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Home My WebLink About05-6778 DENNIS J. KOCHERT, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. JUDY GWEN KOCHERT, Defendant CIVIL ACTION - LAW NO. tnr- OS"-&;1fl6t:IVIL TERM IN DIVORCE You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this complaint and notice are served, by entering a written appearance personally or by attorney and filing in writing with the court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and ajudgment may be entered against you by the court without further notice for any money claimed in the complaint or for any other claim or relief requested by the plaintiff. You may lose money or property or other rights important to you. 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 the Cumberland County Court House, High and Hanover Streets, Carlisle. 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. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAYBE ABLE TO PROVIDE YOU WITH INFORAMTION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.. Cumberland County Bar Association 32 South Bedford Street Carlisle, PAl 70 13 Phone: (717) 249-3166 (800) 990-9108 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of Cumberland 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. All arrangements must be made at least 72 hours prior to any hearing or business before the Court, All arrangements must be made at least 72 hours prior to any hearing or business before the court, You must attend the scheduled conference or hearing, DENNIS J. KOCHERT, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. JUDY GWEN KOCHERT, Defendant CIVIL ACTION - LAW NO. 116 - CIVIL TERM IN DIVORCE c:/ - r.. 7 77 COMPLAINT UNDER SECTION 3301(c) OF THE DIVORCE CODE I. Plaintiff is Dennis J. Kochert, an adult individual, who resides at 300 Cranes Gap Road, Carlisle, Cumberland County, Pennsylvania 17013. 2. Defendant is Judy Gwen Kochert, an adult individual, who resides at 300 Cranes Gap Road, Carlisle, Cumberland County, Pennsylvania 17013. 3. Plaintiff and Defendant have both been bona fide residents in the Commonwealth for at least six months immediately previous to filing of this Complaint. 4. Plaintiff and Defendant were married on May 14, 1977 in Rapid City, South Dakota. 5. There have been no prior actions of divorce or for annulment between the parties hereto in this or any other jurisdiction. 6. The marriage is irretrievably broken. 7. Plaintiff has been advised that counseling is available, :md that Plaintiff may have the right to request that the Court require the parties to participate in <:ounseling. 8. Plaintiffrequests the Court to enter a Decree in DivofCI~. WHEREFORE, Plaintiff respeetfully requests this Honorable Court to enter a Decree in Divorce and such other Orders as may be just and appropriate. Date: ll--z~~()) PoR Respectfully submitted, ROMINGER, BA YJLEY & WHARE LJV1fZ~ Leslie A. Tomeo, EsqUire 155 S. Hanover Stre,et Carlisle, P A 17013 (717) 241-6070 Supreme Court J.D. II 200198 Attorney for Plaintiff VERIFICATION I verify that the statements made in this Complaint are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. ~4904, relating to unsworn falsification to authorities. Date: '()O,(lO/IM.RxJLJ,~, dC;DS- , J)o-n~Jt9n. fi.x.~. Dennis J. Koc ft., Plamtlff "j -~ "" 'l..j "'.> vJ ~ """ 0 '" "-t) r:::- () . v;= '" oj ~ ~ 8"- ~ --- --..;."') ~ (J ~ ~I ( C) ,- v ", ("::.:? ,.:;.:...) C>1 C? (TJ " "-, C) o 'Tl ::;:I..,." jl\,:;:.:'~ -;:;i'J "fIC.' ;.:js~; ~~i~ <00 "< --0 :J: <.0 w DENNIS J. KOCHERT, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA vs. : CIVIL 2005-6778 : CIVIL ACTION - LAW JUDY GWEN KOCHERT, Defendant : IN DIVORCE PRAECIPE To the Prothonotary: Please enter my appearance on behalf of the defendant, Judy Gwen Kochert, in the above captioned divorce action. Respectfully submitted, ANDREWS & JOHNSON Ta or . Andrews, Esq. 78 est Pomfret Stre,et Carlisle, PA 17013 (717) 243-0123 PA Supreme Court ID: 15641 cc: Leslie A. Tomeo, Esquire Attorney for Plainitff r-,.') c.::::> C~_) c;;-, ( C) -~I .-1 :'i~ ;OJ .'I"c:n \_~,- , 01 ",'7 r~ (...) C.) DENNIS J. KOCHERT, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAN][) COUNTY, PENNSYL VANIA v. JUDY GWEN KOCHERT, Defendant CIVIL ACTION - LAW NO. 05-6778 CIVIL TERM IN DIVORCE ACCEPTANCE OF SERVICI~ I hereby accept service of the Complaint in Divorce on behalf of the Defendant, Judy Gwen Kochert, in the above-captioned action and I certify that I am authorized to do so. Date BY: /-S~Gro c-" ;~~ ~: "'.,...... \ c.,."" C. -on -' -:r:-r1 ~-11 r=:: J~r-\ :,...(1 ".1'('1 -(:~ ...;..... (:! w o . DENNIS J. KOCHERT, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA vs. : CIVIL 2005-6778 : CIVIL ACTION - LAW JUDY GWEN KOCHERT, Defendant : IN DIVORCE ANSWER WITH CLAIM FOR ALIMONY Defendant, Judy Gwen Kochert, by her attorney, Taylor P. Andrews, Esq., respectfully represents : 1. Admitted as of the date of the filing of the complaint. 2. Admitted. 3. Admitted. 4. Admitted. 5. Admitted. 6. No response is necessary.. 7. No response is necessary. 8. No response is necessary. DEFENDANT'S CLAIM FOR ALIMONY 1. Petitioner! Defendant is unable to maintain herself in the standard ofliving to which she was accustomed during her marriage and Plaintiff is in a position to pay alimony. 2. Petitioner! Defendant attaches hereto as an Exhibit infonnation for the Cumberland County Domestic Relations Office to administer an Alimony Order. WHEREFORE, Defendant respectfully requests this Honorable Court to order Plaintiff, Dennis J. Kochert, to pay Defendant, Judy Gwen Kochert, alimony following divorce. AND drews, Esq. 78 Pomfret Street Carlisle, P A 17013 (717) 243-0123 PA Supreme Court ID: 15641 . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA DENNIS J, KOCHERT Plaintiff CIVIL ACTION - LAW NO. 05-6778 CIVIL TERM vs JUDY GWEN KOCHERT Defendant IN DIVORCE ORO ATTACHMENT FOR ALIMONY PROCEEDINGS PETITONER NAME JUDY GWEN KOCHERT ADDRESS 300 Cranes Gao Rd. Carlisle, PA 17013 BIRTH DATE 20-Feb-57 SOCIAL SECURITY NUMBER 185-38-6645 HOME PHONE 241-5108 WORK PHONE 245-3428 EMPLOYER NAME U,S. Gov!. - Armv War College EMPLOYER ADDRESS 122 Forbes Ave., Carlisle Barracks, PA 17013 JOB TITLE/POSITION Secretarv DATE EMPLOYMENT COMMENCED Dec, 20, 1976 GROSS PAY $3,071 oer month NET PAY OTHER INCOME none ATTORNEY'S NAME TavlorP.Andrews, Eso, ATTORNEY'S ADDRESS 78 W. Pomfret SI., Carlilse, PA 17013 ATTORNEY'S PHONE NUMBER 243-0123 RESPONDENT NAME DENNIS J. KOCHERT ADDRESS 1128 Columbus Ave" lemovne, PA 17043 BIRTH DATE 13-Jun-56 SOCIAL SECURITY NUMBER 16344-0899 HOME PHONE rCelll 386-0772 WORK PHONE 770-8977 EMPLOYER NAME U.S. Gov!. - Defense Distribution Center EMPLOYER ADDRESS JOB TITLE/POSITION Traffic Manaoement Soecialist DATE EMPLOYMENT COMMENCED GROSS PAY $5,782 oer month restimatedl NET PAY OTHER INCOME ATTORNEY'S NAME lesiie A. Tomeo, Eso, ATTORNEY'S ADDRESS 155 S. Hanover St.. Carlisle, PA 17013 ATTORNEY'S PHONE NUMBER 241-6070 MARRIAGE INFORMATION DATE OF MARRIAGE MAY 14, 1977 PLACE OF MARRIAGE Ellsworth AFB, South Dakota DATE OF SEPARATION Februarv 26, 2006 ADDRESS OF LAST MARITAL HOME 300 Cranes GaD Rd,. Carlisle, PA 17013 DESCRIPTION OF DOCUMENT RAISING ALIMONY Answer to Divorce Comolaint DATE ALIMONY DOCUMENT FilED With this form - June 28, 2006 . I verifY that the statements made in the foregoing Answer 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: ~/~7 Jo~ , ~ ~~~::-Ko~ Judy en Kochert DENNIS 1. KOCHERT, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA vs. : CIVIL 2005-6778 : CIVIL ACTION - LAW JUDY GWEN KOCHERT, Defendant : IN DIVORCE CERTIFICATE OF SERVICE I hereby certify that on this date, June '- ~ ,2006, I mailed a copy of Answer With Claim for Alimony to the following person at the following address by U.S. Mail, Certified mail, postage prepaid, return receipt requested, delivered to addressee only: Leslie A. Tomeo, Esquire 155 S Hanover Street Carlisle P A 17013 I verify that the statements made in the foregoing Certificate of Service 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. ANDREWS & JOHNSON By: \~ ::J ~ ~ ~ "-J ~ "- '- ~ ~ \) \ ~ ~' , . , ~ C', ~';1 ---.1 (". ~-r:~ )'1,..... . 0:- C~! :.:;i!. r',.' DENNIS J. KOCHERT, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA v. JUDY GWEN KOCHERT, Defendant CIVIL ACTION - LAW NO. 05-6778 CIVIL TERM IN DIVORCE AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on December 28, 2005. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of filing the Complaint. 3. I consent to the entry of a final decree of 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. Date:~ p~-6 I)~~ Dennis J. oc ert, Plaintiff r<) ) ~n C_. ---1 -r i'rl (,) ; .-.-., -~~ C,_:' ~:.u < ,< - .l., DENNIS J. KOCHERT, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. JUDY GWEN KOCHERT, Defendant CIVIL ACTION - LAW NO. 05-6778 CIVIL TERM IN DIVORCE AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on December 28,2005. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of filing the Complaint. 3. I consent to the entry of a final decree of 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. 9 4904, relating to unsworn falsification to authorities. Date: ~/d.7 foro . , ~~'7<o~ Iud Gwen KochertJDefendant r__l C~.... '~.J .-;-1 '-1 :-;: nl --'.', 7"? '-".> ,.-- DENNIS J. KOCHERT, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. JUDY GWEN KOCHERT, Defendant CIVIL ACTION - LAW NO. 05-6778 CIVIL TERM IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER * 3301(c) OF THE DIVORCE CODE I. 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 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 unsworn falsification to authorities. Date: T/~~ /l .~ /~J _~ V~~~ Dennis J. Koche lamtIff i. ~;.... (,,) c DENNIS J. KOCHERT, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. JUDY GWEN KOCHERT, Defendant CIVIL ACTION - LAW NO. 05-6778 CIVIL TERM IN DIVORCE n "-,.J WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER ~ 3301(') OF THE DIVORCE CODE , ...~., c,~ ,~- ) ',) .-> -,- hi2J -".,,-, ( I. I consent to the entry of a final decree of divorce without notice. () c...~., ,'5;-" 2. I understand that I may lose rights concerning alimony, division of propei!Y, l~er~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. 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: (,/~7 lot; . ~ JJW4.-l<oek.:G J G Kochert, Defendant ~.~:l :::;:1 ~n -,I c',') -) -I Ct) C ::< DENNIS J. KOCHERT Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA v. : CIVIL ACTION - LAW JUDY GWEN KOCHERT Defendant : NO. 05-6778 CIVIL TERM : IN DIVORCE NUUUTALSETTLEMENTAGREEMENT AGREEMENT, made this 2-, day off' UN.. , 2006, between JUDY GWEN KOCHERT (hereinafter called "Wife") and DENNIS J. KOCHERT (hereinafter called "Husband"). WITNESSETH: The parties hereto are Wife and Husband, having been married on May 14, 1977, at Ellsworth AFB, Pennington County, SD. There were 2 children born of this marriage: Erik Ian Kochert, dob: October 26, 1979 Ryan Elliott Kochert, dob: January 26,1981 Diverse unhappy differences, disputes and difficulties have arisen between the parties and it is the intention of Wife and Husband to live separate and apart for the rest of their natural lives, and the parties hereto desire to settle fully and [mally their respective financial and property rights and obligations as between each other, including without limitation: (1) the settling of all matters between them relating to the ownership of real and personal property; (2) the settling of all matters between them relating to the past, present and future support and/or maintenance of Wife by Husband and of Husband by Wife; (3) in general, the settling of any and all claims and possible claims by one against the other or against their respective estates. NOW THEREFORE, in consideration of the premises and of the mutual promises, covenants and undertakings hereinafter set forth and for other good and valuable consideration, receipt of which is hereby acknowledged by each of the parties hereto, Wife and Husband, each intending to be legally bound hereby, covenant and agree as follows: 1. DIVORCE Each party hereby agrees to sign a consent to divorce and a waiver of notice of intent to obtain a divorce decree so that a Divorce Decree may be entered by the Court of Common Pleas of Cumberland County without unnecessary delay after this agreement is signed by both parties. The consents and waivers shall be signed at the time that this agreement is signed. After the agreement is signed by both parties, Wife's counsel shall deliver the consent and waiver signed by Wife to Husband's counsel for filing with the Prothonotary with necessary filings for the securing of a Decree. Both parties agree that this agreement shall be incorporated by reference into the Decree, but shall not be merged with the Decree. The parties do not intend that this agreement create any bar to any remedies available at law or equity for enforcement of this agreement. If either party must seek a remedy or remedies from the Court, the prevailing party in any such Court action may recover the reasonable counsel fees and expenses associated with the Court action. 2. ADVICE OF COUNSEL The provisions of this Agreement and their legal effect have been fully explained to the parties by their respective counsel, Taylor P. Andrews, Esquire, for Wife, and Leslie A. Tomeo, Esquire, for Husband. Each party acknowledges that she or he has received independent legal advice from counsel of her or his selection and that each fully understands the facts and has been fully ~ informed as to her or his legal rights and obligations and each party acknowledges and accepts that this Agreement is, in the circumstances, fair and equitable and that it is being entered into freely and voluntarily, after having received such advice and with such knowledge and that execution of this Agreement is not the result of any duress or undue influence and that it is not the result of any collusion or improper or illegal agreement or agreements. 3. PERSONAL RIGHTS Wife and Husband may and shall, at all times hereafter, live separate and apart. Each shall be free from all control, restraint, interference or authority, direct or indirect, by the other in all respects as fully as if she or he were unmarried. Each may reside at such place or places as she or he may select. Each may, for her or his separate use or benefit, conduct, carry on and engage in any business, occupation, profession or employment that to her or him may seem advisable. This provision shall not be taken, however, to be an admission on the part of either Wife or Husband of the lawfulness of the causes that led to, or resulted in, the continuation of their living apart. Wife and Husband shall not molest, harass, disturb or malign each other or the respective families of each other, nor compel or attempt to compel the other to cohabit or dwell by any means or in any manner whatsoever with her or him. 4. PERSONAL PROPERTY Tangible Personal Property: Wife and Husband do hereby acknowledge they have heretofore divided the marital property, including, but without limitation, jewelry, clothes, furniture and other tangible personal property, and hereafter, Wife agrees that all of the property in the possession of Husband shall be the sole and separate property of Husband; and, Husband agrees that l all property in the possession of Wife shall be the sole and separate property of Wife. Husband shall retain the 2001 Chrysler PT Cruiser, and Wife shall retain the 1993 Honda Accord. The 1990 Honda Accord that is jointly owned shall be transferred to Ryan Elliott Kochert. Each of the parties does hereby specifically waive, release, renounce and forever abandon whatever claims, if any, she or he may have with respect to any of the above items that are the sole and separate property of the other, or the property of Ryan Elliott Kochert. Intangible Personal Property: Husband and Wife agree that there were joint checking and savings accounts at M&T Bank at the time of separation. These accounts have been used to pay household expenses. The checking account was depleted and closed. The savings account has now been divided between the parties and closed. The parties agree that the accounts shall be divided by each party retaining the value that he/she received when the savings account was split. Each party works for the federal government and has federal retirement benefits. The federal pensions have been appraised and the appraisal reports have been disclosed to both parties. The parties hereby agree that the pension benefits shall be divided by each retaining his or her own benefits without any claim against the benefits by the other. Wife shall retain her 401 (k) plan free and clear of any claims of Husband. Husband has represented that he has no 401 (k) plan. 5. REAL PROPERTY Husband hereby agrees to convey, transfer and grant to Wife his right, title and interest in the real estate situated and located at 300 Cranes Gap Road, Carlisle, P A. From the date of this Agreement, Wife agrees to assume as her sole obligation any and all mortgage payments, taxes, claims, damages or other expenses incurred in connection with said premises, and Wife agrees and q covenants to hold Husband harmless from any such liability or obligation. Wife shall be responsible for the preparation of the Deed for this transfer. Husband will execute and Deliver the deed within 7 days of his attorney's receipt of the deed after this agreement is signed. 6. SUPPORT and ALIMONY Husband shall pay spousal support to Wife so long as the parties are married. Upon the entry of the Divorce decree, Husband shall pay Alimony to Wife for an indefinite period of time that shall be at least until March 1,2008. The Alimony shall be paid until terminated by the Court. After the signing of this agreement the amount of spousal support and the amount of alimony to be paid by Husband to Wife shall be determined using the formula used in the Domestic Relations Office for calculating spousal support. While the alimony is ordered, the amount of alimony may be modifiable using the formula referenced herein. Both parties agree that the Domestic Relations Office of Cumberland County, or any other Domestic Relations Office that may assume jurisdiction due to a relocation of Wife, shall administer the collection and distribution of the alimony. This alimony shall terminate upon the death of the Wife or the Husband, or upon the remarriage of the Wife. Husband shall be under an affirmative duty to be productively employed during the time that this alimony is ordered. 7. LIFE INSURANCE Husband agrees that, until March 1,2008 he shall designate Wife as the beneficiary of his life insurance with sufficient death benefit to equal the amount of alimony due from Husband from the time of his death until March 1, 2008. 5 8. LIABILITIES Each party represents that they have not contracted any debt or liability for the other for which the estate of the other party may be responsible or liable, and that except only for the rights arising out of this Agreement, neither party will hereafter incur any liability whatsoever for which the other party or the estate of the other party, will be liable. Each party agrees to indemnify or hold the other party hannless from and against all future obligations of every kind incurred by them, including those for necessities. Husband agrees to pay the open account to Circuit City and Wife agrees to pay all of the mortgage payments and to indemnify Husband and hold him harmless for any claim by the mortgage company for the real estate located at 300 Cranes Gap Rd., Carlisle, P A 17013. 9. LEGAL FEES Each party agrees to be responsible for her or his own legal fees and expenses. 10. MUTUAL RELEASE Wife and Husband each do hereby mutually remise, release, quitclaim and forever discharge the other and the estate of such other, for all time to come, and for all purposes whatsoever, of and from any and all rights, titles and interests, or claims in or against the property (including income and gain from property hereafter accruing) of the other or against the estate of such other, of whatever nature and wheresoever situate, which she or he now has or at any time hereafter may have against 6 the other, the estate of such other or any part thereof, whether arising out of any former acts, contracts, engagements or liabilities of such other or by way of dower or curtesy, or claims in the nature of dower or curtesy or widow's or widower's rights, family exemption or similar allowance, or under the intestate laws, or the right to take against the spouse's will; or the right to treat a lifetime conveyance by the other as testamentary, or all other rights of a surviving spouse to participate in a deceased spouse's estate, whether arising under the laws of (a) Pennsylvania, (b) any State, Commonwealth or territory of the United States, or (c) any other country, except, and only except, all rights and agreements and obligations of whatsoever nature arising or which may arise under this Agreement or for the breach of any thereof. It is the intention of Wife and Husband to give to each other by the execution of this Agreement a full, complete and general release with respect to any and all property of any kind or nature, real, personal or mixed, which the other now owns or may hereafter acquire, except and only except all rights and agreements and obligations of whatsoever nature arising or which may arise under this Agreement or for the breach of any thereof, subject, however, to the implementation and satisfaction of the conditions precedent as set forth herein above. 11. OTHER DOCUMENTATION Wife and Husband covenant and agree that they will forthwith (and within at least 14 days after demand therefor) execute any and all written instruments, assignments, releases, satisfactions, deeds, notes or such other writings as may be necessary or desirable for the proper effectuation of this Agreement, and as their respective counsel shall mutually agree should be so executed in order to carry out fully and effectually the terms of this Agreement. 7 12. SUCCESSORS' RIGHTS AND LIABILITIES This Agreement shall, except as otherwise provided herein, be binding upon and inure to the benefit of the parties hereto, their respective heirs, executors, administrators, successors or assigns. 13. ENTIRE AGREEMENT Wife and Husband do hereby covenant and warrant that this Agreement contains all of the representations, promises and agreements made by either of them to the other for the purposes set forth in the preamble hereinabove; that there are no claims, promises or representations not herein contained, either oral or written, which shall or may be charged or enforced or enforceable unless reduced to writing and signed by both of the parties hereto; and the waiver of any term, condition, clause or provision of this Agreement shall in no way be deemed to be considered a waiver of any other term, condition, clause or provision of this Agreement. 14. BINDING EFFECT OF AGREEMENT This Agreement shall remain in full force and effect unless and until terminated pursuant to the terms of 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. 8 15. SEPARABILITY If any term, condition, clause or provision of this Agreement shall be determined or declared to be void or invalid in law, or otherwise, then only that term, condition, clause or provision shall be stricken from this Agreement and in all other respects this Agreement shall be valid and continue in full force, effect and operation. Likewise, the failure of any party to meet her or his obligations under anyone or more of the paragraphs herein, with the exception of the satisfaction of the conditions precedent, shall in no way avoid or alter the remaining obligations of the parties. 16. HEADINGS Any headings preceding the text of the several paragraphs and subparagraphs hereof are inserted solely for convenience of reference and shall not constitute a part of this Agreement nor shall they affect its meanings, construction or effect. 17. EFFECTIVE DATE The effective date of this Agreement shall be the date upon which it is executed. 18. CONTROLLING LAW This Agreement shall be construed in accordance with the laws of the Commonwealth of Pennsylvania. g IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and year first above written. This Agreement is executed in duplicate, and in counterparts, and Wife and Husband, as parties hereto, acknowledge the receipt of a duly executed copy hereof. ~e~~~ wtLAJ~ t)OH~J/bnK/ Hus a --.,. 10 , COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) On this, the 27 daYOf:r~ , 2006, before me, the subscriber, a Notary Public for the Commonwealth of Pennsylvania, residing in the County of Cumberland, personally appeared Judy Gwen Kochert and in due form oflaw acknowledged the above Agreement to be her act and deed and desired the same to be recorded as such. NOTARIAL SEAL SHELLY SEXTON. Notary Public Carlisle Boro, Cumberland County My Commission Expires April 26, 2007 ) : SS. ) COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND On this, the~daYOf~ ,2006, before me, the subscriber, a Notary Public for the Commonwealth of Pennsylvania, residing in the County of Cumberland, personally appeared Dennis J. Kochert, and in due form oflaw acknowledged the above Agreement to be his act and deed and desired the same to be recorded as such. ~Lu{~ldjlt- COMMONWEALTH OF PENNSYLVANIA NoIarial Seal Tammie L PeIors. Nolary PublIc Soulh Middlelon Twp,. a. "berl8lld County My eom_ Expires Sepl9. 2007 Member, Pennsylvama Association Of Notaries u r) r~.l -1:1 ::j (;"'1 ~r:; N ii' c: .,"~ ,. I DENNIS J. KOCHERT, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,PENNSYLV ANIA v. JUDY GWEN KOCHERT, Defendant : CIVIL ACTION - LAW NO. 06 - 05-6778 CIVIL TERM IN DIVORCE PRAECIPE tQ TRANSMIT RECORD . TO THE PROTHONOTARY: Transmit the record, together with the folIowing information, to the Court for entry of a divorce decree: 1. Grounds for divorce: irretrievable br~down under ~ 3301(c) of the DivoreeCode. 2. Date and manner of service' of the Complaint: December 28, 2005, was served on Defendant by Certified Mail and the green card was signed on December 30,2005 (attached hereto as Proof of Service). 3. Date of execution of the Affidavit of Consent required by ~ 3301(c) or The Divorce Code: by the Plaintiff June 27, 2006; by the Defendant July 11,2006. 4. Related claims pending: None. 5. (b) Date Plaintiff's Waiver of Notice in ~3301(c) Divorce was filed with the Prothonotary: July II, 2006 D~ Defendant's Waiver of Notice in ~3301(c) Divorce was. filed with the Prothonotary: July II, 2006 Date: PI 710ft; ',,, Leslie A. Tomeo, E uire 155 South HanoV' Street Carlisle, PA 17013 (717) 241-6070 Supreme Court 10 No. 200198 o ,~ C> II ~ ~I,.'.. KO ~ ~ ~0 :II: g >8 w ~ ~ g ~ IN THE COURT OF COMMON PLEAS OFCUMBERLANDCOUNTY STATE OF PENNA. Dpnnis Kn~hprt: Plainti ff No. 05-6778 VERSUS . Judy Gwen Kochert Defendant . DECREE IN DIVORCE . . . . . . AND NOW, a.........v 8"" I z.oot., IT IS ORDERED AND DECREED THAT Dennis J. Kochert , PLAINTIFF, . AND Judy Gwen Kochert , DEFENDANT, . 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; . Marital Settlement Agreement is incorporated but not . merged into the decree. . . ~ Jw :2 ~t1 Iv"" 7U, PJc7' (//- fl ~p~r~'~'~'~ ?(J'OI-'& In the Court of ommon Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION JUDY G. KOCHERT ) Docket Number 05-6778 CIVIL P aintiff ) vs. ) PACSES Case Number 747108397 DENNIS J. KOCHERT ) D fendant ) Other State ID Number Order AND NOW to it, this AUGUST 16, 2006 it is hereby Ordered that: PURSUANT TO THE PAR DECREE IN DIVORCE, AND THE ALIMONY AW RELATIONS SECTION. DSRO.: R.J. Shadday ervlce Type M IES' MARITAL SETTLEMENT AGREEMENT OF JUNE 27, 2006, AND A E SPOUSAL SUPPORT IS TERMINATED EFFECTIVE AUGUST 8, 2006 IS PAYABLE THROUGH THE CUMBERLAND COUNTY DOMESTIC BY THE COURT: M. L. ~l~~ Ebert, Jr., JUDGE Form OE-520 Worker ID 21005 ~ -0 OJ I'm:!". k" zr;" CF'J -<::, ~,~ t;2C 2;(:;. /-'.:::L: ~.c -y ~ ;. .,' ~ ~ ~ G') - '" ~ ~~ 'oQ 9,6 ,...,-"1'". __,_""1"'1 05, zm 9t ~ -0 ::;; '" .' c..n .,- ~ ~ INCOME WITHHOLDING FOR SWPP0RT / /1 /�~7 /�� / ' �/ u �� / O ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT(IvwO) �z� -- /n^l��7 /~. y/ / OAmswoEo/wo ��l / /u �/ Oows-T/meonosn/woncs FOR LUMP SUM PAYMENT G> TERMINATION orumo Date: C] Child Support Enforcement(CSE)Agency Court Attorney Private Individual/Entity(Check One) NOTE:This IWO must be regular on its face. Under certain circumstances you must reject this IWO and return it to the sender(see IWO instructions http://www,acf.hhs.gov/program5/cse/newhire/employer/i)ublication/publicatiQn.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/Tribefferritory Commonwealth of Pennsylvania Remittance Identifier(include w/payment): 8055101666 City/County/Dist./Tribe CUMBERLAND Order Identifier: (See Addendum for orderldocket informaiton) Private Individual/Entity CSE Agency Case Identifier: (See Addendum for case summary) RE: KOCHERT, DENNIS J. DEPT OF DEFENSE CIVILIANS Employee/Obligor's Name(Last, First,Middle) Sent Electronically Employee/Obligor's Social Security Number (See Addendum for plaintiff names DO NOT MAIL associated with cases on attachment) Custodial Party/Obligee's Name(Last, First, Employer/Income Withholder's FEIN 311575142 NOTE:This IWO must be regular on its face. Under certain circumstances you must reject Child(ren)'s Name(s)(Last,First,Middle) Child(ren)'s Birth Date(s) this IWO and return it to the sender(see IWO instructions emi)lover/publication/t)ublicatioa.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. See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION. This document ia based on the support or withholding order from CUMBERLAND County, Commonwealth of Pennsylvania (State/Tribe). You are required by law hmdeduct these amounts from the employee/ obligor's income until further notice. $ per month in current child support _o �u — �� _ 03 rn $ perIDI��binpne�due�hi|dauppo�- ^��enmno ��vve��mor�nmmk�� {] �� F� _ $ 0.00 per month incurrent cash medical support $ 0.00 Der month in past-due cash medical support $ 0.00 per month in current spousal support �� _o ��--n $ 0.00 per month |n past-due spousal support 3__ cJ =o c� $ per 1D1�tIin other(must specify) . �� for a Total Amount tm Withhold of$ 0.00 per month. AMOUNTS TO WITHHOLD: You do not have to vary your pay cycle tnbein 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. % O per semimonthly pay period (twice amonth) $ 0.00 per biweekly pay period(every two weeks) $ o.00 per monthly pay period. $ Lump Sum Payment: Do not stop any existing !VVO unless you receive m termination order. REMITTANCE INFORMATION. If the employee/obligor's principal place of employment is within the Commonwealth of Pennsylvania (State/Tribe), you must begin withholding no later than the first pay period that occurs tenl(1l0) working �days after the date of . Send payment within 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 551/Q of disposable income for all orders. If the employee/obligor's principal place of employment is not within the Commonwealth of Pennsylvania (Stoba/Tribe), the employer can obtain withholding limitations, time naqu|maments, and any allowable employer fees at http://www.acf.hhs.gov/procirams/cse/newhirelemployer/contacts/contact map. htOl for the emp|oyee/ob|iqo/s principal place ofemployment. Document Tracking Identifier OMB No.:�0970*154 Form EN-428O8/12 Service Type K8 Worker |O $|ATT ❑ Return to Sender[Completed by Employer/Income Withholder]. Payment must be directed to an SDU in r accordance with 42 USC §666(b)(5)and (b)(6)or Tribal Payee (see Payments to SDU below). If payment is not directed to an SDU/Tribal Payee or this IWO is not regular on its face, you must check this box and return the IWO to the sender. Signature of Judge/Issuing Official (if required by State or Tribal law): KEVIN HESS Print Name of Judge/Issuing Official: Title of Judge/Issuing Official: Date of Signature: APRIL 12 2013 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/employer/contacts/contact rlm 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—05/3112014.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-428 06/12 Service Type M Page 2 of 3 Worker ID $IATT . ~ Employer's Name: DEPT OF DEFENSE CIVILIANS Employer FEIN: Name: KOCHERT, DENNIS J. 8055101666 CSE Agency Case Identifier: Order Identifier:(See Addendum for orderldocket informatio Withholding Limits:You may not withhold more than the lesser of: 1)the amounts allowed by the Federal Consumer Credit Protection Ac (CCPA)(15U.S.C. 1073(b)); or2)the amounts allowed by the State or Tribe of the emp|oyembb|igo/a 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 imwhich 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: 3115751420 0 This person has never worked for this employer nor received periodic income. 0 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: Final Payment Amount: New Employer's Name: New Employer's Address: CONTACT INFORMATION: To Employer/income Withholder: |f you have any questions,contact WAGE ATTACHMENT UNIT(Issuer name) by phone ot by fax at by email orwmbaiteat: 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 a\ . by fax at . by email o,websih»a1 . IMPORTANT:The person completing this form is advised that the information may be shared with the employee/obligor. OMB wu'mm-0,x* Form EN'428DG/12 Service Type yN Page 3of3 Worker |D $|/(TT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KOCHERT, DENNIS J. PACSES Case Number 747108397 PACSES Case Number Plaintiff Name Plaintiff Name JUDY G. KOCHERT Docket Attachment Amount Docket Attachment Amount 05-6778 CIVIL $ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case.Number PACSES Case Number Plaintiff Name Plaintiff Name Docket Attachment Amount Docket Attachment Amount $ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case Number PACSES Case.Number Plaintiff Name Plaintiff Name 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-428 06/12 Service Type M OMB No.:0970-0154 Worker ID $IATT - " INCOME WITHHOLDING FOR SUPPORT ^7��-7 / /)0��^� /-T / / �/u^, / / 8 ORIGINAL INCOME WITHHOLDING oRoEnMonns FOR SUPPORT(I»mO) O AMswoEowo 05- v,`7-19 �«�,V) / ' D Ows-T/mEomoeewonos FOR LUMP SUM PAYMENT O TERMINATION oFmvo Date: [] Child Support Enforcement(CSE)Agency (E Court -E] Attorney Private Individual/Entity(Check One) NOTE:This IWO must be regular on its face. Under certain circumstances you must reject this IWO and return it to the sender(see IWO instructions http://www.acf.hhs.gov/programs/cse/newhire/"`gmployer/pubfication/publication.htm-form ). 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. StaterrriberTerritory Commonwealth of Pennsylvania Remittance Identifier w/payment): 8055101666 City/County/Dist.rTribe CUMBERLAND Order Identifier: (See Addendum for orderldocket informaiton) p,/°me/nm/v/uvaxsouty Cas Agency Case Identifier: (See Addendum for case summary) RE: KOCHERT, DENNIS J. DEPT OF DEFENSE CIVILIANS Employee/Obligor's Name(Last,First,Middle) Sent Electronically Employee/Obligors Social Security Number (See Addendum fbr plaintiff names DO NOT MAIL associated with cases on attachment) Custodial Party/Obligee's Name(Last, First, Employer/Income Withholder's FEIN 311575142 NOTE:This IWO must be regular on its face. Under certain circumstances you must reject Child(ren)'s Name(s)(Last,First,Middle) Child(ren)'s Birth Date(s) this IWO and return it to the sender(see IWO instructions 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. See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION. This document io based on the support or withholding order from CUMBERLAND County, Commonwealth Of Pennsylvania (State/Tribe). You' ~ +f obligor's income until further notic < s e. $ 0.00 per month |ncurrent chi|dnupport ' 3-m. -r,, -`-� ' - n�-- $ 0.00 Per month in past-due child support- Arrears 12 weeks orgreater? $ 0.00 per month in current cash medical support r- ~t:> cr� CD'T' $ 0.00 per month in past-due cash medical support $ 644.00 per month in current spousal support Q 0.00 Per month.in past-due spousal support $ 0.00 per month in other(must mpacifv\ '' for a Total Amount to Withhold mt$ 644.00 per month. AMOUNTS TO WITHHOLD: You do not have to vary your pay cycle tobein compliance with the Order Information. If your pay cycle does not match the ordered payment cycle,withhold one of the following amount: $ 148-21 per weekly pay period. $ 322.00 per semimonthly pay period (twice amonth) $ 296.42 per biweekly pay period(every two weeks) a 644.00 per monthly pay period. $ Lump Sum Payment: Do not stop any existing |VVO unless you receive termination order. REMITTANCE INFORMATION, If the employeelobligor's principal place of employment is within the Commonwealth of Pennsylvania (Stota/Tribm), you must begin withholding no later than the first pay period that occurs working days after the date of . Send payment within 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 55N of disposable income for all orders. If the employee/obligor's principal place of employment is not within the Commonwealth of Pennsylvania (State/Tribe), the employer can obtain withholding|imihaUons, time requinaments, and any a||ovvab|m employer fees at -irams/cse/newhire/employer/contacts/contact map: h1m for the emp|oyoa/ob|igor'o principal place ofemployment. Document Tracking Identifier OMB ':enm,u* Form EN-428 06/12 Service Type K8 Worker |O $|AFT S i ❑ 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 law): KEVIN A HESS Print Name of Judge/Issuing Official: Title of Judge/Issuing Official: Date of Signature: APRIL 15 2013 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.00v/programs/cse/newhire/employer/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—05/3112014.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-428 06/12 Service Type M Page 2 of 3 Worker ID $IATT � ^ Employer's Name: DEPT OF DEFENSE CIVILIANS Employer FEIN: Name: KOCHERT, DENNIS J. 8055101666 CSE Agency Case Identifier: Order Identifier:(-$ee Addendum for orderldocket information Withholding Limits:You may not withhold more than the lesser of* 1)the amounts allowed by the Federal Consumer Credit Protection Act(CCPA)(15U3.C. 1673(b));or3)the amounts allowed by the State or Tribe cf the omp|oyee/ob|igo/o 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|o supporting another family and 80%of the disposable income if the obligor in 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 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: 3115751420 0 This person has never worked for this employer nor received periodic income. 0 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 SDLI/Tribal Payee: Final Payment Amount: New Employer's Name: New Employer's Address: CONTACT INFORMATION: To Employerlincome Withholder: |f you have any questions, contact WAGE ATTACHMENT UNIT(Issuer name) by phone at . by fax at . by email orwebsihaat: . Send term inaMun/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: |f the employee/obligor has questions, contact WAGE ATTACHMENT UNIT(Issuer name) by phone at . by fax at . by email orvvaboiieat . IMPORTANT:The person completing this form ia advised that the information may bn shared With the employon/ob|igm. OMB w"'enm,m Form EN-42808/13 Service Type K8 Page 3of3 Worker |D $|ATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KOCHERT, DENNIS J. PACSES Case Number 747108397 PACSES Case Number Plaintiff Name Plaintiff Name JUDY G. KOCHERT Docket Attachment Amount Docket Attachment Amount 05-6778 CIVIL $ 644.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case Number PACSES Case Number Plaintiff Name Plaintiff Name Docket Attachment Amount Docke Attachment Amount $ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case Number PACSES Case Number Plaintiff Name Plaintiff Name 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-428 06/12 Service Type M OMB No.:0970-0154 Worker ID $IATT 4 r INCOME WITHHOLDING FOR SUPPORT —71-1-7 f 0 5 3Cl7 Q ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT(IWO) Q AMENDED IWO Q ONE-TIMEORDER/NOTICE FOR LUMP SUM PAYMENT Q TERMINATION OF IWO Date: 01/02/14 ❑ Child Support Enforcement(CSE)Agency E Court ❑ Attorney ❑ Private Individual/Entity(Check One) 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 httD://www.acf.hhs.gov/programs/cse/forms/OMB-0970-0154 instructions.pdf). 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/Tribe/Territory Commonwealth of Pennsylvania Remittance Identifier(include w/payment): 8055101666 City/County/Dist./Tribe CUMBERLAND Order Identifier: (See Addendum for order/docket information) Private Individual/Entity CSE Agency Case Identifier: (See Addendum for case summary) RE: KOCHERT, DENNIS J. DEPT OF DEFENSE CIVILIANS Employee/Obligor's Name(Last, First,Middle) 163-44-0899 Sent Electronically Employee/Obligor's Social Security Number (See Addendum for plaintiff names DO NOT MAIL 3 associated with cases on attachment) Custodial Party/Obligee's Name(Last, First, Middle) Employer/Income Withholder's FEIN 311575142 NOTE:This IWO must be regular on its face. Under certain circumstances you must reject Child(ren)'s Name(s)(Last, First,Middle) Child(ren)'s Birth Date(s) this IWO and return it to the sender(see IWO instructions htto://www.acf.hhs.gov/programs/cse/forms/ OMB-0970-0154Jnstructions.od1).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. 3115751420 See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This document is based on the support or withholding order from CUMBERLAND County, Commonwealth of Pennsylvania (State/Tribe). You are required by law to deduct these amounts from the employee/ obligor's income until further notice. $ 0.00 per month in current child support --- $ 0.00 per month in past-due child support- Arrears 12 weeks or greater? 0 yes.",..' } $ 0.00 per month in current cash medical support $ 0.00 per month in past-due cash medical support may' cL $ 0.00 per month in current spousal support $ 0.00 per month in past-due spousal support $ 0.00 per month in other(must specify) = r 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 within the 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 within the Commonwealth of Pennsylvania (State/Tribe), the employer can obtain withholding limitations, time requirements, and any allowable employer fees at http://www.acf.hhs.gov/programs/cse/newhire/employer/contacts/contact_map. htm for the employee/obligor's principal place of employment. Document Tracking Identifier OMB No.:0970-0154 Form EN-428 11/13 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 law): KEVIN A HESS Print Name of Judge/Issuing Official: Title of Judge/Issuing Official: Date of Signature: JANUARY 2,2014 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 ID(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/employer/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 date of the IWO;it identifies the version of the form currently in use. Form EN-428 11/13 Service Type M Page 2 of 3 Worker ID $IATT Employer's Name: DEPT OF DEFENSE CIVILIANS Employer FEIN: 311575142 Employee/Obligor's Name: KOCHERT, DENNIS J. 8055101666 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 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: 3115751420 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: Final Payment Amount: New Employer's Name: New Employer's Address: 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.childsuoport.state.pa.us. IMPORTANT:The person completing this form is advised that the information may be shared with the employee/obligor. OMB No.:0970-0154 Form EN-428 11/13 Service Type M Page 3 of 3 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KOCHERT, DENNIS J. PACSES Case Number 747108397 PACSES Case Number Plaintiff Name Plaintiff Name JUDY G. KOCHERT Docket Attachmaat Amount Docket Attachment Amount 05-6778 CIVIL $ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case Number PACSES Case Number Plaintiff Name Plaintiff Name Docket Attachment Amount Docket Attachment Amount $ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case Number PACSES Case Number Plaintiff Name Plaintiff Name 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-428 11/13 Service Type M OMB No.:0970-0154 Worker ID $IATT r INCOME WITHHOLDING FOR SUPPORT —14-7102397 ® ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT(IWO) ciimprpre O AMENDED IWO Q ONE-TIMEORDER/NOTICE FOR LUMP SUM PAYMENT Q TERMINATION OF IWO Date: 01/02/14 ❑ Child Support Enforcement(CSE)Agency ® Court ❑ Attorney ❑ Private Individual/Entity(Check One) NOTE:This IWO must be regular-min its face,Underrcertain circumstances you must reject this IWO and return it to the sender(see IWO instructions httD://www.acf.hhs.gov/programs/cse/forms/OMB-0970-0154_instructions.odf). 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/Tribe/Territory Commonwealth of Pennsylvania Remittance Identifier(include w/payment): 8055101666 City/County/Dist./Tribe CUMBERLAND Order Identifier: (See Addendum for order/docket Information) Private Individual/Entity CSE Agency Case Identifier: (See Addendum for case summary) US OPM/FED CIV EMP RETIREMENT RE: KOCHERT,DENNIS J. C/O CT ORDERED BENEFIT BRANCH Employee/Obligor's Name(Last,First,Middle) PO BOX 17 163-44-0899 WASHINGTON DC 20044-0017 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 NOTE:This IWO must be regular on its face. Under certain circumstances you must reject Child(ren)'s Name(s)(Last,First,Middle) Child(ren)'s Birth Date(s) this IWO and return it to the sender(see IWO instructions htto://www.act hhs.gov/orograms/cse/forms/ OMB-0970-0154_instructions.od1).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. 0604100108 See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This document is based on the support or withholding order from CUMBERLAND County, Commonwealth of Pennsylvania (State/Tribe). You are required by law to deduct these amounts from the employee/ obligor's income until further notice. y r*.., $ 0.00 per month in current child support $ 0.00 per month in past-due child support- Arrears 12 weeks or greater? 0 yep r - $ 0.00 per month in current cash medical support $ 0.00 per month in past-due cash medical support ()DE I $ 644.00 per month in current spousal support r- .ry"- $ 0.00 per month in past-due spousal support $ 0.00 per month in other(must specify) W.. C r...) for a Total Amount to Withhold of$ 644,00 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: $ 148.21 per weekly pay period. $ 322.00 per semimonthly pay period (twice a month) $ 296.42 per biweekly pay period (every two weeks) $ 644.00 per monthly pay period. $ Lump Sum Payment: Do not stop any existing IWO unless you receive a termination order. REMITTANCE INFORMATION: If the employee/obligor's principal place of employment is within the Commonwealth of 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 within the Commonwealth of Pennsylvania (State/Tribe), the employer can obtain withholding limitations, time requirements, and any allowable employer fees at http://www.acf.hhs.gov/programs/cse/newhire/employer/contacts/contact map. htm for the employee/obligor's principal place of employment. Document Tracking Identifier OMBNo.:0970-0154 Form EN-028 11/13 Service Type M Worker ID$OINC ❑ 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 law): Print Name of Judge/Issuing Official: M t Jr Title of Judge/Issuing Official: Date of Signature: �l14P! Q 3 2014 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 ID(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: ht.: www . h ..v •r..r.m - n-whir -m.l• -r in . in m... m 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 11/13 Service Type M Page 2 of 3 Worker ID$OINC r «. Employer's Name: US OPM/FED CIV EMP RETIREMENT Employer FEIN: Employee/Obligor's Name: KOCHERT, DENNIS J. 8055101666 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 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: 0604100108 Q This person has never worked for this employer nor received periodic income. 0 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: Final Payment Amount: New Employer's Name: New Employer's Address: 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 EmployeelObligor: 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. OMBNo.:0970-0154 Form EN-028 11/13 Service Type M Page 3 of 3 Worker ID$OINC ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KOCHERT, DENNIS J. PACSES Case Number 747108397 PACSES Case Number Plaintiff Name Plaintiff Name JUDY G. KOCHERT Docket Attachment Amount Docket Attachment Amount 05-6778 CIVIL $ 644.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case Number PACSES Case Number Plaintiff Name Plaintiff Name Docket Attachment Amount Docket Attachment Amount $ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case Number PACSES Case Number Plaintiff Name Plaintiff Name 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 11/13 Service Type M OMB No 0970-0154 Worker ID $OINC