Loading...
HomeMy WebLinkAbout06-6486CHERYL A. MORRISON, Plaintiff VS. DONALD F. MORRISON, Defendant : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA NO. 2006- Gy0 CIVIL ACTION - LAW : IN DIVORCE NOTICE TO DEFEND AND CLAIM RIGHTS You have been sued in Court. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case will proceed without you and a decree in divorce or annulment may be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation or your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary at the First Floor, Cumberland County Courthouse, 1 Courthouse Square, Carlisle, Pennsylvania 17013. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF MARITAL PROPERTY, LAWYER'S FEES, OR EXPENSES BEFORE A DIVORCE IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 32 S. Bedford Street Carlisle, Pennsylvania 17013 (717) 249-3166 w CHERYL A. MORRISON, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 2006- LY VIP CIVIL ACTION - LAW DONALD F. MORRISON, Defendant IN DIVORCE COMPLAINT IN DIVORCE UNDER SECTION 3301 (C) OR 3301 (D) OF THE DIVORCE CODE AND NOW comes Cheryl A. Morrison, plaintiff herein, by and through her attorney, Jacqueline M. Verney, Esquire, and represents the following: COUNT 1-DIVORCE 1. Plaintiff is Cheryl A. Morrison, an adult individual, currently residing at 1400 Bent Creek Boulevard Apartment 200, Mechanicsburg, Cumberland County, Pennsylvania 17050 since July, 2005. 2. Defendant is Donald F. Morrison, an adult individual, currently residing at 47 Burwick Drive, Mechanicsburg, Cumberland County, Pennsylvania 17050 since 2004. 3. Plaintiff and Defendant are bona fide residents of the Commonwealth of Pennsylvania and have been so for at least six months immediately previous to the filing of this complaint. 4. Plaintiff and Defendant were married on August 28, 1976 in Mechanicsburg, Pennsylvania. 5. There have been no prior actions for divorce or annulment between the parties. 6. The Plaintiff has been advised that counseling is available and that plaintiff may have the right to request that the court require the parties to participate in counseling. Having been so advised Plaintiff does not desire the Court to order counseling. 7. This marriage is irretrievably broken. WHEREFORE, Plaintiff prays Your Honorable Court enter a decree in divorce. COUNT II-ALIMONY/ALIMONY PENDENTE LITE/SPOUSAL SUPPORT 8. Paragraphs 1-7 are incorporated herein by reference as if fully set forth. 9. Plaintiff lacks sufficient property and is unable to support herself to provide for her reasonable needs in accordance with the standard of living of the parties established during the marriage. 10. Defendant works and enjoys an income and is well able to contribute to the support and maintenance of the Plaintiff. WHEREFORE, the Plaintiff requests this Honorable Court enter an award of Alimony, Alimony Pendente Lite and spousal support. COUNT III-EQUITABLE DISTRIBUTION 11. Paragraphs 1-10 are incorporated herein by reference as if fully set forth. 12. During the marriage, the parties accumulated certain real and personal property which is subject to distribution. 13. During the marriage, the parties incurred debt which is subject to distribution. WHEREFORE, the Plaintiff requests this Honorable Court determine marital property and debt and to order equitable distribution thereof. COUNT IV-COUNSEL FEES. COSTS AND EXPENSES 14. Paragraphs 1-13 are incorporated herein by reference as if fully set forth. 15. Plaintiff is without sufficient funds to retain counsel to represent her in this matter. 16. Without counsel, Plaintiff cannot adequately prosecute her claims against Defendant and cannot adequately litigate her rights in this matter. 17. Defendant enjoys an income and is well able to bear the expenses of Plaintiff's attorney and the expense of this litigation. WHEREFORE, the Plaintiff requests this Honorable Court enter an award of counsel fees, costs and expenses. Respectfully submitted, dacq line M. Verney, Esquire Supreme Ct. ID. 23167 44 South Hanover Street Carlisle, PA 17013 (717) 243-9190 Attorney for Plaintiff VERIFICATION I verify that the statements made in the foregoing divorce complaint are true and correct. I understand that false statements herein made are subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn falsification to authorities. J0 Date '2 Y- '- 272a, f?7YL, Cheryl A orrison, Plaintiff c CHERYL A. MORRISON, Plaintiff V. DONALD F. MORRISON, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 2006-6486 CIVIL ACTION - LAW IN DIVORCE MOTION FOR ALIMONY PENDENTE LITE HEARING AND NOW, comes Petitioner, Cheryl A. Morrison, by and through her attorney, Jacqueline M. Verney, Esquire, and moves this Court to enter an Order setting this case for an Alimony Pendente Lite Hearing and in support thereof respectfully represents that: 1. Petitioner, Cheryl A. Morrison, is a competent adult individual, currently residing at 1400 Bent Creek Boulevard Apartment 200, Mechanicsburg, Cumberland County, Pennsylvania 17050. Petitioner's Social security number is 210-44-5654 and date of birth is August 10, 1956. 2. Respondent, Donald F. Morrison, is a competent adult individual, currently residing at 47 Burwick Drive, Mechanicsburg, Cumberland County, Pennsylvania 17050. Respondent's social security number is 227-80-8561 and date of birth is March 11, 1953. 3. A. Plaintiff and Defendant were married on August 28, 1976 in Mechanicsburg, Pennsylvania. B. Plaintiff and Defendant were separated on July 1, 2004. C. Plaintiff and Defendant were divorced on (pending). 4. Plaintiff and Defendant are the parents of the following children (all adults) 5. Plaintiff seeks spousal support/alimony pendente lite for herself. 6. A. Plaintiff is not receiving public assistance. B. Plaintiff is receiving additional income in the amount of $700.00 biweekly from Tristan Associates. 7. There is no previous support order. There are no arrearages in this matter. WHEREFORE, Petitioner requests that the court enter an Order setting an Alimony Pendente Lite hearing. Respectfully submitted, /mil • U acq line M. Verney, Esquire Supreme Ct. ID. 23167 44 South Hanover Street Carlisle, PA 17013 (717) 243-9190 Attorney for Petitioner VERIFICATION I verify that the facts included in the within pleading are true and correct based on information known to me or received from reliable sources. 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. Dated: - ' - l acq eline M. Verney, Esquire cn- -31 j CHERYL A. MORRISON, THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 06-6486 CIVIL TERM DONALD F. MORRISON, IN DIVORCE Defendant/Respondent PACSES CASE NO: 895108751 ORDER OF COURT AND NOW, this 9th day of November, 2006, upon consideration of the Petition for Alimony Pendente Lite and/or counsel fees, it is hereby directed that the parties and their respective counsel appear before R.J. Shadday on December 5, 2006 at 10:30 A.M. for a conference, at 13 N. Hanover St., Carlisle, PA 17013, after which the conference officer may recommend that an Order for Alimony Pendente Lite be entered. YOU are further ordered to bring to the conference: (1) a true copy of your most recent Federal Income Tax Return, including W-2's as filed (2) your pay stubs for the preceding six (6) months (3) the Income and Expense Statement attached to this order, completed as required by Rule 1910.11© (4) verification of child care expenses (5) proof of medical coverage which you may have, or may have available to you IF you fail to appear for the conference or bring the required documents, the Court may issue a warrant for your arrest. BY THE COURT, Edgar B. Bayley, President Judge Copies mailed to: Petitioner Respondent Jacqueline Verney, Esq. f 10 Date of Order: November 9, 2006 "i . Sh ay, nference Officer F V, YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVE. CARLISLE, PENNSYLVANIA 17013 (717) 249-3166 cc361 77' .. - r„a I , A CHERYL A. MORRISON, Plaintiff VS. DONALD F. MORRISON, Defendant : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : NO. 2006- 6486 CIVIL ACTION - LAW : IN DIVORCE AFFIDAVIT OF SERVICE BY MAIL PURSUANT TO Pa. R.C.P. 1930.4 (c) COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND : SS I, Jacqueline M. Verney, Esquire, being duly sworn according to law, deposes and says that she is the attorney for plaintiff, Cheryl A. Morrison, and that she did serve a true and correct copy of the divorce Complaint that was filed in the above matter, by U.S. mail, postage prepaid, certified with restricted delivery, return receipt requested, unto the defendant, Donald F. Morrison, on November 13, 2006. The receipt form is attached hereto as EXHIBIT "A". A acq eline M. Verney, Esquire 3167 44 S. Hanover Street Carlisle, PA 17013 (717) 243-9190 Attorney for Plaintiff Sworn to and subscribed efore me this J day of N/"folw Notary Public !MO/ 0008WLVNAA NOTARK SEAL VALERIE F. GSELI., NOWY Pubk I My Cad We Swo., CwnbwWW C Commission Exoms Od*w 9, 2010 2006. r? b r?Sr' EXHIBIT "A" c7 ?v e _T 4 s'-' ? i • _?% CHERYL A. MORRISON, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 2006-6486 CIVIL ACTION - LAW DONALD F. MORRISON, Defendant IN DIVORCE PRAECIPE TO ENTER APPEARANCE TO THE PROTHONOTARY: Please enter the appearance of Keith O. Brenneman, Esquire and Snelbaker & Brenneman, P. C. as attorneys for Defendant Donald F. Morrison in the above-captioned action. SNELBAKER & BRENNEMAN, P. C. By: *R/L?? Keith O. Brenneman, Esquire Snelbaker & Brenneman, P. C. 44 W. Main Street Mechanicsburg, PA 17055 Date: November 30, 2006 717-697-8528 Attorneys for Defendant LAW OFFICES SNELBAKER & BRENNEMAN, P.C. CERTIFICATE OF SERVICE I, KEITH O. BRENNEMAN, ESQUIRE, hereby certify that I have, on the below date, caused a true and correct copy of the foregoing Praecipe to be served upon the person and in the manner indicated below: FIRST CLASS MAIL, POSTAGE PREPAID, ADDRESSED AS FOLLOWS: Jacqueline M. Verney, Esquire 44 South Hanover Street Carlisle, PA 17013 By: Date: November 30, 2006 SNELBAKER & BRENNEMAN, P.C. Keith O. Brenneman, Esquire 44 W. Main Street P. O. Box 318 Mechanicsburg, PA 17055 (717) 697-8528 Attorneys for Defendant Donald F. Morrison LAW OFFICES SNELBAKER & BRENNEMAN, P.C. C V. CHERYL A. MORRISON, Plaintiff/Petitioner VS. DONALD F. MORRISON, Defendant/Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 06-6486 CIVIL TERM IN DIVORCE PACSES # 895108751 ORDER OF COURT AND NOW, this 5th day of December, 2006, based upon the Court's determination that Petitioner's monthly net income/earning capacity is $1754.57 and Respondent's monthly net income/earning capacity is $2036.28, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $153.00 per month payable as follows: $153.00 per month for alimony pendente lite and $0.00 per month on arrears. First payment due December 8, 2006. Arrears set at $0.00 as of December 5, 2006. The effective date of the order is November 8, 2006. Failure to make each payment on time and in full will cause all arrears to become subject to immediate collection by all of the means as provided by 23 Pa.C.S.§ 3703. Further, if the Court finds, after hearing, that the Respondent has willfully failed to comply with this Order, it may declare the Respondent in civil contempt of Court and its discretion make an appropriate Order, including, but not limited to, commitment of the Respondent to prison for a period not to exceed six months. Said money to be turned over by the PA SCDU to: Cheryl A. Morrison. Payments must be made by check or money order. All checks and money orders must be made payable to PA SCDU and mailed to: PA SCDU P.O. Box 69110 Harrisburg, PA 17106-9110 Payments must include the Respondent's PACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. cc360 A. Unreimbursed medical expenses that exceed $250.00 annually are to be paid as follows 0% by Respondent and 100% by Petitioner. The Petitioner is responsible to pay the first $250.00 annually in unreimbursed medical expenses. The Petitioner is to provide medical insurance coverage. The Respondent is given credit in the amount of $153.00 for a direct payment to the Petitioner on this date. The Petitioner is to maintain her own medical insurance coverage. This Order shall become final ten days after the mailing of the notice of the entry of the Order to the parties unless either party files a written demand with the Prothonotary for a hearing de novo before the Court. Consented: Petitioner Respondent Mailed copies on: December 6, 2006 to: Petitioner Respondent Jacqueline M. Verney, Esq. Keith O. Brenneman, Esq. Petitioner's Attorney Respondent's Attorney BY THE COURT, Edward-S.. uid - DRO: R.J. Shadday - r77 ?- -77 cn IJJ N) In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Defendant Name: DONALD F. MORRISON Member ID Number: 8003101758 Please note: All correspondence must include the Member ID Number. ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS Financial Break Down of Multiple Cases on Attachment Plaintiff Name CHERYL A. MORRISON PACSES Docket Case Number Number 895108751 06-6486 CIVIL Attachment Amount/Frequenc TOTAL ATTACHMENT AMOUNT: $ 153.00 MONTH 153.00 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $ 3 5.31 per week, or 50 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, DONALD F. MORRI SON Social Security Number 2 2 7 - 8 0 - 8 5 61 , Member ID Number 8 0 0 31017 5 8 . BUCBA is ordered to remit the amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearages, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673 (b)(2) and 23 Pa. C.S.A. § 43,48 (g). This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated NOVEMBER 12, 2 0 0 6 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT Date of Order: DEC 0 6 2006 JUDGE Form EN-530 Service Type M Worker ID $ IATT r-I C) y. c4-?- .w ? fYC.? Ls CHERYL A. MORRISON, Plaintiff VS. DONALD F. MORRISON, Defendant : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : NO. 2006-6486 CIVIL ACTION - LAW : PACSES case number 895108751 REQUEST FOR HEARING DE NOVO AND NOW, this 26th day of December, 2006, the Plaintiff hereby requests a Hearing de novo in the above captioned matter. Oac eline M. Verney, Esquire Supreme Ct. ID. 23167 44 South Hanover Street Carlisle, PA 17013 (717) 243-9190 Attorney for Plaintiff cc: Jacqueline M. Verney, Esquire, for Plaintiff Keith O. Brenneman, Esquire, for Defendant ? ?, t ? ? -r? _. ? ---t ?? ? €-- ;-s r-r --,c..? ?-ti =_? _ t ?? ? ..;, , _} ? ? 1 Y'1 4.? _? R .. ?b`y a ?r?e c?5 ru c c) - -f-r CHERYL A. MORRISON, : IN THE COURT OF COMMON PLEAS GhF Plaintiff : CUMBERLAND COUNTY, PEN1VSYLVX 1IA_'; VS. NO. 2006-6486 CIVIL ACTI" - I.?1W r 00 DONALD F. MORRISON, Defendant PACSES case number 895108751 REQUEST FOR HEARING DE NOVO AND NOW, this 26`x' day of December, 2006, the Plaintiff hereby requests a Hearing de novo in the above captioned matter. Jac eline M. Verney, Esquire Supreme Ct. ID. 23167 44 South Hanover Street Carlisle, PA 17013 (717) 243-9190 Attorney for Plaintiff cc: Jacqueline M. Verney, Esquire, for Plaintiff Keith O. Brenneman, Esquire, for Defendant In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION CHERYL A. MORRISON ) Docket Number 06-6486 CIVIL Plaintiff ) VS. ) PACSES Case Number 895108751 DONALD F. MORRISON ) Defendant ) Other State ID Number ORDER OF COURT You, DONALD F. MORRISON plaintiff/defendant of 47 BURWICK DR, MECHANICSBURG, PA. 17050-7998-47 are ordered to appear at DOMESTIC RELATIONS HEARING RM DOMESTIC RELATIONS OFC, 13 N HANOVER ST, CARLISLE, PA. 17013-3014-13 before a hearing officer of the Domestic Relations Section, on the FEBRUARY 13, 2007 at 1: 3 0 PM for a hearing. You are further required to bring to the hearing: 1. a true copy of your most recent Federal Income Tax Return, including W-2s, as filed, 2. your pay stubs for the preceding six (6) months, 3. verification of child care expenses, and 4. proof of medical coverage which you may have, or may have available to you 5. information relating to professional licenses 6. other: Service Type M Form CM-509 Worker ID 21302 MORRISON PACSES Case Number: 895108751 If you fail to appear for the conference/hearing or to bring the required documents, the court may issue a warrant for your arrest or enter an order in your absence. If paternity is an issue, the court may enter an order establishing paternity. The appropriate court officer may enter an order against either party based upon the evidence presented without regard to which parry initiated the support action. BY THE COURT: Date of Order: I <000 it JUDGE YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE HEARING AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. v MORRISON CUMBERLAND CO BAR ASSOCIATION 32 S BEDFORD ST CARLISLE PA 17013-3302-32 (717) 249-3166 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 at: (717) 240-r,225 . All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled hearing. Service Type M Page 2 of 2 Form CM-509 Worker ID 21302 stl " -n C ? r . ? ---' S.. {„? k'1'1 ? t "'" ?; .r__ y„ ? ? ' ? `= ? ? In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION CHERYL A. MORRISON ) Docket Number 06-6486 CIVIL Plaintiff ) VS. ) PACSES Case Number 895108751 DONALD F. MORRISON ) Defendant ) Other State ID Number ORDER OF COURT You, CHERYL A. MORRISON plaintiff/defendant of APT 200, 1400 BENT CREEK BLVD, MECHANICSBURG, PA. 17050-1852-50 are ordered to appear at DOMESTIC RELATIONS HEARING RM DOMESTIC RELATIONS OFC, 13 N HANOVER ST, CARLISLE, PA. 17013-3014-13 before a hearing officer of the Domestic Relations Section, on the FEBRUARY 13, 2007 at 1:30PM for a hearing. You are further required to bring to the hearing: 1. a true copy of your most recent Federal Income Tax Return, including W-2s, as filed, 2. your pay stubs for the preceding six (6) months, 3. verification of child care expenses, and 4. proof of medical coverage which you may have, or may have available to you 5. information relating to professional licenses 6. other: Service Type M Form CM-509 Worker ID 21302 MORRISON v• MORRISON PACSES Case Number: 895108751 If you fail to appear for the conference/hearing or to bring the required documents, the court may issue a warrant for your arrest or enter an order in your absence. If paternity is an issue, the court may enter an order establishing paternity. The appropriate court officer may enter an order against either party based upon the evidence presented without regard to which parry initiated the support action. BY THE COURT: Date of Order: -) 3- 0-1 .? 'r A JUDGE YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE HEARING AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. CUMBERLAND CO BAR ASSOCIATION 32 S BEDFORD ST CARLISLE PA 17013-3302-32 (717) 249-3166 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 at: (717) 240-6225 . All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled hearing. Page 2 of 2 Form CM-509 Service Type M Worker ID 21302 FT1 V i;7a CHERYL A. MORRISON, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. : DOMESTIC RELATIONS SECTION DONALD F. MORRISON, PACSES NO. 895108751 Defendant DOCKET NO. 06-6486 CIVIL INTERIM ORDER OF COURT AND NOW, this 16th day of February, 2007, upon consideration of the Support Master's Report and Recommendation, a copy of which is attached hereto as Exhibit "A", it is ordered and decreed as follows: The interim order of December 5, 2006 is affirmed as a final order. IMPORTANT LEGAL NOTICE PARTIES MUST WITHIN SEVEN DAYS INFORM THE DOMESTIC RELATIONS SECTION AND THE OTHER PARTIES, IN WRITING, OF ANY MATERIAL CHANGE IN CIRCUMSTANCES RELEVANT TO THE LEVEL OF SUPPORT OR THE ADMINISTRATION OF THE SUPPORT ORDER, INCLUDING, BUT NOT LIMITED TO, LOSS OR CHANGE OF INCOME OR EMPLOYMENT AND CHANGE OF PERSONAL ADDRESS OR CHANGE OF ADDRESS OF ANY CHILD RECEIVING SUPPORT. A PARTY WHO WILLFULLY FAILS TO REPORT A MATERIAL CHANGE IN CIRCUMSTANCES MAY BE ADJUDGED IN CONTEMPT OF COURT AND MAY BE FINED OR IMPRISONED. PENNSYLVANIA LAW PROVIDES THAT ALL SUPPORT ORDERS SHALL BE REVIEWED AT LEAST THREE (3) YEARS IF SUCH A REVIEW IS REQUESTED BY ONE OF THE PARTIES. A MANDATORY INCOME ATTACHMENT WILL ISSUE UNLESS THE DEFENDANT IS NOT IN ARREARS IN PAYMENT IN AN AMOUNT EQUAL TO OR GREATER THAN ONE MONTH'S SUPPORT OBLIGATION AND (1) THE COURT FINDS THAT THERE IS GOOD CAUSE NOT TO REQUIRE IMMEDIATE INCOME WITHHOLDING; OR (2) A WRITTEN AGREEMENT IS REACHED BETWEEN THE PARTIES WHICH PROVIDES FOR AN ALTERNATE ARRANGEMENT. DELINQUENT ARREARAGE BALANCES MAY BE REPORTED TO CREDIT AGENCIES. ON AND AFTER THE DATE IT IS DUE, EACH UNPAID SUPPORT PAYMENT SHALL CONSTITUTE A JUDGMENT AGAINST YOU. IT IS FURTHER ORDERED THAT, UPON PAYOR' S FAILURE TO COMPLY WITH THIS ORDER, PAYOR MAY BE ARRESTED AND BROUGHT BEFORE THE COURT FOR A CONTEMPT HEARING; PAYOR'S WAGES, SALARY, COMMISSION, AND/OR INCOME MAY BE ATTACHED IN ACCORDANCE WITH LAW. The parties are hereby advised that they may file written exceptions to the Support Master's Report and Recommendation within twenty (20) days of this order. Exceptions shall conform with the requirements of Rule 1910.12(f), Pa. R.C.P. If written exceptions are filed by any party, the other party may file exceptions within twenty (20) days of the date of service of the original exceptions. If no exceptions are filed within twenty (20) days of this interim order, this order shall then constitute a final order. By the Court Edward E. Guido, . Cc: Cheryl A. Morrison Donald F. Morrison Jacqueline M. Verney, Esquire For the Plaintiff Keith O. Brenneman, Esquire For the Defendant DRO CHERYL A. MORRISON, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. DOMESTIC RELATIONS SECTION DONALD F. MORRISON, PACSES NO. 895108751 Defendant DOCKET NO. 06-6486 CIVIL SUPPORT MASTER'S REPORT AND RECOMMENDATION Following a hearing held before the undersigned Support Master on February 13, 2007, the following report and recommendation are made: FINDINGS OF FACT 1. The Plaintiff is Cheryl A. Morrison, who resides at 1400 Bent Creek Boulevard, Apartment 200, Mechanicsburg, Pennsylvania. 2. The Defendant is Donald F. Morrison, who resides at 47 Burwick Drive, Mechanicsburg, Pennsylvania. 3. The parties were married on August 28, 1976. 4. The parties separated in July, 2004. 5. The Plaintiff filed an action for divorce on or about October 31, 2006 in which she made a claim for alimony pendente lite. 6. On November 8, 2006 the Plaintiff filed a petition requesting a hearing on her claim for alimony pendente lite. 7. The Plaintiff is employed by Tristan Associates where she earns $12.75 per hour for a 40 hour work week. 8. The Plaintiff's tax filing status is married/separate. 9. The Defendant was employed by Freightliner as a service writer until early November, 2006. 10. The Defendant's position with Freightliner was eliminated. 11. The Defendant had earned $28,882.65 prior to the termination of his employment. 12. The Defendant applied for and receives $424.00 per week in unemployment compensation benefits. EXHIBIT "A" 13. The Defendant works part-time as needed for the Pennsylvania Department of Agriculture as a security guard for shows at the Pennsylvania Farm Show Building. 14. The Defendant earned $4,233.58 in his part-time employment in 2006. 15. The Defendant works part-time as a baseball umpire. 16. In 2006 the Defendant earned $1,050.00 as an umpire. 17. The Defendant will file his federal income tax return as married/separate. 18. The Defendant was led to believe that he would be offered another position with Freightliner beginning in January, 2007. 19. The position the Defendant hoped to fill did not become open. 20. The Defendant has submitted three job applications in 2007. 21. The Defendant has continued to work part-time as a security guard while he searches for full-time employment. DISCUSSION The Defendant has not contested the Plaintiff's entitlement to an award of alimony pendente lite. The contest in this case is financial in nature only. If entitlement to an award of alimony pendente lite is established, the amount of the award is calculated pursuant to the support guidelines. Little v. Little, 47 Cumberland L.J. 131 (1998). The Plaintiff has gross monthly income of $2,210.00. Filing her federal income tax return as married/separate, she has net monthly income for support purposes of $1,759.00.' The Defendant had been gainfully employed full-time until early November, 2006. His employment was terminated due to the elimination of his job. While the Defendant cannot be faulted for the loss of his employment, his efforts to obtain new employment have been less than vigorous. In Baehr v. Baehr, 889 A.2d 1240 (Pa. Super. 2005) the court held that the obligor's extensive job experience combined with his absence of a reasonable job search effort justified the assessment of an earning capacity in excess of his actual earnings. In the present case the Defendant, relying on the mistaken belief that he would be offered new employment with Freightliner, made no effort to obtain employment during the first two months following the elimination of his position. After learning that no offer would be forthcoming, the Defendant has submitted only three job applications in the past six weeks. The Defendant has elected instead to support himself on his unemployment compensation benefits supplemented with sporadic part-time employment at the Pennsylvania Farm Show Building. The facts of this case support the assessment of an earning capacity to him. ` See Exhibit "A" for the tax deductions from gross income. 2 A party's earning capacity is that amount he or she can realistically be expected to earn considering his or her age, health, physical and mental condition and training. Riley v. Foley, 783 A.2d 807 (Pa. Super. 2001). The Defendant is a 53 year old man in good health. He has experience as a pipefitter foreman, as an installer of replacement automobile windshields, as a service writer in the trucking industry, as a security guard, and as a baseball umpire. Considering all relevant factors, an earning capacity of $33,000.00 per year is imputed to him for support purposes. With a gross monthly earning capacity of $2,750.00 and filing his federal income tax return as married/separate, the Defendant has a net monthly earning capacity of $2,155.00.2 With a net monthly earning capacity for the Defendant of $2,155.00 and for the Plaintiff of $1,759.00, the Defendant's support obligation under the guidelines is $158.00 per month.3 This is only a nominal difference from the amount entered in the interim order of December 5, 2006. As such, ,a recommendation is made that the interim order be affirmed as a final order. RECOMMENDATION The interim order of December 5, 2006 is affirmed as a final order. Ito 200 / Date Michael R. Rundle Support Master z See Exhibit "A" for the tax deductions. 3 See Exhibit "B" for the calculation. 3 In the Court of Common Pleas of Cumberland County, Pennsylvania Tax Detail Report Plaintiff Name: Cheryl A. Morrison Defendant Name: Donald F. Morrison Docket Number: 06-6486 Civil PACSES Case Number: 895108751 Other State ID Number: Tax Year: Current: 2007 Defendant Plaintiff 1. Tax Method 1040 ES 1040 ES 2. Fling Status Married Filing Separately Married Filing Separately 3. Who Claims the Exemptions Obli gee 4. Number of Exemptions 1 1 5. Month) Taxable Income $2,750.00 $2,210.00 6. Deductions Method 7. Deduction Amount $445.83 $445.83 8. Exemption Amount $283.33 $283.33 9. Income MINUS Deductions and Exemptions $2,020.84 $1,480.84 10. Tax on Income $270.52 $189.52 11. Child Tax Credit - - 12. Manual Adjustments to Taxes - - 13. Federal Income Taxes $270.52 $189.52 13 a. Earned Income Credit - - 14. State Income Taxes $86.90 $69.84 15. FICA Payments $210.38 $169.07 16. City Where Taxes Apply 17. Local Income Taxes $27.50 $22.10 TOTAL Taxes $595.30 $450.53 SupportCak 2007 EXHIBIT "A" In the Court of Common Pleas of Cumberland County, Pennsylvania Spousal Support Calculation Rule 1910.16 (PACSES FORMAT) Plaintiff Name: Cheryl A. Morrison Defendant Name: Donald F. Morrison Docket Number: 06-6486 Civil PACSES Case Number: 895108751 Other State ID Number: 1. Obligor's Monthly Net Income $2,154.70 2. Less All Other Support - 3. Less Obligee's Monthly Net Income $1,759.47 4. Difference $395.23 5. Less Child Support Obligation for Current Case 6. Difference $395.23 7. Multiply b 30% or 40% 40.00% 8. Income Available for Spousal Support $158.09 9. Adjustment for Other Expenses 10. AMOUNT OF MONTHLY SPOUSAL SUPPORT OR APL $158.09 Prepared b : mrr Date: 2/16/2007 SupportCak 2007 EXHIBIT "B" o { CT ( 3 t ( Do CHERYL A. MORRISON, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : DOMESTIC RELATIONS SECTION DONALD F. MORRISON, PACSES NO. 895108751 Defendant DOCKET NO. 06-6486 CIVIL INDEX OF EXHIBITS Plaintiff's Exhibit No. I - Earnings statement Plaintiff's Exhibit No. 2 - 2005 tax return Plaintiff's Exhibit No. 3 - Income and expense statement Defendant's Exhibit No. I - Income and expense statement Defendant's Exhibit No. 2 - 2005 tax return Defendant's Exhibit No. 3 - 2006 W-2's Defendant's Exhibit No. 4 - Income from umpiring Defendant's Exhibit No. 5 - Earnings statement Go. Rf E DEPT CLOCK VCHR NO 052 9NL 001441 001002 0000050034 1' TRISTAN ASSOCIATES 4520 UNION DEPOSIT ROAD HARRISBURG, PA 17111 Taxable Marital Status: Single Exemptions/Allowances: Federal: 0 PA: N/A Lower Paxton: 0 Social Security Number: XXX-XX-5654 Earnings rata hours this period year to date Regular 12.7500 81.50 1,039.13 2,706.20 Holiday 204.00 Personal 204.00 Grows Pay $1 ,t13s:`.3:3 3,114.20 Ded.-m-tions Statutory Federal Income Tax -119.07 356.74 Social Security Tax -61.48 184.22 Medicare Tax -14.37 43.08 PA State Income Tax -30.44 91.22 Lower Paxton Income Tax -15.86 47.53 PA SUI/SDI Tax -0.93 2.80 Other Aflac Prem -13.52* 40.56 Checking -672.86 E M S T -52.00 52.00 Health -34.14* 102.42 S T D -24.46 73.38 Not Pay * Excluded from federal taxable wages Your federal taxable wages this period are $991 .47 Earnings Statement Period Ending: 01/27/2007 Pay Date: 01 /31 /2007 CHERYL A MORRISON 1400 BENT CRK BLVD MECHANICSBURG PA 17050 J:1_iJT :U"trl i1tJ'17l :LJ_.,!?r J'1i 1P'J??J'2,;?1' `BU'J"TJIJ??' t ?f `?ytJJ.slfli'LIri1Ui`dJ.irS, ,1'f'fU?"TjL1LrJt 1 t3?"T'rJ?'1J??t TRISTAN ASSOCIATES Advice number: 00000050034 4520 UNION DEPOSIT ROAD Pay date_ 01/31/2007 HARRISBURG, PA 17111 - CHERYL A MORRISON 1010153847730 0310 0050 17 amount $672.86 . A°. P"PMFPS NON-NEGOTIABLE EXHIBIT s- -7 l Department of the Treasury - Internal Revenue Service Form 1040 U.S. Individual Income Tax I For the Year Jan 1 - Dec 31. 2005. or other tax Year beoinnin Label (See instructions.) name MI Last name Use the IRS label. Otherwise, please print or type. Presidential Election Campaign Your social security number CHERYL A. MORRISON 210-44-5654 If a joint return, spouse's first name fill Last name Spouse's social security number 227-80-8561 Home address (number and street). If you have a P.O. box, see instructions. Apartment no. You must enter your 1400 BENT CREEK DRIVE # 200 social security ? number(s) above. City, town or post office. If you have a foreign address, see instructions. State ZIP code inot MECHANICSBURG, PA 17050 change yourbtaox elow x or refund. ' Check here if you, or your spouse if filing jointly, want $3 to go to this fund? (see instructions) ................. "" []You ? Spouse IRS Use Only - Do not write or staole in this Filing Status 1 Single 4 U Head of household (with qualifying person). (See instructions.) If the qualifying person is a child 2 Married filing jointly (even if only one had income) but not your dependent, enter this child's 3 X Married filing separately. Enter spouse's SSN above & full name here. Check only F-1 Qualifying widow(er) with dependent child (see instructions) one box. name here.. ? DONALD MORRISON 5 I I Qualifying widow(er) with dependent child (see instructions) Exemptions If more than four dependents, see instructions. 6a b X Yourself. If someone can claim you as a dependent, do not check box 6a ........... . Spouse .......................... ................ ........ c Dependents: 1) First name Last name (2) Dependent's social security number (3) Dependent's relationship to you (4) if qualifying child for child tax credit (see instrs) 71 - Boxes checked on 6a and 6b . 1 No. of children on 6c who: • lived with you ... . e did not live with you due to divorce or separation (see instrs).. . Dependents on 6c not entered above Add numbers on lines 1 d Total number of exemptions claimed ....... ................ .. .. .... .. . ... ....... above .. . 7 Wages, salaries, tips, etc. Attach Form(s) W-2 ......... ... ........ ...... ... 7 22,263. Income 8 a Taxable Interest. Attach Schedule B if required. . ....... .............. .. .. . ... .... 8a Attach Form(s) 9 b Tax-exempt interest. Do not include on line 3a . . ... a Ordinary dividends. Attach Schedule B if required ...... ... 8b ...... ............. ... .. ... 9a W-2 here. Also attach Forms li and 1099-R 10 b ouaifd d,vs (see instrs) ............................... . .......... Taxable refunds, credits, or offsets of state and local income taxes (see 9 b .... instructions) ......... . . ...... 10 if tax was withheld. 11 Alimony received .................................... ............ ... .. .... . .... 11 12 Business income or (loss). Attach Schedule C or C-EZ 12 -535. If you did not get t a a W-2 13 Capital gain or (loss). Alt Sch D if reqd. If not regd, ck here ....... . ....... .. 11 13 , , see instructions. 14 Other gains or (losses). Attach Form 4797 ...... ...... ........... ... ..... _ .... 14 15 a IRA distributions .......... 15a b Taxable amount (see instrs) .. 15b 16 a Pensions and annuities .... 16a b Taxable amount (see Instrs) .. 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E. 17 Enclose, but do 18 Farm income or (loss). Attach Schedule F . .......... ..... . ......... ..... ... 18 not attach, any 19 Unemployment compensation....... .. .. .... 19 payment. unt.se Also, please 20 a Social security benefits.... .... I 20 a l I b Taxable amount (see ins'.rs) 20 b Form 10404. 21 Other income --------------------- ---------------- 21 22 Add the amounts in the far l column for lines 7 throw h 21. This is your total income. 22 21,728. 23 Educator expenses (see instructions) .. ............ . .... 23 Adjusted Gross 24 Certain business expenses of reservists, performing artists, and fez-basi government officials. Attach Form 2106 or 2106-EZ ............... s .... 24 Income 25 Health savings account deduction. Attach Form 8339.... .... 25 26 Moving expenses. Attach Form 3903 .................. .... 26 27 One-half of self-employment tax. Attach Schedule SE... .... 27 PLA11NTIFFS 28 Self-employed SEP, SIMPLE, and qualified plans....... .... 28 EXHOT 29 Self-employed health insurance deduction (see instructions) ......... .... 29 30 Penalty on early withdrawal of savings ................. .... 30 31 a Alimony paid b Recipient's SSN .... . 31 a 32 IRA deduction (see instructions) ...................... .... 32 33 Student loan interest deduction (see instructions)....... .... 33 34 Tuition and fees deduction (see instructions) ........... .... 34 35 Domestic production activities deduction. Attach Form 8903 ........ .... 35 36 Add lines 23 - 313 and 32 - 35.............. .......... ............... ......... 36 0. 37 Subtract line 36 from line 22. This is your adjusted gross income ........... .... .... 0- 37 21,728, BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions. PDIA01121L 11107105 Form 1040 (2005) 1 .1nwn i-,nnCZN ruAAVT. a MnPPT4ZnM 210-44-5654 Pace 2 38 Amount from line 37 (adjusted gross income) ............ ............ . ........ 38 21,728. Tax and Credits Standard Deduction for - • P l h 39a Check IBYou were born before January 2, 1941, 8 Blind. Total boxes if: ll Spouse was born before January 2, 1941, Blind. checked 39a b If your spouse itemizes on a separate return, or you were a dual-status alien, see instructions and check here. . ................................. 39b L • 40 Itemlzed deductions (from Schedule A) or your standard deduction (see left margin) ..................... 0 ,000 . eop e w o checked any box 41 Subtract line 40 from line 38 .... . ........................................ ...... ..... 41 16,728. on line 39a or who can b or 42 if line 38 is over $109,475, or you provided housing to a person displaced by Hurricane Katrina, see instructions. Otherwise, multiply $3,200 by the total number of exemptions claimed on line 6d .... ............ 42 3 , 200 . be claimed as a be dependent, see 43 Taxable Income. Subtract line 42 from line 41. enter •0• .................... ..... ............... If line 42 is more than {ire 41 ... 43 13,528. instructions. 44 , Tax (see instrs). Check if any tax is from: a Form(s) 8814 b E] Form 4972 ............ .... 44 . 1,664 • All others: 45 Alternative minimum tax (see instructions). Attach Form 6251 ............... ............ 45 0 . Single or Married 46 Add lines 44 and 45 .............. ................ .. .......... ...... ..... 46 1, 664. filing separately, 5 0 47 Foreign tax credit. Attach Form 1116 if required ............ 47 $ ,0 0 48 Credit for child and dependent care expenses. Attach Form 2441 ......... 48 Married filing 49 Credit for the elderly or the disabled. Attach Schedule R .... 49 jointly or Qualifying 50 Education credits. Attach Form 8863 50 widow(er), 10 000 51 Retirement savings contributions credit. Attach Form 8380... 51 $ , 52 Child tax credit (see instructions). Attach Form 8901 if required ... .... . 52 Head of ld h 53 Adoption credit. Attach Form 8339 ........................ 53 -- house , o $7,300 54 Credits from: a F] Form 8396 b [] Form 8859 ............... 54 55 Other credits. Check applicable box(es): a F? Form 3200 For b E] m c Form 55 56 8801 Add lines 47 through 55. These are your total credits ........ ..... ......... .... .... 56 57 Subtract fine 56 from line 46. If line 56 is more than line 46, enter -0-....... ... 57 1, 664 . 58 Self-employment tax. Attach Schedule SE .. ...... .. ........ .......... . . 58 Other 59 Social security and Medicare tax on tip income not reported to employer. Attach Form 4137. .... .. 59 Taxes 60 Additional tax on IRAs, other qualified retirement plans, etc. Attach Farm 5329 If requ!red 60 61 Advance earned income credit payments from Form(s) W-2.7. 61 62 Household employment taxes. Attach Schedule H .... 62 63 Add lines 57.62. This is your total tax . .... ... .... ...... ... .. .. . ... 63 1,664. Pa ments 64 Federal income tax withheld from Forms W-2 and 1099...... 64 1,137. y 65 2005 estimated tax payments and amount applied from 2004 return ....... 65 If you have a qualifying 66 a Earned income credit (ElC) ..... ........................ 66a child, attach b Nontaxable combat pay election..... 66b Schedule El o* F 67 Excess social security and tier 1 RRTA tax withheld (see instructions) 67 68 Additional child tax credit. Attach Form 8312 ..... .. 68 69 Amount paid with request for extension to file (see instructions 69 70 Payments from: a [] Form 2439 b ? Farm 4136 c b Form 8825 70 71 Add lines 64. 65. 66a, and 67 through 70. These are your total payments ........................ .......... .............. .... .. . 7 1 1, 13 d R f 72 If line 71 Is more than line 63, subtract line 63 from line 71. This is the amount you overpaid... 72 e un r it? t d D 73 a Amount of line 72 you want refunded to you .......... 73a i ec epos See instructions and fill in 73b, 73c, and 73d . 4 b Routing number. ... c Type: Checking d Account number Amount of line 72 you wart applied to your 2006 estimated tax .. 74 Sa:'ngs Amount 75 Amount you owe. Subtract line 71 from line 63. For details on how to pay, see instructions...... ... 75 527. You Owe 76 Estimated tax penalty (see instructions), . ............ ..... 76 Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)? U Yes. Compete the foilo',v'nc. L No Designee's Phone Personal identification Designee name ? PREPARER no. ? numbe'r (PIN) Under penalties of perjury. I declare that I have examined this return and accompanying schedules and statements. and to the best of-my knowledge and Sign belief, they are true, correct, and complete. Declaration of preparer (other -than eayer) is based on ail informatics of which preparer has any krcwledce Here Your signature at \ Your occupation Daytime phcre ^c r. e• Joint return? \ RECEPTIONIST k\ I See instructions. Keep a copy Spouse's signature. If a joint return, both fjst'eign' 1 l t Date t, Spouse's occupation for your records. t `???' tt? Prepare . Date Preparer's SSN or P7.'-'l signatures 4/10/0 6 Check if self-emolosed Paid P00068094 Preparer's Firm's name MORGAN & ASHWAY (or yours if Use Only c'.N self'employed)? 5 KACEY COURT, SUITE 102 23-1889600 address, MECHANICSBURG, PA 17055 =neneno. (717) 790-0101 Form 1040 (2005) FDIA0112L 11/07/05 Safe, accurate, Isd t e Websiee FASTI Use at tivww.irs.gov. Employee Reference Cop W_ Wage and Tax 2?5 Statement OMB Na. 15450008 A Control number Dept Corp. Employer use only 007413 05/GPK 700 A 128 - Employer's name, address, and ZIP code ORTHOPEDIC SURGEONS LTD 875 POPLAR CHURCH RD CAMP HILL PA 17011 Batch #01118 •.I Employee's name, address, and ZIP code :HERYL A. MORRISON 1400 BENT CREEK BLVD APT 200 AECHANICSBURG,PA 17050 Employers FED ID number d Employee's 55A number 23-1875547 210-44.5654 W ages, tips, other comp. 2 Federal income tax withheld 7410.18 470.18 social security wages 4 Social security tax withheld 7410.18 459.43 Medicare wages and tips 6 Medicare tax withheld 7410.18 107.45 Social security tips 8 Allocated tips Advance EIC payment 10 Dependent care benefits t Nonqualified plans 12a ee mslructlons w ox 12 I 12b 1 t Other t2c I 6.70 PA SUI 12d I 13 Slat emp Ret plan Jrd party sick pay S State Employer's state ID no . 16 State wages, tips, etc. PA 1238 8955 7404.96 1 State income tax 18 Local wages, tips, etc. 227.33 7404.96 Local income tax 20 Locality n 74.05 ame W a. 2005 W-2 and EARNINGS SUMMARY t This blue Earnings summary section is Included with your W-2 to help describe portions in more detal The reverse side includes general information that you may also find helpful. i. The foliowinq information reflects your final 2005 pay stub plus any adjustments submitted by your employe Gross Pay 7444.95 Social Security 459.43 PA. State Income Tax 227.33 Tax Withheld Box 17 of W-2 Box 4 of W-2 Local Income Tax 74.05 Box 19 of W-2 Fed. Income 470.18 Medicare Tax 107.45 Tax Withheld Withheld SUVSDI 6.70 Box 2 of W-2 Box 6 of W-2 Box 14 of W-2 2. Your Gross Pay was adjusted as follows to produce your W-2 Statement Wages, Tips, other Social Security Medicare PA. State Wages, WSTB Compensation Wages Wages Tips, Etc. Local Wage Box 1 of W-2 Box 3 of W-2 Box 5 of W-2 Box 16 of W-2 Tips, Etc. Box 18 of W Gross Pay 7,444.95 7,444.95 7,444.95 7,444.95 7,444 Plus GTL (C-Box 12) 5.22 5.22 5.22 N/ A P. Less Other Cafe 125 39.99 39.99 39.99 39.99 39, Reported W-2 Wages 7,410.18 7,410.18 7,410.18 7,404.96 7,404. 1/lw 3. Employee W-4 Profile. To change your Employee W-4 Profile Information, file a new W-4 with your payroll dep' CHERYL A. MORRISON 1400 BENT CREEK BLVD APT 200 MECHANICSBURG, PA 17050 Social Security Number: 210-44-5654 Taxable Marital Status: MARRIED Exemptions/Allowances: FEDERAL: 1 STATE: LOCAL: 1 c 2CJS AUTOMATIC DATA PROCESSING INC . ? ??1.2 WAGE SUMMAiiY200.5 = • .w; Biirt Wlow Wicatei your 200S voluntary payroll ad)wtments whitth'ara included (+), excluded (-), or did not affect N/A your federal waged (Box 1) and state wa0es.. FIELDS FAMILY DENTISTRY LLC FIELDS CHARLES R SOLE MBR ~ 4 2101 ASPEN DR 2 101 ASPEN ON RG PA 17055 MECHANICSBU VOLUNTARY ADJUSTMENTS YTD AMOUNT FEDERAL WAGES PA WAGES LIFE/081. 1154.64 WA N/A HLTN INS Ion NIA N/A FEDERAL WITHHOLDING EXEMPTIONS M I LOAN 100400 N/A NIA PA WITHHOLDING EXEMPTIONS M 0 SICK USED 1&00 NM N/A VAC USED 4400 NIA ,N/A HOIUSED 200 N/A N/A REGULAR WAGESFOR2005 14652.62 CHERYL A MORRISON 1400 BENT CREEL( BLVD APT 200 MECHANICSBURG PA 17050 06365 i? PAYROLLS BY JMYWEK* Copy C, for employees records Form W-2 Wage and Tax Statement 2005 a Control number Vold c Employer s name address and ZIP code Department of the Treasury . Internal Revenue Service 0028-6542 000255-000100 FIELDS FAMILY DENTISTRY LLC OMB No 1545.0008 Emplgeisidenhicalxxtnumhd Employees sornlseewdym ?mhd FIELDS CHARLES R SOLE HEIR p d 04-3795354 210-44-5654 2101 ASPEN DR wages bps other combeni ? federal income tax withheld I?CHANICSBURG PA 17055 14852.62 666.77 a y1?ement 17 Social security wages 4 Social security tax wlthnela sect pay ay employee Man 14852.62 920.86 72 See Instrs for Box 12 14 Other a Employees name address and ZIP code o Medicare wages an tips o Medicare tax wlt e a PASUI 13.38 CHERYL A MORRISON 14852.62 215.36 1400 BENT CREEK BLVD APT 200 - Social security lips 8 Allocated tips MECHANICSBURG PA 17050 Aavance _t? paymen, 10 Dependent car benefits f' Nonouahhea plans t5 Stat• Employers state ID No f; State wage; lips er. "State income tax tE ca! wages lips et: 15 _oca. income tax 20 Locality name PA 92282212 14852.62 455.98 14852.62 179.83 PA WSHRS fits mtormabon is being furnished to or Internal Revenue Service Y Tristan Associates Payroll Voucher 7PA D'A PAY PERIOD 441 Morrison, Cheryl A. W4: S-00 PA: S-00 ***-**-5654 11122/2006 11/05/2006 To: 11/1812( '.. aEARNINtiS #ararr?y." r `5• afia9 TAX DEDUCTiOt' Diagnostic Xray/File Clerks 12.75 81.50 0.00 1039.13 FICA SS FICA MC Federal PA State Local Sul 60.47 852.82 14.14 199.45 116.85 1625.81 29.94 422.27 15.60 220.07 0.94 13.12 VOLUNTARY ADJUSTMENTS HEALTH PREM 34.52 414.24 Aflac Prem. 29.30 380.90 • 1039.13 '-? 14550.54 EMPLOYEE INFORMATION Accr Vac.:43.11 Taken:43.50 Bat:-0.39 Altw Sick:0.00 Taken:0.00 Bat:0.00 Accr Per.:43.11 Taken:32.00 Sat:11,11 ?• REMOVE CHECK ALONG PERFORATION r 77777TT'771--rm" c ]7-7'7 77-777-7 L7 Tristan Associates DIRECT DEPOSIT: $ 737.37 4518 Union Deposit Road Effective Date: 11/22/2006 Harrisburg, PA 17111 1010153847730:737,37 ------ Deposits by Account ---- Cheryl A. Morrison 1400 Bent Creek Blvd ** NOT NEGOTIABLE ** Mechanicsburg, PA 17050- Tristan Associates Payroll Voucher 5'PAY'DATE 441 Morrison, Cheryl A. W4: S-00 PA: S-00 ***-**-5654 11122/2006 11/0 14WOMftESCRIP1I014REG `TOT AMOUNT ` t)ESCRIPTION Diagnostic Xray/File Clerks -12.75 81.50 0.00 1039.13 FICA SS FICA MC Federal PA State Local sui DEDUCTIONS. . CURRENT YEAR TO DA 60.47 852.82 14.14 199.45 116.85 1625.81 29.94 422.27 15.60 220.07 0.94 13.12 -• 1039.13 14550.54 EMPLOYEE INFORMATION Accr Vac.:43.11 Taken:43.50 eat:-0.39 Attw Sick:0.00 Taken:0.00 Bal:0.00 Accr Per.:43.11 Taken:32.00 ea1:11.11 VVITIT-mm •? r? PAY PERIOD 1006 To: I ItH VOLUNTARY ADJUSTMENTS HEALTH PREM 34,52 414,24 Aflac Prem. 29,30 380.90 REMOVE CHECK ALONG PERFORATIOi`l Tristan Associates DIRECT DEPOSIT: $ 737.37 4518 Union Deposit Road Effective Date: 11/22/2006 Harrisburg, PA 17111 ------------------------ Deposits by Account ---------------------- 1010153847730:737,37 Cheryl A. Morrison 1400 Bent Creek Blvd ** NOT NEGOTIABLE ** Mechanicsburg, PA 17050- r. O A In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 JANUARY 23, 2007 Fax: (717) 240-6248 Plaintiff Name: CHERYL A. MORRISON Defendant Name: DONALD F. MORRISON Docket Number: 06-6486 CIVIL PACSES Case Number: 895108751 Other State ID Number: Please note: All correspondence must include the PACSES Case Number. Income and Expense Statement THIS FORM MUST BE FILLED OUT (If you are self-employed or if you are salaried by a business of which you are owner in whole or part, you must also fill out the Supplemental Income Statement which appears on page two of this income and expense statement.) _ INCOME STATEMENT OF C_.Y/806/ / tf /"/or'rr 5o h INCOME: Employer l r? ?t a r'? Address / Type of Work Rod i o to Payroll No.l..31.07 Gross Pay per Pay Itemized Payroll Deductions: Section I: Income and Insurance .51 or ..9 3 Federal Withholding $119,07 Social Securit $ ?. $ Local Wage Tax $ State Income Tax $ 0. Retirement $ Savings Bonds $ Credit Union $ Life Insurance $ Health Insure ce O h D d i i FiC $ $ t er e uct ons (spec fy) $ C. Ta it $ Net Pay per Pay Period $ a .86 em 5 r t)7-0 62 Y, q6v OTHER (Fill in Ap ropriate Column) INCOME WEEK MONTH YEAR Interest $ $ $ Dividends Pension Annuity Social Security Rents Royalties Expense Account Gifts Unemployment Workmen's Compensation Other Other TOTAL $ I s $ TOTAL INCOME $ Service Type M PROPERTY Ownership * OWNED DESCRIPTION VALUE H W d Checking Account s 00 Savings Accounts Credit Union Stocks/Bonds Real Estate Other I TOTAL , $ -90,001 * =Husband; W =Wife; J =Joint EXH181 T Form IN-008 P-2-131-g4o LAWTiFPB Worker ID 21302 Income and Expense Statement PACSES Case Number 895108751 Coverage INSURANCE COMPANY POLICY # H W C Hospital Blue ue Q Careas'-1?41e a - Other Medical Blue Shield h ?1a ?K uQ z?R ?/ Other Health/Accident Disability Income Dental Other * H=Husband; W=Wife; C=Child Section II: SWiplemental Income Statement a. This form is to be filled out by a person M (1) who operates a business or practices a profession, or E] (2) who is a member of a partnership or joint venture, or M (3) who is a shareholder in and is salaried by a closed corporation or similar entity. b. Attach to this statement a copy of the following documents relating to the partnership, joint venture, business, profession, corporation or similar entity: (1) the most recent Federal Income Tax Return, and (2) the most recent Profit and Loss Statement c. Name of business: Address and telephone number: d. Nature of business (check one) (1) partnership C] (2) joint venture F1 (3) profession E] (4) closed corporation E] (5) other e. Name of accountant, controller or other person in charge of financial records: f. Annual income from business: (1) How often is income received? (2) Gross income per pay period: (3) Net income per pay period: (4) Specified deductions, if any: Service Type M Page 2 of 3 Form IN-008 Worker ID 21302 r v ?OO-/ Income an Expense Statement PACSES Case Number 895108751 Section HE Expenses Instructions: Only show extraordinary expenses in this section unless you filled out Section II on page two. The categories in BOLD FONT are especially important for calculating child support. If you are requesting Spousal Support/APL or if you assert your case cannot be determined according to the guideline grids or formula, this section must be fully completed. (Fill in Appropriate Column) EXPENSES WEEK MONTH YEAR Home Mortgag ent $ $ $ Maintenance Utilities Electric $ $ 70, 0 $ Gas OR Telephone , Q Water G? Sewer Employment Public Transport. $ $ $ Lunch Taxes Real estate $ $ $ Personal Property Insurance Homeowner's $ $ $ Automobile Life , Accident Health , Other Automobile Payments $ $ $ Fuel Repairs C), Medical Doctor $ $ $ , Dentist Q 00 Orthodontist Hospital 50. 00-- Medicine needs Special (glasses, braces, 0 0 EXPENSES (Fill in Appropriate Column) (continued) WEEK MONTH YEAR Education Private School $ $ $ Parochial School College Religious Personal Clothing $ $ Food Barber/ Hairdresser I? oa Credit Payments Credit Card Charge Memberships Loans Credit Union $ $ $ Miscellaneous Household Help $ $ $ Child care Papers/books Magazines Entertainment Pay TV Vacation Gifts Legal fees Charitable W Suport oARmony P"Mou Other Total WEEK MONTH YEAR Expenses: $ •°0 $ $ I verify that the statements made in this Income and Expense Statement are true and correct. I understand that false statements herein are subject to the criminal penalties of 18 Pa. C.S. § 4904, relating to unworn falsification to authorities, a - 1'?=0Z Date Service Type M Plaintiff o e endant Page 3 of 3 Form IN-008 Worker ID 21302 I t y.; In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 NOVEMBER 8, 2006 Fax: (717) 240-6248 Plaintiff Name: CHERYL A. MORRISON Defendant Name: DONALD F. MORRISON Docket Number: 06-6486 CIVIL PACSES Case Number: 895108,751 Other State ID Number: Please note: All correspondence must include the PACSES Case Number. Income and Expense Statement THIS FORM MUST BE FILLED OUT (If you are self-employed or if you are salaried by a business of which you are owner in whole or part, you must also fill out the Supplemental Income Statement which appears on page two of this income and expense statement.) INCOME STATEMENT OF Section I: Income and Insurance INCOME: Employer UN C &1414 Address Type of Work Payroll No. Gross Pay per Pay Period $ Itemized Payroll Deductions: tZ / C, c) d Pay Period (wkly bi-wkll)., etc.) Federal Withholding $ Social Security $ Local Wage Tax $ State Income Tax $ Retirement $ Savings Bonds $ Credit Union $ Life Insurance $ Health Insurance $ Oth D d ti if $ $ er e uc ons (spec y) Net Pay per Pay Period $ OTHER (Fill in Appropriate Column) INCOME WEEK MONTH YEAR Interest $ $ $ ?bs Dividends Pension Annuity Social Security Rents Royalties Expense Account Gifts Unemployment Workmen's Compensation Other Other TOTAL I s $ /o °' TOTAL INCOME $ Service Type M PROPERTY Ownership * OWNED DESCRIPTION VALUE H W J Checking Accounts M4T' $ Vdil, 6G Savings Accounu C brn S ' ?` ct d V Credit Union Stocks/Bonds Real Estate Other TOTAL I$ * H=Husband; W=Wife; J=Joint NEW Form IN-008 Worker ID 21205 A- 11%. Income and Expense Statement PACSES Case Number 895108751 Section HE Expenses Instructions: Only show extraordinary expenses in this section unless you filled out Section II on page two. The categories in BOLD FONT are especially important for calculating child support. If you are requesting Spousal Support/APL or if you assert your case cannot be determined according to the guideline grids or formula, this section must be fully completed. (Fill in Appropriate Column) EXPENSES WEEK MONTH YEAR Home Mortgage/Rent $ $ 0.60 $ Maintenance Utilities Electric $ $ $ Gas Oil Telephone pa Water Sewer Employment Public Transport. $ $ $ Lunch Taxes Real estate $ $ $ Personal Property Insurance Homeowner's $ $ $ Automobile Life Accident Health Other Automobile Payments $ $ Fuel S?,dp Repairs S ..fir Medical Doctor $ $ $ Dentist Orthodontist Hospital Medicine Special nee (glasses, braces, orthopedic devices EXPENSES (Fill in Appropriate Column) (continued) WEEK MONTH YEAR Education Private School $ $ $ Parochial School College Religious Personal Clothing $ $ (.0 d $ Food Barber/ Hairdresser -?„a •c?, a Credit Payments Credit Card Charge Memberships a Loans Credit Union $ $ $ Miscellaneous Household Help $ $ $ Child care Papers/books Magazines fQ Entertainment Pay TV Vacation Gifts f Legal fees Charitable Contributions Other Child Sull1jort Alimony Pavments Other Total WEEK MONTH YEAR Expenses: $ $ $ I verify that the statements made in this Income and Expense Statement are true and correct. I understand that false statements herein are subject to the criminal penalties of 18 Pa. C.S. § 4904, relating to unworn falsification to authorities. Date Defendant /? • Ob C 6O, C-Z' Page 3 of 3 Form IN-008 Service Type M Worker ID 212 05 L Form Department of the Treasury- Internal Revenue Service 1040 U.S. Individual Income Tax Re Label For the year Jan. I- Dec. 312005, orothertax year be it Use the IRS DONALD F MORRI SON label. 47 BURWICK DR Otherwise, please print MECHANICSBURG, PA 17050 or type. Presidential Election Campaign ? Filing Status 1 2 Check only 3 one box. Exemptions If more than four dependents, seepage 19. heck here IT YOU, Or Single Married flingjointly Married filing separate P. 6a b X Yourself. !f someone.>ran n #I Souse . c Dependents: (1 First name Lastname (2) Dependent's social security number (3) Dependent's relatioouhipto (4) if q us[ IILIAor d Total number ofexem tionsclaitit63`;::;;. ncome I F6s e It a <iAttach 7 Wa es, salaries, s, to : TR?:( ): ;:::,.?_ <:a __i';#i:: : •.::. ::.: »•:.::.,,;:::;<;:<.. :;; ------- ----- ----------------- 8a Taxable interest. Attach'ucheduleBEfre 9 ^'Uired`?' . . . . . . . 8a Attach Form(s) W-2 here. Also ,.r b Tax- exempt interest. Doitrstlii>?ude ora fills 8a ' `.'<% . jlb 9, Ordinary dividends. Attach Schedule 6 if required . . . . . . . . . . . 9a attach Forms W-2Gand 1099- R if tax b Qualifieddividends (seepage 23) 9b or offsets of state and local income taxes (see page 23) . . . . . . credits 10 Taxable refunds 10 was withheld. , , . . . . . . . . . . . . . . . . . 11 Alimonyreceived 11 . . . . . 12 Business income or (loss). Attach Schedule C or C- EZ . . . . . . . . . . 12 13 Capital gain/(loss). Attach Seh D. If not required check here . . . . . . . . . . ? ? 13 14 Other gains or d": s ia\ttach Far"r'A797 . . .+»z> >sa+> 14 y id of 15a IR4distributlofj:. » ;b;; 'able ar;. 5b get a W- 2, age 22 see 6a Pensions and>ai"nuities> >?ri 6 1 a 3:. •?a m # . ' b T. able 16b . p o> ons`'""S Attar "``Fred''i"E Corp f h,r- 41 . roy.410S; ?P.Vnershtp S , C, 17 Rental real eO .gli #> . 17 but do Enclose :• , , ; 18 Farm incomecxiAttachSchsduieF. 18 , not attach, any . . . . . . . . . . . . . . . . 19 Unemployment compensation 19 payment. Also, , 20a Social security benefits 120, I b Taxable amt . . . . . . 20b please use Form 1040-V. 21 Other income. List type andamount (see page 29- ------ _------------- ---------- -------- / 22 Add the amounts in the farrightcolumn forlines 7throucLh21.This isyour total inc 23 Educator expenses (seepage 29) . . . . . . . . . . 23 Adjusted 24 Certain business expenses of resenzists;perfo,taying artists, and : Gross fee-basis government offcials.;AkttachForm 2"106or•,21106-EZ . 24. Income 25 Health savings account deductar Ai#a -h Foe ti''888 ' . ' 26 Moving expenses. Attach Forfrf - 003 26 27 z One- half of self- employmenflac. Attach Sck:'Aule.SE z: ` >i1 1> `'• >' > 2T' 28 Self- employed SEP, SIMPLE, and qualified plans . . . . . 28 29 Self-employed health insurance deduction (see page 30) 29 30 Penalty on earlywithdrawalofsavings . . . . . . . . . 30 31a Alimonypaid b Recipient'sSSN 10, 31a 32 IRA deduction (seepage 31) . . . . . . . . . . . 32 33 Student loan interest deduction (see page 33) . . . . . . 33 34 Tuition and fees deduction (see page 34) . . . . . . . . 34 35 Domestic production activities deduction. Attach Form 8903 35 36 Add lines 23 through 31 a and 32 through 35 • . . . . . . . . . . 37 Subtract line 36 from line 22. This is your adjusted dross income KBA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, seepage 78. 10404{2005) Form oflware Copyright 1 FD1040-1V 1.25 996 - 2005 H&R Block Tax Services, Inc. Your social security number 227 -80-8561 Spouse's social security number vou? A, 0"T above. Checking abox below wiihnot hangs yourtax refund. want $3 to go to thisfund (seepage 16) 10- You Spouse 4 Head ofhousehold (with qualifying person). (See page 17.) (even;Rf?'f11leila?I;atfCQj(Q:. <JlhaquaEl#'tngpersonIsachIIdbutnotyour of epandanI,antarlhia "' ;F ?;;• :' ove & fd;]G' B .....slow. i '..?iE? '3i3 ..t'e here. ? ly. E;;tEr spouse s s^ d 9b V., mlx;b dit:l4 .., W1i CQG"• n widow er with de endentchild (see age 17 "" Boxes checked 1 as. de . "de `Y "o not checkb.a 5a on 6. and 61b No. of children on 6c who: eilved with you *did not live with you due to divorce or separat ion Dependents on 6c not entered above Add numbers on lines o ? h-F1 32,722. 105. ?1 22 1 32 , 827 36 ? 37 DEFENDANT'S EXHIBIT -1-11-01 Lb 32,927. Form 1040 (2005) 1 corm 1040 2005 DONALD F MORR I S ON 227-80-8561 Page Tax and 38 Amount from line 37(adjusted gross income) . , • . , . • 38 32 827, Credits 39a Check You were born before January2, 1941, Blind, 1 Total boxes ? ? if: Spouse was born before January 2,1941, Blind, 1 checked ?39a Standard b If your spouse itemizes on aseparale return oryou were a dual-status allen, see pg 35 & check here 0, 39b Deduction for- • Peoplewho 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) . 40 5,000. checked any 41 Subtract line 40 from line 38 . . . . . . . . . . . . . . . . • • • , 41 27,827. box on line 42 If line 38 is over $109,475, or you provided housing to a person displaced by Hurricane Katrina, 39a or 39b or who can be seepage 37. Otherwise, multiply $3,200 by the total number of exemptions claimed online 6d 42 3,200. claimed as a 43 Taxable income. Subtract line 4 2 from iine41.ifline 42ismore than line 41,enter- 0- 43 24,627. dependent, 6 44 Tax. Check if any taxisfrom: a ll Form(s)8814 b? Form4972 . . . . . . . . 44 3,329. see page 3 . 45 : ,... ::..: . Alternative minimum taX (sip*g? 39)..::A '06 prm 6??);; 45 • All others: 46 Add lines44 and 45 . <'`' • 10- 46 3 329 Single r o 47 F eI' n ax . Atta `:?? or t credit r m g cti:?o m 116 if t8`• wired . : ;,J:u 3::::;::i2> :• ? ' Married filing separately, 48 :is:. :::; : :: .. .. Creditforchild and dep 'n"tlentcal??e)t{l nses.At#Ach, CYm2441 A$': $5,000 49 Credit for the elderly or t6e)rsalied.At4acis'Sctredule'`. 4s Married f fling jointly or 50 Education credits. Attach Form 8863 , 50 widowerg, 51 Retirement savings contributions credit. Attach Form 8880 , 51.. $10,000 52 Child taxcredit(seepage41).Attach Form 8901ifrequired . , . 52 Head of household, 53 Adoption credit. Attach Form 8839 , . , . , . • . 53 $7,300 54 Creditsfrom: a ? Form 8396 b ? Form 8859 . . . . 54 55 Other credits. Check ap licable box(es): a ? Form 3800 . b 11 Form 8801 c Frit 55 56 Add lines 471hrou h 55. T e ':' Ye • yo e h s?S urfpt3Lcred4tS'`; ;i:it%• 56 57 Subtract line 56 from line}g.Ifline 564Srrt196-fi nI4t 4f titer-0- . ? 57 3,329. Other 58 Self- employment tax. Attc#t Schei3'vle 58 Taxes 59 Social security and Medicare t6k6f'tip iH, a ff;P pot#e 'ff `et aployei `Attach Form 4137. 59 60 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required . . . 60 61 Advance earned income credit paymentsfromForm(s)W-2 . . . . . . . . . . . 61 61 Household employment taxes. Attach Schedule H . . . . . . . . . . . . . . 62 63 Add lines 57through 62.Thisis our totaltax. Payments 64 Federal income tax withheld from Forms W- 2 and 1099 . . . . 64 65 If you have a 2005estimatedtaxpayments&amountapplied fromZ004rettai qualifying 66a Earned inconj a;4rediY aG)C.:;i>;:. ?: 6 6 child, attach b Nontaxable ccAbat I; Schedule EIC. 67 Excess socidlpocurit ;:, rtd tj :{ RRTA: "withheld:ee ""''"59 >< s. 6 68 Additionalcli(d'taecredit.Attac}zFoim'8812 68; 69 Amount paid with re uestfor extension to file (seepage 59 1i M 69 70 Paymentsfrom: a Form 2439 b?Form4136 C Form8885 70 Refund Direct deposit? See page 59 and fill in 73b, 73c, and 73d. I r r oa ins 04 no boa a bi Inrouah /U l hese are your lot at payments 72 If line 71 is more than line 63, subtract line 63 from line 71. This is the amount you overpaid 73a Amount of line 72 you want refunded to you . . . . . . ? b Routing number ? c Type: Checking ? Savings ? d Accountnumber f 74 Amount of line 72 you want appllEal to your 20..Q6 estl!'ated tax?I ..:f..• 74 Amount 75 Amount you owe. Subtract I You Owe 76 Estimated tax penalty (seep 060. 500. ? 1 71 3,329. 560. 231. ?173a1 231. e53.,-`;For dletails on h;tsv #a p ay ;seep age 60 . ? 76 Third Party Do you want to allow another person b lcuss thisraturh:w3 f <th 4 F2S:{sse pag 1)? X Yes. Complete the following. No Designee Designee's name Phone no. Personal ID number ? HR BLOCK ? (717) 243-6868 (PIN)? 36924 Sign Under penallies of perjury, I declare that I have examined this return and ac companying schedules and statements, and to the best of my knowledge and Here belief, they are true, correct, and complete. Declaration of prepare r (other t han taxpayer ) is based on all information of which preparer has any knowledge. Your signature Date Youroccupation Daytime phone number Jointreturn? See page 17. For Info Onl -Do not file SERVICE Keep acopy for Spouse's signature. If ajoint return, both mustsign. Date Spouse's occupation our records. For Info Only-Do not file Paid Preparer's Date :heck if Pre arer'sSSNorPTIN ' Preparers signature ' 3/22/2006 s If-em to ed P00620120 Use Only Firm sname(or H AND R BLOCK yours ifs.If-employed), FEIN 25-1769631 address andZlPcode CARLISLE PA 17013 1 Phoneno1717% 243-6868 orm 1040(2005) Form of FD1040- 2V 1.25 , Inc. Form ftware Copyright 1996 - 2005 H&R Block Tax services, nc. State Farm Life Insurance Company Tax Department (D-2) (67) One State Farm Piz Bloomington, IL 61710-0001 IMPORTANT TAX DOCUMENT 0236200 DONALD F MORRISON 305 RAYMON AVE BOILING SPRINGS PA 17007-9777 {i111111IfIII..,IIItill rrll?{rr{,??{{???{{??IIIIIIIIIIIIIltrrl FORM 1099-INT INTEREST INCOME Instructions for Recipient - Read Carefully Policy or Account Number - Any number appearing in this column is your policy or account number. POL - Policy; SC - Supplementary Contract; DC - Death Claim; GDC - Group Death Claim. Box 1 - Interest Income - Any amounts shown represent interest earned by you on funds left with the Company. Such amounts are subject to income tax whether paid to you or left with us. In accordance with federal regulations, interest of $10.00 or more associated with any policy, supplementary contract or death claim is being furnished on Form 1099 to the Internal Revenue Service and to state officials where required. Box 4 - Federal Income Tax Withheld - Backup Withholding. For example, persons not furnishing their taxpayer identification number to the payer become subject to backup withholding at a 280,6 rate. See Form W-9, Request for Taxpayer Identification Number and 297-137.5 10-27-2004 (1-099ia) Certification, for information on backup withholding. Include this amount on your Income tax return as tax withheld. State Income Tax Withheld - If state income tax was withheld from your interest earnings an amount will be shown. Include this amount on your state income tax return as tax withheld. Nominees - If this form includes amounts belonging to another person, you are considered a nominee recipient. You must file Form 1099-INT for each of the other owners showing the income allocable to each. File Copy A of the form with the IRS. Furnish Copy B to each owner. List yourself as the "payer" and the other owner as the "recipient" File Form(s) 1099-INT with Form 1096, Annual Summary and Transmittal of U.S. Information Returns, With the Internal Revenue Service Center for your area. On form 1096, list yourself as the "filer." A husband or wife is not required to file a nominee return to show amounts owned by the other. 1099-INT (OMB No. 1545-0112) Payer's name, Street Address, City, State, ZIP Code, Telephone Number For Tax Year Form 1099-INT Interest Income State Farm Life Insurance Company 2005 Tax Department (D-2) (67) One State Farm Plz This Is important tax information and is being furnished to Bloomington, IL 61710-0001 the Internal Revenue Service. If you are required to file a (614)775-7502 return, a negligence penalty or other sanction may be imposed on you M this income is taxable and the IRS Payer's Federal Identification Number Recipient's Identification Number determines that it has not been reported. 37-0533090 227-80-8561 COPY B - For Recipient (OMB No. 1545-0112) Recipient's Name Payer's State Number DONALD F MORRISON 1850 3342 Policy/Account Nunlber 1. Interest Income 4. Federal Income State Income Name POL LF 044768 (ES 0 Tax Withheld $0.00 Tax Wlthheid $0.00 of State PA 00087F r nntrcl ntmbrr 1 +vtyE. tips other cc pensation T i edelnl inrrorne tax withheld ?T 161.88 _4233.58 00625096E e,, Control nurnber i Wages, fills other compensation 2 Federal Income tax withheld 0062509 4233.58 161.88 I _T ???11i' -n .rats c alit 4ea' oca l <- tlnr r tax voilhheld NO 1 , t))t)1t) 48 58 262 4233 C>Mf NO 1!i4 ,-0003 3 Social security wages Social snc luny la, : withheld 7 58 262.48 4233 . , ? . I 1 n ?,nlnrm,,;en is he nu -Pia clean wages and tips n Medicate tax withheld 4233.58 61.39 I Ue"11.0 to the. 5 Medicare wages and lips 6 Medicare tax withheld I mumat Revenue Servics. 4233.58 61.39 _ r? F-mployel'r Warne, address and ZIP code c Employer's name, address and 7_IP code Commonwealth of Pennsylvania Exec Off - Bur of Comm Pay Op i Commonwealth of Pennsylvania Exec Off - Bur of Comm Pay Op Harrisburg PA 17105 Harrisburg PA 17105 7 Snci l security tips r, Allocated lips 9 Advance EIC payment 7 Social security tips C Allocated tips 9 Advance EIC payrnent Dependent care beretits -11 Nontiu[:tlified plans 12a See Instructions for box 12 10 Dependent care benefits 11 Nonqualified plans 12a See instructions for box 12 12p 12c f. 12d G 12b 12c 12d •b Employer identification number (EIN) d Employee's social security number b Employer identification number (EIN) d Employee's social security number 23-2172299 227-80-8561 23-2172299 227-80-8561 13 sisiatatury Retirement Thud-party id 14 Other 13 Statutory Retirement Thled-party employoe plan sick Pay 14 Other pay enipkryee plan a e ' , address and ZIP code This inimmauon Is being e Employ s name, address and ZIP code a Employee kenishad to the Inletnal Donald F Morrison Revneaa 9erv1eo, It you tir t d t 1 u Donald F Morrison ax aca mo . o a , 47 Burwick Drive rewrn. _ negligan?e 47 Burwick Drive Mechanicsburg PA 17050 penalty m other ;an-ti- Mechanicsburg PA 17050 They rte impoaad an you it thi income le taxable - s and you rail to rapo,l It. 15 slate. Employer's state ID No. (1,x11 1, PA 13567078 16 state wades, tip., etc. 4233.58 ?°g 9e.?. 15 state Employer's state ID No. A 13567078. PA` 16 Stote wagers, tips, ate. 4233.58 E YVage anU •rag 17 Slate i-onw tax Statement 129.98 copy C-For 18 Lord wages, lips, eta 423358 E Wage and Tax statement Copy d-To Be Filed 17 stalat income lax 129.98 18 Local wages, lips, etc. 4233.58 EMPLO'YEE'S RECORDS 19 Loral income tax 20 Locally name With Employee's 19 Local income tax 20 Locality name (see Notice to Employee on 67.74 back of Copy 13.) Silver Spring FEDERAL Tax Return 67.74 . Silver Spring a Control number 1 VVages, tips, other compensation 2 Federal inconne is;( withheld a Control number i Wages, tips, other com ensation 2 Federal Income tax withheld 00625096 4233.58 16138 00625096 233.58 161.88 >NiF3 IVO. 1545-0008 3 Social security wages 4 Social secunly tax withheld OMB NO. 1545-0008 3 Social security wages 4 Social "Mirily tax withheld 4233.58 262.48 4233.58 262.48 5 Nledirale wages and tips 6 Medicare tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 4233.58 61.39 4233.58 61.39 c Employer's name, address and ZIP code c Employer's name, address and ZIP code Commonwealth of Pennsylvania Commonwealth of Pennsylvania Exec Off - Bur of Comm Pay Op Exec Off - Bur of Comm Pay Op Harrisburg PA 17105 Harrisburg PA 17105 7 . c -rl -.r unq firs -V Ailoc rated tips 9 Advance. EIC payment r7 Social aeCLJnty tips U Allocated tips -? 9 Advance EIC payment -y U_pc,nd_nt :11-1. b171W-tits 11 Non.luotifled plans 12a 10 Dependent care benefits 11 Nonqualified plans 12a r J 1Lk, 11oc f12d i2b 12c 112d I 4 I I, .1 r I:nl ?,re Id nahcdl,n nu mbc 10N) TO Employee uncial security number b F.rnployei Identification nllmbel• (EIN) d Erployee s social security number 23-2172299 k 227-80.8561 23-2172.299 ? 227-80-8561 i '...n r t1. i n:In m II nd p rq i7ner [ 1 t inlay ned?aa,ent n 'b piny lR Other ,Tp!cyor ,tar L:. pay employee plan s,ck pay I Plrl.pIOyc :, .Warne: Idc iv!..; and ill :x,<)e c- Emt:,loyee =. name, address and Zlr' code Donald F Morrison Donald F Morrison 47 Burwick Drive 47 Burwick Drive Mechanicsburg PA 17050 Mechanicsburg PA 17050 i.: I 9,' Stuta Fmployrl'?; csiate ID No, 1f ;fate wags'. tips, etc. L i,-5 ! ! EI PA 13567078 4233.58 lht nr nr Tay 17 Stw,: nun,,, lax 18 Lurnl we. u. bl.u, otc. °, r t-.a m 1 129.98 4233.58 1 rn Be Flie With ( -- ": to loyeWt; e. 7 .It} [t` ly Toeal Icoroe tax 20 Locality nwne 67.7 4 Silver Spring Ort,w1 mltl of It,,, l ly 1111rn n 111 v roof: Service t?^°t. '+I 116 .tat. Ernploy state ID No. '16 State apes t p: atr.. i1Na? G68 f..%il i PA 13567078 4233.58 n try, Yb Ege and Tay. 17 Slate incnrr r:.? tax 18 L wage;, ups. etc. W.. „ C'.° Statement 129.98 I 4233.58 CnPY 2,To Be Filed With ..... .. -. -.. _. .... ... ... ...: Employee's State, City, of, 19 Lec,al nrome t? +?.~ 20_1 ocality name -, ,..neat Income Tax Return. 67.74 , Silver Spring Department of the Treasu y---Ininrnal nevaoue Service: SI ate, 8ccurarc, vlill Intl IMQ yrcu 6,,SYI Use at www.irs.gov/efile. Em I,oyee Reference Copy A/yUage and Tax 2006 '?(Y Statement OMB No, 1545-0000 3) 1 c Control number Dept Corp. Employer use only 00540 05/SPW 100076 T 172 Employer's name, address, and ZIP code TRANSTECK INC 4303 LEWIS ROAD HARRISBURG PA 17111 I Batch #02582 f Employee's name, address, and ZIP code ONALD MORRISON 7 BURWICK DR. IECHANICSBURG,PA 17050 Employer's FED ID number o kmployee's bbA number 52-2199025 227-80-8561 _ Wages, tips, other comp. 2 Federal income tax withheld 26890.31 2401.99 Social security wages 4 Social security tax withheld 28822.65 1787.00 Medicare wages and tips 6 Medicare tax withheld 28822.65 417.93 Social security tips 8 Allocated tips care I Other 12c 1 26.73 SUI 12d I 13 Stet emp Ret plan l3rd party sick Stale Employer's state ID no. 16 State wages, tips, etc. 'A 9037 0433 28822.65 State income tax 18 Local wages, tips, etc. 884.97 28822.65 Local income tax 20 Locality name 576.24 SWTRA T - - - - - - - - --- - - - - - - -- - - - - - - - - - - - - - - - - I Wages, tips, other comp. 2 Federal income tax withheld I 26890.31 2401.99 Social security wages 4 Social security tax withheld 28822.65 1787.00 j Medicare wages and tips 6 Medicare tax withheld I 28822.65 417.93 j Control number Dept Corp. Employer use only 0540 05/SPW 100076 T 172 Employer's name, address, and ZIP code TRANSTECK INC 4303 LEWIS ROAD HARRISBURG PA 17111 Employer's FED to number a tmplo l s 7l A nume 52.2199025 7L27-80-8561 Social security tips 8 Allocated tips Advance EIC payment to Dependent care benefi 26.73 SUI Stat Employee -s name, actmess ana cxr cove )NALD MORRISON ' BURWICK DR. CHANICSBURG,PA 17050 2006 W-2 and EARNINGS SUMMARY This blue Earnings Summary section is included with your W-2 to help describe portions i n more detail. The reverse side includes general information that you may also find helpful. 1. The following information reflects your final 2006 pay stub plus any adjustments submitted by your employer. Gross Pay 29700.94 Social Security 1787.00 PA. State Income Tax 884.97 Tax Withheld Box 17 of W-2 Box 4 of W-2 Local Income Tax 576.24 Box 19 of W-2 Fed. Income 2401,99 Medicare Tax 417.93 Tax Withheld Withheld SUI/SDI 26.73 Box 2 of W-2 Box 6 of W-2 Box 14 of W-2 2. Your Gross Pay was adjusted as follows to produce your W-2 Statement. Wages, Tips, other Social Security Medicare PA. State Wages , SWTRA T Compensation Wages Wages Tips, Etc. Local Wages, Box 1 of W-2 Box 3 of W-2 Box 5 of W-2 Box 16 of W-2 Tips, Etc. Box 18 of W-2 Gross Pay 29,700.94 29,700,94 29,700.94 29,700.94 29,700.94 Less 401(k)(D-Box12); 1,932.34 N/A N/A N/A N/A Less Other Cafe 125 878.29 878.29 878.29 878.29 878.29 Reported W-2 Wages 26,890.31 28,822.65 28,822.65 28,822.65 28,822.65 3. Employee W-4 Profile. To change your Employee W-4 Profile Information, file a mew W-4 with your payroll dept. DONALD M O R R I S O N Social Security Number: 227-80-8561 47 BURWICK DR. Taxable Marital Status: SINGLE MECHANICSBURG,PA 17050 Exemptions/Allowances; FEDERAL: I STATE: LOCAL: 1 1 % Additional Tax 0 2006 AUTOMATIC DATA PROCESSING, INC. ____ M______.c--Foldend Detach Here -s ^^_--__:-__ 1 Wages, tips, other comp. 2 Federal income tax withheld 26890.31 2401.99 3 Social security wages 4 Social security tax withheld 28822.65 1787.00 5 Medicare wages and tips 6 Medicare tax withheld 28822.65 417.93 a Control number Dept Cotp. Employer use only 000540 05/SPW 100076 T 172 c Employer's name, address, and ZIP code TRANSTECK INC 4303 LEWIS ROAD HARRISBURG PA 17111 In Emplo er'a FED ID nul 62-2199025 i 7 Social security tips f -I 9 Advance EIC payment I I 12 I 11 Nonqualified plans i 1 14 Other 26.73 SUI parry sick pay State Employer`s state to no. 16 State wages, tips, etc. 'A 9037 0433 28822.65 State income tax 18 Local wages, tips, etc. 884.97 28822.65 Local income tax 20 Locality name 576.24 SWTRA T recierat riling t.opy A1-2 lWage and Tax 2006 Statement , . V B to he tiled with emolovee's Federal Income TaxVfu Nm.o 1545-0008 ?u -ou-ovo r coated tips pendent care benefits DI 1932.34 I emp. Retplan &d party sick ea tmployee's name, aouress ane Lir coca DONALD MORRISON 47 BURWICK DR. MECHANICSBURG,PA 17050 15 State Employer's state ID no. 16 State wages, tips, etc. PA 9037 0433 28822.65 1 State income tax 18 Local wages, tips, ate. 884.97 28822.65 19 Local income tax 20 Locality name 576.24 SWTRA T PA.State ling opy , 2 Wage and Tax 200 W ?I Y Statement, Np 1545.0008 Cony 2 to be tiled with employee's State Income Tax Reurn. .. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 Wages, tips, other comp. 2 Federal income tax withheld 26890.31 2401.99 3 Social security wages 4 Social security tax withheld 28822.65 1757.00 5 Medicare wages and tips 6 Medicare tax withheld 28822.65 _ 417.93 a Control number Dept Corp. Employer use onty 000540 05/SPW 100076 T 172 c Employer's name, address, and ZIP code TRANSTECK INC 4303 LEWIS ROAD HARRISBURG PA 17111 b Emplo er's FED ID number d Empioyee's SSA number g2-2199025 227-80-8561 7 Social security tips 8 Allocated tips 9 Advance EIC payment 10 Dependent care benefits it Nonqualified plans 12a , ?D?i, 1932.34 14 Other 12b 26.73 SUI 12c Fel-Stat mp . Ret planl3nl party sick pal l a/f Employee's name, address and ZIP code DONALD MORRISON 47 BURWICK DR. MECHANICSBURG,PA 17050 15 State Employer's state ID no. 16 State wages, tips, etc. PA 9037 0433 28822.65 17 State income tax 18 Local wages, tips, ate. 884.97 28822.65 19 Local income tax 20 Locality name 576.24 SWTRA T City, or , ocal Filing Copy Wage and Taxf p W 2 Waaa copy 2 to be tiled with employee's DNv n. I nr.I I„,..,Me =s.o Mo -r s4 0aoe o r Z to O 9 o ? O m b D a 0 0 w O ?.1 Corno WCl) C Z m? ?yo M to y-.4=rn °a y Z ? C) cn Z Z m CP ^17 Z 'U r Q rn rn m ZZ •? h -1 G h N c n? ro 7 O N C) s m N o CD Bo c ci CD d o ?, -' p rm" • ? n O ? r` tv to h ? O O d cn N o ro Cr CD o. cr C4 o ro D ? CD, Cl. _ < tD 6 o O'` L to mNT C O W C X o O < CD O D NCD B= CD Q ro?? to m a rn o ?3o CAD o3 m ma ?? h s CD D CD ±_ o CD CD W, ro o a? = o tD p O:30 d .? n rf h Q S9 h CQ h 4T CD e+ m N ,.. d 0 Lfl Cp O O m CD a Z ?D' • O p N 6 3 sl CS n sV h = N O 6 CD o to v w CD h 3 ¢c C j G .O co e 0^ d n m C) W =r c 0- 7?- CO C1. CD? Oo j N r+ ? r?J, y m D too O C7 C °' O C17 7 j "'? N %h CD O CD '.l x x { 7 N C1 m r S1 C' N m N CD BCD C^ Ohi c?D cOO cg r - (n 4 h N C x m m a w `° m o D, CD ro + •a r CD O x o CL O y p E rm ek -O n d p X 7 co -n 5- a0i .O N m 0 ?1 j N CD N BCD w to a o h v:1, o o W. -,, 0) CD o O p fl m CD x 0 -n 00 'S :7 m^^ m^ Vr " --{ z o -? Z t!} +I 0 rn Z n U.'7 d d 0 „a H O ? CJ? ? Q ? 0 Ln 0 -o ` N ? I c? G? c° r, a0 e m•?w w , ;F w L o w C1% b??w Zz r s r= r z s: z. C. ry ^tQ F I sn 0 2006 High School Umpiring Income, PIAA: 03/20/06 $55.00 03/28/06 $55.00 03/30/06 $55.00 03/31/06 $55.00 04/21/06 $65.00 04/26/06 $55.00 04/26/06 $65.00 04/28/06 $55.00 05/09/06 $55.00 05/10/06 $55.00 05/17/06 $55.00 TOTAL: $625.00 2006 Cumberland Valley Umpire Association, summer baseball: 13 games at $30.00 per game: $390.00 2006 Total Umpiring Compensation: $1,015.00 DEFENDANT"S EXHIBIT x.13-n) vi Oki sP? 8?t1t4.40046 Earnings Statement ?> > TRANSTECK INC. 4303 LEWIS ROAD PO BOX 4174 HARRISBURG PA 17111 Taxable Marital Status: Single Exemptions/Allowances: Federal: 1 State: N/A Local: 1,1 % Additional Tax Deductions statuto Federal Income Tax -52.44 Social Security Tax -34.91 Medicare Tax -8.17 PA State Income Tax -17.29 Swatara T Income Tax -11.26 PA SUI/SDI Tax -0.52 Other Checking -386..59 Medical -13.16* Optical, -0..67* 401K 51.92* Net :Pey $o year to date 25,384.92 3,162.16 28,547.08 2,297.11 1,717.18 401.50 850.3.9 553.72 25.69 82:1.15 29.48 1,828.50 * Excluded from federal taxable wages Your federal taxable wages this period are $511 :18 Period Ending: 10/29/2006 Pay Date: 11/03/2006 DONALD MORRISON 47 BURWICK DR. MECHANICSBURG, PA 17050 Other Benefits and Information this period total to date Vac Balance 24.00 DEFENDANT'S EXHIBIT r -0 61981 ADP, Irc U C N U a 0 ¢I 0 a S s Lul W za On. ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT U?, .- (P41810 ?;?V (L State Commonwealth of Pennsylvania XD Original Order/Notice Co./City/Dirt. of CUMBERLAND O Amended Order/Notice Date of Order/Notice 03/15/07 O Terminate Order/Notice Case Number (See Addendum for case summary) RE: MORRISON, DONALD F. Employe r/Withholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI) BRISK TRANSPORTATION LP 3900 INDUSTRIAL RD HARRISBURG PA 17110-2945 227-80-8561 Employee/Obligor's Social Security Number 8003101758 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: 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. $ 153 . o0 per month in current support $ o. oo per month in past-due support Arrears 12 weeks or greater? Dyes (D no $ 0. 00 per month in current and past-due medical support $ 0 . oo per month for genetic test costs $ per month in other (specify) for a total of $ 153.00 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: $ 3 5.31 per weekly pay period. $ 70.62 per biweekly pay period (every two weeks). $ 76.50 per semimonthly pay period (twice a month). $ 153 . oo 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 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: 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. BY THE COUR . Date of Order: MAR ?, s 2007 . Form EN-028 Rev. 1 Service Type M OMB No.: 0970-0154 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If checked you are requ eedpired, to provide a opy of this form to your m loyee. If yo4? r employee works in a state tha is different from the sate t issued this o er, a copy must be provito your employee even if the box is not checed. 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.* It. paydate/date of vvithho ding is the date on which amount was withh'CH from the employee'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 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: 9891100176 EMPLOYEE'S/OBLIGOR'S NAME: MORRISON DONALD F. EMPLOYEE'S CASE IDENTIFIER: 8003101758 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 0 5 U.S.C. §1673 01; 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. 1 I .Submitted By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Service Type M Page 2 of 2 OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: MORRISON, DONALD F. PACKS Case Number 895108751 Plaintiff Name CHERYL A. MORRISON Docket Attachment Amount 06-6486 CIVIL$ 153.00 Child(ren)'s Name(s): DOB ? 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 ? 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 ? 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 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) 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 ? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Rev. 1 Service Type M Worker ID $IATT OMB No.: 0970A754 C3 psa, C= p ?c I- ty ? co ti ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 04/25/07 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number BRISK TRANSPORTATION LP STE 170 2404 PARK CENTRAL DR DALLAS TX 75251-1803 227-80-8561 Employee/Obligor's Social Security Number 8003101758 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: 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. $ 153 . oo per month in current support $ o . oo per month in past-due support Arrears 12 weeks or greater? Dyes Q no $ 0.00 per month in current and past-due medical support $ 0.00 per month for genetic test costs $ 0.00 per month in other (specify) fora total of $ 153.00 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: $ 35.31 per weekly pay period. $ 70. 2 pper biweekly pay period (every two weeks). $ 76.50 per semimonthly pay period (twice a month). $ 153.00 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 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: 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. Date of Order: APR 2 6 2007 DRO: R. J. Shadday Service Type m @ original Order/Notice 895108751 O Amended Order/Notice 06-6486 CIVIL O Terminate Order/Notice RE:MORRISON, DONALD F. Employee/Obligor's Name (Last, First, MI) BY THE COURT:. Edward E. Guido, a : Judge Form EN-028 Rev. OMB No.: 097MI 54 %Al"rli°r In IATT Y .,7 i 2U• n.0 0 . * ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If hecke?l you are required to provide a copy of this form to your 3m If yo r employee works in a state that is di erent firom the state that issued this order, a copy must be provi?ed to your emproyee 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.* wages. IV U. -thholding when sending, the payment. The- 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: 7527407260 EMPLOYEE'S/OBLIGOR'S NAME: MORRISON, DONALD F. EMPLOYEE'S CASE IDENTIFIER: 8003101758 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 01; 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. I I -Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 Service Type M 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 OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker ID $ IATT r-? ? i s ? rt •- s? ? -n ?°` c ; ? -rt i"f .¢ ? ; „ .. ' .-? ? 'v' ?Zi L?. .`._? t. ?-. ?' --?, ? ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 04/26/07 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number 895108751 Q Original Order/Notice 06-6486 CIVIL Q Amended Order/Notice O Terminate Order/Notice RE: MORRISON, DONALD F. Employee/Obligor's Name (Last, First, MI) 227-80-8561 Employee/Obligor's Social Security Number BRISK TRANSPORTATION LP 8003101758 3900 INDUSTRIAL RD Employee/Obligor's Case Identifier HARRISBURG PA 17110-2945 (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: 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. $ o . oo per month in current support $ o. o o per month in past-due support Arrears 12 weeks or greater? Q yes ® no $ 0. 00 per month in current and past-due medical support $ 0 . 00 per month for genetic test costs $ 0.00 per month in other (specify) for a total of $ 0.00 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: $ o. oo per weekly pay period. $ o. oo per biweekly pay period (every two weeks). $ 0. oo per semimonthly pay period (twice a month). $ 0.0o 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 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: 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. BY THE COURT: Date of Order: APR 2 7 2007 Edward E. Guido, Judge DRO: R. J. Shadday Form EN-028 Rev. 1 Service Type M OMB No.: 0970-0154 Worker ID $IATT C1 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? Ifkheckei you are required to provide asopy of this form to your em?loyee. If your employee works in a state that is di Brent rom the state that issued this or er, a copy must be provide 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.* Reporting the Paydate/Date of Withholding. YOU 111USt repOrt the paydate/date of vvithholding, when sending the payment. The paydate/date of withholding is the date on which amount Yvas withheld from the employee's wages. 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: 9891100176 EMPLOYEE'S/OBLIGOR'S NAME: MORRISON, DONALD F. EMPLOYEE'S CASE IDENTIFIER: 8003101758 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 employeelobligor 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 01; 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: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Rev. 1 Service Type M Worker ID OMB No.: 0970-0154 $ IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: MORRISON, DONALD F. PACSES Case Number 895108751 PACKS Case Number Plaintiff Name Plaintiff Name CHERYL A. MORRISON Docket Attachment Amount Docket Attachment Amount 06-6486 CIVIL$ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB ? 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. ? 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 ? 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 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) identified above in any health insurance coverage available through the employee's/obligor's employment. PACKS 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) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Rev. 1 Service Type M Worker ID $IATT OMB No.: 0970.0154 N c --' °^tl ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT 06-6486 CIVIL State Commonwealth of Pennsylvania OOriginal Order/Notice Co./City/Dist. of CUMBERLAND OAmended Order/Notice Date of Order/Notice 11/10/08 (X)Terminate Order/Notice Case Number (See Addendum for case summary) OOne-Time Lump Sum/Notice RE:MORRISON, DONALD F. Employer/Withholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI) 227-80-8561 Employee/Obligor's Social Security Number BRISK TRANSPORTATION LP C/O GARNISHMENTS 8003101758 Employee/Obligor's Case Identifier S TE 300S (See Addendum for plaintiff names 12404 PARK CENTRAL DR associated with cases on attachment) DALLAS TX 75251-1803 Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: 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. $ 0.00 per month in current child support $ o . oo per month in past-due child support Arrears 12 weeks or greater? O yes ® no $ o. oo per month in current medical support $ o. oo per month in past-due medical support $ 0.00 per month in current spousal support $ o . oo per month in past-due spousal support $ 0.00 per month for genetic test costs $ o . oo per month in other (specify) $ one-time lump sum payment for a total of $ o. o o 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: $ 0.00 per weekly pay period. $ 0. 00 per semimonthly pay period (twice a month) $ o . 00 per biweekly pay period (every two weeks) $ o . oo 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 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. 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 P CSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY N /N DER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: ?...? Edward E. Guido, Judge DRO- R.J. Shadday Form EN-028 Rev. 4 Service Type M OMB No.: 0970-0154 Worker I D $ IATT q ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS If hecke?i you are required to provide a?opy of this form to your?emloyee. If yo?r employee vyorks in a state that is di Brent from the state that issued this or er, a copy must be provi a 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.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the employee's wages. 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'slobligor'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. 7527407260 THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : 0 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 0 EMPLOYEE'S/OBLIGOR'S NAME:MORRISON, DONALD F. EMPLOYEE'S CASE IDENTIFIER: 8003101758 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: LAST KNOWN PHONE NUMBER: FINAL PAYMENT AMOUNT. 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 employeelobligor'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. Antidiscrimination: 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 employeelobligor 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 (CCPA) (15 U.S.C. 1673 (b)); or 2) the amounts allowed by the State or Tribe of the employee's/obligor's principal place of employment. 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, that 50% limit is increased to 55% and that 60% limit is increased to 65% if the arrears are greater than 12 weeks. If permitted by the State, you may deduct a fee for administrative costs. The support amount and the fee may not exceed the limit indicated in this section. Arrears greater than 12 weeks : If the Order information does not indicate whether the arrears are greater than 12 weeks, then the employer should calculate the CCPA limit using the lower percentage. 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 lesser of the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(d) of the CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may need to take into consideration the amounts paid for health care premiums in determining disposable income and applying appropriate withholding limits. 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. Send Termination Notice and other correspondence to: DOMESTIC RELATIONS SECTION If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Rev. 4 Service Type M OMB No.: 0970-0154 Worker ID $IATT T ADDENDUM Summary of Cases on Attachment Defendant/Obligor: MORRISON, DONALD F. PACSES Case Number 895108751 Plaintiff Name CHERYL A. MORRISON Docket Attachment Amount 06-6486 CIVIL$ 0.00 Child(ren)'s Name(s): DOB PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Service Type M Addendum OMB No.: 0970-0154 PACSES Case Number Plaintiff Name Docket Attachment Amount $ o.oo Child(ren)'s Name(s): DOB PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Form EN-028 Rev. 4 Worker ID $IATT ^ W ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT 06-6486 CIVIL OOriginal Order/Notice State Commonwealth of Pennsylvania Co./City/Dist. Of CUMBERLAND OAmended Order/Notice Date of Order/Notice 12/17/08 OTerminate Order/Notice Case Number (See Addendum for case summary) OOne-Time Lump Sum/Notice RE: MORRISON, DONALD F. Employer/Withholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI) 227- 0-8561 Employee/Obligor's Social Security Number PA DEPARTMENT OF AGRICULTURE 8003101758 C/O PERSONNEL OFFICE Employee/Obligor's Case Identifier RM 204 (See Addendum for plaintiff names 2301 N CAMERON ST associated with cases on attachment) HARRISBURG PA 17110-9405 Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: 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. $ o. oo per month in current child support $ 0.00 per month in past-due child support Arrears 12 weeks or greater? Oyes ® no $ o.oo per month in current medical support $ 0.00 per month in past-due medical support $ 153.00 per month in current spousal support $ o , oo per month in past-due spousal support $ o . o o per month for genetic test costs $ 0.00 per month in other (specify) $ one-time lump sum payment for a total of $ 153.00 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: $ 35.31 per weekly pay period. $ 76.50 per semimonthly pay period (twice a month) $ 70.62 per biweekly pay period (every two weeks) $ 153.00 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 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. 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 NUMB RDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: Edward E. o W_1do% I Judge DRO: R.J. Shadday Form EN-028 Rev. 4 Service Type M OMB No.: 0970-0154 Worker ID $IATT ? .? , x 1?` ???, .. ? .? , ?? "? ? Z?`??'4 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS If. hecked you are required to provide a opy of this form to your em loyee. If yo r employee works in a state thatis deferent from the state that issued this order, a copy must be providedpto 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 empioyee%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.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the employee's wages. 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. 2360030990 THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : 0 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 0 EMPLOYEE'S/OBLIGOR'S NAME:MORRISON, DONALD F. EMPLOYEE'S CASE IDENTIFIER: 8003101758 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: LAST KNOWN PHONE NUMBER: FINAL PAYMENT AMOUNT- 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. Antidiscrimination: 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 (CCPA) 0 5 U.S.C. 1673 (b)); or 2) the amounts allowed by the State or Tribe of the employee's/obligor's principal place of employment. 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, that 50% limit is increased to 55% and that 60% limit is increased to 65% if the arrears are greater than 12 weeks. If permitted by the State, you may deduct a fee for administrative costs. The support amount and the fee may not exceed the limit indicated in this section. Arrears greater than 12 weeks : If the Order Information does not indicate whether the arrears are greater than 12 weeks, then the employer should calculate the CCPA limit using the lower percentage. 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 lesser of the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(d) of the CCPA (15 U.S.C. 1673 (b))• Depending upon applicable State law, you may need to take into consideration the amounts paid for health care premiums in determining disposable income and applying appropriate withholding limits. 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. Send Termination Notice and other correspondence to: DOMESTIC RELATIONS SECTION If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Rev. 4 Service Type M OMB No.: 0970-0154 Worker I D $ IATT r ..4 ADDENDUM Summary of Cases on Attachment Defendant/Obligor: MORRISON, DONALD F. PACSES Case Number 895108751 Plaintiff Name CHERYL A. MORRISON Docket Attachment Amount 06-6486 CIVIL$ 153.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Addendum Form EN-028 Rev. 4 Service Type M OMB No.: 0970-0154 Worker ID $IATT C- ?3 h/ ??j In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Defendant Name: DONALD F. MORRISON Member ID Number: 8003101758 Please note: All correspondence must include the Member ID Number. ,Y ry ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION B EMS _C51 Financial Break Down of Multiple Cases on Attachment Plaintiff Names CHERYL A. MORRISON PACSES Docket Case Number Number 895108751 06-6486 CIVIL TOTAL ATTACHMENT AMOUNT Attachment Amount/Frequency 153.00 MONTH 153.00 Now, by Order of this Court, the Department of Labor and Industry, Office of Unemployment Compensation Benefits (OUCB), is hereby directed to attach the lesser of $ 35.21 per week, or 50%, of the Unemployment Compensation benefits otherwise payable to the Defendant, DONALD F. MORRISON Social Security Number XXX-XX-8561, Member ID Number 8003101758. OUCB is ordered to remit the amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received from OUCB to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearages, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673 (b)(2) and 23 Pa. C.S.A. § 4348 (g). This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated MAY 27, 2012 is exhausted, expired or deferred. OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. Date of Order: JUN 0 5 2012 BY THE COURT JUDGE Form EN-530 Service Type M Worker ID $IATT In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION i 1- 13 N.HANOVER ST,P.O.BOX 320,CARLISLE,PA. H u r t 1 2U13 JUN -1 NA 3: 05 Defendant Name: DONALD F. MORRISON GUi�13ERL1��ID C01jt�TY Member ID Number: 8003101758 PENFLLSA LVAN1A Please note:All correspondence must include the Member ID Number. ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS Financial Break Down of Multiple Cases on Attachment PACSES Docket Attachment AmountlFreauency Plaintiff Name Case Number N m r CHERYL A. MORRISON 895108751 153.00 / MONTH f/', c_ ._/1 w rT1rn $ Lrn0 TOTAL ATTACHMENT AMOUNT: $ 153:09r- -- rn o •=' Now, by Order of this Court, the Department of Labor and Industry, Office of UnemploymetP Compensation Benefits (OUCB), is hereby directed to attach the lesser of$35.21 per week, or 50%, of the Unemployment Compensation benefits otherwise payable to the Defendant, DONALD F. MORRISON Social Security Number XXX-XX-8561 , Member ID Number 8003101758. OUCB is ordered to remit the amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received from OUCB to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearages, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673 (b)(2)and 23 Pa. C.S.A. § 4348(g). This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated MAY 26, 2013 is exhausted, expired or deferred. OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT Date of Order: 6''" JUN 0 4 2013 bi irV- 1 %A.`kk(&.\, JUDGE Form EN-530 Service Type M Worker ID $IATT In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Defendant Name: DONALD F. MORRISON Member ID Number: 8003101758 Please note: All correspondence must include the Member ID Number. c) "' ..,.. _ c.,.- rn -_ ink -.„p ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BE ITS ,.y CA)C) ani c) (,) _, PACSES Docket Attachment Amount/Frei u3"'ey Case Number Number 2c - 895108751 06-6486 CIVIL 153.00 / MONTH.< Plaintiff Name CHERYL A. MORRISON Financial Break Down of Multiple Cases on Attachment TOTAL ATTACHMENT AMOUNT: $ 153.00 Now, by Order of this Court, the Department of Labor and Industry, Office of Unemployment Compensation Benefits (OUCB), is hereby directed to attach the lesser of $ 35.21 per week, or 50%, of the Unemployment Compensation benefits otherwise payable to the Defendant, DONALD F. MORRISON Social Security Number XXX -XX -8561 , Member ID Number 8003101758 . OUCB is ordered to remit the amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received from OUCB to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearages, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673 (b)(2) and 23 Pa. C.S.A. § 4348 (g). This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated MAY 25, 2014 is exhausted, expired or deferred. OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. Date of Order: JUN 0 3 2014 Service Type M BY THE COURT Form EN -530 Worker ID $IATT