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HomeMy WebLinkAbout06-6686JOAN L RIGGS, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. :NO. O6-64V4 CIVIL TERM CHARLES L. RIGGS, Defendant : IN LAW - DIVORCE NOTICE TO DEFEND AND CLAIM RIGHTS YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, First Floor, Cumberland County Courthouse, 1 Courthouse Square, Carlisle, Pennsylvania. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, 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 MO FEE. Cumberland County Bar Association 32 South Bedford Street Carlisle, Pennsylvania 17013 Telephone (717) 249-3166 JOAN L RIGGS, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. NO.66 -ton CIVIL TERM CHARLES L. RIGGS, Defendant : IN LAW - DIVORCE COMPLAINT IN DIVORCE AND NOW COMES the Plaintiff, JOAN L. RIGGS, by and through her counsel, William L. Grubb, Esquire, and complains of the Defendant, CHARLES L. RIGGS, as follows: COUNTI COMPLAINT UNDER SECTION 3301 (c) OR 3301 (d) OF THE DIVORCE CODE 1. Plaintiff is JOAN L. RIGGS, who currently resides at 107 East Columbia Road, Enola, Cumberland County, Pennsylvania, 17025. 2. Defendant is CHARLES L. RIGGS who currently resides at 5202 Trent Road, Harrisburg, Dauphin County, Pennsylvania, 17109. 3. Plaintiff has been a bona fide resident in the Commonwealth for at least six months immediately previous to the filing of this complaint. 4. Plaintiff and Defendant were married on August 13, 1983 at Annville, Lebanon County, Pennsylvania. 5. There have been no prior actions of divorce or for annulment between the parties. 6. Neither party is in the Armed Services of the United States or its allies. 7. The marriage is irretrievably broken. 8. 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. 9. Plaintiff requests the court to enter a Decree of Divorce. WHEREFORE, Plaintiff prays this Honorable Court to enter an Order dissolving the marriage between the parties. COUNT II EQUITABLE DISTRIBUTION 10. Plaintiff incorporates the allegations of paragraphs one (1) through nine (9) by reference as if set forth at length herein. 11. During the course of the marriage, the parties have acquired numerous items of property, both real and personal, which are held in joint names and in the individual names of the parties hereto. 12 complaint, to agree as to an equitable division of said property. The Plaintiff and the Defendant have been unable, as of the date of this WHEREFORE, Plaintiff prays this Honorable Court, after requiring full disclosure by the Defendant, to equitably divide the property, both real and personal, owned by the parties hereto as marital property. COUNT III a 13. Paragraphs one (1) through twelve (12) of this complaint are incorporated herein as if fully set forth herein. 14. While the parties were domiciled within the Commonwealth of Pennsylvania, and through no fault of the Plaintiff, the innocent and injured spouse, the Defendant, in violation of the marriage vows and the laws of the Commonwealth, has by cruel and barbarous treatment, endangered the life and health of he Plaintiff. 15. This action is not collusive, as defined by § 303 of the Divorce Code. WHEREFORE, Plaintiff respectfully requests that the Court enter a Decree of Divorce, pursuant to §3301(a)(3) of the Divorce Code. COUNT IV A F 16. Paragraphs one (1) through fifteen (15) of this complaint are incorporated herein as if fully set forth herein. 17. While the parties were domiciled within the Commonwealth of Pennsylvania, and through no fault of the Plaintiff, the innocent and injured spouse, the Defendant, in violation of the marriage vows and the laws of the Commonwealth, has offered such indignities to the person of the Plaintiff as to render her condition intolerable and life burdensome. 18. This action is not collusive, as defined by § 303 of the Divorce Code. 19. Plaintiff has been advised of the availability of counseling and that the Plaintiff or Defendant has the right to request the Court to require the parties to participate in such counseling. WHEREFORE, Plaintiff respectfully requests that the Court enter a Decree of Divorce, pursuant to §3301(a)(6) of the Divorce Code. COUNT V ALIMONY ALIMONY PENDENTE LITE COUNSEL FEES COSTS AND EXPENSES 20. Paragraphs one (1) through nineteen (19) of this complaint are incorporated herein as if fully set forth herein. 21. The Plaintiff, Joan L. Riggs, the innocent and injured spouse, requires reasonable support and alimony to adequately maintain herself in accordance with the standard of living established during the marriage, and to and to pay the fees, costs and expenses incurred in pursuing this complaint. 22. The Plaintiff, Joan L. Riggs, lacks the income and resources to adequately provide for her living expenses as well as the fees, costs and expenses to pursue this complaint. 23. The Defendant, Charles L. Riggs, is employed and has a monthl y gross income of at least $5,347.00, sufficient income to meet the needs of the parties. 24. The Plaintiff, Joan L. Riggs, requests the Court to allow alimony and alimony pendente lite, counsel fees, costs and expenses as it deem reasonable pursuant to §3701 and §3702 of the Pennsylvania Divorce Act. WHEREFORE, the Plaintiff requests your Honorable Court to enter and award Alimony, Alimony Pendente Lite, interim counsel fees, costs and expenses, until final hearing and thereupon award such additional counsel fees as deemed appropriate. Respectfully submitted, Date: plt's zo a)j ?0 f William L. Grubb, Esquire I.D. # 72661 3803 Gettysburg Road Camp Hill, PA 17011 (717) 763-5580 Attorney for Plaintiff VERIFICATION I, JOAN L. RIGGS, verify that the statements made in this document are true and correct. I understand that false statements herein are made subject to penalties of 18 Pa. C.S. § 4904, relating to unworn falsification to authorities. Date: an L. iRiggs, Plaintiff ? ? ? ? U? ? C ? d °' . ?? a ? ? ? .- o ?_?, W ? . !` `? t- rte; - ?=' .1 . ._ a -- .___ :; __ _} _. n r? t::? c .,.° r? ?< JOAN L RIGGS, V. : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA CHARLES L. RIGGS, Defendant NO. 06-6686 CIVIL TERM IN LAW - DIVORCE ACCEPTANCE OF SERVICE I accept service of the COMPLAINT IN DIVORCE. I certify that I am authorized to accept service on behalf of the defendant. Abk6 - Da e dA-, K nneth F. L is, Esquire 1101 North Front Street Harrisburg, PA 17102 - C7? rn CD ?Ej JOAN L. RIGGS, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 06- 6686 CHARLES L. RIGGS, : CIVIL TERM Defendant : IN LAW - DIVORCE PETITION FOR ALIMONY PENDENTE LITE TO THE HONORABLE, THE JUDGES OF THE SAID COURT: The Plaintiff, JOAN L. RIGGS, by her attorney, William L. Grubb, Esquire, petitions the Court for an order granting and awarding her Alimony Pendente Lite, and in support thereof Plaintiff respectfully represents that: 1. Plaintiff is JOAN L. RIGGS, who currently resides at 107 East Columbia Road, Enola, Cumberland County, Pennsylvania, 17025. 2. Defendant is CHARLES L. RIGGS who currently resides at 5022 Trent Road, Harrisburg, Dauphin County, Pennsylvania, 17109. 3. Plaintiff has been a bona fide resident in the Commonwealth for at least six months immediately previous to the filing of this complaint. 4. Plaintiff and Defendant were married on August 13, 1983 at Annville, Lebanon County, Pennsylvania. 5. Plaintiff and Defendant have been living separate and apart since July 6, 2006. 6. A Complaint in Divorce containing a Count for Alimony, Alimony Pendente Lite, Counsel Fees, Costs And Expenses, was filed to the above caption and number on November 21, 2006. 7. The Plaintiff previously filed a claim for Spousal Support in Perry County, to Perry County DRS No. 06-00228, PACES No. 027108484, which was subsequently denied after appeal to the Court of Common Pleas. 8. Defendant was subject to a wage attachment from the Perry County Spousal Support action, and the disposition of those funds is directed by the Perry County Court of Common Please as made in an Administrative Order, a copy of which is attached as Exhibit "A". 9. The Plaintiff, Joan L. Riggs, the innocent and injured spouse, requires reasonable support and alimony to adequately maintain herself in accordance with the standard of living established during the marriage, and to and to pay the fees, costs and expenses incurred in pursuing this complaint. 10. The Plaintiff, Joan L. Riggs, lacks the income and resources to adequately provide for her living expenses as well as the fees, costs and expenses to pursue this complaint. 11. The Defendant, Charles L. Riggs, is employed and is believed to have a monthly gross income of at least $5,347.00, sufficient income to meet the needs of the parties. 12. The Plaintiff, Joan L. Riggs, requests the Court to allow alimony and alimony pendente lite, counsel fees, costs and expenses as it deem reasonable pursuant to §3701 and §3702 of the Pennsylvania Divorce Act. A16. WHEREFORE, the Plaintiff requests your Honorable Court to enter and award Alimony, Alimony Pendente Lite, interim counsel fees, costs and expenses, until final hearing and thereupon award such additional counsel fees as deemed appropriate. Respectfully submitted, Date: ?? < <C William L. Grubb, Esquir I. D. # 72661 3803 Gettysburg Road Camp Hill, PA 17011 (717) 763-5580 Attorney for Plaintiff In the Court of Common Pleas of PERRY County, Pennsylvania DOMESTIC RELATIONS SECTION JOAN L. RIGGS ) Docket Number DR 06-00228 Plaintiff ) VS. ) PACSES Case Number 027108484 CHARLES L. RIGGS ) Defendant ) Other State ID Number Qrder AND NOW to wit, this JANUARY 15, 2007 it is hereby Ordered that: see attached Administrative Order. CC: Plaintiff Defendant Kenneth Lewis, Esquire William Grubb, Esquire Service Type M C\ i` Ci\ Y± 1.) C I .0 N BY THE COURT: txw;tsIrT- 4 ? " JUDGE JOE-001 Worker ID 50400 JOAN L. RIGGS, : IN THE COURT OF COMMON PLEAS OF Plaintiff : THE 41 st JUDICIAL DISTRICT OF PENNSYLVANIA, PERRY COUNTY BRANCH V. CHARLES L. RIGGS, : DOMESTIC RELATIONS SECTION Defendant : DRS No. 06-00228 PACSES No. 027108484 ADMINISTRATIVE ORDER AND NOW, this day of January, 2007, pursuant to the Order of Court dated December 12, 2006, wherein the Court granted Defendant's request that spousal support be denied and directed that spousal support payments in the amount of $2,483.60 made through the Perry County Domestic Relations Section shall be credited toward A.P.L., the request for which has been filed to Riggs v. Riggs, Cumberland County Docket No. 2006-6686, it is HEREBY ORDERED AND DIRECTED that spousal support shrill be terminated as of December 12, 2006. It is FURTHER ORDERED AN DIRECTED that Defendant's wage attachment shall immediately be withdrawn, that any further monies received shall be refunded to the Defendant, less the $10.00 in Court cost due and owing, and that this case be closed as of December 12, 2006. The Clerk of Courts is directed to prepare the closure documents for signature by the Court. cc: Plaintiff Defendant Kenneth F. Lewis, Esquire William Grubb, Esquire File Catherine C. Merwin, Director Perry County Domestic Relations Section ...-? ^? C? ? ; c' ..:, c ? ? ? ?? ? ??`?- ? j ` ? ..... s ; C r':?x-?? e. ?=' c:v .. '?:? ?xT ,? JOAN L. RIGGS, THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 06-6686 CIVIL TERM CHARLES L. RIGGS, IN DIVORCE Defendant/Respondent PACSES CASE NO: 088108915 ORDER OF COURT AND NOW, this 23rd day of January, 2007, upon consideration of the Petition for Alimony Pendente Lite and/or counsel fees, it is hereby directed that the parties and their respective counsel appear before R.J. Shadday on February 21, 2007 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 William L. Grubb, Esq. Kenneth F. Lewis, Esq. Date of Order: January 23, 2007 4Shoooday, Conference Officer YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVE. CARLISLE, PENNSYLVANIA 17013 (717) 249-3166 cc361 ``{??r+ o ?? N =, r'"? .. ?- ? t;"S JOAN L. RIGGS, THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 06-6686 CIVIL TERM CHARLES L. RIGGS, IN DIVORCE Defendant/Respondent PACSES CASE NO: 088108915 ORDER OF COURT - RESCHEDULE A CONFERENCE AND NOW, this 29th day of January 2007, upon consideration of the Petition for Alimony Pendente Lite and/or counsel fees, it is hereby directed that the parties and their respective counsel appear before R.J. Shadday on February 26, 2007 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. This date replaces the prior conference date of February 21, 2007. YOU are further ordered to bring to the conference: (1) a true copy of your most recent Federal Income Tax Return, including W-2's as filed (2) your pay stubs for the preceding six (6) months (3) the Income and Expense Statement attached to this order, completed as required by Rule 1910.11© (4) verification of child care expenses (5) proof of medical coverage which you may have, or may have available to you (6) IF you fail to appear for the conference or bring the required documents, the Court may issue a warrant for your arrest. BY THE COURT, Edgar B. Bayley, President Judge Date of Order: January 29, 2007 Copies mailed to: Petitioner Respondent William L. Grubb, Esq. Kenneth F. Lewis, Esq. .10 nS?' , Conference Officer 0 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 c :a } CIO JOAN L. RIGGS, IN THE COURT OF COMMON PLEAS OF PlaintifflPetitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 06-6686 CIVIL TERM CHARLES L. RIGGS, IN DIVORCE Defendant/Respondent . PACSES Case Number 088108915 ORDER OF COURT AND NOW, this 26th day of February, 2007, based upon the Court's determination that Petitioner's monthly net income/earning capacity is $1975.31 and Respondent's monthly net income/earning capacity is $3788.81, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $750.00 per month payable as follows: $750.00 per month for alimony pendente lite and $0.00 per month on arrears. First payment due next pay date. Credit set at -$983.60 as of February 26, 2007. The effective date of the order is January 23, 2007. Failure to make each payment on time and in full will cause all arrears to become subject to immediate collection by all of the means as provided by 23 Pa.C.S.§ 3703. Further, if the Court finds, after hearing, that the Respondent has willfully failed to comply with this Order, it may declare the Respondent in civil contempt of Court and its discretion make an appropriate Order, including, but not limited to, commitment of the Respondent to prison for a period not to exceed six months. Said money to be turned over by the PA SCDU to: Joan L. Riggs. Payments must be made by check or money order. All checks and money orders must be made payable to PA SCDU and mailed to: PA SCDU P.O. Box 69110 Harrisburg, PA 17106-9110 Payments must include the Respondent's PACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. cc360 Unreimbursed medical expenses that exceed $250.00 annually are to be paid as follows 66% by Respondent and 34% by Petitioner. The Petitioner is responsible to pay the first $250.00 annually in unreimbursed medical expenses. () Respondent (X ) Petitioner () Neither party to provide medical insurance coverage. Within thirty (30) days after the entry of this Order, the () Respondent (X) Petitioner shall submit written proof that medical insurance coverage has been obtained or that application for coverage has been made. Proof of coverage shall consist, at minimum, of. 1) the name of the health care coverage provider(s); 2) any applicable identification numbers; 3) any cards evidencing coverage; 4) the address to which claims should be made; 5) a description of any restrictions on usage, such as prior approval for hospital admissions, and the manner of obtaining approval; 6) a copy of the benefit booklet or coverage contract; 7) a description of all deductibles and co-payments; and 8) five copies of any claim forms. This Order is an agreed upon temporary order until additional information is shared between the parties and DRS and/or further order of court. This Order includes an additional $25.00 per month for the Respondent's share of the Petitioner's costs for medical insurance for herself only. Petitioner is to maintain her own medical insurance coverage. Respondent is given credit in the amount of $2483.60 for payments made to the Petitioner through PACSES Case # 027108484, Perry County DRS. This Order shall become final twenty days after the mailing of the notice of the entry of the Order to the parties unless either party files a written demand with the Prothonotary for a hearing de novo before the Court. Consented: Petitioner Respondent Petitioner's Attorney Respondent's Attorney BY T O T , -?.'' N G I ?, Edgar B. Bayley, J. Mailed copies on: Febnj 2ar to: Petitioner Respondent William L. Grubb, Esq. Kenneth F. Lewis, Esq. DRO: R.J. Shadday C5. r 'C} s r1l i -irIM dr': ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT 06 - (o6go CML State Commonwealth of Pennsylvania (X) O Original Order/Notice Co./City/Dist. of CUMBERLAND O Amended Order/Notice Date of Order/Notice 02/26/07 O Terminate Order/Notice Case Number (See Addendum for case summary) RE:RIGGS, CHARLES L. Employer/Withholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI) TYCO ELECTRONICS M S 161 051 PO BOX 3608 HARRISBURG PA 17105-3608 191-46-0560 Employee/Obligor's Social Security Number 2505101704 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'slobligor's income until further notice even if the Order/Notice is not issued by your State. $ 750.00 per month in current support $ o. oo per month in past-due support Arrears 12 weeks or greater? Dyes ® no $ 0. 00 per month in current and past-due medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 750.00 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: $ 173. o8 per weekly pay period. $ 346.15 per biweekly pay period (every two weeks). $ 375.00 per semimonthly pay period (twice a month). $ 750.00 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. BY TH URT: Date of Order: FEB 2 7 2007 W?c ml? Form EN-028 Rev. 1 Service Type m OMB No.: 0970-0154 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If gheckefl you are required to vide a?opy of this form to your m loyee. If yoyr employee works in a state that is rent rrom the state that di g heck Qrthis o er, a copy must be provi, 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 employeelobligor. 3.* paydate/date of withholding is the date on which amount was . 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 empioyee%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: 2303325750 EMPLOYEE'S/OBLIGOR'S NAME: RIGGS. CHARLES L. EMPLOYEE'S CASE IDENTIFIER: 2505101704 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 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 0 5 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11 -Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 Service Type M If you or your employeelobligor 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 I D $ IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: RIGGS, CHARLES L. PACSES Case Number ossios91s PACSES Case Number Plaintiff Name Plaintiff Name JOAN L. RIGGS Docket Attachment Amount Docket Attachment Amount 06-6686 CIVIL$ 750.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB ........... ...._ 11 ......... ......... . ......... _ .... _ ..... ? 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'slobligor'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 ? 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 C? N ? N ? ? L i y rv r i -?y Y W . ?-b JOAN L. RIGGS, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 06-6686 CIVIL TERM CHARLES L. RIGGS, Defendant . DIVORCE INCOME & EXPENSE STATEMENT OF CHARLES L. RIGGS I verify that the statements made in the foregoing documents are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities. Dated: ZZ D 3? 4ES &L..-RI4Qqf 7 1 7 986 366E sc 3 c J In the Court of Common Pleas of CIrnIBMAND 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: JOAN L. RIGGS Defendant Name, CHARLES L. RIGGS Docket Number: 06-6686 CIVIL PACSES Case Number: a s s i a e 9 I s 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 CXt1?, ? .,,'U,Aj INCOME: Employer Address e A. I/ D?l 067 Type of Work XZ- Payroll No. Gross Pay per Pay Period $ 24 , A Par Period (wkly., bid., etc.) Itemized Payroll Dedlucdonc- Federal withholds $ State Income T 1 Social Security $ Local Wage Tax ax $ 03144 1 Credit Union $ ReCrement S Say' s Bonds Life Insurance $ i Health Insurance Other Deductions (specify) a Net Pay per Pay Period $ OTHER (Fill in A ropriate Column} INCOME WEEK MONTH YEAR Interest $ $ $ Dividends Pension Annuity Social Security Rents Royaldes Expense Account Gifts Unemployment Workmen's Com oration Other Other TOTAL TOTAL INCOME $ $ Service Type M $ s PROPERTY Ownership * OWNED DESCRIPTION VALUE H W Fj Checking Ac counts $ y $0 0 Savings Accounts Credit Union StockstBonds Real Estate Other TOTAL $ * H=Husband; W=Wife; J=Joint Form IN-008 Worker ID 2'.205 Section 1: Income and Insurance • 71 7 1386 3656 # a L Income and Expense Statement PACSES Case Number 08810891s Section III: Expenses Instructions: Only show extraordinary expenses in this section unless you filled out Section U on page two, The categories in BOLA 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 S 14 s 705,60 Maintenance Utilities Electric $ 2 .d0 $ !OC o $ tZ.oO, bo Gas Oil 37„ 1?O Op t ,DD Telephone Q ., p Zd10 Water Sewer Employment Public Transport, $ $ $ Lunch 0 T Real estate $ $ 5 Personal Prupeny Homeowner's $ $ $ Automobile Life Accident Health 2 .'F 4 I C l: to t 27. +? oil- ?t+tl o o l 0 $e Payments $ $ O $ OO Fuel Repairs e0 Medic Doctor Dentist $ $ $ 40100 Ortbodontist B ? Medicine tic (tom, braces, 12., DO $ 0.0 •?Qi_Lf0 3100 ]! ,DD 3$+x.0 0 EXPENSES (Fill in Appropriate Column) (continued) WEEK MONTH YEAR Edgmton Private School $ $ $ ?Parochial School College Religious Clothing $ $ $ 1 alt Food #7, D Z JJ Barber/ Hairdresser 4o- oo Credit Payments Credit Card Charge Memberships F • s? Lons Credit Union $_ $ $ ?4, ?. • ter !t? t D of `8< zzrr?,? Miscellaneous- Household Help $ $ $ Child care Papers/books Magazines Entertainment Pay TV 9 i1A Vacation Gifts Legal fees Charitable 'u oay s $ $ Total WMONTH Lx es: $ $ 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 Plaintiff or Defendant Page 3 of 3 Form IN-008 Service Type M Worker ID 21205 N N JOAN L. RIGGS, Plaintiff V. CHARLES L. RIGGS, Defendant . IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6686 CIVIL TERM DIVORCE INVENTORY & APPRAISEMENT STATEMENT OF CHARLES L. RIGGS I verify the statements made in the foregoing document are true and correct. I understand false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities. 01 /??. Dated: 3/22/07 ,MARLES L. RI G "Defendant CERTIFICATE OF SERVICE I certify I have served a true and correct copy of this document to plaintiff's attorney by mailing same by U.S. Mail, postage prepaid at Harrisburg, PA, addressed to William L. Grubb, Esq., 3803 Gettysburg Road, Camp Hill, PA 17011. DATED: 3/22/07 14i 4?111 KENN TH LEWIS, ESQUIRE 1101 North Front Street Harrisburg, PA 17102 (717) 234-3136 Attorney for Defendant I.D. #69383 INVENTORY OF CHARLES L. RIGGS ASSETS OF PARTIES ( ) 1. Real property (x) 2. Motor vehicles ( ) 3. Stocks, bonds, securities and options ( ) 4. Certificates of deposit (x) 5. Checking accounts, cash (x) 6. Savings accounts, money market and savings certificates ( ) 7. Contents of safe deposit boxes ( ) 8. Trusts ( ) 9. Life insurance policies (indicate face value cash surrender value and current beneficiaries) ( ) 10. Annuities ( ) 11. Gifts ( ) 12. Inheritances ( ) 13. Patents, copyrights, inventions, royalties ( ) 14. Personal property outside the home ( ) 15. Business (list all owners, including percentage of ownership, and officer/director positions held by a party with company) ( ) 16. Employment termination benefits--severance pay, worker°s compensation claim/award ( ) 17. Profit sharing plans ( ) 18. Pension plans (indicate employee contribution and date plan vests) (x) 19. Retirement plans, Individual Retirement Accounts, 4018 ( ) 20. Disability payments ( ) 21. Litigation claims (matured and unmatured) ( ) 22. Military/V.A. benefits ( ) 23. Education benefits (x) 24. Debts due, including loans, mortgages held (x) 25. Household furnishings and personalty (include as a total category and attach itemized list if distribution of such assets is in dispute) ( ) 26. Other MARITAL PROPERTY Description of Property 401K/Tyco personal property/ household furniture and furnishings/appliances 1997 Ford Taurus 1997 Saturn (in Wife's possession) joint funeral plots First National Bank of Marysville checking/ savings Owners Est. Value H $38,893.55* H&W H 0** H/W? $2,430 BLUE BK H/W $ H/W $825.00*** *$49,968.11 - $11,074.56 (loans against 401K); as of 12/31/06 **BLUE BK $1,775; is in storage; needs $1,826.32 to fix through Avelinos (not including possible engine work due to significant oil leakage); still two more years on the loan ***Husband took appx. $450.00 from the checking account, leaving $350.00, as well as $25.00 in savings NON-MARITAL PROPERTY Description of Property 2002 GMC Envoy Kitchen table antique hutch Owners Basis for Exclusion H bought after separation H pre-marital H pre-marital MARITAL LIABILITIES Name of Creditor West Shore Oil 401K loans Tri-County Mem'1 Gardens Perry Co. Taxes Current Debtors Amount Owed $1,799.73* $11,074 CTCB (Rye Township Refuse) HOME DEFICIENCY Date Periodic Incurred Payment 158.30 bi- weekly $2,043.50 $42.59/mo $4,396.00 $61.06 (Apr-June/2d quarter 06) unknown** *in collection status with Bureau of Account Management; oil to marital home **lst Mortgage/OCWEN; $120,000.00 owed; 2nd Mortgage/Penn. Housing Finance $9,579.66 (payoff through 1/31/07) NOTE: Husband will be requesting credit for all payments made toward marital debts since the date of separation. PROPERTY TRANSFERRED Description Date of to Whom of Property Transfer Consideration Transferred ;717 986 3666 a NOTE: MARITAL PROPERTY Nag PROPERTY YOU GOT DURING THE MARRIAGE - - IT DOESN'T NATTER WHOSE NAjM THE PROPERTY 19 TITLED IN OR WHO ACTUALLY ME THE PURCHASE (but let me know those things anyway) Description 4f PY'o2ertV owners Est. Value _ 61(4 J*Ajj spuyky Hafu6 R 450.00 ?tt36 •/CoMj4 MeJ AJ 5 t ics M +tt?.?- R /zoo. 00 8676 4XI dfL-ss? V Z Z?, o0 Br, wok. 4 6 41 , cR boo • 0 0 •-r? 441,?{u uU: ? a4w ? s le, j R 325. o0 375 , o0 4 s e, ta se ?/?'1?2? am tt CovLlea< C(? ?? 06 G ??. f •?,4., /3+2r4iad M N? ?? 3'2 2 ?d e. v o S-D. 00 k Feu., d, bi r,? ` ? :r2 3 ? a O Z/ts,0o S Co?cc? p` q 77p, 364 0 0 Z5-,6 0 S4taa?,,KOi ?E 3? 75, 0 6 ?76,00 ???©l?? 5?'?c?Lat if97 ?? Gva60 C (Z ou -00 a/lee ?poll t4 Sr2 .60 2Sd r ;40("J-,c I ey&o Olr? r l( p) O 0 5k 4 Gie,??IL 0 z 00, a 2 d C'? rv - r171 ;f.:" N -pill : m JOAN L. RIGGS, Plaintiff V. CHARLES L. RIGGS, Defendant TO: William L. Grubb, Esq. 3803 Gettysburg Road Camp Hill, PA 17011 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6686 CIVIL TERM DIVORCE NOTICE TO PLEAD You are hereby notified to file a written response to the enclosed Answer & Counterclaim within twenty (20) days from service hereof or a judgment may be entered against you. DATED: 00)0 KENNETK F. LEWIS, ESQUIRE I.D. # 69383 Attorney for Defendant 1101 N. Front St. Harrisburg, PA 17102 (717) 234-3136 JOAN L. RIGGS, Plaintiff V. CHARLES L. RIGGS, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6686 CIVIL TERM DIVORCE ANSWER and COUNTERCLAIM ANSWER COUNT I - NO FAULT DIVORCE 1. Admitted. 2. Denied. Defendant's correct address is 5022 Trent Rd., Harrisburg, PA 17109. 1-9. Admitted. COUNT II - EQUITABLE DISTRIBUTION 10. No response required. 11.42. Admitted. COUNT III - FAULT DIVORCE (a)(3) 13. No response required. 14. Denied as set forth in Defendant's counterclaim below. 15. Admitted. COUNT IV - NO FAULT DIVORCE (a)(6) 16. No response required. 17. Denied as set forth in Defendant's counterclaim below. 18. Admitted. 19. No response required. COUNT V - ALIMONY, APL, COUNSEL FEES, COSTS & EXPENSES 20. No response required. 21. It is denied that Plaintiff is the innocent and injured spouse and that she requires or is entitled to financial support. 22. Denied. The Plaintiffs financial difficulties stem from her voluntary resignation of her job. 23. Denied. Per Cumberland County Domestic Relations findings, Defendant's net monthly income is $3,77.81. 24. No response is required. COUNTERCLAIM COUNT VI REQUEST FOR FAULT DIVORCE UNDER §3301(a)(6) OF THE DIVORCE CODE 25. Defendant incorporates his responses above as if set forth fully herein. 26. Plaintiff has offered such indignities to Plaintiff, the innocent and injured spouse, as to render his condition intolerable and life burdensome. WHEREFORE, Plaintiff respectfully requests this Court to enter a Decree of Divorce pursuant to § 3301(a) of the Domestic Relations Code. DATEDI */Z.0 0? KEETHY. LEWIS, ESQUIRE Atto ey I. #69383 1101 North Front Street Harrisburg, PA 17102 (717) 234-3136 Attorney for Plaintiff VERIFICATION I hereby verify that the statements made in the foregoing document are true and correct to the best of my l no-vOedge, information and belief I »rderstard that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities. Dated: -6'7 CHARLES L. RIGG CERTIFICATE OF SERVICE I certify I served a true and correct copy of the within Answer and Counterclaim to attorney for Plaintiff by mailing same by U.S. Mail, postage prepaid at Harrisburg, PA addressed to: William L. Grubb, Esq. 3803 Gettysburg Road Camp Hill, PA 17011 DATED: 40/0 9 U?l KE ETH F. LEWIS, ESQUIRE C d ?i r ;-; ; , ; '-C7 T ?? s x N L ?:_ CHIT JOAN L. RIGGS, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 06-6686 CIVIL TERM CHARLES L. RIGGS, Defendant DIVORCE AFFIDAVIT OF CONSENT 1. A Complaint in Divorce was filed under Section 3301 (c) of the Divorce Code on November 21, 2006. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of the filing and service of the Complaint. 3. I consent to the entry of a Final Decree in Divorce after service of notice to intention to request entry of the decree. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities. Dated: Q JOAN . RIGGS C7 C) C v_.a -r1 m m rn Cl 4C? JOAN L. RIGGS, Plaintiff V. CHARLES L. RIGGS, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6686 CIVIL TERM DIVORCE AFFIDAVIT OF CONSENT 1. A Complaint in Divorce was filed under Section 3301 (c) of the Divorce Code on November 21, 2006. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of the filing and service of the Complaint. 3. I consent to the entry of a Final Decree in Divorce after service of notice to intention to request entry of the decree. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities. Dated: 417109 ??Zr 5?'LES L. RIGGS CO -n JOAN L. RIGGS, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA : V. : NO. 06-6686 CIVIL TERM CHARLES L. RIGGS, Defendant : DIVORCE WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 3301 (c) OF THE DIVORCE CODE 1. I consent to entry of a final Decree of Divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. •I understand that I will not be divorced until a Decree is entered by the Court and that a copy of the Decree will be sent to me immediately after it is filed with the Prothonotary. 4. I verify that the statements made in the foregoing document are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities. Dated: `-? 643 J /3 J0 49',L/. RIGGS G-l z " _ ril JOAN L. RIGGS, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 06-6686 CIVIL TERM CHARLES L. RIGGS, Defendant DIVORCE 1. WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 3301 (c) OF THE DIVORCE CODE I consent to entry of a final Decree of Divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. I understand that I will not be divorced until a Decree is entered by the Court and that a copy of the Decree will be sent to me immediately after it is filed with the Prothonotary. 4. I verify that the statements made in the foregoing document are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities. Dated: 610o C LE L. RIGGS ?r3 JOAN L. RIGGS, Plaintiff V. CHARLES L. RIGGS, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6686 CIVIL TERM DIVORCE SETTLEMENT AGREEMENT r THIS AGREEMENT, is made this?day of , 20071 by and between JOAN L. RIGGS ("Wife") and CHARLES L. R TAGS ("Husband"). W I T N E S S E T H: WHEREAS, the parties, currently Husband and Wife, will be obtaining a decree in divorce; and WHEREAS, by this Agreement, the parties have intended to effectuate and equitably divide their marital property and marital debts; and WHEREAS, diverse unhappy differences and difficulties have arisen between the parties and it is their intention to live separate and apart for the rest of their lives and to settle any claims by one against the other or against their estates. NOW THEREFORE, with the foregoing recitals being incorporated by reference and deemed as an essential part hereof and in consideration of the premises and of the mutual promises set forth herein and for other good and valuable consideration, receipt of which is hereby acknowledged, the parties, each intending to be legally bound hereby, covenant and agree as follows: 1. EFFECT OF DIVORCE DECREE. The parties agree that unless otherwise specifically provided herein, this Agreement shall continue in full force and effect after such time as a Final Decree in Divorce may be entered with respect to the parties. This Agreement shall be incorporated, but not merged into the final decree in divorce. 2. FINANCIAL DISCLOSURE. The parties confirm each has relied on the substantial accuracy of the financial disclosure of the other as an inducement to executing this Agreement. No representations have been made by either party to the other, or by anyone else, as to the financial status of the other except as set forth in this Agreement. 3. ADVICE OF COUNSEL. Wife has been advised regarding this Agreement by her attorney, William L. Grubb, Esq. Husband has been advised regarding this Agreement by his attorney, Kenneth Lewis. Both parties acknowledge this Agreement is, under the circumstances, fair and equitable and that it is being entered into freely and voluntarily, after having received independent legal advice, or choosing not to do so. The parties acknowledge this Agreement is not the result of duress or undue influence and is not the result of any collusion or improper or illegal agreement(s). This Agreement shall be construed as if drafted by both parties. 4. DISCLOSURE AND WAIVER OF PROCEDURAL RIGHTS. The parties understand each has the right to obtain from the other party a complete inventory of all the property either or both parties now own or owned as of the date of separation, and that each has the right to have such property valued by appraisals or otherwise. The parties understand they have the right to have a Court hold hearings and make decisions on the matters covered by this Agreement. Both parties understand a Court's decision concerning the parties' respective rights and obligations might be different from the provisions of this Agreement. Both parties waive the following procedural rights: a. The right to obtain an Inventory and Appraisement of all marital and separate property as defined by the Pennsylvania Divorce Code. b. The right to obtain an Income and Expense Statement of the other party as provided by the Pennsylvania Divorce Code. C. The right to have the Court determine which property is marital and which is non-marital and equitably distribute between the parties that property which the Court determines to be marital. ?2- d. The right to have the Court decide any other rights, remedies, privileges, or obligations covered by this Agreement, including but not limited to possible claims for divorce, spousal support, alimony, alimony pendente lite, counsel fees, costs and expenses. 5. PERSONAL RIGHTS. Husband and Wife, may live separate and apart. They shall be free from any interference, direct or indirect, by the other in all respects as if they were unmarried. Husband and Wife shall not harass, disturb or malign each other or the respective families of the other nor attempt to compel the other to cohabit or dwell by any means or in any manner whatsoever with him or her. 6. MUTUAL RELEASES. Except as provided in this Agreement, Husband and Wife each mutually release and forever discharge the other and the other's estate from any rights (including income and gain from property hereafter accruing) of the other or against the other's estate, which he/she now has or may hereafter have against the other or the other's estate, arising out of any circumstance, including dower or curtesy, or claims in the nature of dower or curtesy or widow's or widower's rights, family exemption or similar allowance, or under the intestate laws, or the right to take against the spouse's will; or the right to treat a lifetime conveyance by the other as testamentary, or all other rights of a surviving spouse to participate in a deceased spouse's estate, regardless of the jurisdiction. The release includes any rights which either party may have or at any time hereafter have for past, present or future spousal support or maintenance, alimony, alimony pendente lite, counsel fees, equitable distribution, costs or expenses, whether arising as a result of the marital relation or otherwise, except, and only except, all rights and agreements and obligations of whatsoever nature arising or which may arise under this Agreement or for the breach of any provision thereof. It is the intention of Husband and Wife to give to each other by the execution of this Agreement a full, complete and general release with respect to any and all property of any kind or nature, real, personal or mixed, which the other now owns or may hereafter acquire, except and only except all rights and agreements and obligations of whatsoever nature arising or which may arise under this Agreement or for the breach of any provision thereof. 7. PERSONAL PROPERTY. a) The parties confirm they have relied on the completeness and substantial accuracy of the financial disclosure of the other as an inducement to the execution of this Agreement. The parties acknowledge there has been no formal discovery conducted in their pending divorce action. Notwithstanding the foregoing, the rights of either party to pursue a claim for equitable distribution, pursuant to the Pennsylvania Divorce Code, of any interest owned by the other party in an asset of any nature at any time prior to the date of execution of this Agreement that was not disclosed to the other party or his/her counsel prior to the date of this Agreement is expressly reserved. In the event either party, at any time hereafter, discovers such an undisclosed asset, the party shall have the right to petition the Court of Common Pleas of Dauphin County to make equitable distribution of said asset. The non-disclosing party shall be responsible for payment of counsel fees, costs and/or expenses incurred by the other party in seeking equitable distribution of said asset unless the Court finds that payment of such fees would not be equitable. In such event, the Court can deny fees or limit the amount of fees to be paid. Notwithstanding the foregoing, the Agreement shall in all other respects remain in full force and effect. b) The parties agree to make the following disposition and settlement with respect to their marital personal property: i) The parties agree they have already divided their personal property to each's satisfaction, other than as provided for in this Agreement. ii) Each party will retain the checking, savings and/or money market accounts listed in his/her sole name. Each party waives any and all interest he/she may have in the other party's accounts. iii) Each party shall become the sole owner of any vehicles registered in his/her name. Each party waives any and all interest he/she may have in the other party's vehicles. Each party shall hold the other harmless and indemnify the other from any claims arising from the ownership or operation of any such vehicles. iv) Husband shall become sole owner of the two funeral plots. Wife waives all interest in such plots. v) Retirement Plans. Wife shall become sole owner of her retirement plan. Husband waives all rights thereto. Husband has a 401K Plan through his employer (Tyco). Of the approximate $38,893.55 marital value, Wife shall receive $16,000.00 through a QDRO, which Husband's attorney shall prepare. Wife waives all ?2 rights to the remaining portions of Husband's 401K. Husband waives all interest in the monies transferred under this paragraph. Husband shall be responsible for the cost associated with the Qualified Domestic Relations Order for the transfers. Each party will be responsible for payment of any taxes relating to the monies each receives. 8. AFTER-ACQUIRED PERSONAL PROPERTY. Each of the parties shall hereafter own and enjoy, independently of any claim or right of the other, all items of personal property, tangible or intangible, hereafter acquired by him or her, with full power in him or her to dispose of the same as fully and effectively, in all respects and for all purposes, as though he or she were not married. 9. ALIMONY, ALIMONY PENDENTE LITE, SPOUSAL SUPPORT. a) The parties hereby waive and surrender any rights and/or claims they may have to interim or final alimony, alimony pendente lite and spousal support, except that any arrears existing at the time of this agreement shall remain in effect and not be discharged. b) As of the date the divorce is final, Wife shall cooperate, in the event her cooperation is necessary, to immediately take all steps necessary to end APL payments by Husband (with any arrears continuing to be owed). Any monies received by Wife representing APL payments beyond the date the divorce decree is entered, other than payments for arrears, shall be immediately reimbursed to Husband. 10. ATTORNEY'S FEES AND COSTS. The parties waive and surrender any rights and/or claims they may have to interim or final counsel fees and/or costs. 11. DEBTS. a) The parties acknowledge there are no debts existing for which both parties are liable other than specifically listed here. b) Each party shall be solely responsible for all debts listed in his/her sole name. Each party shall indemnify and hold the other harmless against all actions or collections of whatever kind arising from these debts. ?2 c) Each party represents he/she has not incurred any liability for which the other may be responsible except as may be provided for in this Agreement. Each party agrees to indemnify or hold the other party harmless from and against any and all such debts, except for the obligations arising out of this Agreement. d) Each party shall immediately close out any and all joint credit card accounts, bank accounts and any other financial accounts. e) The parties acknowledge they were co-owners of a home in Perry County that was foreclosed upon. Husband shall be responsible for any deficiency judgment. f) Husband shall be responsible for the following joint debts: 1) West Shore Oil ($1,799.73); Perry County Taxes ($4,396.00); and CTCB Waste 2006 billing ($61.06). 12. WARRANTIES TO FUTURE OBLIGATIONS. Husband and Wife each agree that each will now and at all times hereafter save harmless and keep the other indemnified from all debts, charges and liabilities incurred by the other after the execution date of this Agreement, except as may be otherwise specifically provided for by the terms of this Agreement and that neither of them shall hereafter incur any liability whatsoever for which the estate of the other may be liable. 13. WAIVER OR MODIFICATION TO BE IN WRITING. No modification or waiver of any of the terms hereof shall be valid unless in writing and signed by both parties and no waiver of any breach hereof or default hereunder shall be deemed a waiver of any subsequent default of the same or similar nature. 14. BREACH. The parties agree that if either fails in the due performance of any of his or her obligations under this Agreement, the other party shall have the right at his or her election to sue for damages for breach thereof, to sue for specific performance, or to seek any other legal remedies as may be available and said other party shall have the right to recover his or her reasonable legal fees and costs for any services rendered by his or her attorney. /--I S P 1-2171 15. MUTUAL COOPERATION. Each party shall, at any time and from time to time hereafter, take all steps and execute, acknowledge and deliver to the other party any further instruments and/or documents that the other party may reasonably require for the purpose of giving full force and effect to the provisions of this Agreement. 16. LAW OF PENNSYLVANIA APPLICABLE. This Agreement shall be construed in accordance with the laws of the Commonwealth of Pennsylvania. 17. AGREEMENT BINDING ON HEIRS. This Agreement shall be binding and shall inure to the benefit of the parties hereto and their respective heirs, executors, administrators, successors and assigns. 18. INTEGRATION. This Agreement constitutes the entire understanding of the parties and supersedes any and all prior Agreements and negotiations between them. There are no representations or warranties other than those expressly set forth herein. 19. NO WAIVER OF DEFAULT. This Agreement shall remain in full force and effect unless and until terminated under and pursuant to the terms of this Agreement. The failure of either party to insist upon strict performance of any of the provisions of this Agreement shall in no way affect the right of such party hereafter to enforce the same, nor shall the waiver of any breach of any provision hereof be construed as a waiver of any subsequent default of the same or similar nature, nor shall it be construed as a waiver of strict performance or any other obligations herein. 20. SEVERABILITY. If any term or provision of this Agreement shall be determined to be invalid, then only that term or provision shall be stricken and in all other respects this Agreement shall be valid and continue in full force, effect and operation. Likewise, the C'a°? failure of any party to meet her or his obligations under any one or more of the paragraphs herein, with the exception of the satisfaction of the conditions precedent, shall in no way void or alter the remaining obligations of the parties. 21. HEADINGS NOT PART OF AGREEMENT. Any headings preceding the text of the paragraphs and subparagraphs hereof are inserted solely for convenience of reference and shall not constitute a part of this Agreement nor shall they affect its meaning, construction or effect. 22. TAX ADVICE. Both parties acknowledge and agree they have had the opportunity to retain their own accountants, certified public accountants, tax advisor, or tax attorney with reference to the tax implications of this Agreement. Further, neither party has been given any tax advice whatsoever by their respective attorneys. Further, both parties hereby acknowledge they have been advised by their respective attorneys to seek their own independent tax advice by retaining an account, certified public accountant, tax attorney or tax advisor with reference to the tax implications involved in this Agreement. L72 P!C, -??K JO L. RIGGS "?7 C ES L. RIGGS / de 5!;;: witne s ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND T On this the 3 l s of lyl-9y , 2007, before me, the undersigned officer, personally appeared Joan L. Riggs, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Agreement and acknowledged that she executed the same for the purposes therein contained. ?`` ?1 "? fir. + ov& c.UMMONWEALTH OF PENNSYLVANIA 7WILLIAM OTARIAL SEAL Notary Public , ©RUBB, Notary Public Twp., Cumberland County sion Expires Aug. 13, 2009 ACKNOWLEDGMENT', 14 # COMMONWEALTH OF PENNSYLVANIA COUNTY OF WPOJ SS On this the ? of ?Vh0, IF 2007, before me, the undersigned officer, personally appeared Charles L. Riggs, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Agreement and acknowledged that he executed the same for the purposes therein contained. n I ft. P I Notary Public tI1N1L tL EAM? rdw co .?1 ? iiM?M?MIMM? IrPMM ? • -? t't't in soup" rMlik t -All JOAN L. RIGGS, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 06-6686 CIVIL TERM CHARLES L. RIGGS, Defendant DIVORCE PRAECIPE TO TRANSMIT RECORD To The Prothonotary: Transmit the record, together with the following information, to the Court for entry of a Divorce Decree: 1. Ground for divorce: irretrievable breakdown under Section (X) 3301(c) () 3301(d) of the Divorce Code. 2. Date and manner of service of the Complaint: Acceptance of Service signed 1214106 and filed 12118106. 3. Date of execution of the Affidavit of Consent required by Section 3301(c) of the Divorce Code and Waiver of Notice of Intention to Request Entry of a Divorce Decree: by the Plaintiff on 5131107; by the Defendant on 614107 (all filed concurrently with this Praecipe). 4. Related claims pending: NONE, property settlement agreement incorporated into divorce decree. 14 S / 0 DATED : 6/?/m KENN TH . LEWIS, ESQ. Attorney I.D. #69383 1101 North Front Street Harrisburg, PA 17102 (717) 234-3136 Attorney for Defendant C CTI C-n ,• C"J tt? "''C IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY STATE OF PENNA. _.: ?A.aN L 0)11-1-e' , VERSUS 604"" L, ,21 G?5 NO.o-1WL'?v,Term DECREE IN DIVORCE AND NOW, `/i/?•? t IT IS ORDERED AND -X -2 DECREED THAT v6ft) LI /tl4s , PLAINTIFF, AND _ Cff gas LI l _h? DEFENDANT, ARE DIVORCED FROM THE BONDS OF MATRIMONY. THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE BEEN RAISED OF RECORD.11J THIS ACTION FOR WHICH A FINAL ORDER HAS NOT YET BEEN ENTERED; ?/?J Se?'le/I?e &feem-11dat?l Av_3), &na?`/al Jilwe .zoo -* If .0" 7-!L? /- 0, 0/ - 7 22'"x' ? ? ? °P';^" -'4? -,AV L 0 - dV--7 In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION JOAN L. RIGGS ) Docket Number 06-6686 CIVIL Plaintiff ) vs. ) PACSES Case Number 088108915 CHARLES L. RIGGS ) Defendant ) Other State ID Number CONSENT ORDER AND NOW, to wit, on this 22ND DAY OF JUNE, 2007 IT IS HEREBY ORDERED that the support order in this case be Q Vacated or Q Suspended or ® Terminated without prejudice or Q Terminated and Vacated, effective JUNE 12, 2007 , due to: THE PARTIES SETTLEMENT AGREEMENT AND THEIR FINAL DECREE IN DIVORCE. THE CASE IS CLOSED WITH A CREDIT OF $421.07 XC: PETITIONER RESPONDENT KENNETH F. LEWIS, ESQ. WILLIAM L. GRUBB, ESQ. Consented: Plaintiff Defendant Attorney/Witness Attorney/Witness BY 12C11-11- N Cn EDGAR B. BA GE JUN 2 2 2007 Date L)RD; F J. SHADDAY Service type M Form OE-503 Worker ID 21205 t .? rl> O ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 06/22/07 Case Number (See Addendum for case summary) EmployerM/ithholder's Federal EIN Number TYCO ELECTRONICS M S 161 051 PO BOX 3608 HARRISBURG PA 17105-3608 191-46-0560 Employee/Obligor's Social Security Number 2505101704 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'slobligor's income until further notice even if the Order/Notice is not issued by your State. $ 0.0o per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? Qyes (? 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 . 0o per weekly pay period. $ o. 0o per biweekly pay period (every two weeks). $ o. oo per semimonthly pay period (twice a month). $ o. o 0 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: JUN 2 5 2007 DRO: R.J. Shadday Service Type M 088108915 O Original Order/Notice 06-6686 CIVIL O Amended Order/Notice O Terminate Order/Notice RE: RIGGS, CHARLES L. Employee/Obligor's Name (Last, First, MI) BY THE URT: Y G Edgar B. Bayley, - Judge Form EN-028 Rev. 1 OMB No.: 0970-0154 %A/-.Lor I M $IATT L ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If4heckefl you are required to provide a copy of this form to yourgmployee. If your employee works in a state that is di erent rrom the state that issued this order, a copy must be provi edd 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 employeelobligor. 3.* Reporting the Paydate/Date of Withhold ii igs YoU MUSt repOlt the paydate/date of withholding when sending the pay ment, The paydateMate of with I tolding is the date on which an iou, it was wit' ffield hoan 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: 2303325750 EMPLOYEE'S/OBLIGOR'S NAME: RIGGS CHARLES L. EMPLOYEE'S CASE IDENTIFIER: 2505101704 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 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 1 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 $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: RIGGS, CHARLES L. PACSES Case Number 088108915 Plaintiff Name JOAN L. RIGGS Docket Attachment Amount 06-6686 CIVIL$ 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 ?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. Service Type m 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) 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. Addendum OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker ID $ IATT G' ,? C "C.'- .d `?- /'? .? AUG 17 2007W 570926039 Joan L Riggs VS. Charles L Riggs ) CASE NO. 06-6686 Civil Term } ) QUALIFIED DOMESTIC RELATIONS ORDER Cumberland County Court of Common Pleas One Courthouse Square Carlisle PA 17013 WHEREAS, this Court has jurisdiction over the parties and the subject matter of this Order; and WHEREAS, the parties and the Court intend that this Order shall be a Qualified Domestic Relations Order (hereinafter referred to as a "QDRO") as defined in Section 206(d)(3) of the Employee Retirement Income Security Act of 1974, as amended ("ERISA") and Section 414(p) of the Internal Revenue Code of 1986, as amended; and, WHEREAS, pursuant to the referenced statutes, the Plan Administrator shall make a determination of the qualified status of this Order, and WHEREAS, following approval by the Plan Administrator, this Order shall constitute a Qualified Domestic Relations Order; and WHEREAS, the parties have stipulated that the Court enter this Order; NOW, THEREFORE, pursuant to this state's Domestic Relations Laws, IT IS HEREBY ORDERED BY THE COURT as follows: 1. As used in this Order, the following terms shall apply: (a) "Participant" shall mean Charles L Riggs, whose current address is 5022 Trent Road, Harrisburg, PA 17109. (b) "Alternate Payee" shall mean Joan L Riggs, whose current address is 107 East Columbia Road, Apt. 1, Enola, PA 17025. (c) "Plan" shall mean Tyco International (US) Inc. Retirement Savings and Investment Plan 1. 2. The Order relates to marital property rights 3. The date of marriage was 08/13/1983. 4. The date of legal separation or divorce is 06/12/2007. 5. The Alternate Payee is the former spouse of the Participant. 6. With respect to marital property, alimony and spousal awards, the Participant and the Alternate Payee are/were married for federal income tax purposes. 7. The "Valuation Date" shall be 06/12/2007. 8. The Alternate Payee's interest in the Plan shall be $16,000.00 of the Participant's total vested account balance under the Plan as of the Valuation Date. 9. The Alternate Payee's award is entitled to earnings (dividends, interest, gains and losses) from the Valuation Date to the date that the award is segregated from the Partici- pant's account. From and after the date of segregation, the Alternate Payee's award shall be held in an account under the Plan and shall be entitled to all earnings attributable to the investments therein. 10. In the event there is an outstanding loan balance as of the Valuation Date, the loan bal- ance will not be included for purposes of calculating the account balance to be divided. 11. The Alternate Payee's award will be paid proportionately from all investment options as of the date of account segregation. 12. The Alternate Payee shall have the right to select from the available benefit forms pro- vided under the terms of the Plan at the time the Alternate Payee becomes eligible and elects a distribution. The Alternate Payee shall initiate the distribution in accordance with the terms of the Plan and the administrative procedures that have been established by the Plan Administrator. The amount distributed to the Alternate Payee will be based on the value of the Alternate Payee's account on the date the distribution is processed. ?. The Alternate Payee has the right to designate a beneficiary. All beneficiary designa- tions will be made after qualification of the Order and segregation of a separate account for the Alternate Payee pursuant to the administrative procedures established for the Plan. 14. The Participant is responsible for the one time determination fee for review of the Do- mestic Relations Order. The fee will be deducted from the Participant's account follow- ing the first review of the Order. The fee will be taken from the investment options in the applicable account(s) according to the plan level fee method in effect as of the date the fee is deducted. Attorney For Alternate Payee: William Grubb, Esquire 3803 Gettysburg Road Attorney For Participant: Kenneth Lewis, Esquire 1101 North Front Street, 1 st Floor Camp Hill, PA 17011 Harrisburg, PA 17102 Approved by PARTICIPANT: c RLES L. RIGG DATED THIS 4? " DAY OF Approved by ALTERNATE PAYEE: 6-t7 Qls'2?n N LINL - JO L. RIG 2007. ,TW lvo: 510q&03I I TeSTRIBUTION: e??netYa. F, Lewis, Esq.,, 1101 N. Front St., 1st fl., Hbg. , PA 17102 counsel for Charles L. Riggs Xilliam L. Grubb, Esq., 3803 Gettysburg Road, Camp Hill, PA 17011 counsel for Joan L. Riggs J Q ? ry Q N