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HomeMy WebLinkAbout05-3781TERESA ANN MEDELLIN, Plaintiff vs. RAMIRO R. MEDELLIN, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. , M5"- PSY 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 foregoing pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree in divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for the 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: Office of the Prothonotary Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 Telephone: (717) 249-3166 TERESA ANN MEDELLIN, Plaintiff vs. RAMIRO R. MEDELLIN, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. IN DIVORCE NOTICE OF AVAILABILITY OF COUNSELING TO THE WITHIN-NAMED DEFENDANT: You have been named as the Defendant in a Complaint in a divorce proceeding filed in the Court of Common Pleas of Cumberland County. This notice is to advise you that in accordance with Section 3302 (d) of the Divorce Code, you may request that the court require you and your spouse to attend marriage counseling prior to a divorce being handed down by the court. A list of professional marriage counselors is available at the Domestic Relations Office, 13 North Hanover Street, Carlisle, Pennsylvania. You are advised that this list is kept as a convenience to you and you are not bound to choose a counselor from this list. All necessary arrangements and the cost of counseling sessions are to be borne by you and your spouse. If you desire to pursue counseling, you must make your request for counseling within twenty days of the date on which you receive this notice. Failure to do so will constitute a waiver of your right to request counseling. TERESA ANN MEDELLIN, Plaintiff vs. RAMIRO R. MEDELLIN, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. ,05 - 3? ? C4'?4 J wvw? IN DIVORCE COMPLAINT IN DIVORCE AND NOW comes the above-named Plaintiff, TERESA ANN MEDELLIN, by her attorney, Samuel L. Andes, and makes the following Complaint in Divorce: 1. The Plaintiff is TERESA ANN MEDELLIN, an adult individual who currently resides at 502 A Bridge Street in New Cumberland, Cumberland County, Pennsylvania. 2. The Defendant is RAMIRO R. MEDELLIN, an adult individual who currently resides at 341 Lamp Post Lane in Etters, York County, Pennsylvania. 3. Both the Plaintiff and Defendant have been bona fide residents of the Commonwealth of Pennsylvania for at least six months immediately previous to the filing of this Complaint. 4. The Plaintiff and Defendant were married on 21 March 1992 in Mechanicsburg, Cumberland County, Pennsylvania. 5. There have been no prior actions of divorce or annulment between the parties. 6. The marriage is irretrievably broken. 7. Plaintiff has been advised of the availability of marriage counseling and the Plaintiff may have the right to request that the Court require the parties to participate in counseling. COUNT I - IRRETRIEVABLE BREAKDOWN 8. The Plaintiff requests this Court to enter a Decree in Divorce. WHEREFORE, Plaintiff requests this Court to enter a Decree in Divorce pursuant to the Divorce Code of Pennsylvania. COUNT II - EQUITABLE DISTRIBUTION 9. During the course of the marriage, the parties have acquired numerous items of property, both real and personal, which are held in joint names and in the individual names of each of the parties hereto. WHEREFORE, Plaintiff prays this Honorable Court, after requiring full disclosure by the Defendant, to equitably divide the property, both real and personal, owned by the parties hereto as martial property. COUNT III - ALIMONY 10. Plaintiff lacks sufficient property to provide for her reasonable needs in accordance with the standard of living of the parties established during the marriage. 11. Plaintiff is unable to support herself in accordance with the standard of living of the parties established during the marriage through appropriate employment. 12. The Defendant is employed and enjoys a substantial income from which he is able to contribute to the support and maintenance of the Plaintiff and pay her alimony in accordance with the Divorce Code of Pennsylvania. WHEREFORE, Plaintiff prays this Honorable Court to enter an Order awarding Plaintiff from Defendant permanent alimony in such sums as are reasonable and adequate to support and maintain Plaintiff in the station of life to which she has become accustomed during the marriage. COUNT IV - ALIMONY PENDENTE LITE 13. Plaintiff is without sufficient income to support and maintain herself during the pendency of this action. 14. Defendant enjoys a substantial income and is well able to contribute to the support and maintenance of Plaintiff during the course of this action. WHEREFORE, Plaintiff prays this Honorable Court to order Defendant to pay her reasonable alimony pendente lite during the pendency of this action. COUNT V - COUNSEL FEES AND EXPENSES 15. Plaintiff is without sufficient funds to retain counsel to represent her in this matter. 16. Without competent counsel, Plaintiff cannot adequately prosecute her claims against Defendant and cannot adequately litigate her rights in this matter. 17. Defendant enjoys a substantial income and is well able to bear the expense of Plaintiff's attorney and the expense of this litigation. WHEREFORE, Plaintiff prays this Honorable Court to order Defendant to pay the legal fees and expenses incurred by Plaintiff in this litigation of this action. Samuel L. Ande'9 Attorney for Plaintiff Supreme Court ID # 17225 525 North 12th Street Lemoyne, Pa 17043 (717) 761-5361 I verity that the statements made in this Complaint are true and correct. I understand that any false statements in this Complaint are subject to the penalties of 18 Pa. C.S. 4904 (unsworn falsification to authorities). Date: 7 5 C z? 2zX r1???7?D??//XJ (( TERESA ANN MEDELLTIN \J C? v) O p? d U ai R a 7 r. c` TERESA ANN MEDELLIN, Plaintiff VS. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 057 378( RAMIRO R. MEDELLIN, Defendant IN DIVORCE MOTION FOR HEARING AND NOW comes the above-named Plaintiff, by her attorney, Samuel L. Andes, and moves the court for a conference at the Domestic Relations Office and, if necessary, a hearing on her request for Alimony Pendente Lite. Her request for Alimony Pendente Lite was first raised in the Divorce Complaint, a copy of which is attached hereto. ?0- Samuel L. Andes Attorney for Plaintiff Supreme Court ID # 17225 525 N. 12`h Street Lemoyne, PA 17043 (717) 761-5361 TERESA ANN MEDELLIN, Plaintiff VS. RAMIRO R. MEDELLIN, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. Ds-- ) } IN DIVORCE DRS ATTACHMENT FOR APL PROCEEDINGS' c.: C) -n PETITIONER NAME TERESA ANN MEDELLIN ADDRESS 502 A BRIDGE STREET NEW CUMBERLAND, PA 17070 BIRTH DATE MARCH 27, 1947 SOCIAL SECURITY NUMBER 193-36-3432 CELL PHONE 919-7878 WORK PHONE NONE EMPLOYER NAME NONE EMPLOYER ADDRESS NONE JOB TITLE/POSITION NONE DATE EMPLOYMENT COMMENCED NONE GROSSPAY NONE NETPAY NONE OTHER INCOME NONE ATTORNEY'S NAME SAMUEL L. ANDES ATTORNEY'S ADDRESS 525 NORTH 12T" STREET LEMOYNE, PA 17043 ATTORNEY'S PHONE NUMBER (717) 761-5361 RESPONDENT NAME RAMIRO R. MEDLLIN ADDRESS 341 LAMP POST LANE ETTERS, PA 17319 BIRTH DATE SEPTEMBER 21, 1944 SOCIAL SECURITY NUMBER 192-34-7439 HOME PHONE 932-1942 WORK PHONE 266-4045 EMPLOYER NAME MOTOR TECHNOLOGY, INC. EMPLOYER ADDRESS 515 WILLOW SPRINGS LANE YORK, PA 17402 JOB TITLE/POSITION SALES REPRESENTATIVE DATE EMPLOYMENT COMMENCED PRIOR TO 1993 GROSS PAY $70,000.00 / YEAR NET PAY UNKNOWN OTHER INCOME UNKNOWN ATTORNEY'S NAME NOT KNOWN ATTORNEY'S ADDRESS NOT KNOWN ATTORNEY'S PHONE NUMBER NOT KNOWN MARRIAGE INFORMATION DATE OF MARRIAGE MARCH 21, 1993 PLACE OF MARRIAGE MECHANICSBURG, PENNSYLVANIA DATE OF SEPARATION JULY 1, 2005 ADDRESS OF LAST MARITAL HOME 341 LAMP POST LANE ETTERS, PA 17319 DESCRIPTION OF DOCUMENT RAISING APL CLAIM DIVORCE COMPLAINT DATE APL DOCUMENT FILED TERESA ANN MEDELLIN, PLAINTIFF vs. RAMIRO R. MEDELLIN, DEFENDANT IN DIVORCE ACCEPTANCE OF SERVICE I, RAMIRO R. MEDELLIN, hereby accept service of the original Complaint in Divorce and acknowledge receipt of a copy of the Complaint. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 2005-3781 CIVIL TERM Date: ' a q?OU R MIRO R. MEDELLIN ^.J c? -Ll G+? ca - '° 'it :f c j - TERESA ANN MEDELLIN, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 2005-37811 CIVIL TERM RAMIRO R. MEDELLIN, IN DIVORCE Defendant/Respondent PACSES 647107543 ORDER OF COURT AND NOW, this 18`n of August, 2005, upon consideration of the Petition for Alimony Pendente Lite and/or counsel fees, it is hereby directed that the parties and their respective counsel appear before R.J. Shadday on September 15, 2005 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 IF you fail to appear for the conference or bring the required documents, the Court may issue a warrant for your arrest. BY THE COURT, George E. Hoffer, President Judge Mail copies on Petitioner 8-18-05 to: < Respondent Samuel Andes, Esquire Date of Order: August 18, 205 ? -` ? R. Shadd y, Conference Officer /. YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND' REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVE. CARLISLE, PENNSYLVANIA 17013 (717) 249-3166 CC361 r® Ctt ? ? ? ? 1 ? ? _;. s f ` l? /? : :-c y ?'? ,? TERESA A. MEDELLIN, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 2005-3781 CIVIL TERM RAMIRO R. MEDELLIN, IN DIVORCE Defendant/Respondent PACSES# 647107543 ORDER OF COURT AND NOW, this 15th day of September, 2005, based upon the Court's determination that Petitioner's monthly net income/eaming capacity is $1017.04 and Respondent's monthly net income/earning capacity is $5489.27, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $1769.00 per month payable monthly as follows; $1769.00 for alimony pendente lite and $0.00 on arrears. First payment due on or before 09/20/05 and thereafter on or before the 20`h day of each month. Arrears set at $1769.00 as of September 15, 2005 . The effective date of the order is September 1, 2005. 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 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 to be turned over by the PA SCDU to:. 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 PACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. cc360 Unreimbursed medical expenses that exceed $250.00 annually are to be paid as follows: 0% by Respondent and 100% by Petitioner. The Petitioner is responsible to pay the first $250.00 annually in unreimbursed medical expenses. Respondent to provide medical insurance coverage. Within thirty (30) days after the entry of this Order, the Respondent shall submit to Petitioner written proof that medical insurance coverage has been obtained or that application for coverage has been made. Proof of coverage shall consist, at 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. This Order shall become final ten days after the mailing of the notice of the entry of the Order to the parties unless either party files a written demand with the Prothonotary for a hearing de novo before the Court. Consented: Petitioner Respondent Petitioner's Attorney Respondent's Attorney BY TH Edward E. Gui Judge DRO: R. I Shadday Mailed copies on: Petitioner September 15, 2005 Respondent Samuel Andes, Esq. N 9 Cl) -D.4 ) a- _ < tn wW ? n !-j LIJ ?fL tL Q O N U In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION TERESA A. MEDELLIN ) Docket Number 05-3781 CIVIL Plaintiff ) Vs. } PACSES Case Number 647107543 RAMIRO R. MEDELLIN Defendant ) Other State ID Number Order AND NOW to wit, this APRIL 24, 2006 it is hereby Ordered that: THAT THE ABOVE CAPTIONED CASE IS SUSPENDED, EFFECTIVE APRIL 13, 2006, PURSUANT TO THE PARTIES RECONCILLINO. PLAINTIFF REMITS ALL ARREARS AND THERE IS NO BALANCE DUE. BY THE COURT: e?? Edward _io JUDGE Form OE-520 D eeri,i RVypeSM hadday Worker ID 22005 C i"' no t c'. APR 2 ' 2066 r. " 4&1,z .. /P. oy-? S/i a (1616/-/ Pease ekse Ay Xy 1(?S&AY6;X6? -L' l-eCOAC fed. r`1 and /0,), (DS, 117 ? 1?61 tes S (S . 7e'resd Atli Meclell«t La1Y Cane resT61 1gII q M'/t a? ao O m3'*t a? ?N Ul J C'o ?(ee a r?Pa?s?, ? o?J e z?l ?s Sc ? PP ?e (C?, ,, ?_ ? : TERESA A. MEDELLIN, THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 05-3781 CIVIL TERM RAMIRO R. MEDELLIN, IN DIVORCE Defendant/Respondent PACSES CASE NO: 647107543 ORDER OF COURT AND NOW, this 6th day of March, 2007, upon consideration of the Petition for Alimony Pendente Lite and/or counsel fees, it is hereby directed that the parties and their respective counsel appear before R.J. Shadday on April 4, 2007 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 1910.11© (4) verification of child care expenses (5) proof of medical coverage which you may have, or may have available to you. If you fail to appear for the conference or bring the required documents, the Court may issue a warrant for your arrest. BY THE COURT, Edgar B. Bayley, President Judge Copies mailed to: Petitioner Respondent Samuel L. Andes, Esq. Date of Order: March 6, 2007 '4d y, onference Officer YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVE. CARLISLE, PENNSYLVANIA 17013 (717) 249-3166 cc361 ? p -? - ? -Rt 3 y i ? ? ? ???> ' ? . ; _? !. ; - ? - :£? . ; .c ??. Theresa Barrett Male Supreme Court # 46439 513 North Second Street Harrisburg, PA 17101 (717) 233-3220 Counsel for Defendant COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA TERESA A. MEDELLIN Plaintiff V. RAMIRO R. MEDELLIN Defendant TO THE PROTHONOTARY: NO. 05-3781 Civil Term CIVIL ACTION - DIVORCE PRAECIPE Please enter the appearance of Theresa Barrett Male, Esquire on behalf of Defendant in this proceeding. Theresa Barrett Male, Esquire Date: March 29, 2007 Ca r.,? 7 °.r ? , ? f ? ` j r r „?7 ' :? , : , ',?; ? _ • , ? ?? ?? r ° 4 ?? n ??_:. - b ?,r w -•` ^C TERESA A. MEDELLIN, Plaintiff/Petitioner VS. RAMIRO R. MEDELLIN, Defendant/Respondnet IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 05-3781 CIVIL TERM IN DIVORCE PACSES Case Number: 647107543 ORDER OF COURT - RESCHEDULE A CONFERENCE AND NOW, this 2nd day of April 2007, upon consideration of the Petition for Alimony Pendente Lite and/or counsel fees, it is hereby directed that the parties and their respective counsel appear before R.J. Shadday on April 30, 2007 at 1:30 P.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. This date replaces the prior conference date of April 4, 2007. 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 1910.11© (4) verification of child care expenses (5) proof of medical coverage which you may have, or may have available to you (6) IF you fail to appear for the conference or bring the required documents, the Court may issue a warrant for your arrest. BY THE COURT, Edgar B. Bayley, President Judge Date of Order: April 2, 2007 R. J. SIdday, onference Officer ! Copies mailed to: Petitioner Respondent Theresa Barrett-Male, Esq. Samuel L. Andes, Esq. YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVE. CARLISLE, PENNSYLVANIA 17013 (717) 249-3166 cc361 r-", p -ri G c 'S r r ? TERESA A. MEDELLIN, Plaintiff/Petitioner vs. RAMIRO R. MEDELLIN, Defendant/Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 05-3781 CIVIL TERM IN DIVORCE PACSES Case Number 647107543 ORDER OF COURT AND NOW, this 30th day of April, 2007, based upon the Court's determination that Petitioner's monthly net income/earning capacity is $1024.23 and Respondent's monthly net income/earning capacity is $5804.43, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $1893.00 per month payable as follows: $1893.00 per month for alimony pendente lite and $0.00 per month on arrears. First payment due: May 20, 2007 and thereafter on or before the 20th of each month. Arrears set at $2511.13 as of April 30, 2007. The effective date of the order is March 6, 2007. 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 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 to be turned over by the PA SCDU to: Teresa A. Medellin. 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 PACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. cc360 r' -1 The monthly support obligation includes cash medical support in the amount of $250.00 annually for unreimbursed medical expenses incurred for each spouse. Unreimbursed medical expenses of the oblige that exceeds $250.00 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 0 Petitioner () Neither party to provide medical insurance coverage. Within thirty (30) days after the entry of this Order, the (X) Respondent () Petitioner 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 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. The Respondent is given credit in the amount of $1000.00 for a direct payment to the Petitioner. Collection of the retroactive arrears is held in abeyance and is to be paid through equitable distribution. This Order shall become final twenty (20) after the mailing of the notice of the entry of the Order to the parties unless either party files a written demand with the Prothonotary for a hearing de novo before the Court. Consented: Petitioner Respondent Petitioner's Attorney Respondent's Attorney BY THE T, Edward E. Guido, J. Mailed copies on: May 1, 2007 to: Petitioner Respondent Theresa Barrett-Male, Esq. Samuel L. Andes, Esq. DRO: R.J. Shadday C""? ?` U-,-s y F -i? ? -?? ._?, t x ? fir' _ ^7 -?° -2_ =:i ) C') ' ' .? ["s s ??. f-_.T J?y * i 1-+ ?? y rww? I AUG-16-06 12:47 FROM-Cumberland County Domestic Relations ?--e v--52. c??c No. +17172406248 T-757 P-002/003 F-658 05 - 3 W) C i'vr l 2$ CUMBERLAND COUNTY DOMESTIC RELATIONS Date of Application: 61a-7/v '7 Request for Support Record Search Name: e & cl t +r D•r, % (Last) (First) (M 1) Address: 3,4 Social Security Number: 19 _ _ < Domestic Relations Case Number if Known: Party Requesting Information: _b??- name or t'Irm Name) 67 +t7 `731- 4 acC, 34a I nn o-r- x iA:1 tlc hone Number) (Address) 1-7c) R ax umber) (Signature) A Twenty Dollar ($20.00) Fee is Due per Social Security Number Make check or money order payable to: DRSILien Search INITIAL REQUEST Has no Record in Domestic Relations as of. (Date) Support Arrears as of End of Month Prior to Date of Application: $ 1 ?. 13 Monthly Total Support Obligation: $ l8q3, 0 0 moi-yj The Amount shown above is reflected in the Domestic Relations Section Office of Cumberland County, Pennsylvania. m pmb ?-- --* p 3 q-71 o l S 3 q Domestic Relations -Case Number: Pa e6 a-s * fo y -7 ) a ? s 4 3 Signed: ? r/ • Z;Zlt, fa a a /o ? (Lien Search Coordinator) (Date) BRING-DOWN REQUEST Support Arrears: $ Signed: (Lien Coordinator) (Date) *** Lien Satisfisfaction Receipt Available Upon Request*** ?A 11 Cc -7,2 0 As Of (Date) -? M vr`.. r co ~ m •v t..... -, r? COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA TERESA A. MEDELLIN Plaintiff V. RAMIRO R. MEDELLIN Defendant TO THE PROTHONOTARY: NO. 05-3781 Civil Term PACSES # 647107543 CIVIL ACTION - DIVORCE PRAECIPE Please withdraw the appearance of Theresa Barrett Male, Esquire, and enter the appearance of Defendant Ramiro R. Medellin, pro se in this proceeding. Theresa Barrett Male, Esquire Date: July N , 2007 /'\ 1??!= Ramiro R. Medellin Date: July 2007 a c? X:o N ? ri? -r p IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA TERESA A. MEDELLIN, Plaintiff ) VS. ) FILE NO. 05-3781 CIVIL TERM RAMIRO R. MEDELLIN, ) IN DIVORCE Defendant ) NOTICE TO RESUME PRIOR SURNAME NOTICE IS HEREBY GIVEN that TERESA A. MEDELLIN, Plaintiff in the above matter, prior to the entry of a Final Decree in Divorce, hereby elects to resume the prior surname of TERESA ANN HOLMAN, and gives this written notice avowing her intention pursuant to the provisions of 54 P.S. 704. UZoo? Date: 44oz,,f f / COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ( SS.. TERESA A. MEDE LIN (?'-) "". 5 ? a I & 0 ? V"M", /Z Signature of name being resumed TERESA ANN HOLMAN On the 10 day of jl? -g u r+ , 2007, before me, the undersigned officer, personally appeared TERESA A. MEDELLIN, known to me (or satisfactorily proven) to be the person whose name is signed to the within Notice to Resume Prior Surname and acknowledged that she executed the foregoing for the purpose therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Lam, ? ??? Notary Pdblic W ? 5 mo mc co j OtAuq YMT M ,tL Ni3 *Wlj .C!J OYifi?JR?I?Ii?:3 . ?'JftQH M NOV-16-07 06:00 FROM-Cumberland County Domestic Relations +17172406248 T-762 P-003/004 F-565 No. 05- 3-7?) Civi I - 1120200? CUMBERLAND COUNTY DOMESTIC RELATIONS Date of Application:_Jj- [Ito oil Request for Support Record Search Name: WE D EL L 110 tym 12 o Address: 2525 BAZ K LE J (First) 4/s 6ve_? I' PA /710(4 Social Security Number: 192--34- 'M9 D.O.S.: 'L 1 l 9 L,1 c.1 Domestic Relations Case Number if Known:3 Party Requesting Information: ASS r e d 0 n 7r0 n ? //)C, (Print Name of Firm Name) (11-7) j (P I ` y -72o -? I4 0 0(t Sire e?-- L em&i6 , PA 1-70q3 (Telepl one Number) Addrzdw hl 1 OL Fax N ber) (Signature) A Twenty Dollar ($20.00) Fee is Due per Social Security Number Make check or money order payable to: DRS/Lien Search x TNTTIAL REQUES'T' Has no Record in Domestic Relations as of: (Date) Support Arrears as of End of Month Prior to Date of Application: S 61E. 13 Monthly Total Support Obligation: $ 1 R93 - n o 1 m o n±i) The Amount shown above is reflected in the Domestic Relations Section Office of Cumberland County, Pennsylvania. M e m b Q r # v -3q -710 1 S 3 L4 Domestic Relations Case Number: PQ?,SQS (64 -710-7S L 3 Signed: ? ZX?,t_ / / Z. o Q 7 (Lien Search C v oordtrnator) (Date) BRING-DOWN REQUEST Support Arrears: S As Of (Date) Signed: (Lien Coordinator) (Date) *** Lien Satisfisfaction Receipt Available Upon Request*** CC720 1 9 C .C 14J 0Z AM, t OZ -1HI AO 1? f` 3-1 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA TERESA A. MEDELLIN, ) Plaintiff ) vs. ) RAMIRO R. MEDELLIN, ) Defendant ) FILE NO. 05-3781 CIVIL TERM IN DIVORCE NOTICE TO RESUME PRIOR SURNAME NOTICE IS HEREBY GIVEN that TERESA ANN HOLMAN, Plaintiff in the above matter, prior to the entry of a Final Decree in Divorce, hereby elects to resume the prior surname of TERESA A. MEDELLIN, and gives this written notice avowing her intention pursuant to the provisions of 54 P.S. 704. Date: (Z-- I o7 ?? a TERESA ANN HOLMAN Signature of name being resumed TERESA A. MEDELLIN COMMONWEALTH OF PENNSYLVANIA ) ( SS.. COUNTY OF CUMBERLAND ) On the 4 A4^ day of D ec-er^ber , 2007, before me, the undersigned officer, personally appeared TERESA ANN HOLMAN, known to me (or satisfactorily proven) to be the person whose name is signed to the within Notice to Resume Prior Surname and acknowledged that she executed the foregoing for the purpose therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. zv'? 4??A Notary Pu lic U fa EGO. WTNW KUM LEMOYW 9M., CUADERUND CO. Y COMWSSION EXPIRES FEB. 1, 2000 ?" .?.MMAt[CIN f ??.t?at rAJk"?M .???? ?+trtv,t p 0 Q o ? w ? p C? r - - ate, - TERESA A. MEDELLIN, Plaintiff VS. RAMIRO R. MEDELLIN, Defendant PRAECIPE TO THE PROTHONOTARY: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 05-3781 CIVIL TERM IN DIVORCE Please terminate the order for alimony pendente lite previously entered in this matter. Please withdraw the complaint for divorce previously filed by the Plaintiff and mark the docket in this matter "discontinued." S el L. And Attorney for Plaintiff Teresa A. Medellin R iro R. Medellin ("? ? c2 -`=? ra rC o ? ,' .?a __,_ -, ?w ??.?yJ V --- _ -.:::. f ?..:. ,, V -'-^t ft j TERESA A. MEDELLIN, Plaintiff/Petitioner VS. RAMIRO R. MEDELLIN, Defendant/Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 05-3781 CIVIL TERM IN DIVORCE PACSES Case No: 647107543 ORDER OF COURT AND NOW to wit, this 1 lth day of December 2007, it is hereby Ordered that the above captioned Alimony Pendente Lite order is terminated with no balance due pursuant to the parties reconciling. This Order shall become final twenty (20) days after the mailing of the notice of the entry of the order to the parties unless either party files a written demand with the Domestic Relations Section for a hearing de novo before the Court. BY THE CO Edward E. Guido, DRO: R.J. Shadday xc: Petitioner Respondent Samuel L. Andes, Esq. Service Type: M J. Form OE-001 Worker: 21005 cli ? rr ?R L LIEN SATISFACTION Name: Ramiro Medellin Member Number: M#0397101534 Pacses# 647107543 No. 05-3781 Civil DR# Judgment Lien Satisfied as of: December 11, 2007 Amount Paid: $ Case Closed Signed: ?-?`- (Lien Coordinator) JAN 0 9 2008 (Date) CC722 ..> c_.- ? ?! } ? ", [: ? ??.?? ,.t tL: ?? ;:? .. TERESA ANN MEDELLIN, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 05-3781 CIVIL TERM RAMIRO R. MEDELLIN, IN DIVORCE Defendant/Respondent : PACSES Case No: 647107543 ORDER OF COURT AND NOW, this 4th day of May 2009, based upon the Court's determination that the Petitioner's monthly net income/earning capacity is $ 1,044.61 and the Respondent's monthly net income/earning capacity is $ 6,508.93, it is hereby ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit One Thousand Eight Hundred Ninety-three and 00/100 Dollars ($ 1,893.00) per month payable bi-weekly as follows: $ 1,893.00 per month for Alimony Pendente Lite and $ 0.00 per month on arrears. First payment due: on or before May 15, 2009 and on or before the 15th day of each month thereafter. The effective date of the order is April 1, 2009. Arrears set at $ 1,893.00 as of May 4, 2009. 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 to be turned over by the PA SCDU to: Teresa Ann Medellin. 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 V , The monthly support obligation includes cash medical support in the amount of $250 annually for unreimbursed medical expenses incurred for the obligee. Unreimbursed medical expenses of the obligee 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 no later than March 31" 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 the Respondent and 100% by the Petitioner. [X] Respondent [] Petitioner to provide medical insurance coverage. Within thirty (30) days after the entry of this order, the [] Petitioner [X] Respondent shall submit written proof that the medical insurance coverage has been obtained or that application for coverage has been made. Proof of coverage shall consist of, at a minimum of 1) the name of the health care coverage provide(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. The Respondent is given credit in the amount of $1893.00 for direct payment to the Petitioner. This Order is based upon an agreement of the Petitioner. The Petitioner waives the mandatory wage attachment. 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 Prothonotary for a hearing de novo before the Court. Consented: Petitioner Respondent Mailed copies on: MU 4, 2009 to: Petitioner Respondent Samuel L. Andes, Esq. Petitioner's Attorney Respondent's Attorney BY THE COURT, 1011111W Edward E. Guido, J. DRO: R.J. Shadday ALE D-4-1 ?-)E THE PDr) "(--NI: TAPY 2099 HI ' -4 PH 2.2 David D. Bueff Prothonotary KirkS. Sohonage, ESQ, Soricitor 1§nee Y, Simpson 15` Deputy Prothonotary Irene E. Morrow 2,d Deputy Prothonotary Office of the Prothonotary Cumber(and County, Tennsy(vania as -3*Y8I CIVILTERM ORDER OF TERMINATION OF COURT CASES AND NOW THIS 30TH DAY OF OCTOBER, 2012, AFTER MAILING NOTICE OF INTENTION TO PROCEED AND RECEIVING NO RESPONSE -THE ABOVE CASE IS HEREBY TERMINATED WITH PREJUDICE IN ACCORDANCE WITH PA R.C.P. 230.2. BY THE COURT, DAVID D. BUELL PROTHONOTARY One Courthouse Square • Suite 100 9 Car(is(e,A 17013 0 (717 240-6195 • Fa., (717 240-6573