HomeMy WebLinkAbout95-02024
MICHAEL L. MIXELL, IN THE COURT OF COMMON PLEAS OF
Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
vs. NO. 95 - 2024 CIVIL
LINDA M. MIXELL,
Defendant IN DIVORCE
THE MASTER: Today is Wednesday, March 11, 199B.
This is the date set for a hearing in the above captioned
divorce proceedings to take testimony on the factor of marital
misconduct as that factor may affect wife's alimony claim.
However, counsel have advised that they have been negotiating
and have settled all of the economic issues so we do not need to
proceed with the testimony on the marital misconduct issue.
This action was commenced by a divorce complaint
filed on April 20, 1995, raising grounds for divorce of
irretrievable breakdown of the marriage. Although an affidavit
under section 3301(d) was filed on April 21, 1997, averring a
separation in excess of two years, counsel have advised that the
parties will sign and file affidavits of consent and waivers of
notice of intention to request entry of divorce decree so that
the divorce can be concluded under section 3301(c) of the
Domestic Relations Code. The appropriate affidavits and waivers
are to be given to the Master later today and the Master will
see that they are filed and clocked in with the Prothonotary.
On April 4, 1996, wife filed a petition raising
economic issues of equitable distribution, alimony, alimony
pendente lite, and counsel fees and expenses.
The parties were married on April 4, 1987, and
separated April 15, 1995. There are no children of this
marriage.
As indicated, the Master has been advised that
after negotiations the parties have reached an agreement with
respect to all of the economic issues. Counsel are going to
place the agreement on the record in the presence of the
parties. The agreement as stated on the record will be
considered the substantive agreement of the parties and will not
be subject to any changes or modifications except for correction
of typographical errors made during the transcription.
We are going to return later today to review the
agreement that has been placed on the record in order to correct
any typographical errors. After the agreement has been reviewed
and placed in a final form, counsel and the parties will affix
their signatures. It is understood, however, that the signing
of the agreement is simply an affirmation of the agreement which
is placed on the record at this time and the agreement will be
considered the agreement of the parties immediately after the
statement on the record.
The Master will prepare an order vacating his
appointment and counsel can file a praecipe transmitting the
record to the Court requesting a final decree in divorce at such
time as they mutually agree. Ms. Jacobsen.
,
,
MS. JACOBSEN: The parties have agreed to the
following terms of settlement:
1. Each party will retain the personal property in his or
her possession or title.
5.
2. The burial plots held by the parties at Westminister
Cemetery shall be placed for sale by wife. Husband's
counsel will deliver the deed to wife's counsel and any
proceeds obtained by Wife for the sale of those plots
will be divided equally between the parties.
In the event that wife is unable to effect a sale of the
burial plots, the parties agree that they shall contact
Westminister Cemetery and arrange that the title to the
two vaults shall be redeeded into two separate deeds
with each party owning one standard size burial plot
independently.
3. Michael Mixell will retain full title and interest in his
Exel Logistics retirement pension fund.
4. Michael Mixell will satisfy the marital debt identified
in the proceedings not already satisfied, and both
parties certify that no other marital debt exists and
that they have incurred no other debt for which the other
party may be held liable.
The identified debt shall include an obligation to
PP&L in the amount of $1,052.00; the obligation to Penn
Credit in the amount of $45.00; the obligation due to
Curtis Mathes identified by husband in the amount of
$466.00; the obligation to Westminister Cemetery
in the amount of $678.00; the obligation to North West
Consumer in the amount of $2,989.00, and the obligation
to Troy Wiser, as a lien against the 1989 Pontiac
vehicle, in the amount of $1,800.00.
Michael Mixell will pay Linda Mixell alimony in the
amount of $126.50 per month beginning April 15, 1998.
This amount will be payable for a period of three years
and will not be modifiable nor will be terminable in the
event of the remarriage or cohabitation of wife. The
alimony payment shall be paid through Cumberland County
Domestic Relations Office.
.
6. Husband will pay wife the sum of $5,200.00 in full
satisfaction of all outstanding claims raised in this
matter. This sum shall be paid to wife within thirty
(30) days of today's date.
If Mr. Mixell does not pay in accordance with the terms
of this agreement the sum of $5,200.00 by April 15, 1998,
the divorce will not proceed as stated and he will
continue to pay alimony pendente lite in the amount of
$216.67 per month until such time as the $5,200.00 is
paid and the divorce proceeds to conclusion.
7. Wife withdraws her claim for counsel fees and costs.
8. Counsel will agree not to file a praecipe to transmit the
record until Mr. Mixell pays the cash payment as provided
herein, but the praecipe will not be submitted before
April 15, 1998.
9. The amount of alimony pendente lite, which is currently
being paid at the rate of $50.00 per week, will be
payable for one month from today's date to Mrs. Mixell in
the amount of $216.67. Beginning April 15, 1998, as
previously stated herein, Mr. Mixell will begin paying
alimony for a period of 36 months in the amount of
$126.50 per month through the Cumberland County Domestic
Relations Office.
10. Except as herein otherwise provided, each party may
dispose of his or her property in any way and each party
. hereby waives and relinquishes any and all rights he or
she may now have or hereafter acquire under the present
or future laws of any jurisdiction to share in the
property or the estate of the other as a result of the
marital relationship including without limitation,
statutory allowance, widow's allowance, right of
intestacy, right to take against the will of the
other, and right to act as administrator or executor in
the other's estate. Each will at the request of the
other execute, acknowledge, and deliver any and all
instruments which may be necessary or advisable to carry
into effect this mutual waiver and relinquishment of all
such interests, rights, and claims.
MR. MULDERIG: state for the record your name.
MR. MIXELL: Michael L. Mixell.
MR. MULDERIG: And your address?
MR. MIXELL:
Pennsylvania.
MR. MULDERIG:
that was dictated here?
MR. MIXELL:
MR. MULDERIG:
MR. MIXELL:
MR. MULDERIG:
171 Lime Kiln Road, Carlisle,
Michael, you heard the agreement
Yes.
Do you understand that agreement?
Yes, I do.
Do you have any questions about that
agreement?
MR. MIXELL: No, I don't.
MR. MULDERIG: Do you agree to the terms of that
agreement?
MR. MIXELL: Yes, I do.
MR. MULDERIG: Is this agreement on your part
voluntary, without any pressure from anyone?
MR. MIXELL: It's voluntary.
MS. JACOBSEN: State your full name for the record?
MRS. MIXELL: Linda M. Mixell.
MR. JACOBSEN: Linda, where do you live?
MRS. MIXELL: 220 East orange street, Shippensburg,
Pennsylvania.
MS. JACOBSEN: Linda, you were here while this
agreement was dicated on the record; is that correct?
MRS. MIXELL: Yes.
MS. JACOBSEN: Do you understand the nature of the
agreement that was dictated?
MRS. MIXELL: Yes, I do.
MS. JACOBSEN: Are you willing to abide by the
terms of that agreement?
MRS. MIXELL: Yes, I am.
MS. JACOBSEN: You understand that you're giving up
all other claims except as provided for in that agreement?
MRS. MIXELL: Yes.
MS. JACOBSEN: And that is agreeable to you?
MRS. MIXELL: Yes.
I acknowledge that I have read the above
stipulation and agreement, that I understand the terms of
settlement as set forth herein, and that by signing below I
ratify and affirm the agreement previously made and intend to
bind myself to the settlement as a contract obligating myself to
the terms of settlement and subjecting myself to the methods and
procedures of enforcement which may be imposed by law and in
particular Section 3105 of the Domestic Relations Code.
WITNESS:
DATE:
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PACSES Ca.l. NUlllh.r
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INCOME
WEEK MONTIl VEAR
Im.resl S S 0.37 S
Dividends
Pension
Annully
So<:lal Securiry
Renls
Royallies
Expense Account
Gifts
Unemployment
CompellSllloD
Workmen's
COmpellSllloD
IRS Refund
Oilier
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TOTAL S 0.0'1 S 0.37 S
TOTAL INCOME S 401.65
(Fill In Appropriale Column)
EXPENSES WEEK MONTI{
YEAR
Ilume
Mun8a8c/Rcnl S S $
Malmenance 17'1.60
Ulilhles
Electric 70.00
Gall
Oil
Telephlllle 23.86
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PACSES Cas( NUOIh(r
(Fill in Apprnprial( CllluOIn)
EXPENSES
(conUnutdl WEEK !\IONTII VEAR
Waler S S S
S(w(r
Trash H.25
Employmenl
Public Transportation S S S
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Luncb 40.00
Taxa
Real Estare $ S 139.71 S
Personal Propeny
Income
26.91
Insunnce
Homeownen $ S 10.13 S
AUlolllCblle 42.50
Life
Accldeot
lIealtb
Otber
A lIlornoblle
PaymeDls S S 160.00 S
Fuel 80.00
R(paln 50.00
Mtdlcal
DOClOr S $ 9.00 S
DemiSI 50.00
Onhllllllllllsl
P;&ge 3 u(6
Fum11N.{)()8
Wlllk(r 10
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PACSES Cil~~ Num!>(r
EXPENSES (Fill in Apprtlpri~l~ ClIlullln)
(conUnutd) WEEK MONTH VEAR
HII~pilal
M~lIidn~
Sp.:d;d _115 (a1asses,
braC~5, ll'lhop.:dlc
lI~vlc~s)
Education
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Privalc School S S S
Parochial School
Collcac
R~llglous
Personal
Clolh!og S S 100.00 S
Food 200.00
BarberlHalnlresser 20.00
Credit PaylllCDlS: Visa 150.00
Credit Card K-Mart 133.00
Charac AccouDl
Mcmberships
IIOL 10.00
lAallS
Crelllt Union S S S
Miscellaneous
HllUsc:hlllll Help S . S S
Chilli Care
Papers/Books/Magazine JI 00
EOl~"ainmenl 100.00
Pay TV 45.4'.1
Vacalilln 50.00
Pag~ 4 llr 6
Fllnn IN-008
Wmk~r 10
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In,lIl11~ 3nll Ekpensc Slal~l1\~nl
PACSES Ca.~~ NUl1\h~r
EXPENSES
(conllnutd)
WEEK
(Fill in Apprtlprial~ Clllumn)
MONTH
VEAR
Girls
t..:gal F~es
Cbaricahle COOlribullons
Olb~r Chilli Suppan
Alimony PaYlIICnls
16.67
350.00
Other
Mil MembershIp
s
s
S 41.00
TOTAL EXPENSES S S 1,812.91 S
PROPERTY Ownenhlp ,
OWNED DESCRJPl'ION VALUE
H W J
Cbecklng ACCOURIS S 266.11 X
Savinas AccnURIS
Credll Union
Slocks/Bonds
Real Estate
Ower
TOTAL S 266.11 X
INSURANCE
COMPANY
POLICV'
Connie'
H W C
Hospital
Blue Cross
Olh~r
M~lIkal
Blu~ Shidll
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MIXELL, MICHAEL L NOT NEG::
171 LIMEKILN RD
CARLISLE, PA 17013
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MIXELL, MICHAEL L NOT NEGOTIABLE
171 UMEKILN RD
CARLISLE, PA 17013
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MIXELL. MICHA~L l NOT NEGOTIABLE
171 LIMEKILN RD
CARLISLE, PA 17013
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JZG 2
CUMBERLAND-GOODWILL FIRE
& RESCUE
101 NOBLE BLVD
CARUSLE, PA 17013
Earnings Statement
Poy Period:
PlY Olle:
Chock _:
4(J.0/Q1
5/09/97
20592
Efl1l1oyM Nurreot:
Oepottrrenl Nurltlet:
Soc:ioJ Socurity Nurrelt:
Morita! 5tllUO:
Nurrilor 01 AlloWancn:
Role:
0064
166.68.1623
S I NOLE
00
15,0000
MICHAEL L MIXELL
171 UMEKILN RD
CARUSLE, PA 17013
Hours Ind Eln1lngt Till.. Ind DodUctlOlll
Celcr1allon Hours This PeriOd Yelr.To.Oate Oeserl tlon This Period Yea'. To.Clte
REGLAR 5,00 25.00 203.13 FICA 1. 91 15.54
PA ST ,70 5.69
LOCAL .25 2.04
,
!:!..
-
~
Ora.. PIV Valr To Dill
Oroll PIV Thll Partad
Totll no""'"ons This Porfod
HII PlY This Porfod
$203,13
$25.00
$2,86
$22.14.
=
..
=
..
10 5/17/91
FZYPAY
JZG 2.
CUMBERLAND.GOODWllL FIRE
& REscue
101 NOBLE BLVD
CARUSLE, PA 17013
Earnings Statement
PlY Plrlod:
PlY Oltl'
ChllCk M:
510<1/97
512:l/U1
2oea2
e~ Nurrtlr.
OttpIl1.-.nl Nurrbor:
Sodol Security Nu/Tl)or,
/Mritat SIaIur.
Nu_ 01 AlioweIlCeO.
Rate:
0064
MICHAEL L MIXElL
171 UMEKlLN RD
CARUSLE, PA 17013
166-68-1523
SINGLE
00
5.0000
HOln Incll!amlnve T","_O_I_
Desct1 Ion Hours This PeriOd Veer- TOo-Olte Oesert Ion This PerIod elr- Do 11.
RI!:OLAR 11,00 40.00 243.13 FICA 3.06 18.60
PA ST 1.12 6.81
LOCAL .40 2.44
,
...
;;;-
~
,
oron PlY Yo.. To Oll~
Oran Poy Thll Period
Tolll OOdUCtI.... Thll Porfod
Not PlY Thll Porfod
$243,13
$40.00
$4.68
$3130 42
:(
=
.
\
'0
!;I31/llT
FiPAY
JZG 2
CUMBER~ND.GOODWILL FIRE
& RESCUE
101 NOBLE BLVD
CARUSLE. PA 17013
Earnings Statement
PIV Pe'lod:
PIV Olle:
Chock .:
Sl1811lT
eJOeNT
2oee5
~Nun'llor:
llopatt....nt Nun'llor:
~ Securily Nun'llor:
IMriIal SlaIu",
Nu_OIA_
Rile:
0064
166-88.1523
81 NGLE
00
8.0000
MICHAEL L MIXELL
171 UMEKILN RD
CARUSLE, PA 17013
Houn oncI Eoml"" TIMII .nd Dlducllons
Oeserl tIC" Hours This PeriOd Year. To-Olte OescrlDtlon This PeriOd ur.To.O.,,,
REGLAR 10,00 60.00 293.13 FICA 3.82 22.42
PA ST 1. 40 8,21
LOCAL .80 2.94
..
;;;-
~
Oroll PIV y.ar To 01"
Oro," PIV Thl. Period
To,"1 DoducUont Thl. perIod
Nil PoV Thll Poriod
$293,13
$60,00
$6,72
$44,28
=
=
"
=
.,
10
fl/U/97
FSPAY
JZG 2
CUMBERLAND.GOODWILL FIRE
& RESCUE
101 NOBLE BLVD
CARUSLE. PA 17013
Earnings Statement
PlY PO'lod:
poy Doto:
Check II:
fl/Ol/97
fl/20197
20702
Efl1lIOyM Nurrl>ot:
DeparlI1Wl\ Nurreer.
Social Securi1y NUn1ler.
MoritIl Sllduo:
Nu_ClAI_
R*:
0064
166.68.1623
SINGLE
00
!I.OOOO
MICHAEL L MIXELL
171 UMEKlLN RD
CARU8LE, PA 17013
H.... oncI '_ngl Till" Ind D....cUant
DescriDllon Hours ThiS Pertod Vear. To.Oate OMen tlon This PeriOd velr. 0- ate
REGLAR 20.00 100,00 393,13 FICA 7,65 30.07
PA ST 2,80 11.01
LOCAL 1.00 3.94
:=...
-.
Ora.. poy Yo.. To Dolo
Orall PlY Thll Period
Tol" OedIlcU.... Thll Period
NOI PlY Thll period
$393,13
$I 00 .00
$11 , 46
$8B.86
<
=
..
PlY PorlOd:
PlY OltO:
Chock N:
to llI28197
EASYPAY
JZG 2
CUMBERLAND.GOODWILL FIRE
& RESCUE
101 NOBLE BLVD
CARUSLE. PA 17013
Earnings Statement
1l/115/1l7
7/03197
20742
e"..,..,.,.. Numbor.
OepIItmont Nurmor.
SodoI Bocurlty Nulriler:
MaritII 810100:
NutrIlerOlAI_:
Rala:
0064
166-58-1623
SINGLE
00
6.0000
MICHAEL L MIXELL
171 UMEK1LN AD
CARUSLE, PA 17013
H.... IIld Eomlngt TAlI.. Ind Dlductlonl
oesc:rlnUon Hours this Period Yea,- To-Olte Desert lion Thll Period e.'. ()o 11e
REGLAR 10,50 52,50 445,63 FICA 4,02 34.09
PA ST 1.47 12,48
LOCAL .53 4,47
,
.!::.
~.
~
~
Oran pay v.ar To Oa..
Oroll PlY Thll period
Totll Dlductlont Thll period
Hot POV Thll Period
$446,63
$62,50
$5,02
$45,48
"
=
..
JZG 2.
Earnings Statement
FlrAY
CUMBERLAND.GOODWILL ARE
& RESCUE
101 NOBLE BLVD
CARUSLE. PA 17013
pay Po,IOd:
Pay Oalo:
Chock .:
8121l/97
7/18197
2077T
10 7/12/97
Efl1lloyM Nurrtlor.
OOpeI1I1Wnt Nurrtlor.
SociaI5ecuri1y Nurrber.
/oMnI8I ShIIUo:
NUITIlerOl ~
Raw.
0064
MICHAEL L MIXELL
171 UMEKlLN RD
CARUSlE, PA 17013
166-68-1623
SINGLE
00
6.0000
Ho<n and EArnI.... To" and Oeductl....
DescnDlIon Hours ThiS PonOd Year. To-O.ats o..cnDtIDn this PeriOd ear.. To-Oate
REGLAR 11.00 40.00 4116.63 FICA 3.06 37.15
PA Si 1.12 13.60
LOCAL .40 4.117
,
Oroaa pa" YurTD Oa.o
Oron Po" Thl. Ponod
Tolal OodUc1l.... Thll Portod
NI' PI" Thlo Portod
$(085.63
$(00.00
$4-.58
$3 Ii. 4~
~
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JZG 2
Earnings Statement
~rAY
H.... IIIl5 !lm\ntI Tin. ond DodUCU....
Qescrllltlon Hours This Period Ye8r.To-Olte Qe5Cfl"tlon This period -"sir. To-Olle
REGLAR 20.25 101.25 586.88 FlCA 7.75 44.90
PA ST 2.84 16.44
LOCAL l.01 5.88
,
CUMBERLAND-GOODWILL ARE
&. RESCUE
101 NOBLE BLVD
CARUSLE, PA 17013
Poy Period:
Poy DolO:
CheCk M:
7/14fQ7
8101/97
20815
tll 1/'21/97
El1'!lioyee NwrCor:"
eop.rtrrent Nun'iler.
SocIail Socurtty Nu:mer:
MoriteISCIllUo:
Nu_OI~
Rate: .
0064
MICHAEL L MlXELL
171 UMEKILN RD
CARUSLE, PA 17013
156.68.1523
SINGLE
00
IS.OOOO
oran PIIY 'fUr To Da,o
0..... PIIV n,l. P"lod
Total DedUClla". Tilt. portad
Hat poy Till. portad
$686,88
$101.26
$11,60
$89.65
~
JZG 2
Earnings Statement
FiPAY
CUMBERLAND.GOODWILL FIRE
& RESCUE
101 NOBLE BLVD
CARUSLE, PA 17013
7128/97
8/18/97
20851
10
8/10/97
poy PtlIIO<l:
poy 0010:
Chodc M:
EIT\lIOVM NurrilOr.
Depor1monl NurrilOr.
Soc:lol SeaJrity Nurriler.
Moritol Statue:
N..-OlAI_
Ralo:
0064
MICHAEL L MIXELL
171 UMEKlLN RD
CARUSLE, PA 17013
166-68-1623
SINGLE
00
6.7600
H.... And EomII19" TOX" ond D.....II....
OOScr1DUon Hours ThiS Period Year-To.Cate Oescnrltlon Thl. PerIod .Veaf.To-Oate
REGLAR 9.00 60.75 647.63 FICA 4.64 49.54
PA ST 1. 70 111.14
LOCAL .61 6.49
,
0""" Poy Voor To 00'0
Oroll PlY TIlII Pot1od
Tola' OodUcll.... TIlla Pot1od
Nol PIV TIllo Pot1od
$647,63
$60.75
$6.96
$63.80
!!!t..
-
.
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.
.
;
.
.
.
;
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10
9/07/97
&{SYPAY
JZG 2
CUMBERLAND.GOODWILL FIRE
& RESCUE
101 NOBLE BLVD
CARUSLE, PA 17013
Earnings Statement
PIV P.,IO<l:
PIV Oal.:
Chock M:
9/25/97
9/12/97
20922
E"",loy.. Nunillr.
Oopol1"..nINu/Tbor.
SocIal Socunly NU/Tb.r.
MotIt.J SloJuo:
Nunilor Of Allowen~o:
Rato:
0064
166-68-1623
SINGLE
00
6.7500
MICHAEL L MIXELL
171 UMEKILN RD
CARUSLE, PA 17013
Hours IncI EJmlngs ra... and Dtducllonl
OesCrlDtlon Hours This PeriOd Year4 To-Date Oeserl tlcn This Period Yelr- To-Olte
REaLM 24.00 162.00 809,63 FICA 12.40 61. 94
FED WT 9.01 9.01
PA ST 4,54 22.811
LOCAL 1.62 11,11
oran POV VOl' To OliO
Oroll PIV Thll Period
Tolll nodUctlonl Thll Porlod
NI. PIV Thlo Porlod
$809,63
$162,00
$27,67
$134,43
JZG 2.
Earnings Statement
~PAY
CUMBERLAND.GOODWILL FIRE
& RESCUE
101 NOBLE BLVD
CARUSLE, PA 17013
PlY Porlod:
PlY OliO:
Choek N:
to I/'~T
I/f)e/QT
4!:l!l/ll7
20549
.!"-
-
H...... end elmlngo T.... Ind DoduCllano
Deocrjnllan Hours ThiS PerIOd Year. To-Oala Oescrlotlon Thll Pe,lod veor. 0- iro
REGLAR 9,00 42.75 1711,13 FICA 3.27 U.63
PA ST 1. 20 4.99
LOCAL ,43 1. 79
166.68.1523
SINGLE
00
4.7500
MICHAEL L MIXELL
171 UMEKlLN RD
CARUSLE, PA 17013
EII1>IOYW Nurriler.
OoI>OrtllWlll Nurrilet:
Saciol SeaJrity Nurrber.
MIriIoI Sloluo:
~ 01 AIIC!W8I1..r.
RIl.:
0064
Ore" PlY Yo.. To nllo
Orell PlY Thll plI'lad
Talll DldUellono Thll Porlod
NOI PlY Thll Portod
H 78,13
$42.76
$4,90
$37.86
~JZQ, 2
Earnings Statement
EASYI)AY
CUMBERLAND.GOODWILL FIRE
& RESCUE
101 NOBLE BLVD
CARLISLE, PA 17013
pay Pe,lod:
pay Date:
Chedc ,:
9/OS/ll7
0/2S/ll7
20062
to 9/21/97
EfT1lIoYIe Nurrber.
Depart...nt Nurrber:
Sodal SlIC\lrily NulT"ber.
Meril" Stoluo:
Nurrllor 01 Allowanceo:
Rete:
0064
MICHAEL L MIX ELL
171 LIMEKILN RD
CARLISLE, PA 17013
166-68.1623
SINGLE
00
6.7600
Houn ond E.mlngl TlIiCI. and Deduction'
llescrlnllon Hours This PeriOd Yesr. To.Oate Deserl tlon Thl. Period - Vellr~ fa. ~
REGLAR 8.26 56.69 866.32 FICA 4.26 66,20
PA ST 1.66 24.24
LOCAL ,66 8,67
FED WT 9,01
Oroll PIV V..r To DI.I
Oroll PIV Thll Period
Tol.1 Dowellonl Thll Period
HI' poy Thll Period
$866,32
$66.69
$6,38
$49.31
...
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POy Pa,lod:
Pay DolO:
Check ~:
9/22/97 to 10/05/97
10/10/ll7
21000
~PAY
JZG 2
CUMBERLAND,GOODWILL FIRE
& RESCUE
101 NOBLE BLVD
CARLISLE, PA 17013
Earnings Statement
Efl1lI0y0e Nurrbor.
Dopor1r.-.n\ Nurrbor.
Soc:Iol Sec\Jrily Nurrbor.
Morilol SloIuo:
Nu_ 01 AIlowIn_:
RoIo:
0064
166-68-1523
SINGLE
00
6,7500
MICHAEL L MIXELL
171 LIMEKILN RD
CARLISLE, PA 17013
H.... II1d !oml"" T.... Ind Daduc:lIDf11
Desertallo" Hours This Period Year.To-Olte Oeserl tlon This Period Year. o. . II
REOLAR 11.00 54,00 919,32 FICA 4.13 70.33
PA ST 1.51 25.75
LOCAL ,54 9.21
FED WT 9.01
oro.. PlY y.o. To DOlO
DrOll PlY Thll Period
Tall' DodUctlom Thll PeriOd
Not Poy Thll Period
$919.32
$54,00
$6,18
$47.82
JZG 2
CUMBERLAND-GOODWILL FIRE
& RESCUE
101 NOBLE BLVD
CARUSLE, PA 17013
EarnIngs Statement
F!PAY
PlY PorlOd:
PlY ~IIO:
Choclc.:
10/0eI07 10 10/19/97
1 0/2~7
2t~
EI1'\lloyee Nurrilor.
OepoJ1....nl Nurrilor.
SocIoI8ecurily Nurrilor.
MorItol Stotul:
Nurrllor 01 AIIow8n...:
Aall:
0064
MICHAEL L MIXELL
171 UMEKlLN RD
CARUSLE, PA 17013
166.68.1623
SINGLE
00
6.7500
H..... 'nd Elmtllgt Tox.. and DodUcll....
Oeserl lion Hours Thl. PI'IOd Year.To-Cate Descrintlon Thll Po,lnd e.,. 0- Ite
REOLAR 12.75 86.06 1005.38 FICA 6.58 76.91
PA ST 2.41 211.16
LOCAL .86 10.07
FED WT 9.01
Orotl P.y y.... To nil.
ora.. Pav Thl' P,rlod
Tolll O_lIonl Thll Portod
N.I PlY TIll. "-hod
$1 ,006,38
$86,06
$9,86
.711. 21
\
JZG 2
Earnings Statement
~PAY
CUMBERLAND-GOODWill FIRE
& RESCUE
101 NOBLE BLVD
CARUSLE, PA 17013
Poy Porlod:
Poy 0010:
Checlc .;
ll{O3/1l7 to .1/11l/1l7
11/21/ll7
21111
E"lJIayoo Nunilor:
0epar1nwn1 Nurrllor.
SacIaI Soc:urily Nunilor:
MarttalSlatuo:
Nu_or AllaWon_:
Rel8:
0064
166-68-1623
SINGLE
00
6.7600
MICHAEL L MIlCELL
171 UMEKlLN RD
CARUSLE, PA 17013
Houro ond Earnl"," T.... ond _I....
DescrlPllon Hours This Porlod Year-To.Cate Oeserl tlcn This Porlod elr. o- le
REGLAR 8,00 54,00 1120, 13 FICA 4.13 815.69
PA ST 1.61 31.37
LOCAL .64 11,22
FED "'T 9.01
Oro.. poy VOIr To Do.o
Oro.. Pay Thl. Poriod
Tala. DoductlOM Thl. Poriod
No' Pay Thl. Porlod
$1,120,13
$6.18
$47.82
$64.00
!lL
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.
CUMBERLAND-GOODWILL FIRE
& RESCUE
101 NOBLE BLVD
CARUSLE, PA 17013
PlY Porlod:
PlY CliO:
Chod< .:
11/17197 10 11/30197
12/05IQ7
21146
FiPAY
JZG 2
Earnings Statement
E"1l1oyM Nurreor.
Depor1l1Wl. Nurrlllr.
6ocIol Security Nu/TbOr.
MIIrttoISlaluo:
NunilOr 01 AIIowon-:
FlU:
0064
166.68.1623
SINGLE
00
6,7600
MICHAEL L MIXELL
171 UMEKlLN RD
CARUSLE, PA 17013
~
-
H..... ond Eomlngs TOll.. ond _II...
Oescrl Ion Hours This Porlod Year- To-Date Oescrlollon ThIS porlod yor. o.Dlte
REGLAR 16,00 108.00 1228,13 FICA 8,26 93.95
FED WT .91 9.92
PA 5T 3.02 34.39
LOCAL 1.011 12,30
$1,228.13
$1 08.00
$13.27
No\ PlY This Portod
$94.73
_ PIV Vo., To DI\O
Droll PAY This Portod
Toll. nodUClIons This Porlod
-.....--.
.'
,
.
All faur copieS. of your W"Z are on thiS plge. 'Operated bv
pertor'llons. The while COPieS .re for your III returns; the
blue copy is for your records. Gener.1 InstruCllons for these
fqrms. Including an UPllnl"r" of the lener codes used In bo~
13. Ire on the other Side 0 Ihe plge.
To the right. is an explant'lon of the COntenlS of the WIQIl
bous on your W- 2. PlUS! note Ihet the Gross .mount shown
may include Idlustmenu.
If you are required 10 file. tu return, I, negUgenee penaltv
or other sanctiOn may be Imposed on you It thiS Inca me IS
IURle and you f.il to repon It
.'QIII__'" ,..........",..........
to,,892782 ~~:"""f
. '~lIrt.'ICIC,.'IfICUIOJt__.
04-2801160
c......a...-'........~SI,AIIlI'.,UIOl
EXEL LOGISTICS. INC.
90. W. SCHROCK ROAO
WESTERVILLE OH 4308.
aY8 NO. "n.oooll
II 1_11'111 IllClAl, UI;Ul'''_..
166..58-1523
. 1'"""0'''' "".... "oo.n "IG '" COOl
MICHAEL L MIXELL
'7' LIMEKILN RO
CARLISLE, PA .70.3
'. ''''II '_O'U,,"'II'OloD
'I '''II'''''''' ""'.nt
Copy C For EMPLOYEE'S RECORDS ,S,'o I10"CO on 11.0<1
Form W-2 Wage and Tax Statement
\
,
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h',,,. Sic. S.c. ....Iu" Sill' lKII
'" I an :I a 1 '" . an 11 a.. 20
;".. u,...n 21'''.1:1 111...n U,II.II I"". n
Sed. IUPI.. ....... ....... '" ....
W.l W.,.. lUll. .. II'..... Inn. .. U"'.II ""..U
""11I, ,,.. OU"ttD""'U"""DOI
28789.901
I '.01.... "0"" "'. .'T..-o
4654.08
I IlK'''' "'CUt,,, ..(,I~
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:18789.94
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1784.98
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II .""" lI.cu.aO ",to. I
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., Of'"
. .....
D~CI ,~! !rq Treasury. lnlemill Ae..enue Sl!r"lc~
n~cse SLcst:tutc W 2. ',',',111\'1";1 Tih S"1!fCf1'1l~rIS .1m .lc::e[;IJb'!! 'J! I,Ll',!) .\Ilh,cur F.;t:"',l' S:~l':- ,WI} '~;'..1 Ir.come T,l' f~~IUrr.\
It ',cu ....cr.ec1'n '~l,i! r'e '!co::,'\t cn'j ;r 1o.1'} '\",1'1:11 "~f!"~ -I r"':.11 ,:C!"~f'r(;'l'il'''. ,n.j "',\', 'i;"''} ',(I '''';,(, ~ttl:' ,'''~ ;1 !t'EI~l! (1.:t:....menU,
r~ - a/3/<;7
Form Department ollhe Treuury-Internal Ae\lenue 58f\'lce
(PI U.S. Individual Income Tax Return
1996
u.. the IRa latMI. 01hftrwlM. ..sa r1nt in ALL CAPITAL LEn'EA8.
Presidential Election Campaign Fund (See page 15.)
Do you want S3 to go to this fund? , . , , , . . .
If a oint return, does our souse want S3 to 0 to this fund?
1 0 Single
2 0 Married filing joint return (even if only one had Income)
3 O!I Married filing separate return, Enter spouse's social security nu ber
above and full name here. ~ ..., (- ~- I.' ');, · 11
4 0 Head of household (with qualifying person), (See page 16,) If the qualifying person is a child
but not your dependent, enter this child's name here. ~
5 0 Qualifying widow(er) with dependent child (year spouse died ~ 19 ). (See page 16.)
. 8lI YolM'lOlf. If your patent (or aomeone elae) can claim you .. a dependant on hia or her ta. return, do nol }
. ." check box 6a. I
,
b 0 u.. .
C ~ndonll.lf more than ai. depandanta, see page 17. (2) ll<:pendent'a social (31 ll<:pendent's 141 No. 01
secunty number. II born in relatlon&hip .v:m~
Dec. 1996, see page 18. 10 you ",",e" 1996
Yes No
\l.
'" 10 B I -'"
~
For Privacy Act and
Paperwork
Reduction Act
Nollce, eee pege O.
Nole: Checking .Yes. will
nof change your fax or
,educe our refund.
1""\ UII".trne
Your llf" "aml
L
A
.
e
L
H
I
R
e
11'lOlnl"llil",tOQl.l...lwtl"'~
trill Ualtllm.
~ Ida,... lnutY1111l' and ,IIMll. II ..,11... h~~';I pO 00-, Sf'1l11)8 l'!l
C,Iy, IO'A'" 01 po" elll('. 11 ..,011 Nv' . 10Iet9" .Odrlu, ... ll'lo\l t'!l
1 Arst name
last name
No. of bo...
checked 011
lln.. h .net lib
No. of your
chlldr.... on
line 8c who:
. Unci willi OJ
you
. did not live
..Uti you dUe
to dtYorce
at .....tlon OJ
1- P'V. 101
D~_
on Ie not OJ
entered ebGve
ill
d Total number of e~emptlons claimed. . . . . . . . . . . . . . . . ' . .
7 Wages, salaries, tips, etc, This should be shown in box 1 of your W-2 form(s). Attach
Form(s) W-2.
8a Taxable Interest income, If over S400, attach Schedule 1,
b Tax.exem t interest. 00 NOT Include on line 8a.
9 Dividends. If over $400, attach Schedule 1.
Add i1umboR
..,tOAdln lQTj1
. . .. bo... aboYe L.::J.!.J
7sl~
8aS[J]]]]]J
8bS
9 slIIIIIJ]
10b$1IIIIIJ]
11bSCIIIJII]
12 So:IIIIJJ
13b$CIIIJII]
~ 14 S~
10b
10a
it
-
~
-
iii
~
--
~
~
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=
--
~
--
~
--
~
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--
=
Total IRA distributions.
11 a Total pensions
and annuities, 11 a $
12 Unemployment compensation.
13a Social security
benefits,
14 Add lines 7 through 13b (far right column), This is you, total Income.
15a Your IRA deduction (see a e 22), 15a$
b Sousa's IRA deduction see a e 22 . 15b$
10aS
11b
13b
13aS
c
16
Add lines 15a and 15b. Thesa are your total adjustments.
Subtract line 15c from line 14. This is your adjusted gross Income.
Il under $28,495 (unde, $9,500 If a child did not live with you), see the instructions
for line 29c on page 29. ~
Attach Copy B of W-2 and l099-R here. CJI"O l~GO~S
15c$
DI1ID
16 $E!TI1E@]JJ
lOgO Form 1040A page 1
'. .
. .
.
~96 Form 1040A page 2
7 . Enter the amount from line 16.
17$~
:9
8a Check { 0 You weill 65 or older 0 Blind} Enter number nl
If: 0 Spou.. was 65 or older 0 Blind boxes checked ~ 18a
b If you are. married filing separately and your. spouse itemizes deductions,
see page 26 and check here , . . . , . . . . . . . , . . . . ~ 18b 0
Enter the standard deduction for your filing status, But see page 26 if you checked
any box on line 18a or b OR someone can claim you as a dependent.
. Single--4,OOO . Married filing jOinlly or Qualifying widow(er}-6,700
. Head of household-5,900 . Married filing separately-3.350 19
Subtract llrie 19 from line 17. If line 19/5 mOlllthan line 17, enter O. 20
Multiply $2,550 by the total number of exemptions claimed on line 6d, 21
Subtract line 21 from line 20. If Iins 2115 more than line 20, enter O. This is your taxable Income.
If you wsnt the IRS to figure your tax, see page 26, ~ 22
Find the tax on the amount on line 22 see a e 26 .
Credit for child and de endent care ex enses. Attach Schedule 2.
b Credit for the elder!' or the disabled. Attach Schedule 3.
o Add lines 24a and 24b. Thase are your total credits.
Subtract line 24c from line 23. If line 24c 15 more than line 23, enter O.
Advance earned Income credit payments from Form(s) W-2,
Household employment taxes, Attach Schedule H,
Add lines 25, 26, and 27. This is our totel tax.
Total Federal Income tax withheld from Forms W-2 and 1099.
b 1996 estimated tax a ment., and amount a lied from 1995 retum.
o Earned Incoms cntdit. Attach Schedule BC ~ ou have a uali in child,
Nontaxable eamed income: amount ~ $ and t e ~
d Add lines 29a, 29b, and 29c (do not include nontaxable earned income). These are your
total payments. .' ~ 29d $
If line 29d 15 mOIll than IIne'20, subtract ling 28 from line 29d. This is the amount you. ovsrpald. 30 $
Amount of line 30 you want refunded to you. If you want it sent directly to your bank 31 a $
account, see page 35 and fill in 31 b. c, and d.
Routln9 n-TT'TTTTTI
number LL...LLL..J.... C Type: 0 Chocking 0 Savings
d Account
number
$ 5.:).:50
$ ~ lj 4 0
$ ,;l5S0
$~
23 $ CB:iliJil]J
24a$
24b$
'D
240$
25 $
26 $
27 $
~28 $
'i(
<l
I
'-l It,
<j b ~ Y
BsS
B S
-
~
~
~
Amount of line 30 you want applied to your 1997 estimated tax. 32 $
33 If Iina 28 Is more than line 29d, subtract line 29d from line 28. This Is the emount you rr-r-rr-r-n
owe, For details on how to pay, induding what 10 write on your ament, saa a a 36. 33 $ LL-L....L.L.1-W
34 Estimated tax enal see a e 36 . 34 $
Sign Under penaltle, 01 perlury. I declare lhall hilve IUnrlllllOO thIS (Glum .tnt.! accompanymg schedules and slalemenls. and 10 the
best 01 rtrf kno.....ledge and bellel, they 018 true, cOllecl, and accurately list 41\ amounts llnd sources of Income I receIved c1unng
here ItIe lax year, Oectarahon of preparer (otherlhan the l:u:pByer)IS ba,od on all mlo,"Ulllon 01 'tIihlch lhe preparet' has My knowledge.
~ Your slgnaMe O.lle Your occupallon
~
Keep a copy 01
this return for
your records.
Paid
preparer's
use only
SPOU$tI" ~qn,ll\Jre, IIIQ,nl rei urn, UO Hi must !oujn
O.lle
Spuuse's occupation
--
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precarllf'~ ~
signature ,
DOll"
If> liU"'" ,l~~
Chl!Ck ,I
slIl."mclO)800
3!!!
--
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Firm's name lor YOu's ~
II sell.empIO~l:Idl ,1n<l
o1c::1d'8SS
EIN
"IP
Ct)(Jlt
'us aOY"nm.nIP""hn~OltoCfI 1'l'M- .&Ol.~JIt
(i) Pnnr~ on recycl.d p.p.,
1096 Form 1040A page 2
'iE'~ PlN!!.!~!!~!!n"I'~I~!!!m!!!,!~!U.N
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a. PA.40EZ t09.08) Commonw..nh 01 P,nntytvlFllA 1 996 PA OepI"mtnl at R'~'nu.
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1 a Gross Compensation Irom W.2 lormlsl and other staloments
AllacnW.llolm"ol",t'Cl 'J')')!.>' PA.oIOFZ
'b Unroimburll8d EmployoD BUSiness Elpenses Irom PA Schedulo UE
1C Nel PA Taxable Compensallon. SubtracI line lb horn 1100 la
2 PA Taxable InlereSI. (Complelo and anach PA Schodule A II over S t .000)
3 PA Tauble DIVidend.. (Camplele and allach PA Schodulo B II ovor 51.0001
TOTAL PA TAXABLE INCOME. Add line. Ic, 2 and 3
PA TAX LIABILITY. Mulllply Ime 4 by 2.8% (0.0281
6 TOlal PA Te, Withheld Irom W.2 101101'1 and alher Slalemem,
7
Tolal Estimated Payments and Credits. See ,nstructlons
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8e Hou.ehold Members Iram PA Schodule SP. Part II. lino 4
Bb Yaur ElIglbllily Income Iram PA Schedule SP. Pall III. line 2
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6d 5
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8d TalC Forg,veneu Credit !rom PA Schedule SP. Par1111. hne 7
9 TOTAL CREDITS ANO PAYMENTS, Add hne. 6. 7 and Bd
10 TAX DUE. Line 5 IS moto than lino 9. See instructIOns lor How 10 Pay. Use your PA.V
Make chOCk payable 10 PA DEPT. OF REVENUE
11 OVERPAYMENT, line 9 I. mor. thon hne 5
.
120 Amounl 01 line 11 you wanl as a R.fund Chick mallod 10 you
Pl.... do nol ull .bout your "fund unlil . w"h lit" hUnG
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12b Amounl 01 line 11 you wanl Credited to your 1997 PA E!illmalOd Tax Account
.
12c Amount at Une 11 you want 10 Donll. 10 Ihe Wild RosourcQ Conscfvallon Fund
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12d Amount af line 11 you wanl 10 Donlttlo tho U,S_ OlympiC COmmlllQO, PA DIVISion 12d ,
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HIXT YI!AR. YOU will .110 b. Ibl. 10 ml" I llpnlllpn <I"U <l111e1' 01 yoU, O"IIPlymlnllp the OnnAN DONOR AWAnl!NI!55 TRUST fUND
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RrI. November '1Iel
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Your fItwt Mm. and Il"Iltlll
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l!l II II000l1W1\Un, _'I Inl nll11. and InllJll
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o.o.rtm.nt of tn. rflUl..~nt.-n.. RtwenUl SIMCI
Amended U.S. Individual Income Tax Return
. 11Io1 .....r~. Inotructlon..
, OR flleal ar anded ..
lut nama
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lut nama
OMB No. I$4SoOOll.
HelIN _ _Iflll.nofl.llyou 11M. P.O. bOa. _ NlNl:llonI.
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A II the name or addrBss shown abova Is dfffal1lnt from that shown on the orlglnall1llUm, check here
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22
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Sign
Here
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tor your
rwcordL
B Has tha origlnall1ltum blNln Changed or audijed by the IRS or have you blNln notified thlt ij will be? 0 Yes ~
C Filing status claimed, Notl: You cannol chlllge from jolnl 10 sePlflle rebJrns IIIfer Ihl due dill ha Plsslld,
On original rollln . 0 Slnglo 0 MorTIod II1Ing 10111 relLm ~ Momod n~ _0 rotlm 0.- 01 hoo.uhold 0 0U0IIIy1ng Wldo",.
On thl. rellln . S 10 MorTIod n III relLm M.nod flI _0 rellon .- 0' hoo.uhold wIdo....
Income and Deductlonl (- fnltructlonl' ~~':" r:..cno:::- a. Correct
USE PART II ON PAGE 2 TO EXPLAIN ANY CHANGES P~~" ~~1Iln II11OUI'I
1 Adjusted gross Income (Sill Instructions) , 1 1 ~ 0 '/ 0 /
2""0 0:::""
2 Itemized deductions or standllld deduction , . , . c:> <.J
3 Subtract line 2 from line 1, . , . , , , , . . 3 '"t >10 71.40
4 Exlmptlons, II changing, nil In Pans I and II on page 2 4 SO;) 0
8 Taxable Income. Subtract line 4 from IIna 3 . . . . 8.:;l '1 0 1+1 A <JD I q :;l I D
8 Tax (Sill Instructions). Method used In col, C:::,."h!r:........ II ~ "19q (I <:: :n " '-t
7 Credits (SINl Instructions) , . , . , . , , , " 7
8 Subtract 11111 7 from line 6. fnler the l1ISun but n01lsss Ihlll zero 8
= II Other talces (Sill instructions), . . . , , . , " II
... 10 Totaltax, Add Iinee 8 and 9 , . . , . . . . .. 10
11 Federal Income lax Wllhheld and excess social security,
Medlcant,lIld RRTA tax. Wlthhllld.11 changing, see Instructions 11
112 Esllmsted tax payments, Including amount applied from
prior year.. return , . , , . , , , . . . . ., 12
13 Earned Incomacl1ldit . . , . , . . , , . . .. 13
a. 14 Clldila for Federal tax p3ld on fulls, regularld IllYIstmlnl company, lIe. 14
18 Amount paid WIth Fonn 4888, 2688, or 2350 (applications for extension 01 time to file)
111 Amount 01 tax paid With original return plus addlllonaltax paid after It was med
17 Total ments. Add lines 11 throu h 161n column C . , , . , . . . .
Refund or Amount You Owe
Overpayment, if any, as shown on original return or as previously adjusted by the IRS
Subtract line 18 from IIna 17 (sOlllnstrucllons), . , , , . . , , , , , , ,
AMOUNT YOU OWE. It line 10, column C, Is more than line 19, enter the dlf18renes and see Instructions ,
If line 10. column C, Is leas than line 19, enter the difference , , , .
Amount 01 line 21 you want REFUNDED TO YOU , , , . . . , , .
Amount 01 line 21 au want APPUED TO YOUR 111 ESTIMATED TAX 23
Under ptnllU.. of PlrJUry, I dICta,.. that I hay, filed In onglnal return 1110 tnlll hlvt .um,"1d 0.. amlnded mum, Inc1UdlnQ ICCOmoMylng ICMdUItt
and Itll"","II. ana 10 In, bMt Of my knOWledge Ind billet, lro. Itnendlct '''urn II trul. cCtrIC't. and compllt.. Oeclll'lUOn of PlWPUW lOIn" tnar
tIxpaywJ II b.... co lit Inform.non ot wnicn the pregl,... nq any knoW4lldg..
.,qq
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Form 1040X tAw. ".Ie
I~rl
Cat. No, 1 1360L
117
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"',. IlMOXlfltot.'H181 ('(\; '( l! \ \ It.-I., - c:: i? - I ~..;). .,
DIll exemption.. See Form 1040, Form 1040A, or Form 1040-T
InstnJcttons.
II you .. not chMglng WOW' ....-nptl_ do not completo th~ part.
II claiming men ..emptI_. complolell_24-J0 end, II appIlcablo, line 31,
II dIlmIng '-- uamplIana, cor!1llele II_ 24-29.
24 Yowun and spou.. , . , , , , . . , . . , , , ., 24
CautIon: If your pnntl (or someone _) can cJiIm you IS e depen<1ent
(ewn If Ihey chose nol to), }'OIl QIIIIOI ciIJkn en lIJlemptlon for yourwlf.
Your dependent children Who lived with you , , , , , . ., 25
Your dependent children Who did not live with VOU due to divorce or
separation.............. .
U Other dependenll , . . , . . . . , , , , , , , . .
28 Total number 01 exemptiane. Add Unae 24 through 27 , . . , .
211 MultJp/y Ihe nlnlber of lXemptlOlll claimed on line 28 by the amount listed
boIow lor the tex V'" you ere emending. Enter the rllUll h.. end on line 4,
Tea ......ptIon Iul _ the InetnlC'tlone H
I!!!!. _unt the amount an "'" 1 Ie CIVIIn
,.. 120550 ....475
,.. 2.500 ",D:l5
'1184 2.450 l3,eo
'1aI 2,3S0 .1,350
30 Dependente (children end other) not clelmed on original return:
Note: For I.. efter 1994, do not co lele column below.
PIOI 2
It. Numblt
anll"'li'l
,-nlld
.. Not chano'
c. ""-
....,.
25
21
2tI
27
28
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WI name
(bI Chedl il under
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the t.. ye.- you ..
..........110,-_
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(01 No. at
montn. IIV<<J
In your home
No. 01 yaw
ctl~d,." on 11M
30 wIlo:
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o
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on IIno 30 no,
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31 For till VNII belare 1996, iI your ehlld listed on line 30 did not live with you but Is claimed IS your dependent under a pre-1965
..~";i::~-; Ch;"'g.~ ~ 1~~~."D~cti~."a~d c~it.' . , , , . , . , , , . , . ~ 0
Enter the line number from pap 1 for each Item you are chan;ln; and give the reaaon for each chan;e. Attech
only the eupportln; forma and acheduJee far the Itama changed. If you do not ettach the rlqulred Infonnatlon, vour
Fonn I040X mav be returned. ae aure to Include vour nama and &Octal eecuntv number on any attechmenta.
II the change relat.e to a net operating loss carryback or a general bUsiness credit carryback, attach the schedule or lorm
thatshaws the vear in which the loss or credit occurred, See Instructions, Also, check here . . . . . . . , . . ~ 0
. dtd not ....
'Mth ~ou du. to
dlYotc, Of
..,.uan (I.
inauucacnl .
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II!IIIII Prealdentlal E1ectlon Campaign Fund. Checking below will not Increase your tax or reduce your refund,
II VOU did not previously want 10 havo $3 go 10 Ihe fund bul now want 10, check here . . . , , . . . ., ,~D
II a lalnt rei urn and your .oouse did nol previously want to have $3 qo 10 Ihe fund bUI now wnnls 10. check here . . ~ 0
@
liS
MICHAEL L. MIXELL,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 95 - 2024 CIVIL
LINDA M. MIXELL,
Defendant
IN OIVORCE
RE:
Pre-Hearing Conference Memorandum
DATE: Tuesday, December 23, 1997
Present for the Plaintiff, Michael L. Mixell, is
attorney Robert J. MUlderig, and present for the Defendant,
Linda M. Mixell, is attorney Andrea C. Jacobsen.
A divorce complaint was filed on April 20, 1995.
The complaint raised grounds for divorce of irretrievable
breakdown of the marriage. An affidavit under section 3301(d)
was filed on April 21, 1997, averring that the parties separated
on April 15, 1995, a period in excess of two years.
Accompanying the affidavit under 3301(d) was an amended
complaint filed the same day. On April 4, 1996, however, the
Defendant filed a petition raising the economic issues of
equitable distribution, alimony, alimony pendente lite, and
counsel fees and expenses.
with respect to grounds for divorce, counsel have
indicated that the parties will sign and file affidavits of
consent and waivers of notice of intention to request entry of
divorce decree prior to the hearing. with respect to the factor
of marital misconduct on the alimony claim filed by wife,
counsel are going to present testimony on that factor and we
will schedule a separate hearing to take that testimony.
Regarding the witnesses to be heard on that issue, counsel are
directed to provide each other a list of witnesses at least 30
days prior to the date of the hearing.
The parties were married on April 4, 1987, and
separated April 15, 1995. There are no children of this
marriage althcugh wife has emancipated children from a prior
relationship. Husband has no children, this being his first
marriage. This marriage is wife's second marriage.
Husband is 36 years of age and resides at 171 Lime
Kiln Road, Carlisle, Pennsylvania, with a female friend. He is
a high school graduate and is a forklift operator with Exel
Logistics. His gross income for 1996 was $28,789.94. Counsel
have indicated that he also has part-time work with the Good
Will Fire company and the estimated income from that job is
around $1,200.00 plus annually. Counsel are required to provide
updated income and expense information at the date of the
hearing. Husband has not raised any health issues.
Wife is 50 years of age and resides at 220 East
Orange street, Apartment B, Shippensburg, Pennsylvania, where
she lives alone. She is a high school graduate and is currently
working as a grill cook for Shippensburg University in their
food service department. It is estimated that her income
annually will be around $13,500.00 per year based on the
potential for part-time work when the school is not in session
and also the possibility of unemployment compensation benefits.
with respect to wife's income, since this is a new position and
since there are the issues involving other types of income that
may be available to her, counsel are directed to file an income
and expense statement prior to the hearing updating her income
information. Wife has not raised any health issues.
Husband is currently covered under his company's
medical insurance plan. If wife is not able to receive any
benefits through her current employment she may be able to
receive COBRA benefits. If she is entitled to COBRA benefits,
the Master would like to know the cost of those benefits to her.
The marital assets consist of husband's retirement
with Exel Logistics, which at the date of separation had a value
of $10,673.68. That marital value should be updated to the date
of hearing using an interest factor that applies to the
investment account where that money is held. counsel are going
to inquire of the plan administrator of the fund or the
companies' investment counselor as to what interest factor
should appropriately be applied to that marital portion.
The parties had a 1989 Pontiac automobile which
apparently had a lien against it in the name of Terry Wiser.
There is some question that wife's counsel has raised as to
whether the loan to Mr. Wiser was actually a lien against the
vehicle specifically; however, the Master has taken the
suggested value of the vehicle at $2,600.00, reduced the value
by the loan of Mr. Wiser of $1,800.00 to get a net value for the
vehicle of $800.00.
The parties own two burial vaults at West Minister
Cemetery which they purchased for a cost of $3,092.00.
Currently neither of the parties wants the vaults and we are
faced with the issue of how we are going to distribute them and
what their value may be. The Master suggests that each of the
parties take one of the vaults and then dispose of it as he or
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of approximately $2600, two burial plota with unknown current value, purchll8ed by
the partiea in 1988 for of' $3.092,60, houaehold gooda, furniahinga and miacellaneoua
peraonnl property including aeveral guna, electronic itema, etc., in the poaaeaaion of
Huabandj and furniahings, miacellaneoua appllancea, etc" in the poaaeaaion of Wife.
2, Wife doea not intend to call at trial any expert witneaa unleaa the pnrtiea
are unable to atipulate 118 to llBaeta, vnluation, and incomea of the partiea.
3. Wife anticipate a that there will be no witneaaea except the partiea.
4. Wife anticipatea that the partie a will be able to atipulate IlB to the
mnritnl/non-marital nature and IlB to the vnluea of the mqiority of the partiea' ll8aeta,
and nlao IlB to the income information to be placed before the Mll8ter. Wife will aubmit
a atatement of exhibit a to be preaented aubaequent to the pre-hearing conference in
tWa matter,
6. Wife ia employed IlB a cllBhier at Roy Rogera Roataurant, She earna
approximately $160 per week net. Wife will aubmit an Income and Expenae Statement
prior to the pre-hearing conference in tWa matter, Huaband ia employed 118 a forklift
operator at Exel Logiatica. Huaband'a current income ia unknown, Hia income IlB of
July 1996 WIlB approximately $392 per week net,
6. Wife intenda to offer teatimony regarding her expenaea, Wife will aubmit
an Income and Expenae Statement prior to the pre-hearing conference in tWa matter.
Form
1040EZ
Use
the
IRS
label
here
-
Pre.ldeDlIaI
EleclloD
CampalllD
ISee paKo 7.)
Income
Altaeb
Copy B or
Form(.)
w.a be",.
Encle.., bul
do not attach,
any payment
with your
return.
Note. You } 5
mud chtck
Yes or No.
S
Payments 7
and tax
s
Refund
IlIWltilllent
directly to
ynur bank
3ctOUnt! See
page \3 and
nil in lib, c,
anti d.
OMD No. 1545.06;5
-
Oep.nmtnL f)r lb_ Tru.ury-lntemal Revenue SeMCl!
Income Tax Return for Single and
Joint FIlers With No Dependents IPI 1996
'lout fit,t name and inillAI
L/Nt1,,1 IJ(
If a jOint fIlum, spouse', flrsl name l1flCj iM11I1
11 ,pst name
/ri/I.!",!:.
Last name
HOt1'II.Cldltn (numDtt &nt1 $trNtI. II you hlv. Ii P 0_ bo., '" Illqe 1
ApI. no.
c.ry, IQWfl 01 poll othce. lItle, &no ZIP COd'. II yOU nave .t lort.g" ada.n, set paq. 7.
Note: Checltlnll .y". will nnt chanNt )1J1jr (ax or rtdm.'e your rt(lmd.
Do you won I $3 to no to this rund? ~
If 0 joint return, does your spouae wnnl $3 to UO to this fund? ~
1 Total wages, salaries, and tips. This
should bo shown in box I of your
W-2 ronnlsl. Attocb your W.2 rormlsl.
:z Taxable interest incomo or $400 or less. Ir tbo total is
over $400, you connol use Fonn I040EZ. 2
3 Unemploymont compensation Iso. poUe 9). 3
4 Add lines 1,2, and 3. This is your adjusted gross
Income. If under $9,500, seo page 9 to find nut ir ynu con
claim the eemed in como credit on line 8. 4
Con your parents (or someone else) claim you on tlwir return'!
Yes, Enter amount No, II' single, onlor 6,550.00.
rrom work,hoet ,II' married, onter 11,800.00.
on back. I- Se. back ror oxplanation. 5
Subtract line 5 rrom line ,I. If line 5 is lorger thnn
line 4, entor O. This i8 your taxable Income, ~ 6
Enter your Federal inculnl' tux withhl'ltl from box 2 lit'
your W.2 rormlRI. 7
Earned Income credit 19l'l' (H1~(! 91. Enter type
nnd amount of nontnxahlt! l'urnl'tJ income helllw.
Typo S 8
9 Add lines 7 and 8 (do not includ. nontoxoble .nrn.d
incomol. Those oro your totolllByment8. 9
10 Tax. URO tho ol1\ount on line 6 to find your tox in tho
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79.49
v.
:IN THE COURT OF COMMON PLEAS OF
:CUMBERLAND COUNTY,PENNSYLVANIA
:NO. 95-2024 CIVIL TERM
MICHAEL L. MIXELL,
Plaintiff
LINDA M. MIXELL,
Defendant
:IN DIVORCE
ANSWER TO AMENDED COMPLAINT
AND NOW COMES the Defendant, Linda M. Mixell, by and through her
counsel, Andrea C. Jacobsen, Esq., JACOBSEN & MILKES, and answers Plaintitrs
Amended Complaint in Divorce as follows:
1. Admitted.
2. Denied, insofar as Defendant'B residence is incorrect: her current
addreBs is 220 East Orange Street, Apartment B, Shippensburg, PennBylvania,
17267; otherwise admitted.
3. Admitted.
4. Admitted.
6. Admitted.
6. Admitted.
7. Admitted.
8. Admitted.
9. Admitted.
10. Admitted.
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In the husband's po88e88ion as of April, 1005: 0 TV, VCR, stereo, clock, scanner
and dresser.
D. Marital debt 08 of March, 1994: Assumed by and poid by the husband:
1. PP&L . $1,052,03
2, Penn Credit. $45.00
3. Curtis Mothes . $66.40
4. West Minister Cemetery. $2,252.00
5, North West Consumer. $2,989.27
6. Troy Wiser. $1,800.00
Total marital debt being poid by the husband: $8,204.70.
4. Pensions: The PlalntiJrs retirement and savings pion with Exel Logistics with 0 value as
of July 1995 . $10,673.68. Defendants pension unknown.
5. Exoerts Testifyimr. No experts will be called to testify.
6. All Other Testimony by Witnesses: No other witnesses will be called to testify except the
portles,
7. Exhibits: None known at this time.
8. Gross Income of the Parties: Wife's 1995 alijusted gross income was unknown. Husband's
gross income for 1995 was $28,581.50.
9. Counsel Fees: No claim for counsel fees haye been made.
10. Any Disputed Items: Unknown since Defendant's Attorney has not made any counter
offers to PlalntiJrs offer of settlement.
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 95 - 2024 CIVIL
MICHAEL L. MIXELL,
Plaintiff
.
.
LINDA M. MIXELL,
Defendant IN DIVORCE
THE MASTER: Today is Wednesday, March 11, 199B.
This is the date set for a hearing in the above captioned
divorce proceedings to take testimony on the factor of marital
misconduct as that factor may affect wife's alimony claim.
However, counsel have advised that they have been negotiating
and have settled all of the economic issues so we do not need to
proceed with the testimony on the marital misconduct issue.
This action was commenced by a divorce complaint
filed on April 20, 1995, raising grounds for divorce of
irretrievable breakdown of the marriage. Although an affidavit
under section JJ01(d) was filed on April 21, 1997, averring a
separation in excess of two years, counsel have advised that the
parties will sign and file affidavits of consent and waivers of
notice of intention to request entry of divorce decree so that
the divorce can be concluded under Section JJ01(C) of the
Domestic Relations Code. The appropriate affidavits and waivers
are to be given to the Master later today and the Master will
see that they are filed and clocked in with the Prothonotary.
On April 4, 1996, wife filed a petition raising
economic issues of equitable distribution, alimony, alimony
pendente lite, and counsel fees and expenses.
The parties were married on April 4, 19B?, and
separated April 15, 1995. There are no children of this
marriage.
As indicated, the Master has been advised that
after negotiations the parties have reached an agreement with
respect to all of the economic issues. counsel are going to
place the agreement on the record in the presence of the
parties. The agreement as stated on the record will be
considered the substantive agreement of the parties and will not
be subject to any changes or modifications except for correction
of typographical errors made during the ~ranscription.
We are going to return later today to review the
agreement that has been placed on the record in order to correct
any typographical errors. After the agreement has been reviewed
and placed in a final form, counsel and the parties will affix
their signatures. It is understood, however, that the signing
of the agreement is simply an affirmation of the agreement which
is placed on the record at this time and the agreement will be
considered the agreement of the parties immediately after the
statement on the record.
The Master will prepare an order vacating his
appointment and counsel can file a praecipe transmitting the
record to the Court requesting a final decree in divorce at such
time as they mutually agree. Ms. Jacobsen.
MS. JACOBSEN: The parties have agreed to the
following terms of settlement:
1. Each party will retain the personal property in his or
her possession or title.
2. The burial plots held by the parties at Westminister
Cemetery shall be placed for sale by wife. Husband's
counsel will deliver the deed to wife's counsel and any
proceeds obtained by wife for the sale of those plots
will be divided equally between the parties.
In the event that wife is unable to effect a sale of the
burial plots, the parties agree that they shall contact
westminister cemetery and arrange that the title to the
two vaults shall be redeeded into two separate deeds
with each party owning one standard size burial plot
independently.
J. Michael Mixell will retain full title and interest in his
Exel Logistics retirement pension fund.
4. Michael Mixell will satisfy the marital debt identified
in the proceedings not already satisfied, and both
parties certifY that no other marital debt exists and
that they have incurred no other debt for which the other
party may be held liable.
The identified debt shall include an obligation to
PP&L in the amount of $1,052.00; the obligation to Penn
Credit in the amount of $45.00; the obligation due to
curtis Mathes identified by husband in the amount of
$466.00; the obligation to Westminister Cemetery
in the amount of $678.00; the obligation to North West
Consumer in the amount of $2,989.00, and the obligation
to Troy Wiser, as a lien against the 1989 Pontiac
vehicle, in the amount of $l,BOO.OO.
5. Michael Mixell will pay Linda Mixell alimony in the
amount of $126.50 per month beginning April 15, 1998.
This amount will be payable for a period of three years
and will not be modifiable nor will be terminable in the
event of the remarriage or cohabitation of wife. The
alimony payment shall be paid through Cumberland county
Domestic Relations office.
6. Husband will pay wife the sum of $5,200.00 in full
satisfaction of all outstanding claims raised in this
matter. This sum shall be paid to wife within thirty
(JO) days of today's date.
If Mr. Mixell does not pay in accordance with the terms
of this agreement the sum of $5,200.00 by April 15, 199B,
the divorce will not proceed as stated and he will
continue to pay alimony pendente lite in the amount of
$216.67 per month until such time as the $5,200.00 is
paid and the divorce proceeds to conclusion.
7. Wife withdraws her claim for counsel fees and costs.
B. Counsel will agree not to file a praecipe to transmit the
record until Mr. Mixell pays the cash payment as provided
herein, but the praecipe will not be submitted before
April 15, 1996.
9. The amount of alimony pendente lite, which is currently
being paid at the rate of $50.00 per week, will be
payable for one month from today's date to Mrs. Mixell in
the amount of $216.67. Beginning April 15, 1998, as
previously stated herein, Mr. Mixell will begin paying
alimony for a period of J6 months in the amount of
$126.50 per month through the Cumberland county Domestic
Relations Office.
10. Except as herein otherwise provided, each party may
dispose of his or her property in any way and each party
hereby waives and relinquishes any and all rights he or
she may now have or hereafter acquire under the present
or future laws of any jurisdiction to share in the
property or the estate of the other as a result of the
marital relationship including without limitation,
statutory allowance, widow's allowance, right of
intestacy, right to take against the will of the
other, and right to act as administrator or executor in
the other's estate. Each will at the request of the
other execute, acknowledge, and deliver any and all
instruments which may be necessary or advisable to carry
into effect this mutual waiver and relinquishment of all
such interests, rights, and claims.
MR. MULDERIG: state for the record your name.
MR. MIXELL: Michael L. Mixell.
MR. MULDERIG: And your address?
MR. MIXELL: 171 Lime Kiln Road, Carlisle,
Pennsylvania.
MR. MULDERIG: Michael, you heard the agreement
that was dictated here?
MR. MIXELL: Yes.
MR. MULDERIG: Do you understand that agreement?
MR. MIXELL: Yes, I do.
MR. MULDERIG: Do you have any questions about that
agreement?
MR. MIXELL: No, I don't.
MR. MULDERIG: Do you agree to the terms of that
agreement?
MR. MIXELL: Yes, I do.
MR. MULDERIG: Is this agreement on your part
voluntary, without any pressure from anyone?
MR. MIXELL: It's voluntary.
MS. JACOBSEN: State your full name for the record?
MRS. MIXELL: Linda M. Mixell.
MR. JACOBSEN: Linda, where do you live?
MRS. MIXELL: 220 East orange Street, Shippensburg,
Pennsylvania.
MS. JACOBSEN: Linda, you were here while this
agreement was dicated on the record; is that correct?
MRS. MIXELL: Yes.
MS. JACOBSEN: Do you understand the nature of the
agreement that was dictated?
MRS. MIXELL: Yes, I do.
MS. JACOBSEN: Are you willing to abide by the
terms of that agreement?
MRS. MIXELL: Yes, I am.
MS. JACOBSEN: You understand that you're giving up
all other claims except as provided for in that agreement?
MRS. MIXELL: Yes.
MS. JACOBSEN: And that is agreeable to you?
MRS. MIXELL: Yes.
I acknowledge that I have read the above
stipulation and agreement, that I understand the terms of
settlement as set forth herein, and that by signing below I
ratify and affirm the agreement previously made and intend to
bind myself to the settlement as a contract obligating myself to
the terms of settlement and sUbjecting myself to the methods and
procedures of enforcement which may be imposed by law and in
particular Section J105 of the Domestic Relations Code.
WITNESS:
DATE:
~i;k1f~Jta~;
Robe~t J. Mulde~ig
Attorney for Plaintiff
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C. Jacobsen
for Defendant
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MICHAEL L. MIXELL
PACSES Melllher Numher: 7907000020
PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES
MEMBER ID OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO
NOT SEND CASH BY MAIL.
This order of attachment for support is binding upon you until further notice and shall have
priority ovcr any attachment, execution, garnishment or wagc attachment under state or local
law exccpt one relating to a prior support order. You must commence the attachment of the
defendant obligor's income as soon as possible but no later than fourteen days from the date
of the issuance of this Order of Attachment.
You are notified further that pursuant to law:
I. The defendant obligor has been notified that an order of attachment for support would
be issued,
2. Willful failure to comply with this ordcr may rcsult in (i) your being adjudgcd in contcmpt
of court and committed to jailor fined by the court; (H) your being held liable for any
amount not withhcld or withhcld but not forwarded to thc Domestic Relations Section; and
(Hi) attachment of your funds or propcrty.
3. Thc attachmcnt of income or the possibility thereof as a basis. in whole or in part, for the
dischargc of an employee or any disciplinary action against or dcmotion of an employee is
prohibited. Violation may result in (i) your bcing adjudged in contempt and committcd to
jailor fined by the court and (H) an action against you by the employee for damages.
4. If thcre are in your cmployment onc or morc additional cmployecs whosc incomcs are
subject to an attachmcnt of support, you may combinc the attachment payments into a
singlc paymcntto the Pa SCDU and scparatcly idcntify the portion attributablc to each
obligor.
5. You must notify thc Domcstic Rclations Section or thc Pa SCDU when the defendant
obligor terminates employment and provide the Section with the employec's last known
address and the nalllc and address of the new cmployer, if known.
Page 2 Ilf 3
Fllrm EN.028
Wllrker ID $IATT
Service Type M
MICHAEL L. MIXELL PACSES Memher Numh.r: 7907000020
6. The maximum amount of the attachment shall not exceed 50 % of the employee's
net income which is within the limits set in the Consumer Credit Protection Act, 15
U.S.C. ~1673.
7. The tenn .income. as defined by law includes compr.nsation for services. including, but
not limited to, wages, salaries, fees, compensation in kind, commissions and similar
items; income derived from business; gains derived from dealings in property; interest;
rents; royalties; dividends; annuities; income from life insurance and endowment
contracts; all fonns of retirement; pensions; income from discharge of indebtedness;
distributive share of partnership gross income; income in respect of a decedent; income
from an interest in an estate or trust; military retirement benefits; railroad employment
retirement benefits; social security benefits; temporary and pemlanent disability benefits;
worker's compensation; unemployment compensation; other entitlements to money or
lump sum awards, without regard to source, including lottery winnings; income tax
refunds; insurance compensation or settlements; awards or verdicts; and any fonn of
payment due to and collectable by an individual regardless of the source.
GENERAL INSTRUCTl0NS
I. Employers may elect to deduct up to 2 % of the attachment amount for their costs. This
amount must not be dcductcd from the attachment. It must be paid from the employee's
nct carnings after the income attachment deduction has becnmade.
2. If you choose to make payments via an elcctronic funds transfer, contact the Pa SCDU
Employer Customer Service at 1-877-676,9580,
Dale of Order:
ORO: RJ Sh,ldd.IY
xc: dL'ft.!l\d,iIll
Ser"l,e 1")'1'. M
'lireh 10, 2000
Puge 3 of 3
I'REStllt:N'f .IUDGE
"orm EN ,028
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