.
.
.
.
.
The Marital Settlement Agreement dated December 8, 2005, is incorporated
.
.
into but not merged into this Decree in Divorce,
.
.
.
.
.
.
.
.
.
ATTES
.
.
.
:t:+.'f'f:+' +' :f'f'l'+ + :;; +.++'f'f+' '4'+
.
+;+'~T. +. 'f 'f+'f +.+.+. ;+.+.+ + ~
..
. ..
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
J,
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
~p ~ .:f-~J;f/ r?,7?b0 Jj. ,;
hp.,:iV' j?!/ :? ~n' Jh./P?;J - ,p';.7 _~Oi, (C'/
f?/
.'.
.
CARRIE D. JOHNSTON,
Plaintiff
: IN THE COURT OF COMMON PLEAS,
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO.
05-2265 Civil Term
ERIC L. JOHNSTON,
Defendant
: CIVIL ACTION -- DIVORCE
AFFIDAVIT OF INTENTION TO RESUME PRIOR SURNAME
COMMONWEALTH OF PENNSYLVANIA )
)
COUNTY OF DAUPHIN )
Carrie D. Johnston, being duly sworn according to law, deposes and says
that she is a party in the above-captioned divorce action in which a final decree
from the bonds of matrimony was entered on December 16, 2005, and she hereby
elects to resume her prior surname of Widdowson, and, therefore, gives this
written notice avowing said intention, in accordance with !l704 of the Act of
November 15, 1972, P.L. 1063, 54 Pa. C.S. 704.
Sworn to and subscribed to
before me this d;) day of
!If!JttWlJ~tL
~arrieD. Joh ton
r1a1'r"on.bt/J../
, 2005.
To Be Known As:
!l1;/uI/h YJ?C~!,//1-
ota Public '
/P/lfu;)f) yfIHW;J[IYv
rrie D. Wi'ddovJson
C NWE:rn OF P
Notarial Seal
Elizabeth MOfBlIIl, ~ Public
City of Harrisbwg, Dauphin County
My Commission Expires Oct. 9, 2008
Member, Pennsylvania Association of Notaries
.-> C'
(~
(,? ~.-;
~ ...j <:;.I'l .....
~ Cl ::c: -r",
% ,"<1 F1.-~
~ " c
-.\ _41,'__.,'
\',) /.~.//)
~ ....l
~ F"
~ -0 ,;~:~'
-- ~ :;::
...j ~ -
\"'0
'iJ ioN '~1
)J '" C)
"'<;\ \"'0
~J v..;
'i.J
c<\
\:>
"
---------
-'-y-~""-'--;,-,:--,y-,:::,----~~ -::-.,,:-"', y
l<J..-<.."CEJ VED I
APR 2 0 200,6 I
~
..._J
'-f l.l '1 i ()(,
~~:;-;-.1.,"}D
CARRIE D. JOHNSTON,
Plaintiff
: IN THE COURT OF COMMON PLEAS,
:CUMBERLAND COUNTY,
: PENNSYLVANIA
v.
: NO. 05-2265 Civil Term
ERIC L. JOHNSTON,
Defendant
: CIVIL ACTION -- DIVORCE
QUALIFIED DOMESTIC RELATIONS ORDER
1. The parties to this action have entered into a Marital Settlement Agreement
dated December 8, 2005. The Court of Common Please of Cumberland
County incorporated the Marital Settlement Agreement into its Decree of
Divorce dated December 16, 2005.
2. This Order creates and recognizes the existence of an Alternate Payee's
right to receive a portion of Participant's benefits payable under an
employer sponsored defined contribution plan which is intended to be
qualified under Internal Revenue Code of 1986 ("Code") !l401(a). The Court
intends this Order to be a Qualified Domestic Relations Order ("QDRO")
within the meaning of H14(p) of the Internal Revenue Code of 1986, as
amended, and !l206(d) of the Employee Retirement Income Security Act of
1974, as amended, and shall be interpreted in a manner consistent with
such intention. The Court enters this QDRO pursuant to its authority
under 23 Pa.C.S. !l3502.
3. This QDRO applies to the Central Pennsylvania Teamsters Retirement
Income Plan 1987 ("Plan"). Further, this Order shall apply to any successor
.,
I~,..)
plan to the Plan or any other plan(s) to which liability for provision of
Participant's benefits described below is incurred. Any benefits accrued by
Participant under a predecessor plan of the employer, whereby liability for
benefits accrued under such predecessor plan or other defined contribution
plan has been transferred to the Plan, shall also be subject to the terms of
this Order. Any changes in Plan Administrator, Plan sponsor, or name of
the plan shall not affect Alternate Payee's rights as stipulated under this
Order.
4. Eric L. Johnston ("Participant") is a participant in the Plan. Carrie D.
Widdowson f/kJa Carrie D. Johnston ("Alternate Payee") is the alternate
payee for purposes of this QDRO.
5. Participant's name, mailing address, and social security number are:
Eric L. Johnston
1400 Bent Creek Boulevard, Apt. 228
Mechanicsburg, Pennsylvania 17050
DOB: December 23, 1967
SS# 184-60-1704
6. Alternate Payee's name, mailing address, and social security number are:
Carrie D. Widdowson
1998 Daybreak Circle
Harrisburg, Pennsylvania 17110
DOB: July 25, 1967
SS# 200-56-3912
7. The parties were married on October 9, 1993 and separated on April, 2005.
8. Alternate Payee acknowledges that it is her responsibility and it shall be
Alternate Payee's duty to keep a current mailing address on file with the
Plan Administrator.
9. The portion of Participant's plan benefits payable to Alternate Payee under
this QDRO is:
$ 53,000.00 as of the date of transfer.
10. This QDRO does not require the Plan to provide any type or form of benefit
the Plan does not otherwise provide.
11. This QDRO does not require the Plan to provide increased benefits.
12. This QDRO does not require the Plan to pay any benefits which another
order previously determined to be a qualified domestic relations order
requires the Plan to pay to another alternate payee.
13. If the Alternate Payee so elects, the Plan shall distribute the amount
designated in paragraph 9 of this QDRO, together with allocable earnings,
as soon as administratively feasible following the Plan Administrator's
approval of this Order. If the Plan does not permit an immediate
distribution of this amount, the Plan shall pay such amount at the
Participant's earliest retirement age as that term is defined in !l206(dX3XE)
of ERISA and !l414(pX4) of the Code, subject to Alternate Payee's election.
14. Benefits are to be payable to Alternate Payee in any form or permissible
option otherwise available to Participant and alternate payees under the
terms of the Plan, including, but not limited to, a lump sum cash payment.
Alternate Payee shall execute any forms required by the Plan
Administrator.
15. On or after the date that his Order is deemed to be a QDRO, but before
Alternate Payee shall be entitled to all of the rights and election privileges
that are afforded to active participants, including, but not limited to, the
rules regarding withdrawals and distributions, the right to name a
beneficiary, and the right to direct her Plan investments to the extent
permitted under the Plan. The Alternate Payee may elect to receive
payment from the Plan at the Participant's earliest retirement age, or, if
earlier, at the earliest date permitted under the Plan. For purposes of this
paragraph, the Participant's earliest retirement age means the earlier of (i)
the date on which the Participant is entitled to a distribution under the
Plan, or (ii) the later of (a) the date the Participant attains age 50 or (b) the
earliest date on which the Participant could begin receiving benefits under
the Plan if the Participant separated from service.
16. It is recognized that Alternate Payee may elect to commence receiving
benefits before the Participant retires. If Alternate Payee so requests, the
Participant will cooperate with Alternate Payee in substantiating a claim or
application to the Plan and shall provide any documentation or information
reasonably necessary to establish their eligibility for benefits.
17. All payments made pursuant to this Order shall be conditioned on the
certification by Alternate Payee and Participant to the Plan Administrator
of such information as the plan Administrator may reasonably require from
such parties.
18. It is the intention of the parties that this QDRO continue to qualify as a
QDRO under Code H14(p), as it may be amended from time to time, and
that the Plan Administrator shall reserve the right to reconfirm the
qualified status of the Order at the time benefits become payable
hereunder.
19. Alternate Payee may elect to receive payment from the Plan in any form in
which the benefits may be paid under the Plan to the Participant (other
than in the form of a joint and survivor annuity).
20. In the event that the Plan inadvertently pays to Participant any benefits
that are assigned to Alternate Payee pursuant to the terms of this Order,
Participant shall immediately reimburse the Alternate Payee to the extent
that Participant has received such benefit payments and shall forthwith pay
such amount so received directly to Alternate Payee within ten(10) days of
receipt.
In the event that the Plan inadvertently pays to Alternate Payee any
benefits that are assigned to Partici pant pursuant to the terms of this Order,
Alternate Payee shall immediately reimburse Participant to the extent that
Alternate Payee has received such benefit payments and shall forthwith pay
such amount so received directly to Participant within ten (10) days of
receipt.
21. In the event that Participant's benefits, or any portion thereof, become
payable to Participant as a result of termination or partial termination, then
.
Alternate Payee shall be entitled to commence her benefits immediately in
accordance with the terms of this QDRO and in accordance with the
termination procedure of the Plan.
22. Mter payment of the amount required by this QDRO, Alternate Payee shall
have no further claim against Participant's interest in the Plan.
23. Alternate Payee assumes sole responsibility for the tax consequences of her
distribution under this QDRO.
24. Until the Plan completes payment of all benefits pursuant to this QDRO,
the Plan shall treat Alternate Payee as a surviving spouse for purposes of
Code !lH01(a)(11) and 417, but Alternate Payee shall receive, as surviving
spouse, only the amount described in paragraph 9 of this QDRO. The sole
purpose of this paragraph is to ensure payment to Alternate Payee in the
event of Participant's death prior to payment by the Plan of the amount
described in paragraph 9 of this QDRO. Alternate Payee may select a
beneficiary to receive her benefits by filing a beneficiary designation form
with the Plan Office. In the event Alternate Payee should die prior to
receiving benefits, the Plan shall pay benefits to the beneficiary selected by
Alternate Payee on a beneficiary form provided by the Plan Office on
request, or if no beneficiary is selected, to Alternate Payee's estate.
25. The Plan shall treat this QDRO in accordance with Code !l414(pX7). While
the Plan is determining whether this Order is a qualified domestic relations
order, the Plan Administrator shall separately account for the amounts
which would have been payable to Alternate Payee while the Plan is
determining the qualified status of this QDRO.
.
26. The Plan Administrator promptly shall notify Participant and Alternate
Payee of the receipt of this QDRO and shall notify Participant and Alternate
Payee of the Plan's procedures for determining the qualified status of the
QDRO and shall notify Participant and Alternate Payee of the
determination within a reasonable period of time after receipt of this QDRO.
27. The Court shall retain jurisdiction with respect to this Order to the extent
required to maintain its qualified status and the original intent of the
parties as stipulated herein.
BY THE COURT:
j diPOI! J.
IJI"" Z.'i.2.&Ob
The parties have signed below indicating their consent to this Order:
;1i0 - t1
~e~ohn_'v~
-'1 ___
,
IIi I /__~)
, "-;:::"--' -.
a F. Blair, Esquire
Attorney for Carrie D. Johnston
y^^^-.~~
Eric L. Johnston
-:JJ;;.,;v e>. ~
/Thomas D. Gould, Esquire
Attorney for Eric L. Johnston
-l