HomeMy WebLinkAbout06-0264
Cara A. Boyanowski, Esquire
Supreme Court l.D. No. 68736
2080 Linglestown Road
Suite 201
Harrisburg, PAl 711 0
Telephone: (717) 540-9170
Facsimile: (717) 540-5481
NICOLE A. HURST,
Plaintiff
N THE COURT OF COMMON PLEAS
UMBERLAND COUNTY, PENNSYLVANIA
IVIL ACTION - LAW
NO. Ole - ;<t,.'I
C"UI-L~17\
v.
TRAVIS L. HURST,
Defendant
IN DIVORCE
NOTICE TO DEFEN AND CLAIM RJIGHTS
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in
the following pages, you must take prompt acti n. You are warned that if you fail to do so, the case
may proceed without you and a decree of divorfe or annulment may be entered against you by the
Court. A judgment may also be entered againstlyou 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 indf.' nities or irretrievable breakdown of the marriage,
you may request marriage counseling. A list of arriage counselors is available in the Office of the
Prothonotary, High and Hanover Streets, Carli Ie, Pennsylvania 17013.
IF YOU DO NOT FILE A CLAIM. FOR ALIMONY, DIVISION OF PROPERTY,
LAWYER'S FEES, OR EXPENSES BEFOREIA DIVORCE OR ANNULMENT IS GRANTED,
YOU MAY LOSE THE RIGHT TO CLAIM ~NY OF THEM.
YOU SHOULD TAKE THIS PAPER TP YOUR LAWYER AT ONCE. IF YOU DO NOT
HAVE A LA WYER OR CANNOT AFFORD GNE, GO TO OR TELEPHONE THE OFFICE SET
FORTH BELOW TO FIND OUT WHERE ydU CAN GET LEGAL HELP.
Cumberland Co nty Bar Association
232 South edford Street
Carlisle P A 17013
(717) 49-3166
NOrICIA
Le han demandado a usted en la cort1. Si usted quiere defenderse de estas demandas
expuestas en las paginas siguientes, usted tienel viente (20) dias de plazo al partir de la fecha de la
demanda y la notificacion. Usted debe presenta una apariencia escrita 0 en persona 0 por abogado y
archivar en la corte en forma escrita sus defens s 0 sus objeciones alas demandas en contra de su
persona. Sea avisado que si usted no se defiend , la corte tomara medidas y puede entrar una orden
contra usted sin previo aviso 0 notificacion y po cualquier queja 0 alivio que es pedido en la peticion
do demanda. U sted puede perder dinero 0 sus p opiedades 0 otros derechos importanates para usted.
LLEVE ESTA DEMANDA A UN A$ODAGO INMEDIATAMENTE. Sl NO TIENE
ABOGADO 0 Sl NO TIENE EL DINERO SUF[cIENTE DE P AGAR TAL SERVICIO, V A Y A EN
PERSONA 0 LLAME POR TELFONO A LA rmCINA CUY A DIRECCION SE ENCUENTRA
ESCRITA ABAJO PARA AVERIGUAR DpNDE SE PUEDE CONSEGUIR ASISTENCIA
LEGAL. I
Cumberland cotnty Bar Association
232 SouthjBedford Street
Carlisld, P A 17013
I
(717)1249-3166
Cara A. Boyanowski, Esquire
Supreme Court J.D. No. 68736
2080 Linglestown Road
Suite 201
Harrisburg, PAl 711 0
Telephone: (717) 540-9170
Facsimile: (717) 540-5481
N THE COURT OF COMMON PLEAS
UMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NICOLE A. HURST,
Plaintiff
v.
~ !NO. O~ - :2,/..'1
; IIN DIVORCE
I
,
C/DJT~
TRAVIS L. HURST,
Defendant
COMPLAINT I DIVORCE UNDJ[R
SECTION 3301(c) R SECTION 3301(d)
OF THE DI ORCE CODE
AND NOW comes the above Plain iff, Nicole A. Hurst, by her attorney, Cara A.
,
Boyanowski, Esquire, and seeks to obtain a ddcree in divorce from the above-named Defendant,
upon the grounds hereinafter set forth:
CQUNTI
I
I
DItORCE
I. The Plaintiff, Nicole A. Hurst, is an adult individual who resides at 1262 Hunters
Ridge Drive, Mechanicsburg, Cumberland Co nty, Pennsylvania l7050.
2. The Defendant, Travis 1. Hurs , is an adult individual who resides at 5447 Rolling
Road, Chambers burg, Franklin County, Penns lvania 1720 I.
3. The Plaintiff has been a bona fi e resident of the Commonwealth of Pennsylvania for
at least six (6) months immediately prior to thelfiling of this Complaint.
4. The Plaintiff and Defendant wert married on August] 4,2004, in Enola, Cumberland
County, Pennsylvania.
5.
The Plaintiff and Defendant are !both citizens of the United States of America.
There have been no prior action~ in divorce between the parties.
Plaintiff avers that there is one Jhild born of the marriage under the age of eighteen
6.
7.
years, namely, Madison N. Hurst, born June 26, 2001.
8. The Plaintiffand the Defendant are not members of the Armed Services of the United
States or any of its allies.
9. Plaintiff has been advised ofthejavailability of counseling and that she may have the
I
!
right to request that the Court require the parties to participate in counseling. She has declined
counseling.
10. The causes of action and sedtions of Divorce Code under which Plaintiff is
proceeding are:
A. Section 3301(c). The rr1arriage of the parties is irretrievably broken.
After ninety (90) days have elapsed from the date of the filing of this Complaint,
Plaintiff intends to file an Affidavit corsenting to a divorce. Plaintiff believes that
Defendant may also file such an Affid4vit.
B. Section 3301 (d). The iarriage of the parties is irretrievably broken.
The Plaintiff and Defendant separated ~n October 6, 2005.
I
WHEREFORE. <he PI""";'f pmy~ yot H,oombk Omrt " '"'" " Do,,~ 'e Di '"= from
the bonds of matrimony.
COUNT II
ALIMONY PENDENTE L TE, COUNSEL FEES, COSTS
AND XPENSES
11. Paragraphs 1 through 10 of t e Divorce Comp1a.int are incorporated herein by
reference as though set forth in full.
I
,
I
Defendant earns in excess of $~2,OOO.OO dollars gross per year, and has assets that
I
have not yet been ascertained. I
13. Plaintiff has employed counsel) but is unable to pay the necessary and reasonable
!
12.
attorney's fees for said counsel.
14. Plaintiff is unable to sustain hetself during the course of this litigation.
I
WHEREFORE, Plaintiff requests YOljr Honorable Court to enter an award of Alimony
Pendente Lite, interim counsel fees, costs and ekpenses, until final hearing and thereupon award such
additional counsel fees, costs and expenses as Ideemed appropriate.
----. _ _ -I-U
I verify that the statements made in thiS Complaint are trU(~ and correct. I understand that
false statements herein are made subject to the penalties of 18 Pa.c..S.A. ~4904 relating to unsworn
falsification to authorities.
/"
By:
~ cAC~uud-~
e A. Hurst, Plaintiff
DaJ}Q. . ;<0\ ~OOS-
.DyQ*~~~
Attorney No. 68736
2080 Linglestown Road
Suite 201
Harrisburg, P A 17110
(717) 540-9170
,
,
Attorney for Plaintiff
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NICOLE A. HURST,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYL VANIA
v.
NO. 06-264 CIVIL TERM
P ACSES CASE NO. !.P:;(4- I D 7 '11.> I
CIVIL ACTION - LAW
IN DIVORCE
TRAVIS L. HURST,
Defendant
NICOLE A. HURST,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYL VANIA
DOMESTIC RELATIONS SECTION
v.
TRAVIS L. HURST,
Defendant
NO. 00895 S 2005
PACSES NO. 624107747
CIVIL ACTION - SUPPORT
ORDER OF COURT
ANDNOW,this--LdayOf .j~
, 2006, upon
stipulation of the parties, it is hereby Ordered and Decreed:
1. Defendant, Travis L. Hurst, shall pay the sum of $394.17 per month, to Plaintiff,
Nicole A. Hurst, in alimony pendente lite. Any arrearage that accrues on this account may be
attached at the rate of $1 0.00 per month.
2. The Defendant, Travis L. Hurst, shall be wage attached for the alimony pendente lite.
Defendant's wage attachment shall occur on a weekly basis.
3. The effective date of this Order of Court shall be January 1,2006. Plaintiffs spousal
support claim is denied.
4. All remaining provisions surrounding the Order of Court for support, filed at this
docket number and entered by this Honorable Court on December 8, 2005 shall remain in full force
and effect.
5. This Order of Court shall be enforceable through the Domestic Relations Office ofthe
Court of Common Pleas of Cumberland County.
COpies ""t/ \!'y l)i1o
t-)
,
C)
L
Cara A. Boyanowski. Esquire
SERRATELLI SCHIFFMAN BROWN & CALHOON
2080 Linglestown Road
Suite 201
Harrisburg, PAl 711 0
(717) 540-9170 (telephone)
(717) 540-5481 (facsimile)
Attorney for Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYL VANIA
NICOLE A. HURST,
Plaintiff
v.
NO. 06-264 CIVIL TERM
PACSES CASE NO.
CIVIL ACTION - LAW
IN DIVORCE
TRAVIS L. HURST,
Defendant
NICOLE A. HURST,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
DOMESTIC RELATIONS SECTION
v.
TRAVIS L. HURST,
Defendant
NO. 00895 S 2005
PACSES NO. 624107747
CIVIL ACTION - SUPPORT
STIPULATION FOR SPOUSAL SUPPORT
WHEREAS, Plaintiff filed a complaint for support of herself and the parties' minor child,
Madison N. Hurst, born June 26, 2001, on or about October 17, 2005;
WHEREAS, on or about December 8, 2005, a support conference was held and an Order
of Court was entered on the same date directing Defendant to pay to Plaintiff the sum of$347.00
in child support each month. Defendant raised an entitlement claim for the spousal support
request, and therefore, no award for spousal support was entered;
WHEREAS, subsequent to the entrance of the above specified Order of Court, Plaintiff
filed a Divorce Complaint containing a counterclaim for alimony pendente lite;
WHEREAS, Plaintiff and Defendant have reached an agreement, without the need of this
Honorable Court's assistance, and wish to enter their agreement as an Order of Court;
NOW THEREFORE, intending to be legally bound, the parties agree as follows:
A. Defendant, Travis L. Hurst, shall pay the sum of $394.17 per month, to Plaintiff,
Nicole A. Hurst, in alimony pendente lite. Any arrearage that accrues on this account may be
attached at the rate of $ 10.00 per month.
S. The Defendant, Travis L. Hurst, shall be wage attached for the alimony pendente lite.
Defendant's wage attachment shall occur on a weekly basis.
C. The effective date of this Order of Court shall be January 1, 2006.
D All remaining provisions surrounding the Order of Court for support, filed at this
docket number and entered by this Honorable Court on December 8, 2005 shall remain in full force
and effect. Plaintiff agrees to withdraw her request for spousal support.
E. Plaintiff is represented by Cara A. Boyanowski, Esquire and Defendant is represented
by Debra Denison Cantor, Esquire. Both parties have been informed of the purpose of this
Stipulation and its legal effects and consequences.
F. Each of the parties have carefully read and fully considered this Stipulation
and all of the statements, terms, conditions, and provisions thereofprior to signing below.
G. Both parties request this Honorable Court enter this Stipulation for Support as an
Order of Court and enforce this action through the Domestic Relations Office of the Court of
Common Pleas of Cumberland County.
IN WITNESS WHEREOF, the parties have set forth their hands and seals this
11-l1\.
. day of
(f~i2t
,2006.
~
WITNESS: . .
IJ
/ ",'I.~
/" Ii'
.JJaWW i/;;~~/(/1C' .
Nicole A. Hurst
I
/
.b~' / ylv.;;;;:;t-
/Travis L. Hurst
.
State Commonwealth of pennsylvania
Co.lCity/Dist. of CUMBERLAND
Date of Order/Notice 01/24/06
Case Number (See Addendum for case summary)
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
624107747
895 S 2005
626107961
06-264 CIVIL
RE: HURST, TRAVIS L.
Employee/Obligor's Name (Last, First, MI)
o Original Order/Notice
o Amended Order/Notice
o Terminate Order/Notice
Employer/withholder's Federal EIN Number
DARDEN CORPORATION
C/O PAYROLL/GARNISHMENTS
PO BOX 593330
ORLANDO FL 32859-3330
208-62-8654
Employee/Obligor's Social Security Number
9404101572
Employee/Obligor's Case Identifier
(Sei' Addf'ndum for plaintiff names
associated with cases on atfarnmfmV
Custodial Parentis Name (Last, First, Mil
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 741.17 per month in current support
$ 53 .00 per month in past-due support Arrears 12 weeks or greater? 0 yes W no
$ 0.00 per month in current and past.due medical support
$ 0 . 00 per month for genetic test costs
$ per month in other (specify)
for a total of $ 794.17 per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ 183.27 per weekly pay period.
$ 366.54 per biweekly pay period (every two weeks).
$ 397.09 per semimonthly pay period (twice a month).
$ 794.17 per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed S5% of the employee'sl obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2L
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1.877.676-9580 for instructions.
Make Remittance Payable to: PA SCOU
Send check to: Pennsylvania SCOU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PA YMENTS MUST INCLUDE THE DEfENDANT'S NAME AND THE PACSES MEMBER 1D (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
DRO: R.J. Shadday
Service Type M
OMB No.: 0970-0154
"'"~~
~~v \ (',,~b~~
Edgar B. Bayley, ' Judge
Form EN.028
Worker 10 $IATT
JAN 2 5 200i
Date of Order:
.
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
o If checked you are required to provide a copy of this form to your employee. If yoVr employee works in a state that is
different from the state that issued this order, a copy must be provided to your employee even if the box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency I1sted below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor.
3. *~eportingthe.Paydate/fJate ofWithholding:-You""ushepo1Htre paydatefdate of withholdingwhert>endingth"1'ay1 "_, ,I.fhe-
payd;rteldat<eofwithholding isthe dat"""whicloamotmt-waswithhekHrom thlOemployee'<wage;; You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4. * Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 5933784920
EMPLOYEE'S/OBlIGOR'S NAME: HURST. TRAVIS L.
EMPLOYEE'S CASE IDENTIFIER: 9404101572 DATE OF SEPARATION:
lAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Antiwdiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9. * Withholding limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act 115 U.5.c. 91673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
11. Submitted By:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240.6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
Form EN.028
Worker ID $IATT
Service Type M
OM8 No.: 0970-(}l54
. '.
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: HURST, TRAVIS L.
PACSES Case Number 624107747
Plaintiff Name
NICOLE A. HURST
Docket Attachment Amount
008958 2005 $ 400.00
Childl,en)'s Name(s):
MADISON N. HURST
DOB
06/26/01
PACSES Case Number 626107961
Plaintiff Name
NICOLE A. HURST
Docket Attachment Amount
06-264 CIVIL $ 394.17
Childlren)'s Namels):
DaB
II checked, you are required to enroll the childlren)
above in any health insurance coverage available
through the employee's/obligor's employment.
011 checked, you are required to enroll the childlren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Childlren)'s Namels):
DaB
Docket Attachment Amount
$ 0.00
Childlren)'s Name!s):
DaB
011 checked, you are required to enroll the childlren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
o II checked, you are required to enroll the childlren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child!ren)', Namels):
DaB
Docket Attachment Amount
$ 0.00
Child(ren)'s Name!,):
DaB
011 checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
o II checked, you are required to enroll the childlren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
Addendum
Form E N-028
Worker ID $IATT
Service Type M
OMB No.: 0970.0154
r'_1
!',:,
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsvlvania
Co./City/Dist. of CUMBERLAND
Date of Order/Notice 02/01/06
Case Number (See Addendum for case summary)
624107747
895 S 2005
o Original Order/Notice
(8) Amended Order/Notice
o Terminate Order/Notice
DARDEN CORPORATION
C/O PAYROLL/GARNISHMENTS
PO BOX 593330
ORLANDO FL 32859-3330
626107961
06-264 CIVIL
RE, HURST, TRAVIS L.
Employee/Obligor's Name (Last, First, MI)
208-62-8654
Employee/Obligor's Social Security Number
9404101572
Employee/Obligor's Case Identifier
(5(>e Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (last First, MI)
EmployerMtithholder's Federal EIN Number
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above.named employee's/obligor's income until further notice even if the Order/Notice is not
issued by you r State.
$ 741.17 per month in current support
$ 63.00 per month in past-due support Arrears 12 weeks or greater? Oyes @ no
$ 0.00 per month in current and past.due medical support
$ 0 . 00 per month for genetic test costs
$ per month in other (specify)
for a total of $ 804.17 per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ 185.58 per weekly pay period.
$ 371.16 per biweekly pay period (every two weeks).
$ 402.09 per semimonthly pay period (twice a month).
$ 804.17 per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydateldate of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1-877-676-9580 for instructions.
Make Remittance Payable to: PA seDU
Send check to: Pennsylvania seou, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PA YMENTS 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.
Date of Order: FEB 0 2 20C5
ge
Form EN.028
Worker 10 $IATT
DRO: R. J. Shadday
Service Type M
OM6No,:Og7Q..G154
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOlDERS
o If ~hecked you are required to provide a copy of this form to your employee. If yow employee works in a state that is
different from the state that issued this order, a copy must be provided to your employee even if the box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor.
3. * Repu,li"5 tJ Ie r aydatc:/DClte of '..t/itl,llok1il15. Yvu ,1IUSt lepOr[ tilt:: IJdyJateldate of vvitl,l,uldi"o vvLell 5ellJil!5lll~ j-1C1yrllellt. -the--
\-"h:l.yJatb'Jo:te of ~v;tlllro'IJ;llg iSl'"t:: ddle 011 vvll;LII dlllOUflt vva.!. vv;tLlleld helll llle elll.....lvyee':> vvages. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and for..vard the support payments.
4. * Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 5933784920
EMPLOYEE'S/OBLlGOR'S NAME: HURST , TRAVIS L.
EMPLOYEE'S CASE IDENTtFIER: 9404101572 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9. * Withholding limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.c. ~1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income leh aher making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
l1.Submitted By:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (7171 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
Form E N-028
Worker ID $IATT
Service Type M
OMBNo.:0970-0154
,
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: HURST, TRAVIS L.
PACSES Case Number 624107747
Plaintiff Name
NICOLE A. HURST
Docket Attachment Amount
0089sS 2005 $ 400.00
Child(ren)'s Name(s):
DOB
PACSES Case Number 626107961
Plaintiff Name
NICOLE A. HURST
Docket Attachment Amount
06-264 CIVIL $ 404.17
Child(ren)'s Name(s);
DOB
o If checked, you are required to enroll the childlrenl
identified above in any health insurance coverage available
through the employee's/obligor's employment.
o if checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(renl's Name(s);
DOB
Docket Attachment Amount
$ 0.00
Child(ren)'s Namels):
DOB
If you are required to enroll the child(ren)
above in any health insurance coverage available
the employee's/obligor's employment.
If checked, you are required to enroll the child(ren)
in any health insurance coverage available
employee'siobligor's empioyment.
PACSES Case Number
Plaintiff Name
P ACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Namels):
DOB
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
o If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
o If checked, you are required to enroli the chiidlren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
Addendum
Form E N-028
Worker 10 $IATT
Service Type M
OMB No.: 0970-0154
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MAY. 24. 2006 3:58PM S.S.B.&C. Hbg,Pa,17110
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PA 11/10
amy Number
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X INITIAL REQUEST.
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Support ArreIt8 as of Bud ofMomh Prior to Date of Applicatio : S "2 (., '3 ? (
Monthly Total Support Obligation: S I C ~
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LIEN SATISFACTION
N me: Travis Hurst
M mber Number: 9404101572
J dgment Lien Satisfied as of: May 29, 2006
A ount Paid: $_$339.89
Si ned:
Pacses# 626107961
No. 06-264 CV
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State Commonwealth of Pennsylvania
Co.lCity/Dist. of CUMBERLAND
Date of Order/Notice 12/29/06
Case Number (See Addendum for case summary)
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
(p~ t./ 1077'-1-7
~q5 5 2005
/,:l /" I D TCJ /, /
Of, - el./p/f CJ VI L
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o Original Order/Notice
o Amended Order/Notice
o Terminate Order/Notice
GMR RESTAURANTS INC
C/O ATTN: PAYMENTS/GARNISHME
PO BOX 593330
ORLANDO FL 32859-3330
RE:HURST, TRAVIS L.
Employee/Obligor's Name (Last, First, MI)
208-62-8654
Employee/Obligor's Social Security Number
9404101572
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
Employer/Withholder's Federal EIN Number
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMA nON: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 741.17 per month in current support
$ 0 . 00 per month in past-due support Arrears 12 weeks or greater? 0 yes @ no
$ 0.00 per month in current and past-due medical support
$ 0 . 00 per month for genetic test costs
$ per month in other (specify)
for a total of $ 741 . 17 per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ 171.04 per weekly pay period.
$ 342.08 per biweekly pay period (every two weeks).
$ 370.59 per semimonthly pay period (twice a month).
$ 741.17 per monthly pay period.
REMITTANCE INFORMA nON:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. ~ 4374(b)) to remit by electronic payment method, please call
Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580
for instructions.
Make Remittance Payable to: P A SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PA YMENTS 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. ~. . .
,', \, BY TH OURT: ~
Date of Order: .;,'.ii 0 2 200t l. _..f^v V \(b,. '1 ~
\
Form EN-028 Rev. 1
Worker ID $IATT
Service Type M
OMB No,: 0970-0154
, -
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
o If checked you are required to provide a copy of this form to your employee. If your employee works in a state that is
different from the state that issued this order, a copy must be provided to your employee even if the box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each
employee/obligor.
3. * Repoltillg ti,e rayJdte/Date of W;tlll,oIJ;lIg. YOu Illust lepolt ti,e paydate/date of vvitl,l,oldil,g vvl,ell sel,dil,g ti,e paynlellt. Ti,e
paydate/date of vvitl.l,old;l,g is ti,e date 01. vvl.id, dll.OUllt VVCl:> vv;t1,lleld flollltlle t:1I11.lIoyee's vvages. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4. * Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow
the law of the state of em p loyee's/ob I igor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 5912191680
EMPLOYEE'S/OBLlGOR'S NAME: HURST, TRAVIS L.
EMPLOYEE'S CASE IDENTIFIER: 9404101572 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9. * Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.c. ~1673 (b)l; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
11. Submitted By:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (71 7) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
Form EN-028 Rev. 1
Worker ID $IATT
Service Type M
OMB No.: 0970-0154
. ' ...
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: HURST, TRAVIS L.
PACSES Case Number 624107747
Plaintiff Name
NICOLE A. HURST
Docket Attachment Amount
00895 S 2005 $ 347.00
Child(ren)'s Name(s):
DOB
you are required to enroll the child(ren)
above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
If checked, you are required to enroll the child(ren)
above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
If checked, you are required to enroll the child(ren)
above in any health insurance coverage available
through the employee's/obligor's employment.
Addendum
Service Type M
OMB No.: 0970-0154
PACSES Case Number 626107961
Plaintiff Name
NICOLE A. HURST
Docket Attachment Amount
06-264 CIVIL $ 394.17
Child(ren)'s Name(s):
DOB
D If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
D If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
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[] If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
Form EN-028 Rev. 1
Worker 10 $IATT
....
.,.
McNEES WALLACE & NURICK LLC
By: DEBRA D. CANTOR
Attorney 10 No. 66378
100 Pine Street
Harrisburg, PA 17108-1166
(717) 237-5297
(717) 237-5300 facsimile
dcantor@mwn.com
Attorneys for Defendant
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NICOLE A. HURST,
v.
NO. 06-264 CIVIL TERM
TRAVIS L. HURST.
IN DIVORCE
Defendant
MOTION FOR APPOINTMENT OF MASTER
~ Defendant moves the court to appoint a master with respect to the following claims:
~ Divorce
D Annulment
D Alimony
~ Alimony Pendente Lite
~ Distribution of Property
D Support
~ Counsel Fees
~ Costs and Expenses
and in support of the Motion states:
1 . Discovery [8J is complete as to the c1aim( s) for which the appointment of
master is requested.
2. The non-moving party ~ has D has not appeared in the action
D personally [gJ by counsel, Cara A. Boyanowski, Esquire.
3. The statutory ground(s) for divorce 0 are r8J 3301(c) and (d).
4. The action is contested with respect to the following claims: divorce,
distribution of property, alimony pendente lite, and counsel fees.
5. The action D involves ~ does not involve complex issues of law or fact.
6. The hearing is expected to take 1 day.
7. Additional information, if any, relevant to the motion: none.
Date: ~)(\ rU/~( '1 '~'1, d-Q) I
AND NOW.
TMLL
N~" . Cantor
Attorney for Defendant
,2007,
, Esquire, is
appointed master with respect to the following claims:
MOVING PARTY
NAME: Travis L. Hurst
ATTORNEY'S NAME: Debra D. Cantor
ATTORNEY'S ADDRESS:
100 Pine Street
Harrisburg, PA 17101
ATTORNEY'S TELEPHONE NO.:
717-237-5297
ATTORNEY'S EMAIL:
dcantor@mwn.com
PARTY'S ADDRESS & TELEPHONE
NUMBER IF NOT REPRESENTED BY
COUNSEL:
BY THE COURT:
J.
NON-MOVING PARTY
NAME: Nicole A. Hurst
ATTORNEY'S NAME: Cara A. Boyanowski
ATTORNEY'S ADDRESS:
2080 Linglestown Rd
Suite 201
Harrisburg, PA 17110
ATTORNEY'S TELEPHONE NO.:
717-540-9170 x125
ATTORNEY'S EMAIL:
cbovanowski@ssbc-Iaw.com
PARTY'S ADDRESS & TELEPHONE
NUMBER IF NOT REPRESENTED BY
COUNSEL:
- 2 -
..
CERTIFICATE OF SERVICE
The undersigned hereby certifies that on the ~y of'\-
true and correct copy of the foregoing document was served by first-class
prepaid, upon the following:
Cara A. Boyanowski, Esquire
Serratelli, Schiffman, Brown & Calhoon, P.C.
2080 Linglestown Road, Suite 201
Harrisburg, PA 17110-9670
~/~.A
De~~& \_/
~
Counsel for Defendant
-- '-.
t
JAN 25 2007,
McNEES WALLACE & NURICK LLC
By: DEBRA D. CANTOR
Attorney 10 No. 66378
100 Pine Street
Harrisburg, PA 17108-1166
(717) 237-5297
(717) 237-5300 facsimile
dcantor~mwn.com
Attorneys for Defendant
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 06-264 CIVIL TERM
NICOLE A. HURST,
v.
TRAVIS L. HURST,
IN DIVORCE
Defendant
MOTION FOR APPOINTMENT OF MASTER
~ Defendant moves the court to appoint a master with respect to the following claims:
~ Divorce
D Annulment
D Alimony
~ Alimony Pendente Lite
~ Distribution of Property
D Support
~ Counsel Fees
~ Costs and Expenses
and in support of the Motion states:
1. Discovery [8J is complete as to the c1aim( s) for which the appointment of
master is requested.
2. The non-moving party [8J has 0 has not appeared in the action
o personally [8J by counsel, Cara A. Boyanowski, Esquire.
..-.I ..
3. The statutory ground(s) for divorce 0 are ~ 3301(c) and (d).
4. The action is contested with respect to the following claims: divorce,
distribution of property, alimony pendente lite, and counsel fees.
5. The action 0 involves [gJ does not involve complex issues of law or fact.
6. The hearing is expected to take 1 day.
7. Additional information, if any, relevant to the motion: none.
Date: .J~ l'\.lNl j '1 a ~ , (t.a> 1
AND NOW.
~/L
- N :' . Cantor
Attorney for Defendant
,2007, c3..~t/;eJ ~, Esquire, is
appointed master with respect 0 the following claims: .b.,(J ~
I
BY THE
MOVING PARTY
NAME: Travis L. Hurst
ATTORNEY'S NAME: Debra D. Cantor
ATTORNEY'S ADDRESS:
100 Pine Street
Harrisburg, PA 17101
ATTORNEY'S TELEPHONE NO.:
717 -237 -5297
ATTORNEY'S EMAIL:
dcantor@mwn.com
PARTY'S ADDRESS & TELEPHONE
NUMBER IF NOT REPRESENTED BY
COUNSEL:
J.
NON-MOVING PARTY
NAME: Nicole A. Hurst /
ATTORNEY'S NAME:vCara A. Boyanowski
ATTORNEY'S ADDRESS:
2080 Linglestown Rd
Suite 201
Harrisburg, PA 17110
ATTORNEY'S TELEPHONE NO.:
717-540-9170 x125
ATTORNEY'S EMAIL:
cbovanowski@ssbc-Iaw.com
PARTY'S ADDRESS & TELEPHONE
NUMBER IF NOT REPRESENTED BY
COUNSEL:
- 2 -
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McNEES WALLACE & NURICK LLC
By: DEBRA D. CANTOR
Attorney ID No. 66378
100 Pine Street
Harrisburg, PA 17108-1166
(717) 237-5297
(717) 237-5300 facsimile
dcantor@mwn.com
Attorneys for Defendant
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
NO. 06-264 CIVIL TERM
NICOLE A. HURST,
v.
TRAVIS L. HURST,
IN DIVORCE
Defendant
DEFENDANT'S PETITION FOR EQUITABLE DISTRIBUTION
PURSUANT TO PA R.C.P. 1920.15
AND NOW, comes Defendant Travis L. Hurst, by and through his counsel,
McNees Wallace & Nurick LLC, and raises the following counterclaim:
1. A divorce was filed in the above captioned matter on January 11, 2006.
2. Defendant/Petitioner is Travis L. Hurst, an adult individual, currently
residing at 5447 Rolling Road, Chambersburg, Franklin County, Pennsylvania, 17201.
3. Plaintiff/Respondent is Nicole A. Hurst, an adult individual, currently
residing at 1455 English Drive, Mechanicsburg, Cumberland County, Pennsylvania.
4. Plaintiff and Defendant have legally and beneficially acquired property,
both real and personal during their marriage.
5. Plaintiff and Defendant have been unable to agree as to an equitable
division of said property as of the date of the filing of this Petition.
WHEREFORE, Defendant/Petitioner, Travis L. Hurst, respectfully requests this
Honorable Court to equitably divide all marital property.
Respectfully submitted,
McNEES WALLACE & NURICK LLC
~-
. . tor
1.0. 8
100 Pine Street
P.O. Box 1166
Harrisburg, PA 17108-1166
(717) 232-8000
Attorneys for Defendant
Dated: January 17, 2007
-2-
"_h.4. ..
CERTIFICATE OF SERVICE
The undersigned hereby certifies that on the F of~, 2007, a
true and correct copy of the foregoing document was served by first-class 'ail, postage
prepaid, upon the following:
Cara A. Boyanowski, Esquire
Serratelli, Schiffman, Brown & Calhoon, P.C.
2080 Linglestown Road, Suite 201
Harrisburg, PA 17110-9670
Counsel for Defendant
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NICOLE A. HURST,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
v.
NO. 06-264 CIVIL TERM
TRAVIS L. HURST,
IN DIVORCE
Defendant
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301 (c) of the Divorce Code was filed on
January 11, 2006.
2. The marriage of the plaintiff and defendant is irretrievably broken. Ninety days
have elapsed since the date of service of 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. understand
that false statements herein are made subject to the penalties of 18 Pa. C.S. Section
4904 relating to unsworn falsification to authorities.
Date: March /J , 2007
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NICOLE A. HURST,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
v.
NO. 06-264 CIVIL TERM
TRAVIS L. HURST,
IN DIVORCE
Defendant
WAIVER OF NOTICE OF INTENTION TO REOUEST ENTRY OF
A DIVORCE DECREE UNDER SAction 3301 (c) OF THE DIVORCE CODE
1. I consent to the entry of a final decree in 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. Section 4904
relating to unsworn falsification to authorities.
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7avis L. Hurst
Date: March IS , 2007
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NICOLE A. HURST,
Plaintiff
v.
TRAVIS L. HURST,
Defendant
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 06-264 CIVIL TERM
IN DIVORCE
1. A Complaint in Divorce under Section 3301 (c) of the Divorce Code was filed on
January 11, 2006.
2. The marriage of the pi intiff and defendant is irretrievably broken. Ninety days
have elapsed since the date of s rvice of the Complaint.
3. I consent to the ent of a final decree of divorce after service of notice of
intention to request entry of the ecree.
I verify that the statement made in this affidavit are true and correct. understand
that false statements herein ar made subject to the penalties of 18 Pa. C.S. Section
4904 relating to unsworn falsific tion to authorities.
D~e: March 20, 2007
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NICOLE A. HURST,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
v.
NO. 06-264 CIVIL TERM
TRAVIS L. HURST,
IN DIVORCE
Defendant
1. I consent to the en ry of a final decree in divorce without notice.
2. I understand that I may lose rights concerning alimony, division of property,
lawyer's fees or expenses if I do ot 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 statement made in this affidavit are true and correct. I understand
that false statements herein are ade subject to the penalties of 18 Pa.C.S. Section 4904
relating to unsworn falsification t authorities.
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Date: March 2.0, 2007
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NICOLE A. HURST,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
VS.
CIVIL ACTION - DIVORCE
TRAVIS L. HURST,
Defendant
NO. 06-264 CIVIL TERM
IN DIVORCE
PACSES Case No.: 626107961
ORDER OF COURT
AND NOW to wit, this 28th day of March 2007, it is hereby Ordered that, the
Alimony Pendente Lite is terminated effective March 20, 2007 and Cumberland County
Domestic Relations Section dismiss their interest in the above captioned matter pursuant to the
parties' property settlement agreement. There is no balance due the Plaintiff.
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Edgar B. Bayley, , J>
DRO: R.J. Shadday
xc: Petitioner
Respondent
Debra D. Cantor, Esq.
Cara Boyanowski, Esq.
Service Type: M
Form OE-OOI
Worker: 21005
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NICOLE A. HURST,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 06-264 CIVIL TERM
CIVIL ACTION - LAW
TRAVIS L. HURST,
Defendant
IN DIVORCE
ACCEPTANCE OF SERVICE
I, Debra Denison Cantor, Esquire, attorney for the
in the above-captioned matter, hereby certify that
service of the Complaint in Divorce filed in the above
matter on January 11, 2006.
Defendant
I accept
captioned
rJllRllq lid
ra Den:
MCNEES, WA LACE
100 Pine Street
P.O. Box 1166
Harrisburg, PA 17108-1166
(717) 237-5297
Sworn and Subscribed to
before me this f1~ day
of cro..~ ,2006.
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NOTARY PUBLIC
My Commission Expires:
NOTARIAl SEAL
MICHELE S. BEERY, Notary Pt.bIic
City of HarrisbUrg, PA Dauphin County
My Commission Expires July 6. 2006
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Cara A. Boyanowski, Esquire
SERRA TELL! SCHIFFMAN BROWN & CALHOON
2080 Linglestown Road
Suite 20 I
Harrisburg, P A 17110
(717) 540-9170 telephone
(717) 540-5481 facsimile
c boyan owski (tV,ss bc-la w. com
Attorney for Plaintiff, Nicole A. Hurst
NICOLE A. HURST,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYL VANIA
CIVIL ACTION - LAW
v.
NO. 06-264 CIVIL TERM
TRAVIS L. HURST,
Defendant
IN DIVORCE
PRAECIPE TO TRANSMIT RECORD
To the Prothonotary:
Transmit the record together with the following information, to the court for entry of a
divorce decree:
1. Ground for divorce: irretrievable breakdown under S3301(c) of the Divorce Code.
2. Date and manner of service of the complaint: The divorce complaint, filed on
January II, 2006, was served upon Defendant, through his counsel of record, Debra
Denison Cantor, Esquire by first class mail, postage prepaid, on January 17,2006.
3. (Complete either paragraph (a) or (b).)
(a) Date of execution of the affidavit of consent required by S3301(c) of
the Divorce Code: by Plaintiff: March 20,2007; by Defendant: March 13, 2007.
(b)(1) Date of execution ofthe affidavit required by S3301(d) ofthe Divorce
.- ....
Code: NI A; (2) Date of filing and service of the Plaintiffs Affidavit upon the
respondent: NI A.
4. Related claims pending: None.
5. (Complete either (a) or (b).)
( a) Date and manner of service of the notice of intention to file praecipe to
transmit record; a copy of which is attached: NI A.
(b) Date Plaintiffs Waiver of Notice in 93301(c) Divorce was filed with the
Prothonotary: on March 21, 2007.
(c) Date Defendant's Waiver of Notice in 93301(c) Divorce was filed with
the Prothonotary: on or about March 14,2007.
Respectfully submitted,
SERRA TELL! SCHIFFMAN BROWN &
CALHOON
Cara A. Boyanowsk , Esquire
Supreme Court J.D. No. 68736
2080 Linglestown Road, Suite 201
Harrisburg, PAl 711 0
(717) 540-9170
Attorney for Plaintiff
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IN THE COURT OF COMMON PLEAS
OFCUMBERLANDCOUNTY
STATE OF
NICOLE A. HURST,
VERSUS
TRAVIS L. HURST,
AND NOW,
Plaintiff
Defendant
PENNA.
No. 06-264 CIVIL TERM
DECREE IN
AND
TRAVIS L. HURST
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DIVORCE
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DECREED THAT
NICOLE A. HURST
, PLAINTIFF,
, DEFENDANT,
ARE DIVORCED FROM THE BONDS OF MATRIMONY.
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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;
None.
ATTEST'f~/
PROTHONOTARY
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