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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
STATE OF '* PENNA.
JOHN D. BRASHJo:R.
Plaintiff
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CIVIL TERM
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LAURA A. BRASHER,
Defendant
DECREE IN
DIVORCE
AND NOW, .., .~~.. .'?-~.",..., 19,.. .96. it is ordered and
decreed that ... .JOHN D, .BRASHER. . . . . . . . . . , . . . . . . , . . . , . . . .. plaintiff,
and. . , , . . , . . . . . . LAURA A.' .BRASHER . . . . . . . . . . . . . . . . . . . . . " defendant,
are divorced from the bonds of matrimony.
The court retains jurisdiction of the following claims which have
been raised of record in this action for which a final order has not yet
been entered;
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNS YL VANIA
CIVIL ACTION. LAW
14' Soo I
No. CIVIL 1994
IN DIVORCE
John D, Brasher,
PluintilI
Laura A. Brasher,
Defcndant
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COUNT I . DIVORCE UNDER 330l(c) OF THE DIVORCE CODE
AND NOW comcs John D. Brushcr by and through Frcy LInd Tilcy, lIllorneys for
Pluintlff, LInd mllkcs thc following sllltemcnt:
l. Pluintiff is John D. Brushcr. who <:urrcntly resides lit 1080 Harrisburg. Pike.
Cllrlislc. Cumbcrland County. Pennsylvania.
2. Defcndant is LlIuru A. Brllsher. who currently resides in 127 Mountuin Road,
Middlesex Township. Cumbcrlllnd County. Pcnnsylvania (mailing lIddress: 127 Mountllin
ROlld. Shermunsdale, Pennsylvania).
3. Plaintiff LInd Dcfendant have been bOllll fide rcsidents in the Commonweulth of
Pennsy1vlllliu for atlell.~t six (6) months immcdiately previous to the tiling of this Compluint.
4. Plaintiff and Defendunt were marricd on December 16. 1991 in Newville,
Cumberlllnd County. Pennsylvanill.
5. There have been no prior lIctions of divorce or for annulment between the pnrties.
6. The mllrriage is irrctrievably broken.
7. Pluintiffhas becn advised that counseling is available and that Plaintiff may have the
right to requestthutthe Court require the parties to participate in cl'unseling.
WHEREFORE. PllIintiff requests your Honorable Court 10 enter a Decree in Divorce,
Divorcing Plaintiff and Defendant.
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION -I.AW
No. 94-5001 CIVIL
IN DIVORCE
John D. Brasher,
Plaintiff
Laura A. Brasher,
Defendant
AFFIDAVIT 01" CONSENT
AND WAIVER 01" MARRIACiE COUNSELING
I. A Complllint in divorce under Section 3301(c) of the Divorce Code was filed on
September 6, 1994.
2. The marriage of Plaintiff and Defendllnt is irretrievably broken and nincty days have
elapsed from the date of liIing the Complllint.
3. I consent 10 the entry of II finlll decree of divorce.
4. I understand thatlmllY lose rights concerning alimony, di vision of property, lawyer's
fees, or expenses if i do not c1l1im them before a divorce is granted.
5. I hllve been advised of the lIvailability of marrillge counseling and understllnd that I may
request that the court require that my spouse and I participllle in counseling.
6. I understand that the court maintains a lbt of marriage counselors in the Domestic
Relations Office, which list is available to me upon request.
7. Being so advised, I do not request thlltthe court require my spouse and I pW'tidpate in
counseling prior to a divorce decree being handed down by the court.
I verify that the statements made in this afl1davit are true and correct. I understand that false
stlltements herein are made subject to the penlllties of 18 Pa. C. S. *4904 relating to unsworn
falsification to authorities.
lJ_u....LJ.J 1'0
DATE: ~ ' 1995
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~ II D. Brasher
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John I), IIrllsher,
PllIinliff
IN HIE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION. LAW
No. 94.51KII CIVIL
IN DIVORCE
v,
1.llurll A, IIrllNher.
Dcli:ndllnl
AFFIDAVIT OF CONSENT,WAIVER OF NOTICE
OF INTENTION TO REQUEST ENTRY OF DIVORCE DECREE,
AND WAIVER OF MARRIAGE COUNSELING
I. A Complaint in divorce under Se<:tion 3301(c) of the Divorce Code was filed on
Seplember 6. 1994,
2. The mllrrillge of Pluinliff and Deli:ndunt is irretrievably broken und ninety dllYs hllve
elapsed from the dute of filing und service of the Complaint.
3. I consent to the entry of.1 linal decree of divorce without notice,
4. lundcrstand 111m I may lose rights concerning ulimony. di vision of properly. lawyer's
fces. or expenses if i do nol dailllthem hefore a divorce is granted.
5. I understand lhatl will not be divor<:ed until a divorcc decrce is enlercd hy the Court und
thuta copy of the decree will he senllo mc immcdiately aftcr it is tiled with the Prothonotnry.
6. I have bcen advised of the availahililyof mllrriage counscling LInd understllnd thalllllay
request Ihlllthe court require that illY spouse and I participate in counseling.
7. I understand that the coun maintains a list of Illarrillge counselors in the Domestic
Relations Office. which list is available to me upon request.
8. Being so advised. I do not requcstthllllhe court rcquire my spousc and I participate in
counseling prior 10 a divorcc decree heing handed down by thc court.
I verify thatlhe statemcnts made in this affidavit are true and correcl. I understand that false
sllllements hercin are made subjcct to the penallies of 18 Pa, C. S. ~4904 relaling 10 unsworn
fll)sification to authorities.
DATE: ,>/:1);;
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Jim,s K, Jou,s, Esqulrl!
40 I ell5l Loulher Succi
Carll.le, PA 17013-2657
(717) 240.02')6
APR 2 1 19j.~J
JOHN D, BRASHER I IN THE COURT OF COMMON PLEAS OF
Plaintiff I CUMBERLAND COUNTY, PENNSYLVANIA
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v, I CIVIL ACTION - LAW
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LAURA A. BRASHER I NO. 94-5001 CIVIL 1994
Defendant I IN DIVORCE
ORDER OF COURT
AND NOW, this 2.'1 day of ~V'\ , _, 19(h-: upon
agreement of the parties, it is hereby ordered and decreed that
the within Custody Stipulation and Agreement is made an Order of
Court.
1. The parties shall have shared legal custody of the child,
meaning t.hat they shall share the legal right to make major
decisions affecting the best interest of the child and all of the
major matters related to the child, including, but not limited
to, medical, religious and educational decisions.
2. Mother shall have primary physical custody of the child,
3. Father shall have partial physical custody and visitation
with the child as followsl
A, Every Saturday or Sunday at times as agreed between the
parties,
B. Holidays, namely Easter, Memorial Day, Independence Day,
Labor Day, Thanksgiving, and Christmas, at times as agreed
between the parties; and
C. Other times as agreed between the parties.
4. Neither parent shall do anything which may estrange the
child from the other parent or injure the opinion of the child a.
to the other parent, or which may hamper the free and natural
development of the child's love and affection for the other
parent,
5, The failure to either party to insist on strict
performance of the provisions of this stipulation and agreement
shall not be construed as a waiver of any subsequent default of
the same or similar provision,
BY THE COUR,r(
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JOHN D. BRASHER I IN THE COURT OF COMMON PLEAS OF
Plaintiff I CUMBERLAND COUNTY, PENNSYLVANIA
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v, I CIVIL ACTION - LAW
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LAURA A, BRASHER I NO. 94-5001 CIVIL 1994
Defendant I IN DIVORCE
Made this
CUSTODY STIPULATION AND
/'1 ~; day of /l1'1l. I L
AGREEMENT
, 1995; by
and between
John D. Brasher, hereinafter "Father" and Laura A, Brasher,
hereinafter "Mother" I
WHEREAS the parties have born to them a child, namely Joshua
D, Braoher, born March 6, 1992 hereinafter "Child";
WHEREAS, the parties wish to enter into an agreement
relative to custody, partial custody and visitation of the child;
and
WHEREAS, the child has resided in Cumberland County,
Pennsylvania uince birth, thus giving this Court jurisdiction;
NOW THEREFORE, in consideration of the mutual covenants,
promises and agreements as hereinafter set forth, the parties
agree as follows I
1. The parties shall have shared legal custody of the child,
meaning that they shall share the legal right to make major
decisions affecting the best interest of the child and all of the
major matters related to the child, including, but not limited
to, medical, religious and educational decisions.
2. Mother shall have primary physical custody of the child.
3, Father shall have partial physioal austody and viii tat ion
with the ohild as followsl
A, Every Saturday or Sunday at times as agreed between the
parties,
B, Holidays, namely Easter, Memorial Day, Independenoe Day,
Labor Day, Thanksgiving, and Chrietmas, at times 88 agreed
between the parties,
C. Other times as agreed between the parties,
4. Neither parent shall do anything which may estrange the
child from the other parent or injure the opinion of the ohild,as
to the other parent, or which may hamper the free and natural
development of the child's love and affection for the other
parent.
5. The failure to either party to insist on strict
performance of the provisions of this stipulation and agreement
shall not be construed as a waiver of any subsequent default of
the same or similar provision.
6. The parties agree and desire that this stipulation and
agreement be made an Order of Court of the Court of Common Pleas
of Cumberland County, Pennsylvania.
7. This Stipulation and Agreement shall become an Order of
Court with the Court of COllllllon Pleas of Cumberland County,
entering said Order and retaining jurisdiction should either
party desire or require modification of said order.
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IN WITNESS WHEREOF, the partie. hereto intending to be
legally bound by the term. hereof, .et forth their hand. and
..al. the day and year herein set forth,
WI~'ESS I ,
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYI. VANIA
CIVIl. ACTION - LAW
No. 94-5001 CIVIL TERM
IN DIVORCE
John D, DraNhcr,
Pluinliff
Laura A, BraN her,
Defcndant
ORDER Ol' COURT
C)::-\c'l~(
AND NOW. this I ~ t h. day or . 1994
upon considerlltion of the uuached complaint. it is hcrehy dirccted thlllthe pwties and their
respectivecounseluppenrhcfore \\c\~)&11 'f.-. (,.\j':'y PI, the conciliator, lit
lj t h. \ \ () d C C \ ..', b (...1 ( ",. I \ ~,,\. " . Cumberland County,
Pennsylvanill on thc ~ day of Or ((,JI1~fi . 1994, at "if' 1.p o'clock~. m. for
a Pre-Hearing Custody Confcrencc. At such confercncc an cffort will he made to resolve the
issues in dispute; or if this cannot be uc,;omplishcd. to dclinc and narrow the issues to be heard by
thc court, and to cntcr into a temporary ordcr. All childrcn agc Iivc or oldcr .-wmay lllso be
present atthc confcrence. Failure to appear atlhe confcrcnce may provide grounds for cntry of II
temporary or permancnt order.
FOR THE COURT,
By: -?l,J(cl ~/, a
Custody Conciliator ;'
l I, I-t '""
r:> . PVill
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF
YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, (,0 TO OR
TELEPHONE THE OHICE SET FORTH BELOW TO FIND OUT WHERE YOU
CAN GET LEGAL HELP.
COURT ADMINISTRATOR
COURTHOUSE, FOURTH FLOOR
CARLISLE, PENNSYLVANIA 17013
(717) 240.6200
John D. Brasher,
Plllintiff
v.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL AcrlON - LAW
Laura A. Brasher,
Defendwll
No.
IN DIVORCE
CIVIL TERM
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AND NOW comes John D. Bmsher by and through Frcy and Tilcy. allorneys for Plaintiff, and
nlllkes the following stlltement:
1. PllIintiff is John D. Bmshcr. who currently resides lit 5 Stinc Avenuc, North Middleton
Township, Cllrlisle. Cumbcrland County. Pennsylvania.
2. Defcndant is Laura A. Bmsher, who currcntly resides in 127 Mountain Road, Middlesex
Township, CUlllherlllnd County. Pennsylvania (mailing address: 127 Mountllin ROlld, Shermansdllle,
Pennsylvania).
3. The partics lire the natural parents of Joshua D. Brasher, born March 6, 1992.
The child was not born out of wedlock.
The child is presently in the custody of the Mother, Defendant, who resides as
lIforesllid.
During thc past five years. or since the child's birth. the child has resided with the
following pcrsons at the following addrcsses for the following periods of time:
NAME
mother and father
ADDRES~
RD 3. lot 18. Yinger'll Mobile Manncr
Newville.
127 Mountain Road. Shermansdale
.DAlE
mother and father
birth to
Sep., 1992
Sep. 1992 to
current
The natural mother of the child is Laura A. Brashcr. Defendant. currently re,;iding LIS
aforesaid. She is married to the Plaintiff. An action has becn filed to the above term and
number by Plaintiff.
The natural father of the child is John D. Brasher. currently residing as aforesaid. He
is married to Defendant.
4. The relllllonship of the Plllintiff to the child is thllt of Flllher. The Plllintlff resides with Ihe
following persons:
NAME RELATIONSHIP
George Burkepile Friend
Beverly Burkepile Friend
Christine SWllrtz DlIughter of Burkepiles
Lisll Swurtz Infllnt daughter of Christine Swurtz
5. The rellltlonship of the Defendllntto the child is that of Mother. The Defendant resides
with the following persons:
NAME RELATIONSHIP
Joshua D. Bmsher son
6. Plaintiff has not plIrticipated LIS a party or witness. or in any other capacity in other
Iitiglltion. conceming the custody of the child in this or in any other Court.
Plaintiff has no information of a custody proceeding concerning the child pending in a Court
of this Commonwealth.
7. The best interest and permanent \\elfare of the child will be served by granting periods of
purtial physiclll custody and shared legal custody to the Plaintiff because:
(a) Continued access to and involvement with the child by Plllintiffis an importnnt
factor in the development and growth of the child:
(b) During the life of the child, Plaintiff has participllledin the providing of care,
custody. and control of the child:
(c) During the life of the child. Plaintiff has provided physical. mental, WId
emotional guidance and physical. mental. and emotional care for the child.
8. Each parent whose parental rights to the child have not been terminated and the person
who has physical custody of the child have been named parties to this action. No other persons
are known to have or to claim any right to custody or visitation of the child other thlln the parties
to this action.
ORDERlNOTICE TO WIlHHOlD INCOME FOR SUPPORT
State Commonwealth of Penn5~lvanla BB~00046
Co.lClty/Dlst. of CUMBERLAND B26~ 94
Date of Order/Notice 07/14/06 nil \
Case Number (See Addendum for case summary) ,",.5 DO
HI: BRASHER, JOHN D.
f I11plllYl'll/( )bljMI)f'~ N.lnw (l.l~l, f Ir~l, MI)
(8) ()fll(llI,11 (hdll,INollll'
o Anll'lull'll (hdl't/NI)IIU'
o Il'IminJII.Otlll.,/Nolitl'
Employ~tf\Nilhholdl'r'~ ~('dt>rJI [IN Nurnl)(>1
WALLACE COMPANY INC
1055 BROOKS HILL RD
BROOKS KY 40109-5149
2n.n..,27
["'pl()YN'/OhIJKor'~ StKiJI Sl'(Uflly NumlX'r
4019000028
lmploYl.t>/OhliMur\ (.I~l' Idp,r,lUifr
(5.. A.rkJrndum for pI.lnll" n.m..
.lIocl.,rd ..lIh CI... on ."..hm.nl)
(u~lodii.ll PJrt'nl's Noln1l' tL J~l, l.lr~l, MI)
See Addendum for dependent names and birth dates associated with cases on allachment.
ORDER INFORMA HON: This Is .m Order/Notice to Withhold Income for Supporl hasl'd upon .m ordl'r for support
from CUMBERLAND County, Commonwe.llth of Pennsylv.mla. By law, you are required to deduct thesl'
amounts from the abOVl'-n'lmed employee's1obll!\or's incoml' until further notlcl' even If the Order/Notlc., is not
Issued by your Stdt,!.
$ 281.67 per month in currl'nt support
$ 43 .33 per month in p.lst.due support Arrears 12 weeks or grl'dter? ~ yes 0 no
$ 0.00 per month in current ,lOd p.lSt.due medical support
$ 0.00 per month for gen"tlc lest costs
$ p"r monlh in oth"r (specify)
for a total of $ - 325.00 per month to be forwarded to payee below.
You do not hdVI' to Vdry your PdY cyell' to be in mmpliance with Ih" support ord,>r. If your PdY cyril' does not match
the ordered support pdymenl cycle, use the following to d"lerminl' how much to withhold:
$ 75.00 p"r w""kly p.IY period.
$ 150.00 per blw""kly p.lY p"rlod (every two weeks).
$ 162.50 p"r Sf'mlmonthly P.lY pl'riod (Iwin' .I month).
$ 325.00 p"r monthly p.ly p"riod. /
REMITTANCE INFORMAJ'/ON:
You must begin withholding no laler thdn Ih" first pay p"riod occurring ten (10) working days after the date of this
Order/Notice. Sl'nd pdyment within sl'ven (7) working d"ys of thl' payd.lte/datl' of withholding, You drl' entitled to
deduct a fee to dl'fr.IY the cosl of withholding, Refer to the 1.IWS governing Ih,> work state of your employee for the
allowable amount. Th" totdl wilhheld .lmount, .md your fl'e, cannotex(l'ed 55% of th" "mployl'l"s/ obligor's
dggr"gdte dispos.lble wt'l'kly "drnings. For Ih" purpoSf' of tho> limit.ltlon on withholding, th" following information is
needed (5",. #9 on Pd!\" 2).
If remitting by En/ED!, pledse (.III Pennsylv.mi.l State Collections .md Disburst>ment Unit (SCDUl Employer
Customer Service.lt 1-877-676-9580 for inslrUllions,
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania seou, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDtTION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Casl' Identifier) OR SOCIAL SECURITY NUMBER tN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
Odt" of Order:
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Form E N-028
Worker 10 $IATT
DR:h R.J. Shadday
Servl(1' Type M
()MII"'o O",'ll.I)I,1
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
o If ~lw<~'11 you Jre <<qul".llo pr!J~hl.. J ropy 01 lhl, lorlll 10 your "1ll1'loy..... If YOI" "ll1plow".work, In.1 ,I,II,'lhat I.
dillert'nllrorn till' MiJl(! Ih.lIlssUl'tllhis (mll'r, ,I ropy I11mt he proV!dl'( 10 your ('mp OYI>l' l'vl~n 111Ill' ho)!. Iii not I tll'ckl'd,
1. Prlorll~l Withholding undfr this Orcl(lr/Notln1 hilS priority OVI" JI1Y ollll'r I('~JI pton'ss uncll" SIJIt' 1.lw L1KJlmt tlw ~H1Il1l! Ifln)l11(l,
Federal tdx Il!vles In ef((lct lwforl) rl'n'ipl of lhb orciN h.wl' priority. If IIll'rt' .HP FI'c!l't,IIIJX 1('vlllS in ('ffl'rt pll'.I!il.' (On'.Kt the r(''IUl'sling
agency Ii.led below.
2. Combining Paymentlit You (till ('(unhl,w withlwld ,UllOunls (rOllllllon' Ih.1ll O/W (lf11ploY(Il'/ohIIMor's im:onw In .1 single payowllt to
pach agency requestinK wlthholdirJ~. You rllU...l. 11(lw('\'('r, ~lllh\r.lll'ly idl'lllify llw portion of Ilw !lhlHIf! ~ltIynll'nt thrlt is dttrlbutdhll' 10 l'.Kh
employee/ohligor.
3.' Reporting the Payd.tto/D3Ie ot Wilhholding: ~()lJ mu'l repnrt Ihe pilydnle/dnle of Wllhholdlng when ,ending the p.yment. The
payd.lt/date of withholding I, Ihe d.te on which amount wn, withheld tmm Ih,' employee', wnge'. You nHI'1 comply with 11ll' 1.1'1' 01 1111'
state of thl! employep's/ohligor's prlndp,ll pl.KP of PIlIPIOYrlll'lll wilh rl'''~ll'rllo Ill(' Iiuw pl'rll)d~ within whh'h you flIU!lt impll'llWnlllll'
withholding ordN rlnd lorw.1rllll1l' ~UpP()rt IJdYI1WI1I~.
4.' Emplovrr/Obllgor wllh Mulliplr Support Holding" II 1Ill'I'I' I, InolJ'lh,\Il one Old,'r/Nolin'lo Wilhhold Inlllnw lor Support .'K.II",I
this employee/obligor dnd you Mil utlabll'lO honor .111 support (),dllr/Nolin'!l dlJllIO ~1'dl'r.11 or SIJle wltllholdiuK llrnil'i, YOll Olu.,llollow
the law of Ihe stolte of emploYI'II'S/ohli~or's prlndp.ll pl.lrl' of llrllploynll'l1l. You lIlu!'!1 honor JII Ordl'r'../Nollnl!llo Illl' Kfl1lthl'lll'lo.ltllll
po..lble. ISel? #9 below)
5. Trrmlnatlon Noliflcalion: You Illu'l promplly nolily 1111' R,'qu"'llng AK,'ncy wl",n Ihe '.mploy..../obligor I, no lonK'" working lor Yllll.
Please provide the Infmlll.ltlon n'qlJC'stl'd .Uld rt'tlHIl .1 (OPY of Ihi!'! Ordllr/Notin' 10 Ilw Ag('fKY Idl'nlilll'd hl'low.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS fOR: 6112501060
EMPLOYEE'S/OBlIGOR'5 NAME: BRASHER. JOHN 0,
EMPLOYEE'S CASE IDENTIFIER: 4019000028 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You molY LH' rl'quirpd to r(lport .lI1d withhold from IlImp sum payments such as honus(H" rOrllmi'll'iln,l'I, or
severance pay. If you hav(~ .my qupsliom about lump ~um pJYllwnlr;" ronl.Klllw person or aUlhority uelow.
7. liability: If you (.Iilto withhold incomf.1 .IS the Order/Nolinl dirt-'c(s, you .H<' li.lble for holh Ihl' ilCClHnul.tlf'd .UllOLJllt you ,houlclll.lvl'
withheld (rom the (lmploY(IP/ohligor's inrom(' .md other 1ll'11.1lti(1'i s(l1 by Ppnnsylv.lfli.l 51.He> IJw. Pllnnsylv.lI1i.1 St.lfll'.IW Movprn... uIlII....'1
(he abURor is emplOYf:d In .mother 51al(l, in which (.lse IIw I.)w oj the Sf.lll' in whirh he or shl' is emploYl'd govprm.
8. Anll-d15crlmlnation: You Jre subj('cl to J fine dl'lNminfClllndpr St.ltf! 1,lW for discharging.m l'mployp('/obligor (rom I'mploY"IIIIlI,
refusing 10 employ, or taking disdplin.HY Jc:tion Jg.limt Jny (1IllploY('(l/obligor UPCJU'lf' of .1 'lUpport will1holclin~. Pl'nu!'!yl......UII,1 SI.I!lllllw
governs unlesslhe ouligor is emploYtld in anolht'r Slate, in which r,I~t' IIH~ IJW of tl1(\ Stolt(' in whirh he or sh(' i!oll'mploYl'd ~o\il'rn.,.
9.. Withholding Limit~: YOll m.1Y not withhold morC' Ih.lIlthe ll:'ssl'r oi: I) tilE' amounls tlllowed uy thl' Fl.lllt'r,11 (:oll'iul1wr ('r"llll
Protection A('I (15 U.S.C. 91673 fbll; or 2) Il1e ~lmOllllls allowed by Ill(' SlJt(' of the emploYl'("s/ohligor's prine i".11 pl.u I' Illl1mploYIIlI'I\I.
The Federal limit JppH(~s to Ihe .1ggrt'p'.I11' dispos.tblC' wl'l'kly I:'olrnings fADWE). ADWE is the nl't irlC'on1I' I(lft ,Ifhlr I1hlkinJ( I11,UHllllllry
deductions such JS: Stdle, Feder.11, lorall.1.\(e5; Sori.lI Security 1.1X(lS; and Mpoic.lHI t.I'<I'S. For trilMI onfl'poi, you nMY nol withhold moll'
Ihan th('.Hnounls allowed lJnd('r Ihe Ii.JW of tile' i"suing frilJp. For Irih.lll'lllployl'rs who f(~((lj\i(, ,I ':11.111' ordl'r, you IlhlY 1101 wilhholcllJll)u'
Ihan Ihe ,Imounls JII()wedunder llle IdW of thl' sl.lt(' 111.\1 i"''illl'(llh(> emler.
10. Addltlonallnt",
'NOTE: If you or your dgenl ,lrl' ,erved wilh ,I copy 01 Ihi, mdl" in 11ll' ,I,IIt' Ih,ll I",,,.,, Ihl' O/llt'" you ,1/1' '" Inllnw Ihl'
law of Ihe slale Ihdl I"ued Ihi, o,de, wllh ""pl'll In Ih..". Ilpm'.
1 t. Submitted By:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX .120
CARLISLE PA 17013
If you or your I'rnploYI'11/ohllJ(f1r h,lYI' ,UlY qUI"Ilon"
(onl.1l I _.__._. .~V!.\( ,I A.'.' Al 11/'.11 N I~J~Lr..___
hy tr'I,'phlllll' .II V!/))-,Il}'I/l',. or
hv 1/\\ .11 l/JJU:I.ll..ol:IU. or
IlY i ntl'rn_ll ~~~~~!._I__I.!!!l'~!J!J,!~~~:....~..I!II. p,I:_~!~.
PI\~t' ). of 1.
IOflll t N-{)J11
Wo,k,'r II) $ rA'rT
Service Type M
')"'111"<" '1'1 'Offl .1