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95-02427
f. D, f Aa' } §f 'yx try; . e' ar a 7 ? „s e c a Ail e Wj i y j r 3 # T g 3±; + ft £ . ? ^s - 14- ?; t F ? 3 T`' tt.' ? k x t j a +yS 'Sr. ? ? w 1 M I? ' IN THE COURT OF COMMON FLEAS rR x OF CUMBERLAND COUNTY t? STATE OF sjl, , r. f PENNA. FRANK P. DELIZIO, Ill Plaintiff Ntl• 95-2427 civl,,,1995 k Vcr.ns k k WENDY DELIZIO 1S Defendant F? Fi KJ DECREE IN h DIV0RCQE 2!??- M AND `? it NOW . . .. . ................... . 19 ...... , it is ordered and R decreed that ..... r. NK. P,. DELiZio, iii plaintiff, 1x and .............. WENDY -I)LIXi4 .............. .......... .. , defendant, h are divorced from the bonds of matrimony. {} k 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; ki K This Decree incorporates the Order of Court regarding Alimony tinted y end.Lhe.StipulaLiun and Agreement daLutVAugust.l3, 1996 ... I! v ? (' 1 M 11.1. •.t .ul ? !?.%'/AZ, ?L?/A !'/,.'41.1 6e /! I1Lhllallll illy r t W. 'ill, W 4: A: W W S ,?b G .:.•? ref <?J (dlowoV torvlas Oat an eKUd 1"I: 1. 0 Addr"O"Is Addrm I , FTCANK 1'. DELILIO, III. PLAINTIFF IN 11IE COURT 01, COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. WIiNDY DELIT.IO, DEFENDANT NO 95-2427 CIVII. TERM CIVII. ACTION • LAW IN DIVORCIS PRAECIPE TO TRANSMIT RECORD TO THE PROTHONOTARY: Transmit the record, together with the Rationing information. to the Court for entry of a divorce decree: 1. Ground for divorce irretrievable breakdonn under Section 3301(d)(1) or the Dhorce Code. 2. Dale of sen ice of the complaint: May 11, 1995. Acceptance of Senlce Certified Receipt attached 1. Complete either paragraph (a) or (b) (a) Dale of execution of of the a(Rdavil of consent required bS Section 3301(c) of the Divorce Code: by Plaintiff: August 13, 1996; by Defendant. August 13, 1996. (b) Date of execution of plaintiffs Affidavit required by Section 3301(d) of the Divorce Code: N/A and dale of sen•ice of the plaintiffs Affidavit upon the Defendant: N/A. 4. Relate cirims pending No relaled claims pending 5. Date and manner of Scn ice of Notice of intention to file Praecipe to Transmit record, a Copy of which is attached if the decree is to be entered under section 1101(d) (1) of the Divorce Code N/A 6 Date and matter of scn ice of Notice of Intention Io Ric praccipe to Iransmil record. a copy of uMch is attached, if the decree is to be entered under Section 331) I (c) of Divorce Code or date of execution of waiver of Notice of Intent, Plaianliff August 13, 19%. Defendant August 13,19% and date of filing of tvat%er both filed on August 13,19%. Respectfully submitted. DeArnlond & DcArniond Date o0 t(C Keith D tkArmond. hscquire Sup Cl 11) #311117H 21111) Markel Street Camp 11111. PA Poll (717) 710!1194 ? (r' ('1 ? . 4 LLLL ? .. E , -. , '? r ?)? ., -? ?? : ? : , ?. a ?1 FRANK P. DELIZIOI III i Plaintiff s s V. _ s WENDY L. DELIZIO = Defendant s IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 95 - 2427 IN DIVORCE k Ais 11LI1(M AND NOW, this ?/1 day of PWO , 1996, following a scheduled hearing before the Cumberland ounty Divorce master and upon consideration of the attached agreement of the parties, it is hereby ordered and Directed as follows 1. Plaintiff, Frank P. DeLizio, III, shall pay nonmodifiable alimony to Defendant, Wendy L. DeLizio, in the amount of $676.00 per month, payable $312.00 bi-weekly, commencing on September 1, 1996. said alimony payments shall not be modifiable until September 1, 2001. Plaintiff shall pay alimony notwithstanding Defendant's remarriage or cohabitation, however, alimony shall cease upon either party's death. The alimony payments shall be deductible from Plaintiff's gross income and included in Defendant's gross income. 2. Upon the entry of the final divorce decree, the parties shall notify the Cumberland County Domestic Relations office at which time the spousal support award shall cease and at which time alimony pen- dente lite shall become in effect in the amount of $676.00 per month until September 1, 1996 when the alimony pendants lite shall convert to alimony as provided herein. 3. On September 1, 20011 the payment of alimony shall decrease to an amount of $575.00 per month, at which time either party may petition the Court of Common Pleas of Cumberland County for reduction or further modification of the payment of alimony. In the event Defendant is cohabitating or is married as of September 1, 2001, alimony shall cease. Defendant shall notify Plaintiff as to whether or not she is cohabitating or has remarried as of September 1, 2001, provided she is provided with Plaintiff's current address as of September 1, 2001. 4. All alimony payments shall be made payable through the Cumber- land County Domestic Relations Office. Plaintiff shall continue to pay an amount of $8.00 to fully satisfy support arrears owing to Defendant in the amount of $575.00. 5. All remaining terms of the agreement are incorporated herein by reference and shall be enforceable by the Court upon petition of either party. Consented to: Keith 6. Qehrm , Esquire ; .? Attorney for Plaintiff (',/,v M4.4 Andrew C. Sheely, Esq e .17y _j 0 Attorney for Defendan 2 FRANK P. DELIZIO, III, Plaintiff Va. WENDY L. DELIZIO, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA N0. 95 - 2427 IN DIVORCE THE MASTER: Today is Tuesday, August 13, 1996. Present for a Master's hearing are the plaintiff, Frank P. Delizio, ill, and his counsel Keith B. DeArmond, and the Defendant, Wendy L. Delizio, and her counsel Andrew C. Shealy. A divorce complaint was filed on May 5, 19951 raising grounds for divorce of irretrievable breakdown of the marriage. Both parties have signed this morning affidavits of consent and the waiver of notice of intention to request an entry of a divorce decree and have provided the original documents to the Master who will file the documents with the Prothonotary. Therefore, the divorce can be concluded under Section 3301(c) of the Domestic Relations Code. The Defendant, in response to the divorce complaint, filed an answer and counterclaim on June 14, 1995. The counterclaim raised the economic issues of equitable distribution, alimony, and counsel fees and costs. The Master has been advined that after negotiations this morning, the parties and counsel have reached an agreement with respect to the outstanding economic claims. The agreement is going to be placed on the record in the presence of the parties. The agreement, once it is placed on the record, will be considered the substantive agreement of the parties, not subject to any modification or changes except for correction of typographical errors which may be made during the transcription. Counsel and the parties will return later this morning to review the draft of the agreement for typographical errors and make any corrections as required. No corrections or changes can be made, however, to the substantive part of the agreement once it has been stated on the record at this time. After the parties and counsel have reviewed the agreement for typographiral errors, they will affix their signatures by way of affirmation of the agreement and the Master will prepare an order vacating his appointment so that the parties can proceed to request the Court enter a final decree in divorce after the filing of the praecipe to transmit the record. It is the Master's understanding that accompanying the divorce decree will be a proposed alimony order to incorporate the terms of alimony as set forth in the agreement which is going to be entered on the record at this time. The parties were married on August 27, 1972, and were separated in February 1987. They are the natural parents of twi children, both of whom are emancipated. Mr. Sheely. MR. SNBLLY: This agreement precodes a hearing before the Cumberland county Divorce Master on August 13, 1996. In order to resolve the economic istsues rai sed in the pleadings, the parties agree as follows: Plaintiff, Frank P. Delizio, III, shall pay nonmodifiable alimony Defendanttt$312.001biweekly?,ecommencing $676.00 per month, payable on September 1, 1996. Said alimony payments shall not be modifiable until September 1, 2001. Plaintiff shall pay alimony notwithstanding Defendant's remarriage or cohabitation. Alimony shall cease upon either party's death. A separate alimony order shall be entered with the divorce decree. The alimony payments shall be deductable from Plaintiff's gross income and included in Defendant's gross income. 2. Upon the entry of the divorce decree, the parties shall notify the Cumberland County Domestic Relations Office at which time the spousal support award shall cease and at which time alimony pendente lite shall become in effect in the amount of $676.00 until September 1, 1996, when the alimony pendente alimony as provided herein. 3, on September 1, 2001, the payment of alimonyashwhich time decrease to an amount of $575.00 per month, either party may petition the Court of Common Pleas of Cumberland County for reduction or further modification of the payment of alimony. of September 1, 1996, alimony shall cease. q. All alimony payments shall be made payable through the Cumberland County Domestic Relations office. Plaintiff shall continue to pay an amount of $8.00 to fully satisfy support arrears owing to Defendant in the amount of $575.00. 5. The parties have divided all personal property to their mutual satisfaction. 6. Except as herein otherwise provided, each party may dispose of his or tier 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 tuture 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. 7. Plaintiff shall maintain life insurance in the amount of $40,000.00, decreasing at an annual rate of $8,000.00 per year for a period of five years. Plaintiff shall provide written notice and verification to Defendant on September 1, 1996, and each year thereafter that said policy remains in effect. Defendant shall be named the sole beneficiary of such policy. a. Both parties acknowledge that they are not aware of any outstanding marital debts. To the extent that such marital debts exist, Plaintiff shall remain responsible for such debt. 9. Wife hereby waives all claims for counsel fees and costs as raised in her counterclaim. 10. Defendant shall notify Plaintiff as to whether or not she is cohabiting or has remarried as of September 1, 2001, provided she is provided with Plaintiff's current address. MR. DeARMOND: Mr. Delizio, have you heard the agreement that Mr. Sheely recited on the record? MR. DELIZIO: Yes. MR. DeARMOND: Do you understand the agreement? MR. DELIZIO: Yes. MR. DeARMOND: Do you understand that the agreement as set forth on the record is not modifiable except to correct minor errors in punctuation an d Spelling? MR. DELIZIO: Yes. MR. SIIEELY: Wendy, have you heard the entire agreement which was recited by me? MS. DELIZIO: Yes. MR. SIIEELY: Do you understand the entire agreement which was recited? MS. DELIZ1o: Yes. MR. SIIEELY: Do you have any questions concerning this agreement at this time? MS. DELIZIO: 140. MR. SHEELY: And do you understand the conditions which Mr. Elicker recited and which Mr. DeArmond just recited concerning the terms of the agreement? MS. DL'LIZIO: Yes. THE MASTER: Do you understand that you can't come back later today and change your mind about anything? MS. DELIZIO: 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 atfirm the agreement loeviously 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 lie imposed by law and in particular Section 3105 of the Domestic Relations Code. WITNESS: Ke t 8. DeArmond Attorney for Plaintiff DATE: Frank P. Del?z o, IJI Andrew C. Sheely Wendy el z o Attorney for Def ndant ?- c? ,, _ ? tj?: i? r,• i .,? ?, i ? ? . t;?' ? i ,. ?? ? . ? ;:? t;;l 1 1 X11 ::J U ? V U rt 4 1 ma, twoQ f s'v91f d? ov"'VoO 9YUoY IiUM I Q W IIOi 1 VINPA I AINN14 1LN IAV9 191M19 JJXWVM DDII MV1 IV SAIN1O"v 4 , t FRANK P DCLILIO. III, Plaintiff V. WE'NDY DeI.IZIO. Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA No 'IJ -JgA7 CIVII.'I'ERM CIVIL ACTION - LAW IN DIVORCE NO'T'ICE 7'O DEFEND AND CLAIM RIGHTS YOU HAVE BEEN SUEZ) IN COURT. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You arc 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 I'or any claim or relief requested in these papers by the Plaintiff.. You may lose money or propenv or other rights important to vou. When the grounds 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 Prothonotarv at the Cumberland County Courthouse. Carlisle. Pennsvlvania. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OI' 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'I'IIIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH HELOW '1'O FIND OUT WHERE. YOU CAN GET LEGAL HELP. COURT ADMINISTRATOR CUMBERLAND COUNTY COURTHOUSE CARLISLE, PA 17013 (717)240.6200 FRANK 11. DCLILIO. Ill. 1'laintill' V. WI?NDY DCLILIO. Defendant IN 1111; COURT OI' MMMON PLEAS OF CUMBERLAND ('OUNTY. PENNSYLVANIA No. 0 V11.'I'I?RM CIVIL ACTION - LAW IN DIVORCE COMPLAINT IN DIVORCE UNDER SEC'T'ION 3301 (c) or SECTION 3301(d) OF THE DIVORCE CODE The Plaintiff. Drank P DeLizio . is an adult individual who currently resides at 204 Cumberland Drive. Camp Ifill. Cumberland County. Pennsylvania 17011. 2. The Defendant. Wendy DeLizio. is an adult individual whose current address is 128 Ifigh Street. Enola. Cumberland County. Pennsylvania 17025. 3. Plaintiff'has been a bona fide resident of the Commonwealth of Pennsylvania for at least six months immediately prior to the Illinu of this Complaint. 4. The Plaintifl,and the Defendant were manied on August 27. 1972 in Ilarrisburg. Pennsylvania 5 'The parties separated on or about Febniarv 1987. G The Defendant herein instituted a prior action of divorce or annulment with regard to This marriage in this jurisdiction but said action was dismissed Nu prior actions 1'rrr divorce or annulment have been instituted in another jurisdiction 7 There is one minor children by this marriage Data DeLizio born November I, 1977. 8 Neither party is it member of the Armed Forces of the United States of America. 9. The marriane is irretrievably broken. 10. The Plaintiff avers that lie has been advised of the availability of counseling and that he may have the right to request that the (bun require the panics to participate in counseling. WHEREFORE. The Plaintiff requests this Honorable Court to enter a Decree of Divorce in this matter pursuant to 3301(c) or 3301 (d) of the Divorce Code. Kcith IL DcArmond, Esquire Alluiuey ID Number 38878 2800 Market Street Camp I lill. PA 17011 (717) 730-9394 DATE: 21 :, VERIFICATION 1, PRANK 11. I)elAZIO, III the undersigned, Jo hereby eerily that the statentents made in the foregoing instrument are true and correct to the best ol'my knowledge, inlo ntation and Wier. I understand that statements herein are made subject to the penalties of 18 Pa. C S. Section 4904, relating to unsworn falsilicalion to authorities Date: a 7 ?5? i-; f-': _ n r?.. `? ??' ". , ; ;? c? , ?;_i;_ ?- ?._ i. '; L? ... L'i ?? ? ? .. w ? ? r ? . ? ? r ? ? ? i r i i ? •? ? FRANK 1' DELIZIO, III, PLAINTIFF Vs WENDY DELIZIO, DEFENDANT IN TIIE COURTOF COMMON FLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO 95-2427 CIVII. TFRM CIVIL AC'T'ION - LAW IN DIVORCF. ORDER i r AND NOW, this day of 1..1 --,.__ ? I')()6. ---_ ? _t! (? -1 ------,Esquire is appointed Master with respect to the following claims Divorce, Alimony, Alimony Pendente Lite, Equitable Distribution, Counsel Fees and Costs and Expenses By the Court, ?, 1 ,i: _.I I. ,,) .'? ,..'.. , FRANK P DELIZIO, III, PLAIN'T'IFF IN Tl IF COUR'T' OF COMMON PLEAS OF CUMBERLAND COUN'T'Y, PENNSYLVANIA VS WENDI' DELIZIO, DEFENDANT NO 95-2427 CIVIL TERM CIVIL ACTION - LAW IN DIVORCE MOTION FOR APPOINTMENT OF A DIVORCE MASTER Plaintill'moves the court to appoint a master with respect to the following claims: a Divorce b. Alimony c. Alimony Pendente Lite d Equitable Distribution e. Counsel Fees f Costs and Expenses and in the support of the motion state. 1. The Discovery is complete as to the claims for which the appointment or a master is requested 2. The Defendant has appeared in the action by her attorney, Andrew C Sheely, I-squire. 3 The statutory grounds for the divorce are 3301(c) 4 The action is contested with respect to the following action Divorce, Alimony, Alimony Pendente Lite, Equitable Disbribution, Counsel Fees and Costs and Expenses. 5 The action does not involve complex issues of law or fact Page 2 6. The hearing is expected to take one ( I ) day 7. Additional information, Warty, relevant to the motion: none Respectfully submitted, DeArmond & DeArmond Keith ti. DeArmond, Esquire Sup. Ct. I.D. # 58878 DeArmond & DeAmrond 2800 Market Street Camp Hill, PA 17011 (717) 730-9394 Dale: I Ali (4k CERTIFICATE F 'FRVI F AND NOW, this 30th day of January, 1996, 1, Keith B. DeAnnond, Esquire, do hereby certify that I have served a copy of the foregoing Motion for Appointment of a Divorce Master of Plaintiff, Frank P. DeLizio, III on this date by depositing a copy of the same by I st Class United States Mail, postage prepaid in Camp Hill, Pennsylvania, addressed lx Andrew C. Sheely, Esquire I West Main Street Shiremanstown, PA 17011 1 Keith B DeArmond, aquirc Attorney for Defendant 2800 Market Street Camp Hill, PA 17011 (717) 730-9394 FRANK P. DELIZIO, III, Plaintiff vs. t WENDY DELIZIO, S Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO, 95 - 2427 IN DIVORCE ORDER OF COURT AND NOW, this j day of .'} i, ( , 1996, the parties and counsel having entered into an agreement and stipulation resolving the economic issues on August 17, 1996, the date set for a Master's hearing, the agreement and stipulation having been transcribed and subsequently signed by the parties and counsel, the appointment of the Master is vacated, and counsel can conclude the proceedings by the filing of a praecipe to transmit the record with the affidavits of consent of the parties so that a final decree in divorce can be entered. BY THE COURT, Ha 1d Shee y, P.J. cc: Keith B. DeArmond Attorney for Plaintiff 0 y yE /'?fi[Ci 7na? ?r.C ' Andrew C. Sheely &Ut-- Attorney for Defendant nLrn-CTv CF Or T i. ' . , -8.11Y ??- arf CUM FRANK P. DELIZIO, III, Plaintiff Vs. WENDY L. DELIZIO, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA i i NO. 95 - 2427 IN DIVORCE THE MASTER: Today is Tuesday, August 13, 1996. Present for a Master's hearing are the Plaintiff, Frank P. Delizio, III, and his counsel Keith B. DeArmond, and the Defendant, Wendy L. Delizio, and her counsel Andrew C. Sheely. A divorce complaint was filed on May 5, 1995, raising grounds for divorce of irretrievable breakdown of the marriage. Both parties have signed this morning affidavits of consent and the waiver of notice of intention to request an entry of a divorce decree and have provided the original documents to the Master who will file the documents with the Prothonotary. Therefore, the divorce can be concluded under Section 7701(c) of the Domestic Relations Code. The Defendant, in response to the divorce complaint, filed an answer and counterclaim on June 14, 1995. The counterclaim raised the economic issues of equitable distribution, alimony, and counsel fees and costs. The Master has been advised that after negotiations this morning, the parties and counsel have reached an agreement with respect to the outstanding economic claims. 'rhe agreement is going to be placed on the record in the presence of the parties. The agreement, once it is placed on the record, will be considered the substantive agreement of the parties, not subject to any modification or changes except for correction of typographical errors which may be made during the transcription. Counsel and the parties will return later this morning to review the draft of the agreement for typographical errors and make any corrections as required. No corrections or changes can be made, however, to the substantive part of the agreement once it has been stated on the record at this time. After the parties and counsel have reviewed the agreement for typographical errors, they will affix their signatures by way of affirmation of the agreement and the Master will prepare an order vacating his appointment so that the parties can proceed to request the Court enter a final decree in divorce after the filing of the praecipe to transmit the record. It is the Master's understanding that accompanying the divorce decree will be a proposed alimony order to incorporate the terms of alimony as set forth in the agreement which is going to be entered on the record at this time. The parties were married on August 27, 1972, and were separated in February 1987. They are the natural parents of two children, both of whom are emancipated. Mr. Sheely. MR. SIIEELY: This agreement precedes a hearing before the Cumberland County Divorce Master on August 13, 1996. In order to resolve the economic issues raised in the pleadings, the parties agree as follows: 1. Plaintiff, Frank P. Delizio, III, shall pay nonmodifiable alimony to Defendant, Wendy L. Delizio in the amount of $676.00 per month, payable $712.00 biweekly, commencing on September 1, 1996. Said alimony payments shall not be modifiable until September 1, 2001. Plaintiff shall pay alimony notwithstanding Defendant's remarriage or cohabitation. Alimony shall cease upon either party's death. A separate alimony order shall be entered with the divorce decree. The alimony payments shall be deductable from Plaintiff's gross income and included In Defendant's gross income. 2. Upon the entry of the divorce decree, the parties shall notify the Cumberland County Domestic Relations office at which time the spousal support award shall cease and at which time alimony pendente lite shall become in effect in the amount of $676.00 per month until September 1, 1996, when the allmony pendento lite shall convert to alimony as provided herein. 7. On September 1, 2001, the payment of alimony shall decrease to an amount of $575.00 per month, at which time either party may petition the court of Common Pleas of Cumberland county for reduction or further modification of the payment of alimony. in the event wife is cohabiting or is married as of September 1, 1996, alimony shall cease. 4. All alimony payments shall be made payable through the Cumberland County Domestic! Relations office. Plaintiff shall continue to pay an amount, cif $11.00 to fully satisfy support arrears owing to Defendant in the amount of $575.00. 5. The parties have divided all personal property to their mutual satisfaction. 6. Except as herein otherwino provided, cauh party may dispose of his or her property in any way and each party hereby waives and rralinyuiehes any and all rights he or she may now have or horealter acquire under the present or future lawn of any lnrir;alictlon to share in the property of the estato of the other as a result of the marital relationship ineludinal 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. 7. Plaintiff shall maintain life insurance in the amount of $40,000.00, decreasing at an annual rate of $8,000.00 per year for a period of five years. Plaintiff shall provide written notice and verification to Defendant on September 1, 1996, and each year thereafter that said policy remains in effect. Defendant shall be named the sole beneficiary of such policy. 8. Both parties acknowledge that they are not aware of any outstanding marital debts. To the extent that such marital debts exist, Plaintiff shall remain responsible for such debt. 9. Wife hereby waives all claims for counsel fees and costs as raised in her counterclaim. 10. Defendant shall notify Plaintiff as to whether or not she is cohabiting or has remarried as of September 1, 2001, provided she is provided with Plaintiff's current address. MR. DeARMOND: Mr. Delizio, have you heard the agreement that Mr. Sheely recited on the record? MR. DELIZIO: Yes. MR. DeARMONDt Do you understand the agreement? MR. DELIZIO: Yes. MR. DeARMOND: Do you understand that the agreement as set forth on the record is not modifiable except to correct minor errors in punctuation and spelling? MR. DELIZIO: Yes. MR. SIIEELY: Wendy, have you heard the entire agreement which was recited by me? MS. DELIZIO: Yes. MR. SHEELY: Do you understand the entire agreement which was recited? MS. DELIZIO: Yes. MR. SIIEELY: Do you have any questions concerning this agreement at this time? MS. DELIZIO: No. MR. SHEELY: And do you understand the conditions which Mr. Elicker recited and which Mr. DeArmond just recited concerning the terms of the agreement? MS. DELIZIO: Yes. THE MASTER: Do you understand that you can't come back later today and change your mind about anything? MS. DELIZIO: 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 balow 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 7105 of the Domestic Relations Code. WITNESS: Ke t R- DeArmond Attorney for Plaintiff Andrew C. Sheel Attorney for Defendant DATE: -C Frank P. Del 4z o, II Wendy 1 z o FRANK 1' DELIZIO, 111, PLAINTIFF VS WENDY DELIZIO, DEFENDANT IN THE COURTOF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO 95.2427 CIVIL TI.'RM CIVIL ACTION - LAW IN DIVORCE A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on May 5, 1995 2 The marriage of Plaintiff and Defendant is irretrievably broken and ninety days have elapsed from the date of filing of the Complaint 3 1 consent to the entry of a final Decree of Divorce 4 1 understand that I may lose rights concerning alimony, division ol'property, lawyer's fees or expenses if 1 do not claim them before a divorce is granted I verify that the statements made in this aflidavil 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 ? Date AX-41V -art Frank P DeLirio, 11 , I'lairiO .. r•; ?,, c, „=, ? ,? i1= . ? ?'i ' ? 1 c?i ? . ; , , -j _ ill L. ! { Y. 1 : , A ???? U ki !:1. C? ?'? ) V 1 l? FRANK 1' DEIAZIO, III, PLAINTIFF VS WENDY DELIZIO, I)EFI NI)AN'I' IN THE COURTOF COMMON PLEAS OF CUMli1 BLAND COUNTY, PENNSYLVANIA NO 95-2427 CIVIL TERM CIVIL ACTION - LAW IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REOUES1 ' ENTRY OF A DI VORCE DECREE: TINDER SECTION 3301(cl OF THE DIVORCE CODE 1. I consent to the entry of a final Decree of Divorce without notice 2. 1 understand that 1 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. 1 understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is tiled with the Prothonotary. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 I's C S Section 4904 relating to unswom falsification to authorities Date r>u_--may' ;; Frank-IS Del.izio, III, Plam ilj is r y .t 1,14 FRANK P. DELIZIO, III, IN 'I'Iili C'OUR'1' OF COMMON PLEAS OF PLAINTIFF CUMBERLAND COUN'T'Y, PUNNSYLVANIA VS. NO 95-2427 CIVIL TERM CIVIL ACTION - LAW WENDY DULIZIO, DEFENDANT IN DIVORCE: AFFIVAVITOF CONSENT 1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on May 5, 1995. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety days have elapsed from the date of filing of the Complaint. 3. 1 consent to the entry of a final Decree of Divorce. 4. 1 understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if 1 do not claim them before a divorce is granted. 1 verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa C S. Section 4904 relating to unsworn falsification to authorities. -r Wendy beLizio, Defendant c' C ?? KA ? ? P ? ?, nn l _ _ ? -f {- t, tCi l ?? ?'t Cl 11) u. _) C.) FRANK P. DELIZIO, III, PLAINTIFF VS. WENDY DELIZIO, DEFENDANT IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 95-2427 CIVIL TERM CIVIL ACTION - LAW IN DIVORCE WAIVER OF NOTI M? CE INTENTI ENTRY OF A DIVOR DEC SECTION g3nuct OF TII DIV ON T REn1tF c7 REE TINDER OR CODE I. 1 consent to the entry of a final Decree of Divorce without notice. 2. 1 understand that 1 may lose rights concerning alimony, division of property, lawyer's fees or expenses if 1 do not claim them before a divorce is granted. 3. 1 understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the Prothonotary I verify that the statements made in this affidavit are true and correct. 1 understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904 relating to unswom falsification to authorities. Dale: S ?_? Wendy Deltizio, Defendant hl 1- ? 1lL Gi FRANK P. DELIZIO, III, IN 'fHE COURT 017 COMMON PLEAS OF PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA VS. NO. 95-2427 CILIL TERM CIVIL ACTION - LAW WENDY DELIZIO, DEFENDANT IN DIVORCE AND NOW, this 19th day of December, 1995, I, Keith 13 DeArmond, Esquire, do hereby certify that I have served a copy or the foregoing Income & Expense Statement and Inventory of Plaintiff, Frank P. DeLizio, III, on this date by depositing a copy of the same by 1 st Class United States Mail, postage prepaid in Camp Hill, Pennsylvania, addressed to: Andrew C. Sheely, Esquire I West Main Street Shiremanstown, PA 17011 r Keith 13. DeArmond, Esquire Attorney for Plaintiff 2800 Market Street Camp Hill, PA 17011 (717) 730-9394 it? l CL- u. (tij :?__ ?ll Ll.i tlIt 1:.?? r` J CfSx1 V l! ? y "Ar. (?Ytnrr+ni/ 'aa "Ar 4 rneine/ At IININI YN At 1 AW 2111111 MAIIKI 1 WillI I CAMP 11111. I'I NNIM VANIA 11011 KEITH D. DeANMOND 1111) VIO 9;191 JACKIE J. DeARMOND August 19, 1996 Office of the Prothonotary Cumberland County Court House I Court House Square Carlisle, PA 17013 RE Delizio v Delitio Dear Sir/Madam Unclosed fill filing please find the Praecipe to Transmit the Record in the above referenced divorce action When f nishied, kindly return a copy ofthe Decree in the enclosed envelope. If you have any questions, please do not hesitate to contact my office. Thank you for your attention in this mallet Very truly yours, DeArnrond & DeArmond Keith II DeArniond, Esquire KBIMm Enclosure cc Andy Sheely, Uaquke Frank DeWitt u Y w Y ,t .. lA x , 4 R A 1 ? Y FRANK P. DeLIZI0, III, Plaintiff vs. WENDY DeLIZIO, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 95-2427 CIVIL TERM IN DIVORCE ANSWER AND COUNTERCLAIM Wendy DeLizio, Defendant, by and through counsel of Andrew C. Sheely, Esquire, files this Answer and Counterclaim in the above- captioned matter and respectfully states as follows: 1. Admitted. 2. Admitted. ]. Admitted. 4. Admitted. 5. Admitted with clarification. The parties were separated in January 1967. 6. Admitted. 7. Admitted. S. Admitted. 9. The allogations contained in Paragraph 9 are conclusions of law to which no response is deemed necessary. To the extent a response is necessary, the allegations are denied. 10. Admitted upon information and belief. 11. Paragraphs 1 through 10 of this Answer and Counterclaim are incorporated herein by reference as though set forth in full. 12. Plaintiff and Defendant have acquired property, during their marriage until the date of their separation, which property is marital. 13. Defendant requests this Court to preserve her right to have all marital property of the parties equitably distributed. ' COUNT II 11 INON" 14. Paragraphs 1 through 13 of this Answer and counterclaim are incorporated herein by reference as though set forth in full. 15. Defendant lacks sufficient property to provide for her reasonable means and is unable to adequately support herself through appropriate employment. 16. Defendant requires reasonable support to adequately maintain herself. 17. Defendant requests this court to preserve her right to seek an award of reasonable temporary alimony and additional sums as may become necessary from time to time hereafter until final hearing and permanent alimony thereafter. COUNT III• CO(JRT G08T8 ti- ?n? a: 18. Paragraphs 1 through 17 of this Answer and Counterclaim are incorporated herein by reference as though set forth in full. 19. Defendant has employed counsel, but is unable to pay the necessary and reasonable attorneys fees for said counsel. WHEREFORE, Defendant requests your Honorable Court to: (A) Enter a Decree in Divorce, divorcing the parties from the bonds of matrimony heretofore existing between them at such time as the 2 economic claims raised in this Counterclaim are fully and finally resolved; (B) Order equitable distribution of marital property; (C) Enter an award of alimony pendente lite, interim counsel fees, costs and expenses, until file hearing and thereupon award such additional alimony, counsel fees, costs and expenses as the Court deems appropriate. Respectfully submitted, N(VAMW C. %.at Andrew C. Sheely, Estire Pa. I.D. No. 62469 v 1 West Main Street Shiremanstown, PA 17011 (717) 737-5761 Attorney for Defendant 3 I verify that the statements made in the foregoing Answer and Counterclaim are true and correct to the best of my knowledge, informa- tion and belief. I understand that unsworn statements herein are made subject to the penalties of 18 Pa. C.S.A. Section 4904, relating to unsworn falsification to authorities. DATE: >1/ U.%/ /lF?(./ Yll? ? & CO/6 WENDY DWILIZIO -/ I, Andrew C. Shealy, Esquire, hereby certify that I am this day serving the foregoing Answer and Counterclaim upon the following named individual this day by depositing same in the United States Mail, First class, postage prepaid, at Shiremanstown, Pennsylvania, addressed as follows: Keith B. DeArmond, Esquire 2500 Market Street Camp Hill, PA 17011 Date i 4tt(tj ( J'\,` Andrew C. Sheely squire ? ? ? `? ?: "? u :: ? u _ 4 : '., ?? :: ?. ?? ,__ rn ? ? V 7 , ?u ? 1' = r:, ?. ? y 4 lr- ? ' ? ? c3 i% ?? FRANK P DHLILIO, III, PLAINTIFF VS IN THE COURT OF COMMON PLEAS OI' CUMIII:RLAND COUNTY, PENNSYLVANIA NO 95-2427 CIVIL TEICM CIVIL ACTION - LAW WINDY DEIAZIO, DEFENDANT IN DIVORCE, ANSWER TO ME.NDANT'ti OUNT 'R C1 ,A151 Frank P DeLizio, III, by and through his attorney, Keith 11 DcArn ond, Esquire, files this Answer to Defendant's Counter claim in the above captioned matter and respectfully states as follows. COUNT 1-EQUITABLE DISTRIBUTION I I No response is required 12 Admitted 13 No response is required COUNT II - AI IM )NY 14 Paragraphs 1-U of Plainlill's Complaint and his Answer to Defendant's counterclaim are incorporated herein by refivience as ifset lirlh at length 15 After reasonable investigation, Plaintill'is without sufficient knowledge to firm a belief as to the truth of the averments of Paragraph 15 Thereli le, each and every averment of Paragraph 15 is specifically denied and strict proof thereof is demanded at the time of trial 16 After reasonable investigation, plaint ill' is without sulliciem knowledge to f gn, a belief as to the Irulb of the averments ol'Paragraph I6 The'chre, each slid every averment of Paragraph 16 is specifically denied and strict proof thereof is demanded of the time of trial 17 No response is required IN Paragraphs 1-17 ol'Plaintill's Cortgrlawl and his Answer to Defendant's Counterclaim ate incorporated herein by felireuce as d' So funh at Icngllt Page 2 19 Aller reasonable investigation, Plaintill'is without sullicient knowledge to form a beliefas to the truth of the averments of Paragraph 19 't'herefore, each and every averment of I'magraph 19 is specifically denied and strict proof thereof is demanded at the time of trial Wlfl?Rla'ORI;, Plaintifl'requests your lfonorabic ('ours to a) linter a Dcctee in Divorce, divorcing the parties from the bonds of matrimony, and b) Order equitable distribution of marital property, and c) Deny Def'endant's request for Alimony Pendente l.ite, interim counsel fees, costs and expenses, additional Alimony, counsel fees. costs and expenses Respectfully submitted, DeArmund fat DeArmund 4 Keith It DeArmond, Esquire Attorney for I'laintifl' 11058878 2800 Market Street Camp Ifill, PA 17011 (717)710-9194 YERH ICA'1 M 1, Drank 1' DcHzio, III, the undersigned, do hereby vciity that the statements made in the foregoing instrument ate true and correct 10 the best ul'my knurtiledge, information and belief I understand that statements herein we made subject 10 the penalties of IN pa (' S Section 4904, relating to unsworn falsification to authorities prank 1 Del.iq), III Date ; CERTIFICATE OF SERVICE, AND NOW, this 7th day of February, 1996, I, Keith 13 UeArmond, Esquire, do hereby certify that I have served a copy of the foregoing Answer to Defendant's Counter Claim on this date by depositing a copy of the same by I st Class United States Mail, postage prepaid in Camp Hill, Pennsylvania, addressed to Andrew C Sheely, Esquire I West Main Street Shiremanstown, PA 17011 Keith 11 DeArmond, lisquire Attorney for Plaintiff 2800 Market Street Camp Hill, PA 17011 (717) 730-9394 FRANK P. DELIZI0, III s Plaintiff s i V. s s WENDY L. DELIZIO t Defendant s IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 95 - 2427 IN DIVORCE Defendant, Wendy L. DeLizio, by and through her attorney, Andrew C. Shealy, Esquire, hereby files this pre-trial statement pursuant to Pa. R.C.P. 1920.33 and respectfully states as followss (1) List of Assets (i) A list of marital assets in attached hereto an s:hibit 111VI. Defendant reserves the right to supplement the list and mend the values thereof at the Kanter's Hearing due to the changing values of the marital assets and liabilities. IN THE 03M OF CCI4" PLEAS OF CLHNMIAND COUNTY, PMISYLVANIA 95 - 2427 CIVIL IN DIVORCE FRANK P. DELIZIO, III i SUMMARY OF DIVISION OF ASSETS 6 LTABIL TIIS WENDY L. DELIZIO PLAINTIFF AC03JNIWC FUR RESULM OF SALE TOTAL. PIi7®B ANTICIPATED FTM SALE(S): $0.00 LESS TOTAL MIM TO BE PAID FROM SAT (S): ( $0.00) LESS HOBABLE COSTS OF SALE AT 5.00004 ( $0.00) NET RUCEED9 DISTRIBUTABLE FTM SALE(S) t $0.00 ALLOCATION OF MARITAL ASSETS AND LTABILXrIFS HUSBAND WIFE PERCENTAGE DIVISION OF MARITAL EQUITY: 50.0000% 50.0000; MARITAL ASSETS TO BE RETAINED IN KIND: $22,833.34 $325.00 MARITAL MM TO BE ASSU EDt $0.00 $0.00 NET SALE PROCEEDS DISTRIBUTABLE: $0.00 $0.00 CASH PAYMENT TO (MM) TO BALANCE: ( -$11,254.17) $11,254.17 NET MARI771L EQUTTYt $11,579.17 $11,579.17 SUMMARY OF NOMARITAL. ASSETS AND IIABILITIES HUSBAND 4Ot7AL NON4ARTTAL ASSETSt $0.00 70M NON4IRITAL LIABILITIES: $0.00 NET NONdARITAL EQUITY: $0.00 PREPARED BY: Andrew C. Sheely, Esquire WIFE $0.00 $0.00 $0.00 03-08-1996 VY141A T "A" FRMW P. DELIZIO, III PLADYTIFF i MMM LIST OF MARITAL AND NONMARITAL ASSETS AND LIABILITIES WENDY L. DELIZIO DEFENDW NO. DFSQtIPTION OF ASSET OR LIABILITY DISP F.M. VALpE 1 1976 Ford Van HUSB $350 00 2 3 1975 Triumph Caprice Classic HNB . $3,000.00 4 Kiscallarimm Household Furniture N NM BOTH 5 Kisc. Bank Accounts ? $11.00 6 Proosede from sale of marital r+esiderhoe BOTH 7 Duplex Pro&xts profit sharing withdrawl HUSK $18 000.00 8 Stock Purchase Plan with Duplex Pro&=ts HUSS 1 9 Life Irheurance btih U dar value IKMB $672 34 10 Life Insurance Surrerdar Value WIFE . $325 00 11 Duplex Stock HUSB . $800.00 TOTAL VALUE OF MARTIAL AND NON4APMAL ASSETS: 7OML AN]tW OF MARITAL AND NONMARML LIABILITIES: NET MARITAL AND NMROA TAL EQUITY: PREPAIM BY: kxh w C. Shealy, Esquire $23,158.34 ( $0.00) $23,158.34 03-08-1996 FRANK P. DELIZIO, III PLAINPIFF i MARITAL ASSETS AND LIABILITIES ALLOCATED TO HUSBAND WENDY L. LXELIZIO DEPENDAHr N0. DESCRIPTION OF ASSET OR LIABILTTY F.M. VALUE 1 1976 Forts Van $350.00 2 1975 Triumph $3,000.00 4 Misoallanixxo Household Furniture 5 Misc. Bank Aooaunts $11.00 6 Proceeds from vale of marital residence 7 Duplex Products profit sharing withdrawl $18,000.00 8 Stock Purd ese Plan with Diplex Products 9 Life Insurance Surrender value $672.34 11 D:plex stock $800.00 I 1 Z =]AL VALUE OF MARITAL ASSETS ALLOCATED TU HUSBAND: $22,833.34 TOTAL AMOUNT OF MARITAL LIABILITIES ASSUMED BY HUSBAND: ( $0.00) NET MARITAL EWITY ALLOCATED IN KIND TO HUSBAND: $22,833.34 SWARM BYi Andrew C. Shealy, Esquire 03-08-1996 FRAM( P. DELIZIO, III PLADMFF NONAIRITAL ASSETS AND LIA9ILITIFS CIAZ<IED BY HUSBAND WENDY L. DELIZIO DEFENDANT NO. OF ASSET OR L14BILTTY F.M. VALUE 3 Caprice Classic TOTAL VAIUE OF MONiARML ASSETS CL%M= BY HUSBANDt TOTAL AMOUNT OF NON MARITAL LIABILITIES OWED BY HUSBAND: NET NO#QIRPTAL D(XJTTTY CLAIMED BY HUSBAND: $0.00 ( $0.00) $0.00 PREPARED BYt Ardr w C. Shealy, Esquire 03-08-1996 FRANK P. DELIZIO, III PLAINTIFF L MARITAL ASSETS AND LiABILPPIFS ALLOCATED ZO WIFE WENDY L. DELIZIO DEFENDANT NO. DESCRIPTION OF ASSET OR LIABILITY F.M. VALUE 4 Misoellerteous Household Furniture 6 Prooseds from sale of marital reside:toe 10 Life Insurarne Surrender Value $325.00 TOTAL VAIDE OF MARITAL ASSETS ALLOCATED M WIFE: TOM AMOUNT OF MARITAL LSABILX= ASSUMED BY WIFEt NET MARITAL EQUITY AILOCKM IN KIND TO WIFE: $325.00 ( $0.00) $325.00 PREPARED BY: A:rlrew C. Sheely, Esquire 03-08-1996 (Z) Name and Address of Expert witnesses (i) Defendant believes that the parties are willing to stipulate to the value of the majority or all marital assets listed in Exhibit IgVI. Accordingly, no experts testimony is deemed necessary. (3) Witnesses for Defendant (i) At this point, it is believed that no witnesses will be necessary on behalf of Defendant. However, to the extent that Defendant intends to raise any issues involving marital fault, Defendant reserves the right to call all necessary witnesses as deemed appropriate. Defendant will notify the Master and opposing counsel of the names and addresses of any individuals who will be called to prove marital fault. (4) List of Exhibits (i) Defendant reserves the right to support Exhibit "All with evidence in the fora of exhibits to document the valuation and asset and liability ¦et forth on such exhibit. Due to the lenght of time between distribution and dissipation of marital assets, and due to the fact that Plaintiff has the majority of this information in his possession, Defendant has set forth believed values. Defendant believes that all items listed on Exhibit 'Oh'O will be stipulated to by the parties. Defendant reserves the right to supplement the attached list with additional items in the future. 4 (5) Defendant's Gross Income, payroll deductions, net income, federal income tax returns and pay roll stubst (i) Copies of Defendant's 1995 Federal Income Tax Return, a ¦-Z wage and tax statement, a recent pay stub and information relative Defendant's health insurance are attached hereto as Exhibit 00811. Defendant reserves the right to supplement this paragraph as additional items are requested, to the extent they exist. 5 ,F. r. c r1 I j y N '01 01 rn fh \p N O c• ? c Lr ' t\i ~ l T$O V U Y C J u U- 2 ?o H C a o. 1 m In I I N n 1n .? NON)O n a p? 10 0 rv NN 1n ?i o uI " 1T. A 10 v+ Ol 10 IC "? N?+M O? rJ ti C Ul • 1G x x a Q W Q Q K V ¢ ? 1- in u W J S .-uoasu?' s ow.-oux li N S N J ? 1-. M 9;1 v N - n N ? In r M C Uri '? 7 D\ O S k 6 N \ •- 1n z - O o?Q?o N ? N N N ?C o IoNQ •i n n 'n ? W ?? N • r T 1 W 1J W 1^ S K _ 0OO liq to WOO inj n G Ip N n O M n m f'1 > vi n 10 .+ ur ? to ?? m^ M n ry ? Ny ry N co N o d m ? ID?N?r?'1 1 ~ ' N p? Y1 nNjn? N l0? U = CI 9 C W my rl8 K Q F- K i( W W 1'?7* I-. N W J = F- yr LL uw{Ja ? u NZVIJuN CsJ O a p OONS y? F O N 10 K W mn w .+ n N m Y i J o a a MOIng U W on ?? O 0 U . o ? W u l Oz yO? Z W py = N J p 0 O ?, ?v Nrn In Q o m ? n a Wk ?(n r NNNNN C d J C : y000 . O" m lL " 01'^0°0 °00° o N '- r C t ¢ 4 p ry N O N N N O ?E r, W ? C Q c 0 Q ? L M y } ?- In 1.y T N VI vl ?,,,1.? W N ?WJ W V pt. ma s ( y ? Z K 1"? q l4 N _ ?a inn. C wo- OLL •? C ro v'Lu E ? aL ?En P rm Department of Ina Tessury-lPlemel Revenue 5erv,c. ' 1640A U.S. Individual Income Tax Return in 1995 iris use only-oo roll ar le or staple In this space OMB Na. 1545.0085 11 n number Label (sN page 151 Use the IRS label. olharwlse, prsese print or type Check the box for your filing status (see page 701 Check only one box. Your Nal ,Inui end -1-V 1,86116m. C ` 1 , ealMlr.4nn IMUO a Ww qm. am ndVl tell W. L W" Wd,.u Ir",m1`w.M'Inset it,. ,0.0 ou 11 1M o.1. 11 N _ ?1L1L1? ?' -- C, loco a pa11 dmrl n.l...nd 11p end. I'. It... . Irvwyn Ital.., 1.. Pape ,1 5 v;\ n idential Election Camp ign Fund tsee page 19) P • o res ou want $9 to go to this fund? Do ? y If a taint return, does your spouse want $9 to go to this fund? our sae a seeu ly 3cPr?7 ;?x-1-11 spou".4 Neill W^ number For Privacy Act and Paperwork Reduction Act Notice, pee page 11. Note: Checking "Yet' will not change your tax or nducs our refund. 1 ? Single 2 ? Married filing joint return (even it only ons had income) 3 ? Married filing separate return. Enter spouse's social security number above and full name here. ? 4 Ga'Head of household (with qualifying person). (See page 21.) If the qualifying person Is a child but not your dependent, enter this child's name here. ? B ? Qualifying widow(er) with dependent child ( ear spouse died ? 19 Sea page 22. ea Yourself. If your patent (or someone else) can claim you as a dependent on his or her to Me. or bases telurn, do not check bas Be But be sure to check the bas on One tab on pegs 9. oa irM N your exemptions is" page 27 ) n more than seven dependenla sae page 75 Figure your adjusted gross Income Ahaeh Copy a of yaw Forms W-9 and IM." here. II you dldn I gel a wa. its page 71 gmroso but do nor eligh. any payment t? ul f? Ili a?seo s n C Dependents: III First name Lost name 121 Dnpendenfs socbl security number 11 bom in 1995, sae pago 25. tJl Ocpendent's to atlonshlp to you (4) o, o months lived in your home r d If your child didn't live with you but is claimed as your dependent under a pre-1985 agreement, check here ? ? 7 Wages, salarids, tips, etc. form(e). Attach Form(s) W Be Taxable interest income Schedule 1. Total IFIA 11a Total pensions and annuities. 13a Social security its should be shown In box 1 of your W (see page 28). If over $400, attar ctude on line 8a. 8b i Schedule 1. 105 Taxable amount (set-psi! 9L 115 Taxable amount (see page _2Q . In (see afle 9_2L___ 13b Taxable amount No. of yaw hildrehl on WADI 10 fixed With you 1 a didn't Sys with you due to divorce er "Pop" Depend d s1, anww steers 14 Add lines 7 through 195 far right column) This is our total InCOme, ? ' 12-3 i a Your I deduction sill see 95L_ -1 be CO. b Spouse's If1A deduction See paOe 951 15h _ o Add lines 15a and 15b. These are your lot 11 sdjustments, C is Subtract line 15c from line 14. This is your adjusted gross Income. It less than $28,819 and a child lived with you pass then 19,290 If a child r _ didn't live with you), see "Earned income credil" on page 47. ? 18 Cat No 129025 IM Form 1040A page 1 1995 Form 104OA page 2 Figure your standard deduction, exemption amount, and taxable Income Figure your tax, credits, and payments If you want the IRS to figure youx tar, see the Instructions for line 22 on page 41. Figure your refund or amount you owe 184 Check ? You were 65 or older ? Blind Enter number of if: ? Spouse was 65 or older ? Blind } boxes checked ? 18a b If your parent (or someone else) can claim you as a dependent, check here. ? 18b ? c If you are married filing separately and your spouse itemizes deductions, see page 40 and check here ? 18c ? 19 Enter the standard deduction shown below for your filing status. But If you checked any box on line 184 or b, go to page 40 to find your standard deduction. It you checked box 18c, enter -0-. e Single-$3,900 a Married filing jointly or Qualifying widow(er)-$6,580 e Head of household-E5,750 a Married filing separately-53,278 I 22 Subtract line 21 from line 20. If line 21 is more than line 20, enter -0-. This Is your taxable Income. ? 23 Find the tax on the amount on line 22. Check If from: G?Tax Table (pages 65-70 or ? Form 8615 see page 42). 24a Credit for child and dependent care expenses. Attach Schedule 2. 24a b Credit for the elderly or the disabled, 29a Total Federal Income tax withheld. If any Is from Form(s) 1099, check here. ? O b 1995 estimated tax payments and amount c earned Income credit. Attach Schedule EIC if You have a nualifvinn rhild nn_ 7 r !?.? n amount ? O C) and type ? d Add lines 29s, 29b, and 29c (don't include nontaxable earned IncomThese are Your total payments. e f. 29 30 If line 29d is more than line 28, subtract line 28 from line 29d. This Is the amount you overpaid. 30 V mmount o I a-30 ou wanl n un ed to you. 1 32 Amount of line 30 you want applied to your 1996 estimated tut, a2 33 If line 28 Is more than line 29d, subtract line 29d from line 28. This Is the amount you owe. For details on how to pay, Including what to write your payment, see pjae 55. 333 4 Estimated tax penalty (see page 68). e. Also, Include on line 33. 34 U11 (lM,alllee or lury, 1 oeciare Ihan 1 hs+a eram,neo Ihre ralum a" ki;an",1 soh@"se an Z Sign your bell of my am* ge eno bezel they A,e I'll, coned, and accurate oil ail Mleyny?I return the 14 yM DKls,s Ion of wPa,' (01140, Ihsn the WOW a b-.-- M es No nelbn q M 101 p M yme ylbnolure ONe au atusellon KNp copy of Umm 1? , 011 this Iel W0 for , epouU ntlUq it ynnl Hlu,n IN mwl qqn Gab I e,m,N' ao ttti? your records f s IgNbn vo,u Pnwml Gm /reGVor's eeN preparer's sgnao,. ahlt/4 use only i ?ni gimme 10, y,?a - __ -- - e? 1 --- BCHBDULE EIC (Form 1040A or 1010) 0aoanmrM of as Imm" in NYna NemNai drown on retum Earned Income Credit (Qualifying Child Information) ? Attach to form 1040A or 1040. ? Ilea instructions on back. , "OMB No. te45 a 1095 Before You Begin . . a Answer the questions on page 47 of the Form 1040A instructions or page 27 of the Form 1040 Instructions to see if you can take this credit. credit. e if you can take the credit, fill in the worksheet on page 48 (1040A) or page 28 (1040) to figure your out if you want the Ins to figure It for you, see page 42 (1040A) or page 38 (1010)• Then, you must complete and attach Schedule EIC only if you have a qualifying child (see boxes on back). Information About Your Qualifying Child or Children it you have more than two qualifying children, you only have to list two to get the maximum credit. Cautions 11 you don't attach Schedule EIC and fill in all Chli (b) Child 2 • :dl VV Imes that apply, If will fake us longer to process your I I return and issue your refund. Fx+r reams Lui name FF.tstema Lau name Child's name , . . • • . . ,. . • . ' ' 19.7. ig?_ I Child's year of birth . . . . . • • • . I It the child was born before 1977 AND- was under ape 24 at the and of 1995 and a student. ? Yes ? Vu check the "Yn' box, OR . . . `_ Is was permanently and totally disabled (see back), ? yes ? Vse _J check the "Yes" box . . . . . . . 4 Enter the child's social security number. If born in 1995, see --- Instructions on back - -- - -- - -- for 1?„ r v 6 Child's relationship to you ( randchild, etc.) son L .- l , , g .?. examp e, i w sr ? F 4 Number of months child lived wilt, months months you In the United States in 1995 T ou went the earned income credit added 10 your lake home pay Do in 19957 To Ne 11 you qualify, gel ® y roan We from your employer or by calling the IRS at 1 so0-TAX-FORM 0-600 529.95761, cxt No ?n k Reduction Act Notice, Ilse Form iWDA 2011340 aaMdule !10 (?am IOWA or 110401 )Flat ? for paperwor or 1040 instructions, 00 Ln {1r 0,1 N RM 275) • EMPLOYEE ? {o o [ a c S n ?a ! ? N 4 ? 1 ? W E r W 7 ?m n ri v e 6 9{ C> \ u .7 lF , r{ n r, + rJm J q J O W Uqr{ 1 ? u u u a i x . z i a •+ a f m N W j ? n ? °' ¦ tl Y . + r' N ,1 [4 Yi • u Wm,: v 7 ,e • ICY.{ ?CI 41 {1 w (, i J x 1 m 41 J Y u 1 u !W n r{ ., ;iA4-- na 11 4 1 m ? n r. o n { Y r, n 11 n 4 1 E tl YI I? [F1F!1 f: COPIES r1 n • m 4i { ul P { : N , ?u n m r, • N 111 m {I a t I . (Black) yr i a pJ,n n g@9 t C pY i{ o Rxu ? a ? C 0 a + +E .i 111 + { ?a y c 1;n n i n @ A t n t r, ) 1 e n a a. 4 ? E .. a t P14INIED IN USA m ? n E YI m . J m ?C n ° m O m N tl r{ N q .v n 1 n i?+m i ? 9- r _ r n 0; : h ?m Em r- x J .1 _LJ m tl o o N i + 1 ir{In a DD J? Y 4 t? 0? r -AINNSYLVANIA 1RSIOtNTS ONLY A OFFICIAL USE ONLY -40R INCOME P TAX RETURN 9 "'YOU MUST FILE BY MID1,0011T MONDAY APRIL 15 1996"' L) Fiscal wu File, epuuorq levy Emp... A I99e f H 5 Commonwealth of Pennsylvania P DepmhnUnl o ovunU® IYFB neR MXo-a Orte d.l r M MAN Social Security Number Spnues I Smov 56# unly Nonowr-(Yen if filing aeparalaly d F Mar a?ems YI rW Check Ham Orel' % e hrl her RBrMM Name aY. FUM W o Middle Ws" soot's 1 NAME OF 111E ICINXX. 01811110 mber 31. IML eaMn you am Mcca ,L(y'? (J y 1 rq N? i0e .11^ L??_ 1 ?r BM 1 mkre? u M - F No i u Au, a o- ?aN-t7irKF iw U mat ? ? ?- VCl IIn1Ll.MYin NOfY dal7ohT COFIf -• ? l !? 01 1 l A N11 fit Cari GrEd a 1W WILL NOT NEED A 1188 M pol aODMI II to OROS$ PENNSYLVANIA COMPENSATION a 00 INDICATE "ON MANY Ib UNREIMBURSEO EMPLOYE BUSINESS EXPENSES 1b (f , l?lK -- - 00 OF 94CH FOAM OR SCHEDULE It PACKET to TAXABLE PA COMPENSATION Bublr4d 1,119 111 onto t ,he IS 1c_ f ? liT 00 # of Nrme we E TAXABLE INTEREST Complete PA Schedule A if over et (X1O 2 00 E of Schedules UE _- 0 TAMABLE DIVIDENDS Complete PA Schedule S d OYm 610110 _ _ J 00 8 of 8chedults A 4 NET INCOME or (1.088( from the OPERATION at 4 BUSINESS PROFESSION nr FARM 4 _ 00 1 of Schedules B 9 NET GAIN or (LOSS( from the SALE. €XCHANCIF of DISPOSITION or PnOPE RIY 6 10 M 00 1 of Schedules r b AMOUNT of GAIN EXCLUDED on PA Schedule PA 19 EA C. (J", _, On F of Schedules RN I E NET INCOME or (LOSS( from RENTS ROYALTIES. PATENTS or COPYRIGHtS 6 0 00 00 t of Schedules F T ESTATE and TRUST INCOME i 0. 00 00 1 Of Schedules CF S GAMBLING and LOP€ERY WINNNOS s 00 1 of Schedules D _- 9 TOTAL PA TAXABLE INCOME Add Lino Ic. E. J. 4. 6. 6. i, and 6 Do Nor Deduct Loteee 9 '7 Q 00 1 of Schedules 0 71 10 PA TAX LIABILITY. MUNlply Line E by 111 100281 10 00 1 of Schedules PA 19 if TOTAL PA TAX WITHHELD n 00 1 of Schedules f 16#/ ESTIMATED PAYMENTS AND CREDITS. Rod the Instructions on plot 10 1 of Schedules J Its CREDIT from 1994 PA TAX RETURN 121 Uri )6 OD E of Schedules 0 1 IEb 1996 ESTIMATED INSTALLMENT PAYMENTS H @c PAYMENT with 1"1 EXTENSION REQUEST 17c ttd TOTAL ESTIMATED CREDIT Add Lines 12aU7b and t2c 00 TAX FORGIVENESS II6m PA SCHEDULE EP Road the Ineuucuons boeloning an page 16 6chedute SP 10a HOUSEHOLD MEMBERS from line 4 Pan 11 PA Schedule SP 3A (r) ?cX t (Check Only it claming _ Me ELIGIBILITY INCOME from Line 1, Pell 01 PA SOrduls SP 1711 { ) 1. A ) W tae forgiveness) _ f 10c YOUR TOTAL INCOME from line 21. $lgl 6 SP W010h51461 Itt -- ! L 41 DO 10d TAX FORGIVENESS hom t me 6. Pen 111 PA SI hadule SO Ud __ 00 1 of Schedules 0 14 TOTAL CREDIT our TAXES PAID b OTHER STATES or COON I HIE5 14 00 1 Of Schedules W 19 EMPLOYMENT INCENTIVE PAYMENTS CREDIT i6 If TOTAL CREDITS and PAYMENTS And tmas 11. 1201 Ud a aunt 15 16 ash 00 17 TAX DUE III lens 19 Is more then tine IE, left? to page If and complete PA Peymtnr Voucher on page so I 11 DO IS OVERPAYMENT (Lens is to mine than i me 101 1B ' _ __-Q (?^ DO _ Its Its AMOUNT of LINE 14 to be REFUNDED - - 198 W ll? _ Ith AMOUNT Of LINE O b bs CREDITED to pow 1998 ESTIMATED TAX All 001,11 1 9b ISO AMOUNT or LIP41 is to be OONAIED in WRO RF 5DURf t f.~41VATION FUND Ih ?..-_ (J.. -') 00 Ltd AMOUNT of ONE 11 to be DONAIEO 10115 OIVMPI(, COMMIT 1[E PA DIVISUpI IN a _ ) 00 _ - The 10TAL. 01 1 lane 194 through led MUSt Equal Line to 640 wade ilium" uses ewer M PKW V tin a ry Awwl W o6# 116# I (.1 sure O.Wous an olwe w lairg M Aumee01A 4 lY Wp1 "1 RBuMis -e Y of wool OFT (avoided 4 is on will Me 6#00411 W Yom cuP lbn _._ ... ?.<,(A I{I1`L[lYJ.n ?pd1r e g_le fiale (spouse; Lu noun A Of SURE YOU (AND TOUR 6h0UEH 11ON TMICA All MAIN ADACN AT 161111011111 Alto fORMA nayiI A BbbIgp@Non,p 11j, _ ' i I w Z FMUUNS IArotn w Z c. .. 1 - E EMPLOYEE BUSINESS EXPENSES IABAtn State 0111.111.1. lit I UVt Ilunul en AM, 41 2 - (??? 7 11 I ? 1 IAA ABLE W I IAll NINOS ISuU1-1111'1. , Irmn t+1Y I I - ' A OILIER IAA ABIE EAREAL U INCOME Il/u nnneet ELrwAnUf m """Y"Ymem 0...CIS Anon BuMmmny Oocumonll A ICU 1 TOTAL TAXABLF EARNED INCUME AtFORr NE1 PnCI IO 11"vH "I'M SELF IMPLpYMENI 1 I - I 1 _• 1A40 U11e11 12r1041 1 NET LOSS FROM SELF EMPLOYED BUSINESS PROFESSION. OR IARM - / ' 1.J IUa LIM S Id silly Net PrMnN IARHO APgWrme IRS BGnem1.A1 I BUBIOIAL ISun4Ad LPU /Inpn LM 11 IF LESS THAN ZERO ENIEB ZERO T 1• ' • L IT NET PROFIT FROM SELF EMPLOYED BUSINESS PROFESSION OR FARM - - - U A 1 1 1 u L%1? Af +.1 r ,Us* LRU E fill "Net LasaH (Anemh Appn"011 199 9 _. IT 101 AL TAXABLE EARNED INCOME. AND ITfI PRf)TrtS Jam IF', 11.w 11 S ? I I :? v IC TAX LIABILITY 1% OF LINE S IMVROY Line Stay 011 .... 10 ,!" ! ? 11 CREDITS A ENT R TOTAL 1% TAX WITHHELD BY EMPLOYER BENT R UARTERLY PAYMENTS MADE TO THIS BUREAU It IS IF LINE I IC 15 LARDER THAN LINE 10 ENTER REFUND DUE HERE 17 01 AT Lsa fluor, 11 00. E1Rer 20101 13 IF LINE 10 IS LARDER THAN LINE I IC PAY UNPAID BALANCE BY APRIL IS '? I J ' BI Lea Fun 11100 Enter Ze101 M ADO INTEREST AND PENALTY OF 1% PER MONTH OF LINE 10 AFTER APRIL 16 - to IE it PAY BALANCE DUE WITH THIS RETURN SLIM 10 Plus Line TAI OLD MAILINGWRISS LIES OVIN I+ ORMA IDN FOR Iy91 fix Y AR BTLOW TWP BORO ERIOD LIVED HERE _ `AIt 11t. '... L 111 1 t. I 1 1 - TO !! 1 .1 CURRENT MAILINEFAUUMM OF T HE ME AS BELOV I WP BORO 11 Al I" L, 1 1A "•?`r1 ...- -111.1 fir) 1?I,-11 I ?.1 11 `? PRESENT TAXPAYER'S COPY 4?'3771 ?. WESTAB FORM S31 (REV 11851 .11:1 1. t?s Nt;M 'T r. CUT yCCAM AIOCAIE MAI ICU W A F MM OF (6) Information Relative to support, Income and Expense Statement (i) copies of Detandantla used in a support proceeding ar Exhibit 18CIO. Defendant reserves paragraph as additional items a exist. 1996 Income and Expense Statement s attached to this paragraph as the right to supplement this re requested, to the extent such INCOME AND EXPENSE STATEMENT OF t? - ? SSNsZ•"? ? DRq G L DATE ---- THIS STATEMENT STATEMENT MUST BE FILLED OUT (If you are self-employed or it you are salaried by a business of which you are o wner in whole or in part, you must also fill out the Supplemental Income Statement which appears on the last page cl this Income and Expense Statement.) INCOME (a) Wages/Salary Employer &Address-c'o?monweaIth_ of pp. nncy vania ___ Job Title/Descrlptlon Custodian Pay Period (weekly, bl•weekly, monthly) bi-weekly Gross Pay per Pay Period ......................................................... .,...... S 47B . 15 Payroll Deductions: Federal Withholding ..................S 53. 14 Social Security ...........................5 !Local Wage Tax ..........................5 13.39 Y State Income Tax ....... ...... ....... S 4.78 Retirement ..................................S 23.91 Health Insurance ........................S Oth tlriemPY v ment 5 y .................... - ................. ....S Net Pay per Pay Period ........... .. .......................... $ 14S.92 (b) Other Income Week Month Year Interest/Dividends ........... _. ....5_ g ---- S Pension/Annuity $ _ --_ S --_?_ Social Security ... _ ._ ..._S_---- 5 • ------- ------- Ren15+ROyalties xpense Account .... ......... _...$ g---- - -- E 5 Gifts ...... ........ ............ ...... ..,S_- g------ ------------ ...- Unemployment Compensation Workmen s Compensaticr- S - - --------- Total. Other Income 5------------_ g----------_- - .__ INCOME AND EXPENSE STATEMENT CF Wendy- L._ DeLizio I verify that the statements made iq this nr.crne anr, E.Cense Slate rnenl are true and correa I understand War false slalem CnlS he,e,n are Maori SUhlect to the Vend ll,eS Cf ld Pa C 5 4190, •Plahng 15 unSwcM fal5,hraIICr to and hr rgip5 + '} Dale . ` ? rf c 9(22, 95 1 - rj/ F?" ? la,n l,H nr Dle r1C r EXPENSES Home Mortgage/Rent .................. ....... Maintenance .•.....••.•••••••••••• Utilities (telephone, heating electric, etc.) ........................................ Child Household Child Household Month Month Weak Week s - s --. Employment (transportatlon, $ lunches) .............................................. $ __---- $ C).CC $ o $ $ . $ c.c $ -- -- Taxes $ Real Estate ....................•......................... $ - $ -- -- Personal Properly .............. . ----- $ $ Income .................•.•................................. Insurance Homeowners .................•,•..........•............ Automobile .............................................. LlfelAccldenllHealth .............•.••••••••••••••• Other ................... Automobile (payments, NO, repairs) ......................... Medical Doctor, Dentist, orthodontist ............•••• Hospital ................................................... Special (glasses, braces, etc.) .•••••••••••••• Education Private, Parochial School ....................... college ..................................................... Personal ... .................. Food .• ................•.................... Other (household supplies, barber, etc.) ....................................... Credit payments and loans .............•.• ••• Miscellaneous Household help/child care ................••••• Entertainment (inc. papers, books, vacation, pay TV, etc.) .........•.. GRISICharitable contributions .............. .... Legal Fees .......................... ... ... . .. .... .... Other child support/alimony payments ............................................. Other (specify) ..l+"°..................... Total Expenses ....................................... $j $ !I $ $ `,CJ "CID -- $ $ $ l L. $ _--- $ $ a $ $ _C' $ $ _ -- $ _ C $ S $ $ $ CC: $ $ ___-- 1r?.? $ s _?^ S $ . $ $ - - t CC.Ct:: s $ $ - _ $ o c_L? S $ + L a'CO S $ $ $ $ _ $e. CL .. $ $ --- - - $ fit C? _ $ C=-- $ s? r s - S $ 0::nershIp' PROPERTY OWNED Description Value H W J Checking Accounts ...... Savings Accounts ........... -_- S _-_ -_ -- ...... ..... $ T Credit Union .................... Viz, $ .................. ---- --- -- - $ - - -- - - - StockslBonds .................. .................. --- - Real Estate ...................... - $ - - - ............. .-..... 5 - -- Other ................................ $ ................................ - - -- $ Total, Property ..................... -- --- --- -- -- INSURANCE Company Policy No. Coverages _ H W, C Hospital ........................... a-?4``i1 ?;t^ t\t`Vltrr? 'i. <;'•.1 . ?? Medical ................. ..._ .... u - -? -- Health/Accident Disability Income ............ - Other (dental, etc.) ..........- ('H • Husband, W • Wife. J - Joint, C • Child) SUPPLEMENTAL INCOME STATEMENT A. This form must be lilted out by a person who (check cne). (1) operates a business or practices a profession, or 12) is a member of a partnership or joint venture: cr (3) is a shareholder in and is salaried by a closed corporation or similar entity E Attach to this statement a copy of the following documents relating to the business, profession, partnership. joint venture. corporation or similar entity, (1) the most recent Federal Income Tax Return. and (2) the most recent Profit and Loss Statement. C Name and Address cl tusiness: -.--._-_-- --_--_- ------ ---- ..-_?_ _.__ Telephone Number 0 Name and Address of cifferent than C) of accountant controller or other person in charge of financial records: -----_--- -_.?._ _.._-__.__.--_----_--_-_------ -- E (1) Annual income from business . _.._ ...................... E._.---_-_?-- (2) How often is income received? - _......................... ... __ _ ._ _... _ S - (3) Gross income per pay period ..__ ..........___......... _ S_-.----------.--_-_.- (4) Net income per pay period ._ . ._ ......... . .... __ -_ _ _ 5________-.. _. __.-.. (5) Specific deductions if any .. .....,..._ „ ...... DR IN THE COURT OF COMMON PLEAS OF PLAINTIFF CUMIBERLAVD COUNTY, PENNSYLVANIA VS DOMESTIC RELATIONS SECTION CIVIL ACTION • SUPPORT , DEFENDANT : NO. SUPPORT 19 HEALTH INSURANCE COVERAGE INFORMATION REQUIRED BY THE COURT This information must be completed and returned to the domestic relations section. IF YOU FALL TO PROVIDE THE INFORMATION REQUESTED, THE COURT MAY FIND THAT YOU ARE IN CONTEMPT OF COURT. Do you provide insurance coverage for the dependents named belowt (Check each type of imura ce which you provide). TYPEOFCOVERAGE Full None SS g Frapk P. I= L2q- 4q-95gI ra l.. 110- (00 - 087'1 Hospitalization Medical Dental ?EFP? Eye Prescription Other Er M-- 9, CY Q' CIY c? C3? 2 2' 3-? ? ? ? ? ? ? O ? ? ? ? ? ? ? O ? ? ? ? ? ? ? ? ? NOTE: Before forwarding the form to the perry, the domestic relations section should fill in the names and Social Security numbers of the dependents about whom the information is sought. Provide the following information for all types of insurance you maintain, whether or not any of the above-named dependents is covered at this time: I surance company (pro Oroup g: 102 33 Effective coverage date: Cost of coverage for del Insurance company (pro Group g: ?d Effective coverage date: Cost of coverage for del Plan M:_ Type of Plan C Policy M: Type of coverage: 14?e'5(f p/pr,(oti' - Insurance company (provider): Group M: Plan g: Policy M: Effective coverage dau: Type of coverage: Cost of coverage for dependents: Insurance company (provider): Group N: Plan g: Policy 1: Effective coverage date: Type of coverage: Cost of coverage for dependents: if the above named dependents are not currently covered by insurance, please state the earliest data coverage could be provided. (7) Value of Pension and Retirement Benefits and supporting documents; (i) 1111 pension benefits owned by Defendant arefmarital property. Copies of information relative to Defendantis non- marital pension and Retirement Benefits are attached to this paragraph as Babibit 'IDII. Defendant reserves the right to supple- ment this paragraph as additional information becomes available, to the extent such exists. COMMONWEALTH OF PENNSYLVANIA STATE EMPLOYES' RETIREMENT SYSTEM STATEMENT OF ACCOUNT AS OF DECEMBER 21, 1052 ERS Annually M state Emoloyesr Retirement system ISE0111 provides each member with current retirement account Information which should be helpful in uderstaWing the bermflts provided by the retirement plan and In doing financial planning. this statement was K°cpm,°daed nee°1 witthh° applicable lows Fandd r regullationsCC01°rt PLEASE °C REFEREE 10 THE 1°REVi RSEtO SILL ° FORby IMMPO T INFORMATION ABOUT YOUR STATEMENT. PREPARED FONT W L DELIZIO 742- -04211 SEO-006728 Sift 200-42-2775 Date of Iirthl JULY 07, Seat FEMALE Region Coder 7 ?ormal?e1 lr Da t't ?ISY n servviccs e a e dlt ervi g J1 oil I°76718 YRS. 1050 07, 2010 Coverage Type 1 FULL Contribution lots, 1 5.00% ACCOUNT BALANCE Final Average salary $NOT DETERMINED 1993 Retirement Covered Earnings 1 $7,424.00 REWIAA jil SEE Mon-Covored Earnings I Joint Coverage Conversion Amount 1 Balance as of 13-71-92 Mandatory Debt I EVIL Activity -----TAXABLE BREAKDOWN OF ACCOUNT----- Contributions $204.40 lug Ste Payments Arrears Tu-Oelorred Contributions 1 $294.40 AdJmlmtP justoronts* Payments • Previously Tamed Contributions 1 Credited Interest $5.62 • Credited Interest 1 $5.62 Balance as of 1I-31-93 $400.02 . Accent balance as of 12-31-93 1 $400.02 Arrears Reliance as of 12-31-93 - reflect - °•lans to your accent about which you have boon notified. -- whillustowtv Benefit estimates are Prepared for members who have ruched goriest Retirement Age and for members who haw at last 10 yar& of credited service for Aqular Retirement and at bat R years of credited service for Disability Retirement istat• Police and Enforcement Officers have ne mtniaw service requlr~t for disabi Iiy retirement). If you terminate prior to at wining eligibility for monthly benefits. that Is prior to boccming vatted. you would be entitled to receive your account balances minus any debts to the Commonwealth as of your date of termination. FULL RETIREMENT - This option provides the maximum monthly beneefits to you for life. If you die before receiving cur total accumulated deductions, the halama, will be pail to yen ltenafictary(ia). OPTION 1 - This option provides reduced monthly benefits to u far life. All monthly benefits are reduced from the resent Value. Any balance remaining at your death will be paid to your earl lclaryt dal. IA 1I1,F sVANU - Death Ierfit under Option 1 or a death ery Co. OPTION 4 - You may receive all or a portion of lump accumulated deductions Iconlributions and interestl in a lour $in or installment payments and receive reduced manthllI benefits under am of the other ratlraent options. Option 1 Is avallabl0 only at the time of retirement and may not acead your accumulated deductions. FULL RETIREMENT ADJUSTED LONGER OPTION 4 OPTION / ADJUSTED UNDER OPTION 4 ADJUSTED PR959W VALUE UNDER OPTION 1 WITH OPTION 4 MAXIMUM DISABILITY - You must be medically certified by SERI current physical IF aut mentally a IT? Ibk.° °T pperforming°miouyor to be WITHDRAWAL IS NOT AVAILABLE WITH A DISABILITY RETIREMENT. ,REFER TO CODES A THROUGH R ON THE REVERSE SIDE OF AS THEY APPLY TO YOUR BENEFIT ESTIMATES: L, M. 0 Current of of Proj_ected to Normal 12-31-97 Retirement N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A THIS FORM FOR AN EXPLANATION OF THE FOLLOWING COOLS ADOIT30NAL RETIREMENT OPTIONS ARE AVAILABLE. PLEASE TELEPHONE YOUR SERS REGIONAL RETIREMENT COUNSELOR TOLL-FREE 11-900-1122-114111) FOR QUESTIONS CONCERNING YOUR BENEFIT RIGHTS OR THIS STATEMENT OF ACCOUNT. (8) Claims for counsel fees, the amount of fees charged, the basis for the charge and detailed itemization of services renderedt (i) Defendant has requested counsel fees, coats and as ones* in the Answer to Plaintiff's Complaint. Defendant is requesting as counsel fees incurred in this action Which has lingered many years because of inaction of Plaintiff. Plaintiff initiated two pre- vious divorce action-, one in another state, which have been dis- aimsed, and has had multiple attorney-. Defendant ham also been forced to espend substantial mumm in pursuing support obligation on appeals of Plaintiff wherein he failed to appear. Plaintiff is in a far sore superior economic position than Defendant. Plain- tiff dissipated marital ammetm and left Defendant with essentially nothing at separation. Copies of statements are attached hereto as ¦shibit 11311. JAMES D- 800118 LAM OFFICES Jaws D. Hogar - Andrew C. Shealy one west Main Street Obireslanstown PA 17011 Telephons (717) 737-8751 S T A T E M E N T February 15, 1996 WENDY L. DELIZIO 11A EAST FRONT STREET SHIREMANSTOWN PA 17011 In reference to: Domestic Relations FN-1745-1 Jan. 1 through Jan. 31, 1996 01/19/96- Tel. call to client; letter to client 01/25/96- Tel. call from K. DeArmond, Esq. Previous balance 10/12/95 -Payment - Thank You BALANCE DUE L 7 ? Hours Amount 0.50 $42.50 $263.50 ($63.75) $242.25 YOUR PREVIOUS BALANCE IS NOW 120 DAYS OVERDUE. YOUR PROMPT PAYMENT WILL BE APPRECIATED. JANEB D. BOOAR LAW OPPICES Jugs D. Boar - Andrew C. Bheely one Rest Nain Street Bhireuanstown PA 17011 Telephone (717) 737-6761 S T A T E M E N T January 17, 1996 WENDY L. DELIZI0 11A EAST FRONT STREET SHIREMANSTOWN PA 17011 In reference to: Domestic Relations FN-1745-1 Sept. 1 through Sept. 30, 1995 Amount Previous balance 6263.50 10/12/95 -Payment - Thank You (663.75) BALANCE DUE 6199.75 YOUR PREVIOUS BALANCE IS NOW 120 DAYS OVERDUE. YOUR PROMPT PAYMENT WILL BE APPRECIATED. JAMES D. BOaAR LAM OFFICES James D. Bo gar - Andrew C. Shealy One (lest Main Street Shiremanstown PA 17011 Telephone (717) 737-5761 S T A T E M E N T November 16, 1995 WENDY L. DELIZIO 11A EAST FRONT STREET SHIREMANSTOWN PA 17011 In reference to: Domestic Relations FN-1745-1 Sept. 1 through Sept. 70, 1995 Amount Previous balance $263.50 10/12/95 -Payment - Thank You ($63.75) BALANCE DUE $199.75 YOUR PREVIOUS BALANCE IS NOW 120 DAYS OVERDUE. YOUR PROMPT PAYMENT WILL BE APPRECIATED. JAMES D. BOOAR LAW OFFICES James D. Do gar - Andrew C. Shealy One Nest Main street Shiremanstown PA 17011 Telephone (717) 737-6761 S T A T E M E N T October 11, 1995 WENDY L. DELIZIO 11A EAST FRONT STREET SHIREMANSTOWN PA 17011 In reference tot Domestic Relations FN-1745-1 Sept. 1 through Sept. 30, 1995 09/22/95- Preparation for Support Conference - Attendance at support Conference re child-spousal support modification Hours Amount 1.60 $136.00 Previous balance $127.50 BALANCE DUE $263.50 3.7) AbA r< , 73' JAM16 D. BoGAA LAN OrrICES James D. so gar - Andrew c. sheely One test !lain street shiramanstown PA 17011 Telephone (717) 737-8761 S T A T E M E N T September 8, 1995 WENDY L. DELIZIO 128 HIGH STREET ENOLA PA 17025 In reference tot Domestic Relations FN-1745-1 August 1 through August 31, 1995 08/22/95- Review of Mr. DeLigio's income; letter to client Hours 0.70 Previous balance 08/01/95 -Payment - Thank You 08/17/95 -Payment - Thank You Total payments BALANCE DUE Amount $25.50 $264.50 4$62.50) (0100.00) (8162.50) 8127.50 JAMES D. BOOAR LAN OFFICES James D. Roper - Andrew C. Shealy One Rest Main Street Shiremanstown PA 17011 Telephone (717) 777-8761 S T A T E M E N T July 6, 1995 WENDY L. DELIZIO 128 HIGH STREET ENOLA PA 17025 ORAFT, In reference tot Domestic Relations FN-1745-1 May 2, 1995 through June 70, 1995 05/17/95- Office conference with client; preparation of Answer and Counterclaim to Divorce Complaint 06/06/95- Office conference with client; finalization to Agreement 06/14/95- Filing Answer at Cumberland County Courthouse Hours Amount 1.20 $102.00 Previous balance 05/17/95 -Payment - Thank You BALANCE DUE , $212.50 (450.00) $264.50 JAMES D. BOOAR LAN OrrICEB James D. So gar - Andrew C. Shealy one Mast Main Street Shiremanstown PA 17011 Telephone (717) 737-6761 8 T A T E M E N T May 2, 1995 WENDY L. DELIZIO 128 HIGH STREET ENOLA PA 17025 In reference to; Domestic Relations F/H 1745-1 April 1, 1995 through May 1, 1995 04/26/95- office conference with client regarding support appeal 05/01/95- Appearance at and preparation for support appeal hearing; letter to client H2= (mount 2.50 $212.50 BALANCE DUE $212.50 s1 ?? /6d,}[, FN-x745-1 JAHKS 1). 1300Aa A11MININ At LAW R %I SI HAM SI II L IA 511111EMANSIUWN. 1'LNNSVIAANIA 171111 August 15, 1991 Wendy L. DeLizio 128 High St. Enola, PA 17025 Balance Due: CtK?-- ?1G1 A .114/I /? CE.tct? q?j,?y) /4?'f1r11irL FOR PROFESSIONAL SERVICES RENDERED RE: DeLizio - DeLizio Domestic Relations/Divorce SERVICES RENDERED FROM: July 3, 1991 to August 12, 1991 Review of file and letter to A. Dils, Esquire; follow-up letter to A. Dils, Esquire. Total Time .4 Hours Balance (as of 8/12/91) Brought Forward From 05/31/91 Statement TOTAL STI TENBNT #4 /f I 9/v 141 /3a.f:1..1-•t,? SECOND NOTICE: NOVEMBER 29, 1991 THIRD NOTICEt February 6, 1992 BALANCE DUE: May 21, 1992 SECOND NOTICE: August 5, 1992 THIRD NOTICE: September 14, 1992 FOURTH NOTICE: November 13, 1992 FIFTH NOTICEt December 30, 1992 SIXTH NOTICE: March 2, 1993 SEVENTH NOTICE: April 16, 1993 14 111A1113 IL: ! t r, Iv <i IE ANIONE (711) fOhB/01 1E EECOPIER (117) 7a 7•QOBB $ 34.00 736.50 e0r. at! _ L3:r•ST $636.50 s lr.. y7 /or. od ice' 316 't 336.50 Ja . ve, ? 5' 6. sz L7 FN-1745-1 JAMES 1), 1300AH Al"1011NLY Al LAW e WESI MAIN S111EEI 511111EMANSIOWN, PENNSYLVANIA 17011 May 31, 1991 Wendy L. DeLizio 120 High Street Enola, PA 17025 IELEPIIONE (717) 107.8701 TE11COPIER (7171707- 9086 FOR PROFESSIONAL SERVICES RENDERED RE: DeLizio - DeLizio Domestic Relations/Divorce SERVICES RENDERED FROM= March 2, 1991 to May 30, 1991 Review of file and telephone call to client re proposal for settlement; review and office conference with client on 3/21/91; preparation of letter re comprehensive settlement to A. Dils, Esquire; review of counterproposal received and letter to client; telephone call from client and letter to A. Dils, Esquire. Total Time 2.9 Hours $ 246.50 Balance (as of 5/30/91) Brought Forward From 01/23/91 Statement 556.00 TOTAL STATEMENT $ 802,50 6t4tAc4LCl( 7/tfyi A-r" ro .7 1"10 /„nLl7LL- v..C G 7?+?4 / L FN 1745-1 JAM ISS U. 1300AII AITONNCY AT LAW E WEST MAIN STREET 511111EMAN51oWN. PENNSYLVANIA 17011 January 23, 1991 TELEPIIONE 1)111 707.117"1 TELECOPIEE 0"I 7o7•ao1111 Wendy L. DeLizio 128 High Street Enola, PA 17025 FOR PROFESSIONAL SERVICES RENDERED RE: SERVICES RENDERED FROM: DeLizio - DeLizio Domestic Relations/Divorce Dec. 4, 1990 to Jan. 18, 1991 Review of Petition filed in Indiana court and telephone call from client; review of Indiana Court order received and letter to J. Sunday, Esquirer review of letter/enclosures received from A. Dils, Esquire and letter to client. Total Time 1.4 Hours Balance Brought Forward From November 9, 1990 Statement (as of January 18, 1991) SECOND NOTICE: March 16, 1991 THIR _It May 30, 1991 TOTAL STATEMENT ZGeccT(.eC: -j/ s-* 7 /C.1CLL tisK? ??J6?jl n ??I. ? IJ ZIy 1 e tic" /?ate'?re 4l•u t4! $ 119.00 Q 856.00 /Ot.c-p 7SI G5+ b?rD /oe .ao sSt ,eZ' FN••17AS-1 JAMrs D. 111)c1ATe At I011NEY At LAW 5 WF51 MAIN S111P.L1 511111EMANSTOWN. 1'ENNSYLVANIA 17011 November 9, 1990 1ELEPIIONE (717) 707.8701 TELECOM" (717) 707.2080 Wendy L. DeLizio 128 High Street Enola, PA 17025 FOR PROFESSIONAL SERVICES RENDERED RE! SERVICES RENDERED FROM! DeLizio - DeLizio Domestic Relations/Divorce Oct. 11 1990 to November 90 1990 Telephone call from clientl review of records at Cumberland County courthouse re withdrawal of Divorce Complaint by Mr. DeLizio; review of information R. Laszynski,It Esquire Indiana in Indivorce; numerous dianar preparation telephone andh draft aofs client supplied b with Counterclaim and letters to all parties; fax to Indiana; Cumberland County Prothonotary's office for filing and to obtain certified copies of Counter- claim in Divorce, letter to client. Total Time 5 }lours Costs Advanced! 11/1/90 - Cumberland Co. Prothonotary - filing fee for Counterclaim BALANCE BROUGHT FORWARD FROM JUNE 29, 1990 STATEMENT Less Check Received! 11/1/90 $ 425.00 45.00 $1,052.00 TOTAL STATEMENT k ? L15.001 ¢17037.00 lea .ea /1/,7./f0 l /Ct?t?Y ob Ito fs?a,cc.c? / ja7. of 0lf/fv p /LLtiL1?C.t /CV ow /,afit/70 x4t $•(!A' 8J7 aT ikdf1 737 0? FN-1745-1 JAMES D. 1100AIt AT IUHN EY AT LAW E WEST MAIN StI1EF.T 5IIIREMANSIOWN. PENNSYLVANIA 17011 TELEPHONE (117) 707.0701 TELECOPIER June 29, 1989 (717) 701-8000 Wendy L. DeLizio 128 High Street Enola, PA 17025 FOR PROFESSIONAL SERVICES RENDERED RE: Domestic Relations/Divorce SERVICES RENDERED FROM: March 24, 1989 to June 27, 1989 Miscellaneous telephone calls with client re letter received by client concerning Mr. DeLizio and related matters. Total Time .6 Hours $ 48.00 Balance Brought Forward From March 23, 1989 Statement 984.00 TOTAL STATEMENT ¢ 17033.00 4tc4Tk.t 7/1 (It n'. 0o ?j?(t,, tt 7//9/1V 4d A Ile g e t e t ie/alb i /a 10 t A- 1 /0/1011') j'J?t.to 1 ?tttca u .!- !' GlLtt(-tt(. N I dlll,, 1 1YL L / C-C C'C ?------- AA SECOND NOTICEt September 21, 1989 T I D OTIC- December 131 1989 FOURTH NOTICE: February 6, 1990 FIFTH NOTICE: March 7, 1990 SIXTH NOTICE: April 17, 1990 SEVENTH NOTICE: June 11, 1990 EIGHTH NOTICE: September 6, 1990 FN-1745-1 JAMES D. 110GA11 JAMES G. GAULT Wendy L. DeLizio 128 High Street Enola, PA 17025 JAMES 1). 1300AU A11011NEV AII LAW A WI-?1 PI' IN %111P.1 t 51111EMANSWWN. 1`I'.NNSYLVANIA 17011 March 23, 1989 APRA10l.[ IV 1tl FSt01 FOR PROFESSIONAL SERVICES RENDERED RE: Wendy L. DeticiRelatiank P. DeLitio, III - Dome SERVICES RENDERED FROMt December 8, 1989 to March 23, 1989 BALANCE BROUGHT FORWARD FROM DECEMBER 20, 1988 STATEMENT $ 610.00 Numerous and miscellaneous telephone calls from client concerning support, custody and medical coverage matters; office conference with client on 12/23/88 to review settlement proposal and related matters; correspondence with J. Sunday, Esquire re settlement and Answers to InterrogatoriesI numerous and miscellaneous telephone conversations with client, J. Sunday, 6undayutstanding a Domestic Relations order and related Esquire matters; anletter to J d T. Cheffins re ma Total Time 5.3 hours L __424_L00 TOTAL STATEMENT ; 1,034.00 SECOND NOTICEt May 12, 1989 Fn-.745-1 JAMES U. DIP)All JAMES ,i. GAULT Wendy L. DeLizio 128 High Street Enolft, PA 17025 JAHJl S 1). 11U0A11 A11011NEY Al LAW %%I St MAIN SI IIEII 111111:MANS111WN. 1-1 NNSYINANIA 17011 51 December 20, 1988 411114 cook 117 tor•e7el FOR PROFESSIONAL SERVICES RENDERED REI SERVICES RENDERED FROMI CREDIT BALANCE BROUGHT FORWARD (50.00) Review of file and office conference with client 7/13/88; office conference (unscheduled) with client 7/18/88 re support matter; office conference with client 8/1/88; preparation for and attendance at support hearing at Cumber- land Co. Domestic Relations office 8/1/88; letter to Cumberland Co. Domestic Relations office re support arrearages; miscellaneous and numerous telephone calls from client re custody and visitation, district justice matter, support and contempt proceedings and related; letter to client and Cumber- land Co. Domestic Relations Office re insurance coverage of Mr. DeLizio; initial draft of Interrogatoriee; letter to J. Sunday, Esquire re Interroga- tories; redraft of Interrogatories re pension withdraw by Mr. DeLizio; miscellaneous telephone calls with T. Cheffins of Cumberland Co. Domestic Relations office re support matter; miscellaneous and numerous telephone calls with J. Sunday, Esquire re support matter, settlement proposal and related. Total Time 12.8 hours 6§0.00 TOTAL, STATEMENT 1 610.00 Y„0 TSI Effective January 1, 1989 the hourly rate for professional services rendered will be as follows$ James D. Bogar, Esquire - $80.00 per hour; James 0. Gault, Esquire - $60.00 per hour. Wendy L. DeLizio - Frank P. DeLizio, III - Domestic Relations July 13, 1988 to December 1, 1988 FN-1745-1 JAMES 1). 1300AR ATTORNEY AT LAW 9 WFe51 MAIN 6TNCIST bill Nr..M .ANATOWN, PENNSYLVANIA 11011 June 23, 1987 Wendy DeLizio 705 Erford Road Camp Hill, PA 17011 ANNA 17.0111 fly 1131 l/fll FOR PROFESSIONAL SERVICES RENDERED RE: Wendy L. DeLizio - Frank P. DeLizio, III Domestic Relations SERVICES RENDERED FROM: April 21, 1987 to June 22, 1987 Initial office conference with client on 4/21/87 re review of domestic and personal circumstances and review of Divorce Code including equitable division of marital property, alimony, alimony pendants lite, court costs and miscellaneoust office conference with client on 5/28/87 re review of Divorce Complaint filed and review concerning filing of Support Actions telephone call to J. Sunday, Esquire; 6/9/87 - office conference with client re review and prepartion for Support Hearing: prepar- ation for and attendance at Support Conference for the Support Hearing at Cumberland County Support office on 6/11/87 and conference with client, resulting in Support order of $845.00 per month being awarded; numerous and miscellaneous telephone conversations from client and with J. Sunday, Esquire concerning matters of mortgage payment and miscellaneoust letter to J. Sunday, Esquire and client. (Separate billing was provided for conference on 4/21/87. This item not included in present. Milling accordingly) Telephone call from client on 6/22/87 re personal property, visitation and related matters. Total 'l'ime 6.5 hours Less Retainer Received: 5/28/87 TOTAL STATEMENT SECONU N0'PICEI July 2!, 1987 - Y0AIr pretgtt attention to this nutter wi ] I. $ 390.00 ( 300.00) $ 90.00 1? apprerlated. FN-1745-1 JAMES V IIOIi All JAMES U. 1100AN At 1014N111 Al I.AW 6 %151 MAIN a1SE9I 511111EMANSIOWN. PP.NN%NA.VANIA 17011 ARIA 10119 fit 99f•af111 JAMES U. OAI11.17 Wendy DeLizio 1101 Lindham Court, Apt. 210 Mechanicsburg, PA 17055 July 11, 1988 FOR PROFESSIONAL SERVICES RENDERED RE: Wendy DeLizio-Frank P. DeLizio, III Domestic Relations SERVICES RENDERED FROMs April 20, 1988 to July 11, 1988 Balance Brought Forward From April 20, 1988 Statement $ 399.00 Review of correspondence received and telephone call from client; t/c from client and letter to T. Cheffins at Cumb. Co. Domestic Relations Office; 6/2/88 review of file, office conference with client, review of proposal to purchase real estate and t/c with M. Walker; review of file and preparation of rough draft of Petition for Special Reliefs 6/16/88 office conference with client, t/c with M. Walker and review of real estate proposal and final draft of Petition for Special Relief; letter to Cumb. Co. Domestic Relations Office re delinquent support payments; miscellaneous and numerous t/ce with client re real estate matter, problems with custody and visitation and related; 6/23/88 review of real estate matter and t/c with M. Walker re same; 6/29/88 preparation for and attendance at real estate settlement and follow-up conference with client; letter to client re course of action to be taken. Total Time 13.9 hours $ 751.00 TVTAL STATIPtENT $ 10150.00 SDOCNn NyrIC2r1 Septemkar 22, 1988 - Your pruR?t attention to this matter will be appreciated. it -e A-, L?v Alt.ul ed //sl e10 Aiee,t tip lJl?lli i ??;. Cd4 NPhi(in"f i)li?y kN-1745-1 ,JAM15H D. 1300AN ATTORNEY AT LAW R WRIT "Aim 111"Ret bill REMANIITOWN, HINNNYLVANIA IToll April 20, 1988 Wendy DeLizio 705 Erford Road Camp Rill, PA 17011 FOR PROFESSIONAL SERVICES RENDERED REI SERVICES RENDERED FROMs Wendy DeLizio - Frank Domestic Relations February 16, 1988 to BALANCE BROUGHT FORWARD FROM FEBRUARY 12, 1988 STATEMENT Office conference with client 2/16/88 and preparation of memo; telephone call from client and preparation of memos telephone call from J. Shannon of GMAC, letter to J. Sunday, Esquire, 2/22/881 telephone call from client re mortgage payment and support payments telephone call from J. Sunday, Esquire, review of file and telephone call with client 4/7/881 preparation for and attendance at support conference relative to the request for reduction of support filed by Mr, DeLizio, office conference with client 4/8/88; preparation of letter to client 4/20/88. Total Time 3.8 hours TOTAL STATEMENT Received 5/12/88 BALANCE ARIA [01)11 t11 in? I,AI P. Delizio,III April 20, 1988 $ 233.00 $ 266.00 8 499.00 ( 133-8 150, ? ) SECOND C1il June 22, 1988 - Your pru"Vt attention in this matter will be appreciated, FP1-1745-1 .IAMES 1). BIMAU Ar TORNEY AT LAW 5 WKNT MAIN 15111RPT BII11'I'4ANbTOWN. 111tNNNYLYANIA 171111 February 12, 1988 ws?ndy DeLizio 705 Erford Road camp Hill, PA 17011 FOR PROFESSIONAL SERVICES RENDERED RE: SERVICES RENDERED FROM: Wendy DeLizio-Frank Domestic Relations Oct. 29, 1987 to Feb APIKA 00011 fit tot 11701 P. DeLizio, IIT. 10, 1988 Miscellaneous and numerous telephone calls with client and J. Sunday, Esq.) review of file, office conference with client 11/18/87 and letter to J. O1lnday, Esq.) review of file and telephone calls with client and J. Sunday, Fsq. re sale of real estate and related) letter to J. Sunday, Esq.) review of correspondence received from J. Sunday, Esq. and letter to clients 1/4/88-telephone call from client, review of file and letter to J. Sunday, Esq.) 1/22/88-office conference with client and telephone call to office of 1. Sunday, Esq.) 1/27/88-telephone call to client, office conference with t:lient to review/sign Agreement re sale of real estate and telephone call with M. Walker) review of file and letter to J. Sunday, Esq. Total Time 5.9 hours $ 383.00 Received 3/7/88 (50.00) Received 4/12/88 $(103 33.0 0.000) BALANCE S NMI Effective January 1, 1988 the hourly rate for professional services rendered was increased from $60.00 per hour to $'10.00 per hour. Adjustments were made in this statement to reflect time for services rendered in 1987 and 1988. :71) 1 JAMRs D. BOOAR ATTORNEY AT LAM E NEST MAIN 11TYilT ENIREIIANSTOWN, PENNSYLVANIA ITOII kua f CuLizio 71: ::rford -oas Calm: fill, PA 17.L1 .USA CObf m 707.11161 F•ow Pwor[¦fioHAl 5[wv,c [6 F[wo[w[a s2F.VIC! , :'- Lorr3 __ :.•1 1Ci; 7 c111C.311anQ013 d:iG n_":d.: `: l.a.: ,-, ?a , i:3•j. Yi: 9tdtl:i, :il•Jr'•.•j ?. ••C, •`•.. ?1 111 C.: ;li ..l 1.7:+ ... .'id. '. 1' tii;:.l Cllcnc 7?U/ •^i ? :V:..li OL L :? 1 -_._.. O"?" ..••"]...•Sr:I:Q r.Y" ..'.iS ..: 1:i 'i r a• tcl... ., r ..: i ., wit' cli'nc gIi a.._ i_`c r. - - - - c. cc i .? rli.r•:.u? CU r11111C 3:Ui l.??CC: UnG1' 1 t: :rG:Q r0':OrCj 54CCL=. ::1 :. C,.. 1..•:gC'w3r 1.It;..-3 - r,: .rC. .::1..3 fc)r r3Vi_ld O: Y11..: J'_ •?•- a` w... - ?::?? l:ct?.^t0 Cii3. J. 3U.444 0 2, L'5j. _..?IS?.a ::SC '.71 L.. •_a?:l:. •', ?. '.,% ?C OND NOTICEI Oct. 28, 1987 - ?'?flf7 p/ Your . j0. ElC) - lv•?c 6 r p ompt attention /// ? to this mat ter will L be' app00 reciated. , B 6 AO Y7 pL eD, ra al. '000,0-0 C0 ?E '"1•tj /A /4 !r7 ? sa.60 401 Aso,as "v Jw (9) Disputed Items of Marital Property (i) ht this point in the proceeding, Defendant is unaware of any dispute concerning marital property other than possibly the values assigned to such. 8owever, Plaintiff aunt provide Defen- dant with information relative to those assets disposed of by plaintiff following separation, includingthe retirement aacc t cunt. Defendant reserves the right to supplement this response a of m later date s indeed assetsnand liaarital property, bilities. 9 (11) Proposed Resolution of all economic issues; M Defendant has proposed a division of marital assets as set forth in the document attached as Exhibit "All. Ouch proposal is essentially an equal division of marital assets, but requires that interest be paid to her as a result of the withdrawal from HusbandOm pension. Defendant further requests that Plaintiff pay her alimony in the amount of 6200.00 per month. Defendant further requests Attorney pees in the amount of 64,500.00 Respectfully submitted, ' ' -'AN j C Andrew C. Sheely, Es ire 1 West Main Street Shiremanstown, PA 17011 PA ID N 62469 (717) 737-0761 11 Cooke Bache Laszynski & Moore December 4, 1990 Mr. James D. Bogar 5 West Main Street Shiremanstown, PA 17011 Re: DeLizio Dissolution Dear Mr. Bogar: Enclosed is a copy of the order entered by the Judge of the Tippecanoe Superior Court dismissing Mr. DeLizio'a Petition for Dissolution of Marriage. I have also provided our mutual client with a copy. Should you have any questions or need any additional information in this regard, please do not hesitate to contact me. Yours ul Robert S as ynski RSL:vi Enclosure . -? Employee's cSMngs & Iq 11.. 1 . NI DNPLBX Profit Sharing Plan g tan hA---- 71N0 [MPLOT[[ •0C. •[C. ND. OAT[ jolt ¦[RVIC[ DATE rIfCAL rR. [NO OELIIIJ FRANK 179-44-9541 11401/81 2/16/81 IO 3 / 1/8f __ PROFIT SNARING CONTRIBUTING FACTORS -- -- _-[ANNIN6•_- - ¦AVINOS rI [ Al CARRY OV[R OOLIA R• hOIN1Y DOLLARS POINTS OOLLARN •ARNINOr •AVINO[ 24tl [ 24{800.00 15 I. 1[500.00 5 268 f 36.47 [ 72.21 rose unaaY - iu1TFA FISCAL YEAR CREDITS ---_-_--? Iv4o •AeNINSY A N[ roernrue[[ TOTAL {49 -- 549.62 CR[OIT¦ • 1 s 809.45 [ It 1[94 5034 [ 76.65 [ 4•81RLv YOUR NET INVESTMENT BALANCE iwNN YAIA{ Oe-10/31%YS-_ _9?4.11i.16 RIInNNARgL SVNI4• IN/ IIl IIAN [ IWIA4tl Y11UN(11{U1 t(AN CNIYO{ [ 9F?1B. 6 I /Ibid. TEAR CREDIT{ .-• .---'l--•- -- - 7i.2z? •--'- I[ TULIN.ALANCE LO/31/B6 I• 149269.381 I TYPE OF IT BALAWKED YOUR TOTAL SAVINGS TO DATE NOMTANASL[ F GROSS AMOUNT • 5994.93[ 177.28[ 61 _72.21, -- 1--- -_.. I I I An11; U AND OUfteX PAID 12 1111006 426p7,17Qh4?54?` hOpOi BPOi h 44pp1 33 4P ( .. I ?6 -1 69 I 0' 1 Bb 0 0 3964' 614 I k 1394 61641 I167p2J .1 _ I I...I I .1661 jll8,43 t - -. IIAN 10 DAI( All UMUTAI..,l 977171 58brIa ?I 9?115hyQ? a4?azl_, [?3ati2IL,?4s,lli?.q??4iQ?4?91. , _,) SOU 15A41 14A.41 l ....w IMI" III IANII.l IA II MI 111 IIII ..N 1?/TIM FI ?.Yi '. .•UI ?J i E ?• 1 T04r T of (10) Marital Debts as of Date of separation (i) Defendant reserves the right to supplement this response in the event such debts currently exist or existed during the period of separation. 10 \y 1 v Q r Y1 Q .- h 7 I•jl 7-1 .. v V v r 't I j ( r. r. o s v -7i f6I i u TI ?I '' N to a N VI I M I rr ? C r µµ l OI C O TI ,I C r > µ b w 'O O N J r.' 1 rs a f i M F ?'I - I J N t p et v 7• 4 + v P. >1 r L. 1, r n l I 0.N V I A L j pp uOP (?I ^I J \?? d u N b d 0wd w O Y, 1 ? >. 11 8 a I I J?a l: ? g u1 ?E I t, Qp Hp + y YI I I O Y. b ?' 00 ro ? I ro hs ? pp u u t N u r` I fu- V N O tl w 11 103 c o '• i N ro 1. , ox? W N Y. • .I v y I Y O H 11 uo N ?1 1 cua ? Y. -.f Y ro h ' O 1 ?; IL ' U1 ! I . . ? d 1l ? 1•I -G :j 7 .. 12 y N W n -7 J ? 1r u - n .- ? I 1 Y I J` I ? • 'U -.f V h ra r u ??µ111 u .. 1 11 w oI ti • r ( r 1 t rl !v Ir 1 r , . 1 1 I 111 L, m ? 1. Il .1 11 rl r rtl 1 1 _ 1 w rU ,r i .. q tl? 'ry 1. rn i vl r ` 1• rl ? ? 1 1 a ypO?. a N z H 1+' Is r. ,? p 1 I .1 I U w ?, 1 91 U Q IJ 1. p 1 ul 1. r. ?+ 7 7 V f I. 1 1 Ir1 4I I ' ' ' q IA . I V ; ?? y? s• n. i `0 • 1. n 1. .r ..r ? 1 ) .t y. w Ur 1 ` nl rrr i r 1.1 ' 1 I verify that the statements made in this Pretrial statement are true and correct. I understand that unsworn statements herein are made subject to the penalties of 18 Pa. C.S.A. Section 4904, relating to unsworn falsification to authorities. ed DATE: March S, 1996 Wendy L. DeLizi I, Andrew C. Shealy, Esquire, hereby certify that I am this day serving the foregoing Pretrial Statement upon the following named individual this day by depositing same in the United States Mail, First Class, postage prepaid, at Shiremanstown, Pennsylvania, addressed as follows: Keith B. DeArmond, Esquire Attorney for Plaintiff 2800 Market Street Camp Hill, PA 17011 E. Robert Elicker, II, Esquire Divorce Master Office of Divorce Master 11 North Hanover Street Carlisle, PA 17017 Datet March 11, 1996 ,C,-") Andrew C. Shealy, E ire 9uOW1V90 rhr3Vr PU",V3a IOON V919a1 U10 11011 VINVAIA9NNId '111H dMVJ 133tl19 13Mwvn 0091 MVI 1V 9AINUOUV ,hVJJA'J ?. - -,p PaIOJUJ _ dll,;.:. W i1 I FRANK P DFLIZIO, III, IN 71113 COURT OF COMMON PLEAS Of' PLAINT11'F C11MR13RLAND COUNTY, PENNSYLVANIA VS NO 95.2427 CILIL TERM CIVIL ACT ION - LAW WENDY DETIZIO, DFFE.NDANT IN DIVORCI3 INVENTORV OF SHANK P. DEL I'Jn_ III Plaintiff files the following inventory of all property owned or possessed by either party at the time this action was commenced and all property transferred within the preceding three years Plaintiff verifies that the statements made in this inventory are true and correct. Plaintif understands that false statements herein are made subject to ahe penalties of IS Pa C S Section 4904 relating to unsworn falsification to authorities of Frank P DeLizio, 111, 1' intiff AMETS OY MIM Defendant marks on the list below those items applicable to the case at bar and itemizes the assets on the following pages ( ) I Real 11topcity (X) 2 Motor vehicles O 3 Stocks, bonds, securities and options (? 4 Certificates of Deposit (X) 5 Checking accounts, cash O 6 Savings accounts, money mmkel and savings certificates 1 ) 7 Contents of safe deposit boxes O 8 Trusts 1) 9 Life insurance policies (indicate face value, cash surrender value and current beneficiaries) ( ) IO Annuities ( ) I1 Gills 1 112 Inheritances O 13 Patents, copyrights, inventions, royalties 1) 14 I'ersonal property outside the home O 15 Business (list all owners, including percentage of ownership, and ofl)cer/director positions held by a party with company) ( ) 16 Employment termination benefits - severance pay, worker's compensation claim/award (X) 17 Profit sharing plans ( ) 18 Pension plans (indicate employee contribution and date plan vests) (X) 19 Retirement plans, Individual Itetiretnent Accounts 1 1 20 Disability payments 1) 21 Litigation claims (nratwed and unnutimed) O 22 hlihtary/V A benefits 1 1 23 1,ducation beneths I 1 21 Debts due, including loans, motlgages held IX) 25 Ilousehold luir zlangs and personalty Onclude as a total category and attach iiemiied list as if distribution of such assets is in dispute) ( ) 26 Giber Antiques MAKIYAL rROPLRTY Defendant lists all marital properyY in which either or both spouses have a legal or equitable interest individually or with any other person as of the date Ibis action was commenced Item Dc*cription Nrmcxof Prevent Volue Numkr of PruFctU All O"nen of I'ropeos I I lousehold goods and furniture Frank P & Wendy 1, DelAzio unknown NUN-MAKU'Al. PROPERTY Plaintiff lists all property in which a spouse bas a legal or equitable interest which is claimed to be excluded from marital property Item Description Reason for 1 19713 Buick LeSabre Acquired oiler separation 2. 401 K Plan Acquired after separation 3 Furniture Acquired oiler separation 4 Checking Account Acquired oiler separation ?a C1ii2PIRIVIRANbUKH u Permn Item Dein•rlpllon Dille or Con%lsd- to Whom Kumhcr of Proorru I rrnrfrr cation TrrmfOrcll i I I'rolil Shoving N'N7 $17,0000o Frank DcLizio 1970 Purl Van I989 $15000 Dennis Miller 3 1975 1,61111111 19N7 . 0 - Al Doloskowski I FRANK 1) DI:LIT.10, III, PLAINTIFF VS WENDY DELIZ10, DEFENDANT IN Tl IE ('011R'I' 017 COMMON PLEAS OF CUKill ERLAN1) COUNTY, PENNSYLVANIA NO 95-2.127 CILIL T RN1 CIVIL ACTION - LAW IN DIVORCE INCOME AN) 'YP 'NSF S7' AT .n'FI )F FHANK.1' VI AZ,M III 1. INCOME Employer: Gross Pay Per Period (bi-weekly) $1,01040 Federal Withholding $ 29) 01 Social Security. $ 62.65 Medicare Tax. $ 15 08 Local Wage Tax $ 10.10 State Income Tax $ 28 29 Unemployment $ 111 HMO $ 9 60 Dental $ 3 23 Child support $ 184 62 Long Term Disability $ 2 12 United Way $ 2 00 TOTAL DEDUCTIONS $ 61190 Net Pay Per Period (bi-weekly) $ 398 50 11, EXPENSES Rent (Monthly) $ 532 00 Utilities (Monthly) Electric $ 47.00 Telephone $ 45 00 (Ins $ 39.00 Cable $ 23 00 Water $ 32,00 Insurance (Monthly). Automobile $ 82 00 Term life $ 5.70 Automobile (Monthly). foci & maintenance $ 150.00 Personal (Monthly) Food $ 300.00 Credit Card Payments $ 5000 Household/personal $ 100 00 Legal Fees $ 50 00 I, Frank 1' t)cLizio, III, eerify that the statements made in this income and Expense Statement are true and correct I understand that false statements made herein are made subject to the penalties of 18 Pa. C S Section 4904 relating to unsworn falsifications to authorities Date ' Prank 1' cl.izio, III, Plaintiff Al IUIINI VS At I Aw 21100 MMKI 1 5110 1 1 UAMP HII I PI NNSVI VANIA 11011 KEITH a UeAHMONO I I I N 1.10 9.190 JACKIE J OeAIIMOND March 11, 1996 E Robert Elicker, II, Esquire Office of Divorce Master 9 North Hanover Street Carlisle, PA 17013 RE DeLizio v DeLizio Dear Mr. Elicker. Enclosed for filing please find the Pre-Trial Statement of Plaintiff, Frank P DeLizio, III. Very truly yours, DeArmond & DeArmond Keith B DeArmond, Esquire KIID/Im Enclosure CC] Frank DeLizio Andrew C Sheely, Esquire ? ??? I? FRANK P DELIZIO, III, IN 'I'I Ili ('OUIL'1' OI' COMMON PI.EAS OF PLAINTIFF CUMIIEULLAND COUNTY, PENNSYLVANIA VS NO 95-2427 CIVIL "T FRM CIVIL AC'T'ION - LAW WENDY DELIZIO, DEITNDANT IN DIVORCF PRh=1EU S'1'A' WEEK on behalf of the Plaintiff; Drank 1' DeLizio, III, in the above-captioned action, Keith D, DeArmond Esquire, does hereby file the following pre-trial statement f'or consideration of the Court: I. Marital Assets- Attached hereto please find a listing of all marital assets including their value and determination of whether any portion in non-marital assets, their value and any liens or encumbrances thereon. See inventory and Appraisment. 2. The names and addresses of cacti expert whom the Plaintiffintends to call at trial includes the following, The plaintiff has identified no experts at this time that he intends to call. 3, The Plaintill'intcnds to testily at trial A list ol'other witnesses shall be forthcoming. 4 No exhibits are anticipated at this time. 5 The gross income of the I'laintilf from all sources including payroll deductions, recent slate and federal income tax return and paystubs See Income and Expense Statement Page 2 G A listing of the expenses of the Plaimill' The Income and Expense Statement includes this information 7 The valuation of pensions or retirement benefits and a calculation of the marital portion thereof and the facts and documentation upon which the party relies to support the valuation. It is unknown whether the Defendant has a retirement plan The Plaintiff currently has no retirement plan ofany type 8, The Defendant makes a claim lior counsel fees and Plaintiff denies liability for same. 9 Both parties snake a claim for Alimony. Plaintifl'denies liability fix same. 10. The Plaintifl'proposes that the parties have equitably divided their marital property at the time of their separation in l7ebruary of 1987 and that a divorce should be granted. The plaintiff should be awarded Alimony. Respectfully submitted, DeArmond & DeArmond DA'Z'E -31-17_1 (?. Keith 13 DeArmond, Esquire Sup Ct. 11) N 58878 DeArmond & DeArmond 2800 Market Street Camp Ifill, PA 17011 (717) 730-9394 FRANK 11. DIJAZIO, 111, IN TI ll3 COURT OF CONIMON PLEAS OF PLAIN'T'IFF CUN IIIA(LANO COUN'T'Y, PENNSYLVANIA VS. NO 95.2427 CILII. T RM CIVIL ACTION - LAW WHNDY ONLI%10, DEFENDANT IN DIVORCE INVEN I ORY OF !?RANK 1'. I LI, " 1thin Plaintiff ilex the following inventury ul'all propelly owned of possessed by either party at file time this action was commenced and all p opctty Iransl'ctted within the preceding three years. I'lahtdliVol i(ies that the statementa madc In this inventory arc ltue and correct. I'laintilP undet'stands Iltat lalsc statelircnls herein are made subject to file penalllca or 18 Fa. C.S. Section 4904 relating to unewurn f'alsillcation 101uthuritics Frank i', DeLizio, III, P Intl Ab-SE] F AB'CMN Defendant marks on the list below Ihose items applicable to the case at bar and itemizes lice assets on the following pages ( ) I Real VIopcrly (X) 2. Motor vehicles O 3. Stocks, bonds, securities and options O I Certificates of Deposit (X) 5 Checking uccounts, cusp O 6. Savings accounts, money mnrkO and savings certificates O 7. Contents ol'safe deposit boxes O 8. 'T'rusts O 9. Life insurance policies (indicate Inee value, cash surrender value and current beneficiaries) O 10. Annuities O 11. Oros O 12. Inheritances O 13 Patents, copyrights, inventions, royalties O 14. Personal properly outside the home O 15 Ilusiness (list all owners, including percentage of ownership, and officer/director positions held by a party with company) ( ) IG Employment tcnmination bencllts - severnnce pay, worker's compensation clahm/award (X) 17. Profit sliming plans ( ) 18. Pension plans (indicate employee cons ibution and date plan vests) (X) 19. Retirement plans, Individual Retirement Accounts O 20. Disability payments O 21. Litigation claims (matured and unnmhmed) O 22- Military/V_A benefits O 23 Education benclhts O 24 Debts due, including loans, mortgages held (X) 25 Household finnishings anti personally (include as a total category and attach ilemired list as ifdisoibulion ol'such assets is in dispute) ( ) 26 Other - Antiques MARITAL PRONAUX Defendant lists all marital properly in which citha m both spouses have a legal or equitable Interest individually or with any other petsou as ol'Ihc date Ihis action was commenced, Ilem I?escr?plloa Names of Prescal Value Llllw4rr uf1'mlrcrh • All !micro of I`rvpcrU I . I lousehold goods and fiuniture frank 11. R Wendy L Dcl.iziu unknown I'laintimists ail property in which o spouse bus a Iegu1 or equitable interest which is claimed to be excluded from marital properly Item Description Reason for EA usian I • 1978 Buick LeSabrc 2. 401 K Ilan 3. 1'urnihue 4• Checking Accouol Acquired niter separation Acquired alley separation Acquired oiler separation Acquired alter separation P1tOCLltTY MANSIT RLD Pcrom Ilan PCIVI Ipllnn UJOIC 01 CUIIAIFII- IU WI10111 Numbu u[P.Ciwu1'I.1 Tnuilru. 4'I@Ilun Ifani uW, I. Iholil Shoving 8/87 $17,00000 Frank UcLicio 2. 1976 FoIJ Vim 1989 $15000 OcnnisMillcr ]. 1975 Tiimph 1987 0 - Al Doloskowski FRANK 1' DFLIZIO, III, I'LAIN HIT VS WENDY DFLI%1O, INTENDANT IN rulf COI JltT OI; CONINION 111.1; AS 01; l'UN1111'.RI.AND VOUN'I1', I'I'.NNSYLVANIA NO 95-2.1217 CIl.ll. TERNI CIVII, AC I ION - LAW IN DlVORIT. IN NbUlAU"HENT-UE FRANK 11 DI:LWO.III 1. INCOME Emplayel'1 Ingram Mtcru Gross I'ay Per 11eriod (bi-weekly) $1,010.40 Federal Withholding $ 291,01 Social Security. $ 62 G5 Medicare Tax: $ 15.08 Local Wale Tax $ 10 10 State Income'1'ax: $ 2829 Unemployment $ I II I IMO $ 9,69 Dental $ 121 Child support $ 18462 Long TC1111 Disability $ 2 12 (lulled Way $ 2 00 TOTAL DUD11CTIONS $ b11.90 Net Pay Per Period (bi-weekly) $ 398 50 II. FXPENSCS Rem (Momhly) $ 5.12 0ll I)Itlilics (Monlhly) lilcc0ic $ 4700 Telephone $ 45 u0 (ins $ .11) o() Cable $ 2100 walel $ 32 00 Insurance (Monthly) Aulomobile S "21 1111 Tenn Lk. S 5 70 Autumobile (Mo111111y) fuel K maintenance S 150 00 Personal (Mumlhly) Food $30000 Cledil Cold 1'aynlenls S 511.00 114 uschold/pet sonnl $ 100 (l) Legal fees $ 5()()0 I, Flank 1' Dch/io, III, vclil'y dull the slatcnpmis made in this income and Expense State(tlcill Ric (file and collect I undclsland 111111 prise statements made herein nie made subject to lite penaitics of IN 110 C S Section 4901 lelnling to 1111sivonl lulsilicalioms to authorities Ualc /a „' ?? i' G 1'rnnk I'. eLizi0, III, Plaintiff JAMns 1). BouA12 A110UNLY Al LAN' (IN' NLS1 MAIN N1111. 1A JAMES U. 11I111AR S111RfMANS111WN, PLNNSYLVANIA 17011 TELEPRONE ANDREW C. SIILLIN (717) 707.0701 TELECONER (717) 707.8000 March 11, 1996 E. Robert Elicker, II, Esquire Divorce Master 11 North Hanover Street Carlisle, PA 17013 RE: DeLizio V. DeLizio 95 - 2427 Pretrial Statement Dear Mr. Elicker: Enclosed please find Defendantls pretrial statement. In the event you have any questions, please call. Very truly yo di, lwv ANDREW C . SHEELY ACS/as Enclosure FRANK 11. DEI,1 % II), 1 1 1, 1'I illtlIt l I Vii . WI•'.NDY DEIA Z IO, bud l± idnnl DA'I li i a//%/,? I IN 'r m-' COURT ON COMMON PLEAS OF t CUMDI:RLAND COUNTY, PENNSYLVANIA t t CIVIL ACT1ON - LAW t No. 95 - 2427 t NO-------------- CiVit------ 19- I IN DIVORCE STATUS SHEET ACTIVITILS2 i i ^W?1? X114 C}1Q?r?__U_?-) 44 _ _--- ?R.: ,d(If,?A r(,. Orl . AMA 1 t/ l -? / Itul. „t../ /'"?rl?e .l'? ( !1r ?(._t N L'(Il. t nV r/ LA(Qw u,. I *A: I .III'" t0 1uI A !f""--l I Cly t I P/ 4h OFFICE OF DIVORCE MASTER CUMBERLAND COUNTY COURT OF COMMON PLEAS 9 North Hanover Street Carlisle, PA 17013 (717) 2406535 E. Robert Elicker, II West ethors Divorce Master 697.0371 Ext. 6535 Traci Jo Colyer February 21, 1996 Ollie Manager/Reporter Keith B. DeArmond, Esquire Andrew C. Shealy, Esquire DeARMOND & DeARMOND 1 West Main Street 2800 Market Street Shiremanstown, PA 17011 Camp Hill, PA 17011 RE: Frank P. Delizio, III vs. Wendy Delizio No. 95 - 2427 In Divorce Dear Mr. DeArmond and Mr. Shealy: By order of court of President Judge Harold E. Shealy dated February 9, 1996, the full-time Master has been appointed in the above referenced divorce proceedings. A divorce complaint was filed on May 5, grounds for divorce of irretrievable breakdown The complaint avers that the parties separated February 1987; therefore, grounds for divorce I assume, also, that the date of separation is counsel and the parties. 1995, raising of the marriage. on or about ire not at issue. agreed upon by On June 14, 1995, an answer and counterclaim were filed by the Defendant. The counterclaim raises the economic issues of equitable distribution, alimony, and counsel fees and costs. In accordance with P.R.C.P. 1920.33(b) I am directing each counsel to file a pre-trial statement on or before Monday, March 11, 1996. Upon receipt of the pre-trial statements I will immediately schedule a pre-hearing conference with counsel to Mr. DeArmond and Mr. Sheely, Attorneys at Law 21 February 1996 Page 2 discuss the issues and, if necessary, schedule a hearing. Very truly yours, E. Robert Elicker, II Divorce Master NOTE: Sanctions for failure to file the pre-trial statements are set forth in subdivision (c) and (d) of Rule 1920.73. THE ORIGINAL PRE-TRIAL STATEMENT SHOULD BE FILED IN THE MASTER'S OFFICE AND A COPY SENT DIRECTLY TO OPPOSING COUNSEL. FRANK P. DELIZIO, III, Plaintiff VS. WENDY DELIZIO, Defendant TOC Keith B. DeArmond Andrew C. Sheely IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 95 - 2427 IN DIVORCE , Counsel for Plaintiff , Counsel for Defendant A pre-hearing conference has been scheduled at the office of the Divorce Master, 9 North Hanover Street, Carlisle, Pennsylvania, on the 14th day of May, 1996, at 9170 a.m., at which time we will review the pre-trial statements previously filed by counsel, define issues, identify witnesses, explore the possibility of settlement and, if necessary, schedule a hearing. Very truly yours, Data of Noticat 7/21/96 E. Robert Elicker, II Divorce Master FRANK 11. DF.LI'LIO, III, Plaintiff vs. WENDY L. DELIZIO, Defendant IN THE COURT OF COMMON PLI'AS of CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 2427 CIVIL '9,) IN DIVORCE ORDER AND NOTICH SETTING HEARING Tot Frank P. Deliziu, 111 Ilaintiff Keith B. DeArmond Counsel for Plaintiff Wendy L. Delizio Defendant Andrew C. Sheely Counsel for Defendant You are directed to appear for a hearing to take testimony on the outstanding issues in the above captioned di vorce proceedings at the Office of the Divorce Master, 9 tJorth Hanover Street Carlisle, P(Mnsy)Valli a, on the 13th day of _AugustI'm" at 9:00 a.m, at which place .111.1 time you will be given the opportunity to present witnesses and exhibits in support of your case. Date of Order and Notlcei 5/14/96 By the Court, Harold E. Sheely, Prest f, Ju'l'y fly t Div()-r(,(, Mristei IN YOU DO NOT HAVE A LAWYER Oil CANNOT AFFORD ONI:, c;u '1c, (1k TEL1:I'll ONE THE' OFFICE HET I010,11 BFLOW T() FIND OUT WIll kl 0,11 CAN GET LEGAL. HELP. Court Adminisitattu FOUllh Floor, Fast Winc,J Cumberland County cnurth(m Carlisle, PA I/Oli Telephone ('11'1) 2411 FRANK P. DELIZIO, III, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA 2 Vs. S NO. 95 - 2427 i WENDY L. DELIZIO, _ Defendant : IN DIVORCE RE: Pre-Hearing conference Memorandum DATE: Tuesday, May 14, 1996 Present for the Plaintiff, Frank P. Delizio, III, was attorney Keith B. DeArmond, and present for the Defendant, Wendy L. Delizio, was attorney Andrew C. Sheely. A divorce complaint was filed on May 5, 1995, raising grounds for divorce of irretrievable breakdown of the marriage. The complaint averred that the parties separated in February 1987. In response to the complaint, the Defendant filed an answer and counterclaim on June 14, 1995. The counterclaim raised the economic issues of equitable distribution, alimony, and court costs and counsel fees. Counsel have advised that the parties will sign and file affidavits of consent prior to a hearing to be held in these proceedings so that the divorce can be concluded under Section 3301(c) of the Domestic Relations Code. Counsel have indicated that they will not be offering any testimony on the factor of marital misconduct as that factor relates to wifels alimony claim. The parties were married on August 27, 1972. They are the natural parents of two children Dara, age 18, and Christina, age 22. Dara is currently living with the wife and will be graduating from high school this spring. wife is receiving spousal support and child support from husband. The support is in the amount of $466.00 per month, allocated $290.00 per month for child support and $176.00 for spousal support. Husband is 43 years of age and resides at 204 Cumberland Drive, camp hill, Pennsylvania, with a female friend. lie is a high school graduate and works for Ingram Micro as a shipping clerk. Hie biweekly gross income is $1,010.40. He has not raised any health issues. Wife is 45 years of age and resides at 11 A East Front Street, Shiremanstown, Pennsylvania, where she lives with the daughter Dara. Wife is a high school graduate and is employed by the Commonwealth of Pennsylvania as a custodian and her biweekly gross income is $478.15. Husband has raised an issue claiming that wife has other income from house cleaning jobs which she is not reporting, although husband has not presented any evidence showing additional income. Wife's attorney on the other hand, claims that he is not aware of any additional income that wife has from other employment. Wife has not raised any health issues. Both parties, in the event of a divorce, will be covered under medical and health insurance plans from their respective employers. The parties listed as marital property two vehicles, a 1976 Ford van and a 1975 Triumph. Both vehicles were sold. Husband claims he got $150.00 for the Ford van and has not given us a number as to what was received for the Triumph and Mr. DeArmond is going to verify the proceeds from the sale of that vehicle. Wife on her pre-trial statement has indicated that in her opinion the value of the Ford van was $350.00 and the value of the Triumph was $7,000.00. At the time of separation husband claims he left the marital residence and took only his clothing, leaving behind all of the household tangible personal property. Wife claims that most of the property had little or no value and husband has not provided any list claiming any value for the property. The issue is left open for either party to raise with respect to identification of household tangible personal property and value. Counsel, however, can determine that there is no household tangible personal property involved in the distribution and, therefore, we will not include any testimony or information regarding that kind of property in the valuation for determining total marital assets. At the time of the separation husband was involved with a profit sharing plan with Duplex Products. Six months following the separation tie cashed out the plan and received $17,000.00 to $18,000.00 which he tins utilized for his own use and benefit. Wife also claims that there was a Duplex Product stock purchase plans Mr. DeArmond is not aware of the plan but will inquire of his client about the plan and also whether or not there were any other shares of Duplex Product stock held by the parties. The Master indicated that with respect to the utilization by husband of tho proceeds from the profit sharing plan that he will likely have to pay wife interest. on liar share of the date withdrawalcofdtherfunds) to thefdatea ftthe hearings of Mr. 6heely has some life insurance policies cash values. Mr. DeArmond i Mr. 9heely is going to attem information that he provided DeArmond will inquire of his policies to include the name if any, on his pre-trial statement ome specific numbers showing ware of any such policies and erify how lie obtained the pre-trial statement. Mr. about the existence of any company and the cash values, Mr. DeArmond indicated that perhaps some of the proceeds from the receipt by husband from the profit sharing plan went to pay marital debt. lie is going to discuss that issue with his client and provide verification of how those marital uobligations, of those proceeds were utilized,to n pay In A hearing is scheduled for Tuesday, August 17, 1996, at 9100 a.m. Notices will be sent to counsel and the parties. E. Robert Elicker, II Divorce Master ccl Keith H. DeArmond Attorney for Plaintiff Andrew C. Shealy Attorney for Defendant listed with s a not a pt to v on hie client of the FRANK P. DELIZIOI III s Plaintiff/Respondents 2 V. j i WENDY L. DELIZIO, Defendant/Petitioners IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 95 - 2427 IN DIVORCE IN ¦i PETITION FOR BPECIAL• REL•IEP1 ENFORCEMENT Or COURT ORDER P AND NOW, this day of Ott? 1996, upon considera- tion of the within Petition, Plaintiff/Respondent is directed to show cause why the relief re sted should not be granted. RULE RETURIJABLE days from Service. A hearing is scheduled t ) for A/Y.?t 1996, att .L) &-.m, in Court Room No., of the Cumberland County Courthouse. Keith B. DeArmond, Esquire Attorney for the Respondent Andrew C. Sheely, Esquire ?/' Attorney for the Petitioner /^ BY THE COURT, FRANK P. DELIZIO, III, t Plaintiff/Respondents i V. s s WENDY L. DELIZIO, t Defendant/Petitioner: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 95 - 2427 IN DIVORCE IN RE: PETITION FOR SPECIAL RELIEFt ENFORCEMENT OF COURT ORDERI PETITION FOR CONTEMPTr PETITION FOR ATTORNEY FEES AND NOW, this day of above-captioned petition is set for 1996, a hearing on the at _.m., in Courtroom Number _, Cumberland County Courthouse, Carlisle, PA 17013. BY THE COURT, Keith B. DeArmond, Esquire Attorney for the Respondent Andrew C. Shealy, Esquire Attorney for the Petitioner FRANK P. DELIZIO, III, Plaintiff/Respondent: V. WENDY L. DELIZIO, Defendant/Petitioner: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 95 - 2427 IN DIVORCE I AND NOW, this day of , 1996, following a hearing upon Petitioner's request to Enforce an Order of Court and Petition for Contempt, it is hereby ORDERED AND DECREED as follows: 1. Respondent is directed to maintain life insurance in accordance with the Agreement of the parties dated August 13, 1996; and 2. Respondent is found in contempt of this Court's Order of Court dated August 27, 1996; and; 3. Respondent is directed to pay Petitioner's counsel fees in the amount of $ for failing to comply with the order of Court dated August 27, 1996. BY THE COURT, J. Keith B. DeArmond, Esquire Attorney for the Respondent Andrew C. Sheely, Esquire Attorney for the Petitioner FRANK P. DELIZIO, III, Plaintiff/Respondent: s V. s WENDY L. DELIZIO, s Defendant/Petitioner: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 95 - 2427 IN DIVORCE Wendy L. DeLizio, Petitioner, by and through her Attorney, Andrew C. Shealy, Esquire, hereby files this Petition for Special Relief, Enforcement of a Court Order, Petition for Contempt and Attorney Fees pursuant to 23 P.S. 13505 and Pa. R.C.P. No. 1920.43 and local rule of court, and in support thereof states as follows: 1. Petitioner is Wendy L. DeLizio, defendant in the above-cap- tioned divorce action. 2. Respondent is Frank P. DeLizio, III, plaintiff in the above- captioned divorce action. 3. On August 13, 1996, Petitioner and Respondent reached a mutual agreement to resolve all economic and other issues before the Cumber- land County Divorce Master. The agreement was reduced to writing and signed by all parties on August 13, 1996. A copy of the agreement is attached hereto as Exhibit "A". 4. On August 27, 1996, an Order of Court was entered by the Honorable George E. Hoffer, divorcing the parties from the bonds of matrimony and incorporating the terms of the mutual agreement dated August 13, 1996 and an order of court regarding alimony entered simultaneously with the Divorce Decree. A copy of the Divorce Decree is attached hereto as Exhibit "B". A copy of the Alimony order is attached hereto as Exhibit "C". 5. Paragraph 7 of the agreement required that Plaintiff/Respondent maintain life insurance in the amount of $40,000.00, naming Defendant/Petitioner as sole beneficiary. 6. In late August of 1996, Respondent contacted Petitioner and advised her that he had no intention of complying with the provisions of the Agreement or complying with the subsequent order of Court as it pertains to the issue of life insurance. 7. on September 9, 1996, counsel for Petitioner contacted counsel for Respondent advising that Plaintiff/Respondent had not complied with the Agreement and subsequent Order of court, and further, requested compliance with the Agreement and subsequent orders of Court. A copy of the letter is attached hereto as Exhibit "D". 8. This petition was presented to counsel for Respondent at least three (3) business days prior to its filing. 9. Respondent continues to violate the prior Orders of Court and Agreement. 10. Respondent has demonstrated wanton and willful non-compliance with the Agreement of the parties and Judge Iloffer's Orders of Court which require the maintaining of life insurance. 2 11. As a result of the filing of the instant petition and good faith efforts to resolve this matter prior to the filing of the peti- tion, Petitioner has incurred attorney fees in excess of 6600.00. 12. Respondent maintains exclusive control over compliance with the prior orders of Court, and he blatantly refuses to comply therewith notwithstanding adequate notice. WHEREFORE, Petitioner respectfully requests that this Honorable Court enter an Order: 1. Directing Respondent to comply with the terms of the agreement and prior Orders of Courts; and 2. Entering an award of attorney fees against Petitioner for non- compliance with the Agreement and Order of Court in an amount at least equal to $500.00; and 3. Any other relief the Court deems equitable and just. Respectfull a fitted, ltd ? ) Andrew C. Shealy, ?a Pa ID #62469 1 West Main Street Shiremanstown, PA 17011 (717) 737-8761 1 JAMP:S 11. ll(MAH Al IIgINI 1' U I .U\ IIN I NI tii "W. "I NI I I IAMI.S 11 III It-All SIIIHLMANN11111?.. I'1 \I\'.\NIA 171111 ANIIIILW' N1114IN' September 9, 1996 Keith B. DeArmond, Esquire DeArmond & DeArmond 2800 Market Street Camp Ifill, PA 17011 RE: Delizio Dear Keitht IEIt19WNL (71717117-117"1 1P.1H III'I111 17171 fI17-kon'l This letter follows several telephone calls to your office requesting confirmation that Mr. Delizio has complied with the order of Court and the Agreement of the parties. Specifically, we are requesting confirmation that Mr. Delizio has obtained the relavent insurance which he agreed to provide in accordance with the Agreement attached to and incorporated within Judge lioffer's order of Court. In the event that Mr. Delizio does not immediately comply with the order of court and Agreement, I will file a Petition to hold him in contempt of court and seek that he be held responsible for any attorney fees incurred by Mrs. Delizio in pursuing enforcement of the order of Court and Agreement. In addition, Mr. Delizio's comments to Mrs. Delizio indicate that he has no intention of complying with the Order of Court and Agreement. I believe that the issues this letter. However, in the prior to September 12, 1996 an as set forth above. are very clear as set forth in event that I do not hear from you appropriate Petition will be filed Very truly yours, ANDREW C. SIIEELY ACS/cas ccl Wendy Delizio FRANK P. DELIZIO, III, Plaintiff Vs. WENDY L. DELIZIO, Defendant IN THE COURT OF' COMMON PLEAS OF CUMBERLAND COUNTY, PE14NSYLVANIA 140. 95 - 2427 IN DIVORCE THE MASTER: Today is Tuesday, August 17, 1996. Present for a Master's hearing are the Plaintiff, Frank P. Delizio, III, and his counsel Keith B. DeArmond, and the Defendant, Wendy L. Delizio, and her counsel Andrew C. Shealy. A divorce complaint was filed on May 5, 1995, raising grounds for divorce of irretrievable breakdown of the marriage. Both parties have signed this morning affidavits of consent and the waiver of notice of intention to request an entry of a divorce decree and have provided the original documents to the Master who will rile the documents with the Prothonotary. Therefore, the divorce can be concluded under Section 3701(c) of the Domestic Relations Code. The Defendant, in response to the divorce complaint, filed an answer and counterclaim on .Tune 14, 1995. The counterclaim raised the economic issues of equitable distribution, alimony, and counsel fees and costs, The Mac;ter has Keen advised that after negotiations this morning, the parties anvi counsel have reached an agreement with respect to the (,utr,tandinq ec?ncr,ic ulaims. The agreement is going to he 111,icvI r,n the l e.:ol d in tile presence of the EXHIBI1 'i?" parties. The agreement., once it is placed on the record, will be considered the substantive agreement of the parties, not subject to any modification or changes except for correction of typographical errors which may be made during the transcription. Counsel and the parties will return later this morning to review the draft of the agreement for typographical errors and make any corrections as required. No corrections or changes can be made, however, to the substantive part of the agreement once it has been stated on the record at this time. After the parties and counsel have reviewed the agreement for typoyraphical e,rri,rs, they will affix their signatures by way of affirmation of the agreement arid the Master will prepare an order vacating Iris ahlx)ir,tment so that the parties can proceed to request the Court enter a final decree in divorce after the filing of thc, praecipe to transmit the record. It I,, the Master's understanding that accompanying the divorce decree will be a prupose.i alimony order to incorporate the terms of alimony as set f(:,rth in the agreement which is going to Ice entered on the record at this time. The potties were married on Aujust 27, 1972, and were separated in Ietnuary 198`7. They ,are the natural parents of two children, kith of whore art- ui,ancll,ated. Mr. Sheely. MR. '-111.1-1.Y: Ihi€: agreement I.Iecodus a hearing before the cumi+erl rn.l County Llvgr;ee M-inter on August 17, 1996. In order to resgl':t. thra 'gIRm1? bsuk5 l.?lae?l in the pleadings, the parties agree as follows; 1. Plaintiff, Frank. P. Delizio, III, shall pay nonmodifiable alimony to Defendant, Wendy G. Delizio in the amount of $676,00 per month, payable $312.00 biweekly, commencing on September 1, 1994. Said alimony payments shall not be modifiable until September 1, SUN. Plaintiff shall pay alimony notwithstanding Defendant's remarriage or cohabitation. Alimony shall cease upon either party's death. A separate alimony order shall be entered with the divorce decree. The alimony payments shall be deductible from Plaintiff's gross income and included in Defendant's gross income. 2. Upon the entry of the divorce decree, the parties shall notify the Cumberland County Domestic Relations office at which time the spousal support award shall cease and at which time alimony pendente lite shall become in effect in the amount of 00 6.UU per month until September 1, 1996, when the alimony pendente lite shall convert to alimony as provided herein. 7. On September 1, Soul, the payment of alimony shall decrease to an amount of $575.00 per month, at which time either party may Fetiticn the Court of Common Pleas of Cumberland County fur reduction or further modification of the payment of alimony. In the event wife is cohabiting or is married as of September 1, 1996, alimony shall cease. 4. All alimony payments shall be mate payable through the Cumberland i'ounty Domestic Relations Office. Plaintiff shall continue to pay an amount of $8.00 to fully satisfy support arrears owing to Defendant in the amount of $575.00. 5 . The parties have d i v i It 1 a 1 1 pets, na l prcpert y to their mutual satisfacti.,n. 6. Except as herein uthei4ire Viuvidod, Bich party may dispose of his of her l:i c,pvi ty in any way and each party hereby waives and ielinquishee any and all rights he or she may now have i he•ieattei onquire under the present or future laws t any jai icdict ion to share in the property vi the e0ito .,t the ether as a result of the marital relit iKr,?KI in-In I&I without limitation, statutory allowance, widow's alluwance, 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, 7. Plaintiff shall maintain life insurance in the amount of $40,000.00, decreasing at an annual rate of $8,000.00 per year for a period of five years. Plaintiff shall provide written notice and verification to Defendant on September 1, 1996, and each year thereafter that said policy remains in effect. Defendant shall be named the sole beneficiary of such policy. 8. Both parties acknowledge that they are not aware of any outstanding marital debts. To the extent that such marital debts exist, Plaintiff shall remain responsible for such debt. 9. Wife hereby waives all claims for counsel fees and costs as raised in her counterclaim. 10. Defendant shall notify Plaintiff as to whether or not she is cohabiting or has remarried as of September 1, 2001, provided she is provided with Plaintiff's current address. MR. DeAPMOND: Mr. Delizic, have you heard the agreement that Mr. Sheely recited on the record? MR. DELIZIO: Yes. MR. DeARMCND: Do yc;u urnlerstand the agreement? MR. DELIZIC: Yes. MR. DeAkM(ND: Do you understand that the agreement as out forth on the recw d is not modifi„1-le except to correct minor errors in punctuation and spelling? MR. DE1.I"10: Yes. MR. SHEELY: Wendy, have you heard the entire agreement which was recited by me? MS. DELIZIO: Yes. MR. SHEELY: Do you understand the entire agreement which was recited? MS. DELIZIO: Yes. MR. SHEELY: Do you have any questions concerning this agreement at this time? MS. DELIZIO: No. MR. SHEELY: And du ycu understand the conditions which Mr. Elicker recited and which Mr. DeArmond just recited concerning the terms of the agreement? MS. DELIZIO: Yes. THE MASTER: Do you understand that you can't come back later today and change your mind about anything? MS. DELIZIO: Yes. I a6:nowledge 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 yteVIOu51y made and intend to bind myself to the settlement as a ccntract obligating myself to the terms of settlement and auL)ec.ting myself to the methods and procedures of enforcement which may be imposed by law and in particular Section 3105 of the Do mestic Relations Code. WITNESS: Ke th B.' DeArmond Attorney for Plaintiff Andrew C. Shealy Attorney for Def ndant DATI, : Frank P. De zz o1 , I;I Wendy.Delizio IN THE COURT OF COMMON PLEAS lk OF CUMBERLAND COUNTY j STATE OF ric,.' PENNA. F, 1A Ya•f Z K FRANK P. DELIZIO, 111, N11, 95-2427 Civil Term l(fi5 X Mt Plaintiff WENDY DELIZIO Defendant MI •?:? DECREE IN i DIVORCE at 2152 P.M. AND NOW, ...?uguse.2;1 19 y6. it is ordered and J! decreed that FMNK P. DELIZIo, III Plaintiff, and WENDY DELIZIO {k t defendant, , are divorced from the bonds of matrimony. tl ' ;S 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; s M T`h14 Decree lncuprorate, the or,ler if Court regarding Alimonv dated and-the Stipulation and Agreemrnt datr.l August 13, 1990 :R Il y l h n Court s; lqe h:, HuYf t A11.r1 ;, E. Welker, Prcthonrt3rv . wtGncw 1 Rl CaIH1t?r Prolhunntary _ FP'PlflJ'„I' 11:.;1'1'1' AUr;Util' <N, lr,nf, A MIDI FRANK P. DELIZIO, III Plaintiff V. WENDY L. DELIZIO Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 95 - 2427 IN DIVORCE RZi ALIMQH AND NOW, this ?77" day of <<f',;, 1996, following a scheduled hearing before the Cumberland County Divorce Master and upon consideration of the attached agreement of the parties, it is hereby ordered and Directed as follow: 1. Plaintiff, Frank P. DeLizio, III, shall pay nonmodifiable alimony to Defendant, Wendy L. DeLizio, in the amount of $676.00 per month, payable $312.00 bi-weekly, commencing on September 1, 1996. Said alimony payments shall not be modifiable until September 1, 2001. Plaintiff shall pay alimony notwithstanding Defendant's remarriage or cohabitation, however, alimony shall cease upon either party's death. The alimony payments shall be deductible frum Plaintiff's gross income and included in Defendant's gross income. 2. Upon the entry of the final divorce decree, the parties shall notify the Cumberland County Domestic Relations Office at which time the spousal support award shall cease and at which time alimony pen- dente lite shall become in effect in the amount of $676.00 per month until September 1, 1996 when the alimony pendente lite shall convert to +I'101 C alimony as provided herein. 9. On September 1, 2001, the payment of alimony shall decrease to an amount of $575,00 per month, at which time either party may petition the Court of Common Pleas of Cumberland County for reduction or further modification of the payment of alimony. In the event Defendant is cohabitating or is married as of September 1, 2001, alimony shall cease. Defendant shall notify Plaintiff as to whether or not she is cohabitating or has remarried as of September 1, 2001, provided she is provided with Plaintiff's current address as of September 1, 2001. 4. All alimony payments shall be made payable through the Cumber- land County Domestic Relations office. Plaintiff shall continue to pay an amount of $8.00 to fully satisfy support arrears owing to Defendant in the amount of $575.00. 5. All remaining terms of the agreement are incorporated herein by reference and shall be enforceable by the Court upon petition of either party. consented tos Keith H. De rm rie, Esquire Attorney for Plaintiff Andrew C. Shealy, Esysrhfe'- Attorney for Defendant BY THE COURT, r r? ??- ? i J. )RD my hand Pa. 1 z, Ilu? ? o X,Pfd•', t Pr?u mint ry.... 2 I. MLS 1), lilni.%tt A i'1, 40. 1 " U I .'., I A. 119U I1, lI, A It ANNIEw I 911EEL.Y Keith B. DeArmond, Esquire DeArmond 6 DeArmond 2800 Market Street Camp Hill, PA 17011 September 9, 1996 RE: Delizio Dear Keitht I E 1. F. I1111)NI 1711) 7U7-9T31 )PI.E[019FF1 1 7 1 71 711 7.911#111 This letter follows several telephone calls to your office requesting confirmation that Mr. Delizio has complied with the order of Court and the Agreement of the parties. Specifically, we are requesting confirmation that Mr. Delizio has obtained the relevant insurance which he agreed to provide in accordance with the Agreement attached to and incorporated within Judge Hoffer's Order of Court. In the event that Mr. Delizio does not immediately comply with the order of Court and Agreement, I will file a Petition to hold him in contempt of court and seek that he be held responsible for any attorney fees incurred by Mrs. Delizio in pursuing enforcement of the order of court and Agreement. In addition, Mr. Delizio's comments to Mrs. Delizio indicate that he has no intention of complying with the Order of Court and Agreement. I believe that the issues this letter. However, in the prior to September 12, 1996 an as set forth above. ACS/cas cct Wendy Delizio -1111,1 `IA?11, W. I'I'. 'I I'. k.-lk 1 1III are very clear as set forth in event that I do not hear from you appropriate Petition will be filed Very truly yours, rI ?I rv. -t-j ANDREW C. SHEEL,Y EXH1811 1 BOGAR & SHEELY Attorneys at Law One West Main Street Shiremanstown,PA 17011 James D. Boyar Telephone (717) 797-8701 Andrew C.Shealy Facalmlle (M) 797.2086 DATE: TO: ATTN: FACSIMILE NO: FROM: RE: PAGE 1 OF September 20, 1996 DEARMOND AND DEARMOND Keith B. DeArmond, Esquire 7]0-2166 Andrew C. Shealy, Esquire Petition for Special Relief 9 HARD COPY WILL FOLLOW XORIGINAL WILL BE RETAINED MESSAGE: Keith: Please find a petition which I intend to file next week. The exhibits are not attached but they are documents which you have in your records. Andrew C. Shealy, Esquire (Please notify us if you have any problems with this transmission.) '"CONFIDENTIALITY NOW" The information and documents accompanying this transmission contain information from the law offices of Sogar A Shealy which Is considered confidential and/or legally privileged. The Information to intended solely for the use of the Individual or entity named on this transmission sheet. If you are not the designated recipient, you are hereby ratified that any disclosure, copying, distribution or taking of any action In reliance on the contents of this Information Is prohibited. If you have received this transmission In error, please notify us by telephone imnedlately (collect If long distance) so that we can arrange for the return of the original documents to us at no cost to you and with reimbursement for the cost you ray have incurred In responding to this notification. Thank you. a. N r- J t?7 h J U -j .. 1 rA ?-1 la, 1ST ?'1 u7 kD .. w l1. r- LL w /1 LL 1-:1 0 Ll l1 w lZ ch I m ra w ? CA w L i LY_ i CA- CL W (Y) h W r? h 0 a LL m 1l N W f W z w M i.t. W T n-a H i T• 0 1- aS ? h aS ". f. 1? W D y W D -:_ ~ ?' h D W 9 W 9 h LY M I- r- N1 kn r N7 m Ut D U7 h w h ?I W h N aS &X? a w ¢ ra a w ss ., a , JANJE.S 1). 1300,A11 At IMINLY At 1,A%% nN I. NI II Mn6 II HI I.I TAMES 1) NleiAl< NIMIL NA NS I I A% N. 1'LNNNY1 VAN IA OMI I'F.LEI'IIUNF (7171 7117.43 1111 ANDREW I'. SIUVIX Tki.E1'(A-M1 (717) 7(17.901'9 September 19, 1996 Keith B. DeArmond, Esquire DeArmond & DeArmond 2800 Market Street Camp Hill, PA 17011 RE: DeLizio Dear Keith: Enclosed please find a Petition Which I intend to file in the above-captioned matter. In the event that you have obtained the information pertaining to the life insurance, please notify me immediately. Very truly your , A DREW C. SHEELY ACS/cas Enclosure cc: Wendy DeLizio 01 I verify that the statements made in this Petition for Emergency Relief are true and correct. I understand that unsworn statements herein are made subject to the penalties of IS Pa. C.S.A. Section 4904, relating to unsworn falsification to authorities. DATE: `? Z U' `l4? -IJJt t Wendy L DeLizio I, Andrew C. Shealy, Esquire, hereby certify that I am this day serving the foregoing Petition for Special Relief upon the following named individual this day by depositing same in the United States Mail, First Class, postage prepaid, at Shiremanstown, Pennsylvania, addressed as follows: Keith D. DeArmond, Esquire DEARMOND AND DEARMOND 2800 Market Street Camp Hill, PA 17011 Date: October 1, 1996 n L4 Andrew C. Shealy, squire ,.. ' ? ? ?? ? L ? ?, ,, JAMHN IV 111HIA11 ANDHHW 1'. HIMIUM Honorable George E. Haffer Cumberland County Courthouse Fourth Floor 1 Courthouse Square Carlisle, PA 17013 November 25, 1996 REI DeLizio v. DeLizio 95 - 2427 Petition for Special Relief Dear Judge Hofferl I H 11,11014 1, (717) 7117117111 PAI NINILI. 1117) 7117`1'000 The parties to the above-referenced matter are attempting to resolve the issues without a hearing. It is likely that an order of Court will be submitted to you in lieu of a hearing. As such, I am requesting a general continuance of this matter pending an anticipated agreed upon order of Court. I am copying this letter to Keith DeArmond, Esquire. Please contact me if you have any questions. ACS/as cl Wendy L. DeLizio Keith DeArmond, Esquire Ver truly you?, AiluL'/O/ t A D EW C. SHE ELY f 110(IAIt & 5111-A N A11UHNIAS AI' LAW (1141'. W'I:NI MAIN MINI I'.I NIIIIIHMANN1vW'N. 1'I.NNN1' INANIA 17011 b w w MO w n H y ? O (IIT N H 0 s K W ` _ f s F r t w f ORDER/NOTICt TO WIT11F1OID INCOMt FOR SUPPORT I'K'/ /1', - Y)-) (1ilil State Commonwealth of Pennsylvania Co./Clly/Disc. of CUMBERLAND ' Dale of Order/Nonce 09/26/01 Court/Case Number (Sec Addendum for case summary) toil duyrrM1Ytlhlwldrr'r IrderaI 11N Nundwf MAJESTIC ATHLETIC tm(dnyrrM1VUldwader'+N4no 1QQ MA)BBTIC WAY tmpluyerM1 11211110,+Addn•,+ WGQR PA 18013-2860 I. i( ;', i J 7 .e,,4, It ,J )RI DELIZI0, FRANK P, III O 1 Inµbul r Inlet/NoW r O Amendod 1 In ter/Nuln e O Irnnnlalr I InlrliNuln 1 1 lnyduyr, ILLpnr, Name 1140, 11111. MII 179-44-9541 1 1 mpluyee/11611por. Not 111 Set unlit Numis•r 1 9860000028 I ngduyrr/11L11µuY+1 nv. Idrnldu•r (See Addendum _la plaintiff nomer osodaled with user on arrarhmrntr 1 whdial I'amnl', Name dad. I ltd, M11 See Addendum for dependent names and 61rfb dates associated with cases on atfachment. ORDIR INIORMA110N: Ihis is do Order/Nollce to %Vllhhold Income for Support baser) upon an older lot support from CUMBERLAND County, Commonwealth of Pennsylvania. Ily law, you are feg11ued to deduct these amounts Isom the above-named employee's/obligor's income 1111111 further notice even if the Order/Nuh(e is not Issued by your State. $ 0.00 per month in (uuenl support $ 0, 00 per month ill past-clue. 5lappofl Aneals I2 w'eeks or greater? Oyes ® no $ 0.00 per month in medical support $ 0, o0 per month lot genetic lest cosls $ per month in other (specify) for a Iota o s 0, 00 Per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance woh tie suppoll order. It your pay cycle does not match the ordered support payment cycle, use the lollowing to dete11nure how nus(h to wilhhold: S 0.00 per weekly pay period. S 0.00 per biweekly pdy period (every two weeks). f 0.00 per semimonthly pay period owlce a runnel. 0.00 per monthly pay period. RWIT IANCI INI ORMA PION: You most begin withholding no later than the lost pay peNoll occulting len (10) working days after the dale of Ihis Order/Notice. Send payment wllhin seven (7) working days of the pay chile/dale of withholding. You are entitled to deduct a fee to defray the cost of wdhholding. RPler to IhP Idws guveming the work slate of your employee for the the allowable amount. I he local wdhlleld d11luunt, and your fee, (donor exceed 55" of the employee's/ obligor's aggregate disposable weekly ed11ungs. 1 of the purpose of the Irrrloatron un wllhhoidinR, the 10110w11lg 11/101111411011 Is needed (See N9 oil fig. 2). 11 fenulling by (11/1 DI, please (all I'enmylvanal Slate I olle(uous and I hsbunsenu•nt l 11111 (5( Dt )) I mploym Customer Service at 1-1177-076-95110 tut uturlu(nuns. Make Remittance Payable to: IIA SCOU Send check lot Pen nillyivania SCOU, 11.0. Roll 69112, Harrli,burit, Pa 17106.9112 I N ADDI ZION, PAYMI N I S AfVS I IN( 1UDI 1111 OI f f NDA N 1'S NAMI AND lilt PA ('SI S MI A11/I R 11) (shown above as the Impluyee7Obhgor's (asp Iclentified OR SO(IAI SIC?IRIIY NUMIIR IN ORDIR 10 /I PROCISSID. DO NOI SEND CASII BY MAII. RY 1111 COURT: Idle ul (hde1. SLP I nun 1 N Wit SelvOe lype M Ual'o 1Vulket Ile MATT 1 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If (11P(ked you ale fp4iflied 111 puivide a t opy of Ihis flnl to you! PulpluyPP. 1. Priority: Withholding under Ihis OIdei/Null a has poll fly uver any (odlpr legal pia( a%% under State law dgain St flip Same 11111)1111!, FI!drral Idx Il!ViP% Ill elfpl I hPfI1rP IPl1•I1)t IIE Ihl Illdl'I have pli(Il fly. If (help ate L P(fPIJI LIF Ip\'IBS I(1 Pltell please I IIIIl1i t IIIP revile%tlllg agent At listed Iwtuw. 1. Combining Payment, You fail l nnlhllle wlllllleld dioluinh Ilool lool(• thdo 0I1P eloployPP/nhilgol's Ill llllle III a Stogie pavillpllt to Pal h agent y requesting Withholding YIIli IIIIKt, IN owvVpr, sPpafdlely Ith'llllfy flip Imnooll of the Slllgll• payroplit that is Jttobtltable Ill raf It enlployerlubligur. J. • Rppnninll thr I'aydatr/Onto of W Ifhhnlding You must relirm flip paydafr/dntr of withholding whrn sending the payment. the paydatrldatp of withholding is thr dair nn which amount was wnhlirld from flip rmplny"'i wall You null l unllely Willi flip, law (if flip late of flip Pioployee's/nbllgi it's Ill i yal plate aI ellllduvlllelll Willi II•si Mi I to flip Iimp pelids Wllloo will( If vole 1111151 implopmelll the willlholdluff order and forwdld file %oppou paymeols 4.• Eny)Ioyre/Obliµul with Muhiple Supiin I lddulµs If fhelp 1% rune thdll tole Oldpl/Nnin a in Withhold lilt ( lllle It it Supix)n agalllsl IIII% oiloployee/uhligur and you ale olldhle to) hoinol all louplxxl Oolel/Nmll(ps (file to) I P(fptil of Staff W fillholding Immi, you mWSI Ndlow flip law [if flip Stale Of pllli)IOvYp'S/uhllgul t pom 1l)al I)la(p (if vinlA ynlem You null humor JII Oldpn/Noui es in flip grewlem extetlf Immihip (See 09 lieluw) 5. lemmindfiun Nutifi(atiun: You must pinq)tly notify the Requestmg Agent y when flip pillpluyee/ohllgal I% no ll)11ger working (or you. Please pulvide flip fnfolmoetiun u•quemed and (plum d ( upy (if Ihh Order/Nntfl a lit the Agem y identified below. WII101010IR'S11) 7)1004)970 t1lo1PtOYU'S/0111IIGOR'S NAME: OBLI7+I9. PRANK P. III thiNOYEUSCASIIMNIIHIR: 9660000098 OAIEOf SIPARALION:_ I.AS1 KNOWN HOME AOORI SS Nt W IMPLOYE R'S NAhtl/AUORL 55. 6. l lump Sum Ilaympnts-. You may lip Imitu e1) to IPpnll and \\'IfllIl1lld told luolp Hon payruplus %ul h d% IN louses, ( onumissions, of severante pay. If you have dry questions about luny, sum payments, (onta(f the ix•rsnn ur authority Iwluw. 7. t iahility: If you fail to Withhold intone as the Ouipt/Nol(p diedoo, you ale liable for !x)111 IIIP all Ululated amount you Should have withheld fun n file tomployee/olthgot's Ill! llllle alld tither penillim set by Perth%ylVJllfa State law. Pennsylvania State law governs unless flip mbllgot is employed in anulllrl State, 111 Muth t asp. II1e law of the Stale fit Whll h lie Ot she it empl)ved governs 8, Alnfalh(rllllloatioll: You die stlotp(1 to a title delerromed undpl Sidle law fur dlsl halgina all elllplnyee/oolgof from employoule f, fefusmg to Ploploy, of taking (lost fpluidiy d( lull dgafrll ally enlployep/nblfgtit lw(duse n( a suplx,ll wllhholdling. PPI111SylVamd StdtP IJW g0i'Ptoli nI11PSS IIIP uhlignl is Polliloved ill allullivi Stale, No Willi It (die IIIP law of flip Slate In Whit It lie at She is employed govenu. 9.6 Withholding l inlit% You may not wnhhuld nxn« then the lesspl III U IIIP dlllbllllts afl(IWPd 1)y IIIP I IPrd) E.un%IIIIPf Cledd Pralefdion At 1 0 5 (i.S.C, 5167J toll; of 2) (hl' juvitous allowed Ily IIIP Stale of IIIP plllpil)yee'b/Ohhgt)I'3 glint opal Add(" of elliployloplll. the tP(fPldl hmlf apples tU IIIP dggrPgdle dlslxlSdhlN Weekly PJ111111gS IAUWII AUWI l IIIP Ilpf 111lUlitP IpN dNpr n,aking mantldloty dpdut tions sue h as: State, (edoW, Ini al IJkps, Sul tai SPI only faxp4? and Me[l(dle Iaxe\ 10. 'NO][: If you of your agent are served "fill a copy of Ihis oldet ul the state that issued the older, you are to follow the law of the late that Issued this order Willi lpSI)Prt In These items. Requesting Agency: II you of pouf elllplnyee/obligor have any questions, QQML SIZE.X1LAIIQN5SLCIION____.. (0111,1(1 -- AtIA(IIh11NI UN11 1, -NdiANOVLR SI ----_-?-?? by telephone it 1Z11j 4QJL2jj tit 171211 L1S1L_._ u( l'152111U2L11Q....._,_.... by f Ali At ?ll11511_l.'A.1ZQ1.1__.....__ . _. _ by Intenml Page 1 of 1 I mm I N 0211 SPNIte type M =.,II??? ??.,,.??„ Wwkrt II) r11ATT In the Court of Commou fleas of CUMHF.NI.AIND County, Pennsylvania 1.1 %. HANOVER RI i l' 11???0 31 . ANI ISLi.., 1'A. 11013 11honei 11171240-6221 Film 17171240-6748 Defelldnlli Name: FRANK P. DELIZIO III Member ID Number: 9860000028 11cmi- unlri All rurrapmilmir insist bit Jude life %hinarr III SumUrt. ntoDlHll:u_?1?;>3 5>?11?:liri?d'1'?F uNt':ntr1.421'L?lI;?T?ll?;[11?;1?1T4 ('j1?uJyjJ?.?yk I)?nn 0f 0_1 1SIIIf11E C'Na? IN1 A1(rchmenl I'M%IS IAn1c1 I'hiultll Nunn Iilr.t umbri hilid'rl AlWhuuW. Annenul muunuY NBNDY 1.. VILIZin 99n D00077 9S 1177 ('IVII. bv9. 00 /KJNTII 1 / IOIAL A I'I At'I1116YI Writ 'VI t 1 599.00 Now, by Order of this Churl, tie Depanunwul of Lldsltr slid Indusily. Bureau lit thistilliployllialli Compuosloion Ifeneflls and Allhwautus MUCHA). ib herehy diredud ifs Ilnech 1110 Irises hl $138.31 per week, or s s . 0 '4, of life i hemployment Compensation leltufilb uAnerwnb6 payable III the DCfe11de11L PRANK P. DELIZIO III SmIal Seeutity Number 179-41-9811 , Mernlwr II) Number 9860000028 . I?U('NA It ordwed aI remit the mmounl attaduld to the Deporutical of Public Welfare (DPW)- DPW bhall hnwald the alnouul rcrrived from NUCNA nI the Domestic Relations Secllon of Ads Court for support and,/III btlplum 11110araftCS. II Ala Defendant's Ullemplhynuem ('hntpensatitnl hunelita are altadned by anolher Court sin Coun9 list bupport anus/or support arreara8u, DPW may reducu the amhunl anached under Ibis Order sit 111411110 lolal aimunt ¦itauhed dies not eateed the usshuum auuum tuhjutt to Bandshmem pubuau to IS ?I.S.C. 1 IL73rh1t21 slid 23 Pa. C.S. 1 434818i. 1111b Orden shall he efluohv upon mush suf the notice of the Order by the NII('RA ail shall remain 111 Oleo cull ilia Dulendaol's eolitieoleld to IJurugllhytueut Colultensation heuufils, under t', 'pplicallon flit Ntllellts dated APRIL 22, 2001 is esllausted. esplned or delelled. 011('NA shall thmpl) wills I II%thdur. uldcss It Is amended hr catatud by suhseyueut Order of this Court. All yuusllhm, thalleu8es sin ohlipalionb to dlis older shall be directed Io the Dh ichli" RVIYlihlls Setlloo of this ('hurt. BY 1111'.,011tH 1)816 of foxier: StP a . soul Sersitu Iyfe M AY JUDGE tu0n UN 01.1 Nbnlcl III $IATT ORDER/NO11Ct TO WITIIHOID INCOME IOR SUPPORT Ae? . '/'; fO 9 7 (///;/(- O Uliµlnal (WedNoul I, State Commonwealth of Pennsylvania ? ff![rSf S ?'/?? ? (Y ) ? Anu•nIh•d llnlor'Nuu,r Co./City/Dis1• of CUMBERLAND 1 f? Date of older/Notice 09/20/01 ?l? ??//? ` ) O Lvnunah• nnlolMuhle Couil/C'as . Number (Ste Addendum for case surnrnary) ill DELIZIO. FRANK P. III I. nil4niviAVdhlwdl for", lederal IIN Nundxv I I nyd,q vdl Iblirfm , Nam., daN, 1 vJ, A16 MAJESTIC ATHLETIC 172-41 I mpluperM'llldnldoY, Nanw• I I nlpl- lw,'(IbhµnY, s,w lal we, uritw Nun lwf 100 MAJESTIC WAY 9860000028 1 lnphryerVilhlwdder', krfiv,, I nq'bg...dl Iblircor . I aw 14,0111•r PANOOR PA 18013 - 2 060 ISee Addendum rw plainrif( names associated with rues on attachment) ------ 1 u,r dIAI Knoll , Nanw• d a.l, I InL Alb See Addendum for dependent names and birth dates associated with rases mr attachment, OROfR IN/ ORAIA IION: Ills is in order/Nonce to W111,11old lu"onle for Support based upon an order for support from CUMBERLAND Counly, Commonwealth of Pennsylvania. By law, you are requned to deduct these amounts from the abovemanred rnyrlogee's/abbgw's hrco11uv until f odun nowe even if [lie Ordel/Nor(e is 1101 Issued by your Stale. $ 575.00 per nlontll m (anent suppoll $ 24. 00 per month in past-due support Arrears 12 weeks or greater) oyes Q no $ 0.00 per 111011)11 in medical suppoll $ 0.00 per month for genetic rest costs $ per maoh m other lspecdyl for a tot?f $ 599.00 per month to be forwarded to payee below. You do not have 10 vary your pay cycle to be nl compliance with the support order. It your pay cycle does not match the ordered support payment cycle, use the tollowlng to delennme how much w withhold: $ 13fl.23 per weekly pay period. S __ 276.46 per biweekly pay pcuod (every two weeks). S 299.50 per semimonthly pay penal (Iwr(e a 1111011110. E 599. 00 per monthly pay period. REMITTANCE INfORAf.AIION: You rnusl begin withholding no later than the first pdy period occurring len 110) working days after the date of tilts Order/Notice. Send payment within seven 17) working days of the paydate/date of withholding. You are entitled to deduct a lee to defray the cost of wwdhholding. Retel to die laws governing the work state of your employee for the the allowable amount the total wlrhheld aruouni, and youl fee, cannot exceed 55°%, of the employee's/ obligor's aggregate disposable weekly eammgs. 1 of the pwpose of the hnuldlion on withholding, the following information is needed (See M9 oil jig. 2). If ienuning by I11/1IN, please (Al 1'ennsylvaNa Slate ColloUions and Disbursement )mil (SCOU) I Inployer Cuslomer Sef')(e at 1.077 676-95H0 for msu nations. Make Remittance Payable to: PA SCOU Send check tot Pennsylvania SCUD, P.O. Do% 69112, Harrikhurit, Pa 17106.9112 IN ADDITION, PAYMI NiS MUS I I NC11/D1 lilt DII I NDA N 1'S NAMI AND tiff PAC'SIS Mt MBI R it) (shown above as the Imployeelobfigor's Case Identifier) OR SO( Mt St('IJR1IY NUMBER IN ORDIR 10 BI PROCISSID. DO NOI SEND CASH BY MAII. BY 1Hf COURT: I)ale Ill Order 501 : 1 (wi Service type M i _.'ov A4 .J, ,Ir iron I N W11 A'ulkel tD MATT ADDITIONAL INFORMATION 10 FMPIOYFRS AND OTHER WITHHOLDFRS ? If III"[ ked you aIV rNquimd to ems lde d ( opy of this form to your employer. I. Priority, WilhhnldinR uodet this Otd1.1/N au P IIJI lit bit fly of pt illy 4-1114-1 IPRaI Ina( Plis under Sidle law Jµainst flue same Ill( ('file frderal tax levies tit Oleo Wow fel 1•Illt of lit Is older his v Ill1111 fly It then" all" I edpr,d tax levies in effel t phase f 1.nlat t flip myupding agemy Ilstpd Iteluw. 2. Gnu11hnulg PJynumis 1"uu (Jn I onlhine millhekl dnoune honl nuo , fllan one employee/ullligol's till mile in a sidle Ixfynleol to eat h J1111-11( V rellkIPM MA wuhholdlnR You nnnl, howespl, se11,u,oely Idl'ntiIV Ihl' lxnnon of tilt- single li,gfilmlf 01.11 is attributable to Pdl h 1'mployep/nbhgol L' Rerxlning the Paydatp/Date of WilhholdmA: Ynu must mrxm the paydate/date of withholding when sending the payment The paydate/date of withholding is the date "n whit It aniount was withheld from the employee's wages )bit noel t omply with flip law of ale stale oDhp empluyPP's/uldigur's 111111, 111.11 plat e lit empluyuuml "fill u'spel 1 ul Illy mile p1•nods w ithm whit h you mim implement flip Withholding order and forwafil till' suplwlt payments 4.' I nlpluyee/Obligor "fill n1ollp lp SuP1' fit 110111T"µ+ If them is l o l" thin one Onlet/NoW e Ili Withhold Inl (title for Suplxul d114111+1 this rnglluyrr/Obligor dill you are InlJllll• III Ilooof ill soopoil Oidet/Nom es clue to f edmJl 01 Slate wllliholdi lg Iinills, Volt Illum follow tilt, law IIf flip slily of 1•IIIl11uy'Pe'1/ill dlgoi's 1111111111A IIIJ( a of onpluymoil Yon tilled honor all Oldpls/Nultl es if) file gfeJlesl pxtpill Itomble (Sep 09 Iw'1o") 5. 'Ief minaliun Nolifi( a(ion You nosl puwnpfly notify, flip Request ,IR Agent y when flip employee/obliguf is no longer walking for you Pledse provide the ilk lnlldtfol mgtll'sted dlld IPlool a (opy of fill% Oidef/Noli( P it, IIIP Agent y itionli(ied below. WHIIIJOLDfR'SID 231U04J970 tMPIOYfUS/ORIIGOR'S NAStI DKLIZIO, FRANK P, III I MetOYII'S (ASI IDI N111 If R. _11861100001® DAII 01 SI P.AR.AIION. IASI KNOWN 110M1. ADDRISS. NEW WPIOYER'S NAME/ADDRESS fi. I Unip SUill Payments Yoll may be IPipllled to lepnil afill W Illlhold front IUlllp suill paylnellts tit( h ds hollosPs, t 1mmlhoolls, or reveram a pay If you have ally questions dhnul lump solo pdymwle, t 11111.1( I Illy rletso" of aulhooty Iwlnw. 7, 1 fallibly: If you fail lit Wllhhold fill time as Illy Olllpl/Nofn a (life( Is, you JIP liable for filth the a(( unltllaled dnount you should have withheld bom the enlployePh bl fµut's Im little Jttd othel pendlip1 set by Pellosylvallld 51dty law Pennsylvania State law governs little%S IIIP obligor Is employed fit anodlpr Sidle, lit "hit It l asp flip Idw of the Stile fit will( If by of slip is employed g(IVerils. g. Anti dl4s riri malion You dip slllile( I In a (illy 111r11'r111111ed ulldet Slalp I^ kit diet harglllg all emplovep/ollllgol front RmPblymPltE tPlU/l11µ to Pmploy, of Idkiilg dIs(Ililflldly J(11101 JAdi"st illy emillUypelohllgol lief JUSP old supli of Withholding. Pellflsylvailld Stile law III is till less Illy 1.1,11µo1 Is PlnldoyPll III allolhpf Sidle, in W1 lit It Idw file Idw of flip sidle III will( It (le or she is employed governs. 9.' Withholding I mots solo may wIl withhold moo- 111411 ill" less" 4-1 1) the alllomils dIIoWPd by illy f edefal Consumer CIP(lil Pnllpl lion A l i 1 1 5 11S C k 1 6 7 1 1 1 , 1 1 , (,1 2 ) the dllloo111s dlkmyd I'y A4-• Sri[,, of lhr employee's/obligor's print ipal plat P o f f mployment like I pdeldl 1111111 applies i4- hie aµµ11'00 !5005,11111- sveyklY edoloV IADWI I AD\1'I Is flip net fit( omp left after making mandatory dedut dons sot If as Sidle. I vvividl, I m JI Le s,, Sot 1,11 Set only Wxv%, .)fill Atedu ate Lwys 10 'Noll f If you or your agent ale served with a ( opy Ill I111s older in the stdiv IIIal issued the onlel, you ale to follow flip law of file ?1ale that issued the order with respell to Ihl'se lene Requesting Agem y, 11 you of your enlplo)ee/obligor (lave any questions, L?UMIS11L_liLLA.11L2CL4 11S1N _ -____-_-- t ontat I Ij t111A QVLB§l..-_ by u•Iepholle ail 1Z17123SZL22 or l'.LLWAJ20 try I AX at 11111 (If L,iM, bLL.1'A 1lull .__ by In1N1ne1 Gr fame 1 of 7 I ooo I N 020 Servile Iype M „... _... \4'rnkw II) MATT AUMDUI umnl;lf?ul Cake Dn Alla(hnnt Defendant/Obligor; DBLIZI0, PRANK P. III PACs S 1\eNunda•1 991oonnz711t1?j`J MS.ULUILNwld)Ia Plaintiff Nanu. (llamnft Naml NKNDY I., D101171o UULW Allal 111ellll111(j(1Ilt lilt P AIIu I111Wy 111i umil 9b 7477 CIVILS 699.00 { 0100 Chdd(rpn)'\ Nameh) DOR I. hddlnml'\ Nam,10 If 1 he( ked, you ale 10.41umvl to enroll the 1 hlldhell) i ,muffed allllve In any health mNrtdN e I nvpldµe a1'allahle Ihfuuµh thr r•ngdnyw•'dnhliµrnl employnu?nl PACSLS Cafe Nu111bel Plaintiff Name Uulkt Allad meal Amount S 0.00 Childtten)'\ Name(l) DOB 11111 het ked, you Alp m41uiu•d to pnmcll flip I hild(len) 'I111flt•d i1xive 111 ally hpallh IIRIIram e I Ilvpuge available rnydnpnlPnl 1111111tµ11 1110 0110Llyee'i/I 1I111NI 11'4 PACSCS G\e NwilleI PlalnNff Name 1 1 le 1 Amunt s 0.o0 ChildOPnl's Nanlp(sl DOB DOB ? If( hel km I, VI w ale 10.41(1 itI•d to eIII, )I l Ilse t ItIIdbeIII IIIPI1Ufled affilve III Ally III'allll Ilmilam e I IIVPIa)Ie Available 11111µh IhP engdnyee'Jobliµnt'\ I•nlt,loynlenl MULL C jlulnbet Plainfiff Name o I+ Allot hine11I Atilt luill s 0.00 Chlldnell) \ N.11111•l\l DOB ? If diet ked, you ate twtuited to enroll the t hild(ten) ldenuOPd alxtlp in any hpallh mimant e t nvwage availahle fl0ouµh the pnlplnyee'\/uhliµnt'\ enylluynlrul IIACSIS Case NumlIet Plamuil NJIIIe 101 rl Allat lament Amount 11 0.00 (IIIIIIhe'II)'\ Natllplld DOB 1x1111 llv( ked, you ate It 411111ed li 1 enulll flip I lulduenl [] If 1111.1 iwd, I)" all- IPlllllled 11. 4.111 ll IIIM I hild11w1) Idenuhpd dl Mlv e• III ally Ileallh IIn(1Iale I' I nvl'IaKI• avallabb' Identified alxhl' III ally health III.11laI11 p I11\elaµe availahle 11111111µh the rngdoyel•'0114*111 rnlpbllnu•nl 1111m1µ1 the eng11111ee 1/0'ItW n'\ enydnNlu•nl Addrndwll I win I N 01B Selvn e f ype M tVolk(Il II) $ l ATT ORDERINOTICE TO WITHHOLD INCOME FOR SUPPORT 6tale cammanweallh of Pennsylvania ??rsf '? %/! l''r'c) •7 7 Co./City/Dist. of CVKBBRtAND Date of Order/Notice 01/15/02 Court/Case Number (See Addendum for case summary) tin ayelANllh r der's Federal FIN NumImIr Wt?j?? I IM, oyedWitMn r er's Name ID RD Emplo Mlh rider's AMdnns MIiWpy{°KBR sW1 53217_4910 © Original OnlndNotlce O AmemMd Onler/Nuilce O lerminale Onlel/Nullce In DBLIZIO PRANK P. III [mpluyeeh)bltµur's Name 1140. FilA MII i I mpluyerlOidlpnr's Saul Sm unit' Num .-r 9960000026 i t mpluyr,dOldignr's Case hhmlifler (See Addendan for pldntHr names associated with run on onaclimem/ Cuq,elial Pamnt's Nurse (lash rlnt, MI) See Addendum for dependent names and birth dates assorlafed with cases on attachment. ORDfR INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUNBBRLAND County, Cornnionweallh of Pennsylvania. Ely law, you are required to deduct Ihese amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not Issued by your State. S 878, 00 per month In current support f 24, go per month In past-due support Arrears 12 weeks or greater? (Dyes O no f o.00 Per month in medical support f o. 00 per month for genetic test costs f per month in other (specify) fora total- 899 , 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: f LULJ per weekly pay period. f 276.4Qper biweekly pay period (every Iwo weeks). S_ 299.6Dper semimonthly pay penal nwl(e a month). f ____&I" per per monthly pay period. REMITTANCE INFORMATION: You muse begin withholding no later than the first pay period occurring ten (101 working days after the date of this Order/Notice, Send payment within seven (7) working days of the paydate/dale 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 the allowable amount. The total withheld amount, and your lee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For rite purpose of the limitation on withholding, the following information Is needed (Sea N9 on pg. 2). If remitiing by EfT/EDI, please call Pennsylvania Stale Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877.676-9580 for inslnuiions. Make Remittance Payable lot PA SCOU Send check lot Pennsylvania SCOU, P.O. Box 69111, Harrisburg, Pa 17106.9112 IN ADDITION, PAYMENTS MUST INCLUDE lilt DEIENDANI'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 CASII BY MAIL. by THE COURT: JA?I 1 Dale of Onfe(: s .a •'y` 1 orm f N-02B Service iyPe m Worker II) $1ATT r , 1 ADDITIONAL INFORMATION TO IMPLOVERS AND OTHER WITIIMOLDIRS ? IF t he(ked you till- required tie provide a u1ry of dui loftier to s'nm employee 11 Priority: Withholding under fill% Older/Nom to has pnomy lover any 'After legal VIM lot% "older SWIP IJw' 0411M1 tile sa(Ile Irl(omP.. Federal lax levies lie effed lelme ref ripl (11 tilh order hale for inlily II der- are I ed Mal lay letret 111 eftet I pleate r onli(t the requesting agent y listed below. 2. Combadng Payments You (an ( title ,ine wrehIle Id anvnreu5 hum flit ne than one rmpl(gPP/ohIiµor's innnnr fn a single payment tr eat h agent y (eqursli11g wilhhuldulµ Yflu rlllnl, III n5PIo N. M•pJLllely 1111-111 4 lilt' IN)nl(1111if the tlllgll- paynlenl that is attributable to enylluyxehlbligul. Path !. t Repnlting the Psydate/Dave of W mhhnlding You front npnrt the paydate/dare of withholding when sending the payment I he, paydat!Mate ntwidlhnltling is the date nn whr h amrunl wait withheld from the employee's wage YI'll nunl I (Illlply w'IIh file. law of file State. of file PI11ployeP't/111111gnI'% Ilittle Ip All IIIa(e'(empluyit -III "loll fettle, A u, the 111111. 1fel Inds wall In "Im II Vou mull implement the withholding order and Itowanf the uq)pml paynraus 4,' Employee./Oblig(1r w1111 Mohglle Supp'If I1,411111µs If fiu•o• 15 none than lone Omer/Noun a v1 Wilhite old Ins onle her Support against tills Ill"Pl(IY4`eA III1g'f Jilt] gull ale (Illabh' fu Ilnll'I all 5(11 limi Oldw/Nnif, us dill' 1,11 ederJl nr Slate w Ithholding limits, you must ((Illow, the law of (he NJIe of elllphlyl'e'S/I Ibllgul's (111111 Ipil plat a of eI11IlIuyI11P111 li mi 1111151 l1'11W all Otdelt/Nile m to life grPalesl extent possible. (See. #9 Twit,") 5. Termination Nou(i(auun You nrlnl plnmplly manly the Rvilm-song Agent y when the employee/uhliµor no no longer working hn you. Please provide. the infurmau'u n-quvoed and lenllll .1 1'py lot tin OrdevNnf ( a to the Agent y identified below. WITIIHOLDER'S 1D 391672'1.190 EMPIOYFE'S/ORIIGOR'SNAMI DBLIZI0, PRANK P. III EMPLOYEE'SCAM IDINIIfILR _010000019 01M 01 SIPAR.AIION LASI KNOWN HOME ADDRESS NEW EMPLOYER'S NAMI/ADUR155 _ b, lump Sum Payments You relay he requited to trilim and withhold hone lump sum payments four has bonuses, (nmmiuitens, or sPVeranre pay. If you have any quesoont di xlilt 1111111) sum payme1115, 1 renal I the pet u l nr aolhnrily he low. 7. Liability: 1( you (ail to wdhhuld uu nn1P a5 Iht. Oldw/N'ut P direr I5, you are liable (fit IxlAh the ar (unnulaled amounl you should have withheld from the employee/obligor's im onle and other penahl4`t ter by Pe 11115yhare lot Stale, law Pennsylva Ilia Slate law governs tiniest the obligor is employed in anufhel Stale, in whit III Jeff file law lit the Slate in "11 101 he fir she is enlpluyed governs. 8. Anlldist riminaliun. Yru ale tuhle(t v) a filer demmuuled under Stale law fill (I let Ilarging an Pnlpluyer/obligor from employment, refuting to employ, for lakinµ dirt iplinary dt 111111 agamtt any empluyeP/ubliµnl Ie( auw of a Lupp1)r1 Withholding. Pennsylvania Slate. law govPnlt inlets trip loh11gr11 Is enlpluyed in another Stale, 111 "1110 1 1 ate file law of the State in will( If he of life is employed guvens. 9.t Withholding Linuis Vuu may nut w'ilhhuld nurse Than the leltel of U the anunullt allowed by the federal Consumer Credit Protedicen Atf (I S U.S C. 116 7 J (1111, (nr Z) IIIP dints 1llrs ado lw eft by life Slate'( the 4`11113IUyeP'S/Ub11gn1's 1)11[11 II)J111141 a M Pn1pl'ylilent, the federal limit applies In file aggn•µate dlgxxable w4`ekly eat 'mµ5 (ADM1 ) ADM'I w the neI nu'mP left after ,lakinµ mandatory dxdu(tions such at. Slate, federal, I'1 al fillet, S'I I'll Se, unly laxe5, and 104`(hl ate faxes 10 IN011: II you of your agent are served wnh of ( opy of IIfile oidel 111 the sidle Ifoil issued the order, you are to follow the law of the state that Issued this order "1111 tespe( I to Itiese Items. Requesting Agency: It you or your employee/obligor have any questions, DOMESTIC RLLATIONS?1121_-__.._. tonfa(1 -_,__ WA61 AT IM IIMINI UNIT N. I IANQVIR 51---------- ----------- ---- I)y IPlrphonc dl L1I11i4 G21?_ _ or 11.0. BOX 320 by I Ax if III 1) 240 U411 _ 01 [AI;11sLE rA Ij{?Z---- by Inremel li+ge 1 of 1 I little 1 N 020 Service Type M Woikel II) ITIATT ADDENDUM Summary of Camel on Attachment Defendant/Obligor: UBLIZIO, FRANK P. Ill PACSES Case Number 991000077 /wgs,,b PACSLS Case Number PldntNName Plainliff Name 14 9 ,Y L. DZLIZIO QBS;SCL Atta1 hnlent Amount 12o1 66, Alla1 Inlleol Anumnl 96.7477 CIVILS 699.00 S 0.00 Chlld(ren)'s Narnelsl. DOB Child(wiW% Nanu,(s) DOB []Il1 het ked, you are required to moll the s hildhen) I antiBed above in any health insulin(e (overage available through ilia employee's/obligor's Pnglloynlenl. PAGES Case Number Plaintiff Name 94" MtathntenlAmount f 0.00 Chlld(ren)'s Name(s) DOB It chalked, you are required to enroll ilia 1 hildden) I entlBed above in any health insuiam e 1 overage available through ilia employee s/ohligor's Prnplnymenf. PACSES Case Number Plainliff Name L?2" At d hment Amount S 0.00 Child(ren)'s Name(sl; DOR ? If (he(ked, you are required w enndl the ( hild(ten) identified dlluve. in Oily I1Pdltll Io W1a111 P I nVPIdgP dVdIldl-le through the Pmployre't/uhliµoi's Pngiluynleof PACSES Use Number Plaintiff Name Ucn kel Anal Imlent Amount s 0.00 Child(ten)'s Name(s): DOB ?Il l het ked, you are required l1, enroll flit. s hlld(ren) identified Above in any health Insuranl e (overage available through the Pnlploype s/obligor's employment. PAC511l Use Nunlld•r Plaintiff Name , kel AIathineinAnwunl 1 0.00 Child(ren)'s Name(y) DOB 2f t ha( ked, you are requned P) 6,111,111 the I hild(Ir111 ['1111 IIP( ked. you die re(powd to enroll the I llddlien) tIfied above ill ally 110,41111 lokown(e I (oPragP dOOllahle Idmilif vii dhUVe ill Oily IIP41111111511N111 e I IlVeidgP aVdlldhle lllrough the empiuyee'dohhgul's Pnlplnq nleol nv"Umll III" wnpluyPe's/111161401 s enq,luymenf Addendum I win I N 0111 Service lype M „N Wolkel III pIATT ORDER/NOTICE TO WITNNOIU INCOME tOR SUPPORT )'/ Slate Commorewe°lth of p:nnsy vania Ca./Cily/Disc. of CLIMONRWwo Dale of Order/Notice 03/06/02 _ ? 4' Cuurt/Cdse NuntlR-r (See Addendum for rase summary) I tryloyetAVnh6oldrt's I rdewl 1 IN Num1wi -_? WipQH6H 6UPPOHTS:?'LIeL? ntplnyrt ilhhnldrr's Name C/o ATTNI OAHNI011mEN'1' I mpUrymANilhholdrll Addutr PO fIOR ] 3 74 --------- RNFIEW CT 06003-_II l9 1NI p6;LLLrIO, FRANK P. III Ok (hIgmal(hart/Nldue O Mnrnded hdel/Now v 0 Irummale Uulr,/N,au ( 1 I nyAut rl??1 lphli`N.rn a Kamp 11 a+1 I uH MII 1 I nyauYrrlU6liNuYt tirn i,d \,•, unit NunaMl 1 9860000024 I mplutetdl lla,pu, , ( a", Iarnlilu•1 ISn_ Alhlrm_lu_m la +Inrill name asrurured with c ism on aliarhmetrli _ ..----..___--__._._._ 1 u.he Lai ean9tl _,-?-- Nano' 11 a.l 11,11 hill See Addendum for dependent names and birth dates assorlafed with cafes on attachment. ORDER INI ORMA IR W I Ins is an ( )nlw/Nolk e lu Withhold In(( IOW tnr Support based upon an order lot suppun from CUMBERLAND (curly, ( ommonwe.dlh of Pennsylvania. Ill, law, ),vu dm Wflulred to dedm t these amounts from the above named ennpioyee's/obfigur's in( univ 1111111 furllupr omit a even it the Onhv/Nuliar I% title issued by your Slate-, $ 575.00 per month in (anent suppl n S 24 , oo per month in past due support Arrears 11 weeks or Wall"? W yes O nu $ 0 , 00 per month In medical Support $ _ 0.00 per month for genelic lest c usts $ per month in other Ispe( fly) for a Iola o 6 999 , 00 Per month to be forwarded to payee below. You do not IlaVP In vary your pay ry( Iv to be fn I ompliam e with the suppwl Order. II your pay ( y( Ie does not match the ordered support payment (y(I(-, use the lollowing to determine how lour If to willihohl: $ 130.23 per weekly pay period. $ 276,46 per biweekly pay period (every two weeks). $ . 299, 51per semimonthly pay period owi(e d month). $ 599.Uper monthly pay period. REM( IIANCE IN/ ORMA IR IN You must begin withholding no Inter than the tihi pay Ilerl(Nl off (Tiling len 110) winking days ativt the date of this Order/Noti(e. Send payment within s(wen (7) working days of the paydale/daie of withholding. You art- entitled to deduct a fee it) defray the oust ill withholding. Refer to the laws governing the work State lit your employee Inc the the allowable amount. I he total withheld amount, and your lee, (annul es(eed 55% of the employer's/ obligor's aggregate diSPOSd lP weekly earningo, l or (Ile purpose or the hinitalion un withholding, the following information Is newled (See N9 tot 1% 1). If remitting by IfT/IDL please fall Penliglvanld State Coilel Guns and Dishlnsennenl Und 61,111011 mpluyer Customer Service at 1.077-676-951`10 for m0ful lions Make Remittance Payable lo: PA SCOU Send check lo: Pennsylvania SCUIJ, P.O. Box 69112, 1lardshurg, Pa 17106.9112 IN ADDITION, PAYMENTS MUST IN( I UDE THE OWNDANE'S NAME AND 1llE PACSIS MtMRIR ID (shown above as the Employee/O6RBor'f Care Identifier/ OR SOCIAt SICURIIY Nt/MdtR IN ORDER 10 Rt PROCISSED. DO NOI SIND CA Sit !y MAIL. By 1111 ( 00141; i '002 Date of Order: Servlrn t ype M / I u1m I N Illft yyurkel III 9 1 AT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? l(I lilt 641 VOL, are u'(Plinsl to pnmtde a ( opy of Iht% (ant In pout employee, I . Priority; 1Vilhholdtng under Ihis 1 Adel,Nou( a Ills primly uvel ,mV oillm Iegal plot ess under SLUP law ,Igailut the same im omr. federal la1( I(•vivs in efte(1 bvfun• ref vipl of INS ollh4 II,1\1' Ill unny. II (helpa fe 144 lerat lac IPYU's in pup( I ploase t an I& 11111. 1equPSitng agency li%1141 below. f 1. Combining Paympnls: YOU tan (umbine w Ohheld ,um)uuls nuns mole Ih,m oil(' 'fill doyeldobligol b Im onu• in a single pays null toed( h agency mquesting withholding. yule must. however. sepdl,nrlq iIt-Fill y the pull toll of the single payment that is.1111ibu(able to Pat h employee/oblignr. I,' R"ning Ihr Pa)dnfr/Uatr n(Withhnldtng: Von mull report the pa)slalrhlafr of withholding w11rn sending the Paymlmf f he Pey(IatrAlnM of withholding is Ihr date on which ful l wits withhrld from Ihr rmpinyre's wages you tool t unydy with Ihr law of the slate of the employer's/obligor's printip•d plate of empluymenl will) lespr( Ito Il)e ume Peritnts wilhin whit h Yuu mull implement the 'Ail hfolding onfer and forward the support pal, nlrnik 4.1 tlnPloYPPANI Igor w'ilh MUIUIIIP Support I luldings: It Ilion is mnn. Than one Order/Nulite Io kVithhold hu onle Inc Support agatnsl this empluype/obligor and you an' unable Iu honor all supp(11 ( )nfer/Null( Ps due to f edrral fir StalP withholding limits, you mull (allow flip law of flip stale (1f ('1111)loype'S/abllRat's pull( IIIdI 1)1d1 a of eulPklyllmnl. Yuu extent pussiblp (See M7 below) 111, 1 ,, all Onlers/Nuliu•s to flip gn•alest , 5. lenninali0n Nulifitalion: YOU must VIOUIPlly nolily the RPyuesling Agency when Ihr employee/obligor is no lunges you, Please provide the information anpn•slptt and return a wading (or WIT1010I espy nl this Onfer/Nolit I, to the Agen(y idrntifiwl below, DER'S ID: 3938370680 [MPIOY[CS/OBLICOR'S NAME: DELIZIO. FRAI4K P III EMPIOYEE'S CASE WENIINER: _ 09600Q007B DAII Of SLPARAIION; [AST KNOWN ROME ADDRESS: N[W EMPI OYER'S NAME/ADDR[SS 6. Lump Stuff flaynlenls: You nlay be relpliml la report drift N'illdlold severance pay. If you f romfumy sum payment Sul h as bonuses, (Out missions, or have any yuesliuns aboul lump cool pdynlrnls, (on4u l the person (u aulhurtly brlu 11 7• Liability: If yoU Iall I(1 WNhllold ifit ulop as Iilp ( )nfer/Nulite direr Is, you am liable for Stale law governs both the arcumulafe(1 amount you should have withheld from the employee/obligor's intuit p a1,d other penallies sel by Permsyh-ania Stale law. Pennsylvania unless the obligor is employed in another Stale, ill Which ( ace the law u( Isle State it) which hr or she is rnq)luyrd governs. 6. Anti-disrrlmination: you are subject to a tine determineLf under State law for discharging an enmloyre/Obligor from employment, refusing to employ, or taking disciplinary, a(tton against any employee/ohligur because of a support withholding. Pennsylvania State law governs unless the obligor is employtvl in anullim State, in which rase the law of the State in which he or she is employed governs. 9.' Willlholding l IInRs: Yuu may nnl withhold more Than Ihr irssrr oG I I clip anmunls alluw(vl by the f rdrral ('unsumrr Credit ThPmlecllofie l ateral Acl Ii limit 5 applies . ts 1671 Ib) I or 21 Ihr anunu,ls allovs(vl by Ihr Slate ut Ihr enyduyrP's/ubligul's principal plat a of empluymenl, o Ihr• aggregale disPusable weekly earnings (AD1,Vf I AOIV[ I% Ihr net ilu o n , IPit afler nldkirlg nlandalo dp(lu(lions su( h as: Stale, r(dera', to(al taxes; Stn 1,11 Set urill, taxes; ,,fill MINI It dm hues ry 10. IF NOII: If you or your agent ire serve(1 will, a ((LILY of this order in the sLdr Ihal issup(l the Onlpr, YOU alp t ) fOlIOw the law Of flip stale that issued this Order with respp(1 to these items. Kesluesling Agent y: II llOh1E5 C IS 11 11 you or your pnlploypp/Obligor have any questions, _?11 _1UQ1 _t SICIIO ) N (unta(I WADI AIIA('IfAtINI 11N11 T1 N.IIA__ NCVI It ?I by lpleph(Fnr•II 1717) 1.10622) fir P,O. ow uo _ by I As if LML15LI I A 1701 t fLI1113llLllt!_ Or --?' -?a fry Inirrn('l ? Fl' Servile lypp m Page 2 ul 2 I Firm I N-0211 •.,, 0 u,n„ Worker 411 I,i"-. 4,Ary. 11 1111, II) ATT ADDENDUM Summary of Cam uflMak11BIe"I Defendant/Obligor: Da:Ltglo, FRANK P PACSES Case Number 991000027 1 ?/'/1,I Plaintiff Nain NENDY L. UBLIEIO UQ ku Allathmrnl Amount 95-2427 CIVIL$ 599.00 Child(ren)'s Name(s): U(1B I I I PACSI S ( asr Numbrr Plaintiff Name lot krl All a hlllcltt Amuunl s 0,00 ( hildlrenPs Name(s). ?If (he(ked, you are reiluirell to enroll the (hild0en) identified above in any heallh insurance Coverage available through the enq/loyee's/nbligor's employment. PACSES Case Number Plaintiff Name pziiz Att,uhmenl Amount $ 0.00 Child(ren)'s Name(s): DUB ?ff t he(ked, you are required to enroll the chit(firm) identified above In any health insuram a (overage available through the enpduyee's/obligor's employment. PACSES Case Number Plaintiff Name Ducker Atiathment Amount $ 0,00 Chlld(rev 's Names): DUB DUB ?If shekel, you are w(juiled loenmll the child(ren) identified above in any health inwrant e (overage available through the employee's/obligor's (mgdoynuml. PACSES Case Number Plaintift Name Ou.ket Altai finivill Amount s 0.00 Child(rrn)'s Name(s): DOB ?ff (he(kel, you are requirel to enroll the chilcimn) identified above in any health Insurance (overage available through the employee's/obligor's employment. PACSES Case Number Plainhlf Name )oCke Altaihnlenl Amount s 0.00 Childoenl's Name(s): DUB ?1(( Ile kel, you are requited III vio-c/tl tin- ( hilduen) ? It ( he(ked, you in, regoue d to enroll the t hilduen) identified above in any health insurant a tnvwage available idenltied above in any heal lh inSulan( e ( overage available through the employee's/obligor's (1mptuynuvll, through the eon loyoe's/obligor's employment. Addendum IornsIN-020 Servhe type m Workeill) $IATT I .I,y.nn,u ll.nr 11 IIM, ?- ?? t ,:.1 t"? i A ORDERINOTICE TO WITHHOLD INCOME FOR SUPPORT 1V State Commonwealth of Pennsylvania / I/ Ir Co./City/Dist. of CUMBERLAND ` Date of Order/Notice 03/13/02 ?!/' Court/Case Number (See Addendum for case summary) I' mployer/Withholder's IedeNl [IN Number MANPOWER SUPPORT CENTER* f mployet/Wilhhulder's Name C/O ATTNi GARNISHMENT f mployerhVilhholder's Address PO BOX 1179 ENFIELD CT 06003-1179 ?V'9 O Original Older/Nolire O Amerxled Onler/Nulire Q Ieuninate Order/Wire IRL DELIZIO, FRANK P. III I I mploteeA n lipur's Name (list, lost, hill 179-414-9511 1 1 ngduyee/Oblignr'x Srx ial }rrurily Numlxv 1 9660000028 1 l nydoyrerOhliqui's C aw' Idenhher I (See Addendum for pdalnfiN name associated with aces on affarfimenll 1 Cusimlial Pamnl's Name (list, I irsl, hill See Addendum for dependent names and birth dates associated with cases on attachment ORDER INFORMATION: 1 his is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. 1 0. oo per month In current support 5 o. oo per month In past-due support Arrears 12 weeks or greater? Oyes ® no $ 0.00 per month in medical support f o, 00 per month for genetic test costs $ per month in other (specify) for a tots 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: f o. 0o per weekly pay period. f o. oo per biweekly pay period (every two weeks). It o. oo per semimonthly pay period (twice a month). $ o.0o per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the 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 fallowing information is needed (See N9 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit ISCDIJ) Employer Customer Service at 1.877-676.95110 for Instrur lions. 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 TILE COURTi „ Date of Order. ... •.a ?.,.+,.,,?. 1 oun f N 028 Service Type M Worker IO 61AT.I. N ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHIIOLUERS ? If ehe(ke l you are reluhtel to pmvlde a ropy of Ihl% loan to your employee 1. Priority: Withholding under Ihis ( )nler/Nolk a has priority over any otheo legal pro(ess under S1.11e law ag,111141 the same fill onle federal lax levies In effe(t before rte eipl of this under have priority. If then, ao. I e1e,1I lax levers in elfel l please I ul)ta( l the relrfesling agency listed below. 2. Combining Payments: You ( an I undone w ilhheld aounrns from nxur Than one enplolee/obligors in( unl• in a single pill Illeill to each agency requesting willlholding. You must, howmeo, separably idrnlitl the ponhm of the sough pavolrnl 111,11 is allnhulable W rash employee/obligor. 3.' - Repoi ing the PaydalplDafe of Withholding: You fount report the pnsdnlrhlalr fit wilhhnlding wilrn srndmg the payment. the paydateMate of withholding is the date on which amount wax withheld from Ihr rmployre'+ waRrs You nmsl ( unlply Willi the law Ill the slate of the pmployee's/obllgor's prior Ipai plat v of enlpio) ol•nt will) respel I to the Innp 114'rllxls Wallin "1111 II loll o1o4l lrn111volvin the withholding tinier and forward the support payments. 4.1 Employee/Obligor Willi Multiple Support I fuldings? It there is nwn• 111,111 one 1 4der/Noti1 e la Withhold lot onu• fur Support against this employee/obligor and you are unable to honor all support s rdel/Nohr ex due In 1 fetrr,d (io S1ale wrhhuldrlg limits, you rnlHl follow the law of the state of employee's/obligor's pill)( fpal plat a of pnpdnyrnenf. You mull honor all Orders/Null) vs lu Ihr greatest extent possible. (See M9 below) 5. Termination Notification: You nurse pmmnptll nolify the Requesting Agrmy when the enlplulev/obligor is no longer Working for you. Please provide the Information requested and return a copy of this Orden/Noir I• to the Agvn( l idrnli ie d below. WITHHOLDER'S ID: 3918370680 EMPLOYEE'S/OBLIGOR'S NAME: DE1119101 FRANK P I l l FMPLOYEE'SCAS[1DINIIIIIR; 9960000098 DA1b01SIPARAIION._ LAST KNOWN I IOM[ ADDRESS: NEW EMPLOYER'S NAMEUDDRLSS: 6. Lump Sum Payments: You may he oeplirel to teport and withhold from hlrlpl sinn pavinents sm If as bonuses. I onin fssforls. or severance pay. If you have any questions about lump sum p.ryntents, ( omit I the prison or aulhonly below. 7. Liability: If you fail to withhold Income as the Order/Nofit e dire(is, you are liable lot both the at (i n ulaled amount you shotild have withheld from the employee/obligor's Income and other penallies sel by Pennsylvania Slate IaW. Pennsylvania Slate law governs unless (he obligor is employed in another Slate, lit width (asp file law of the state in which Ile of she is employed governs. a. Anti-Illscrlminaflon: You are suhlect to it fine delenninel under Slate law for dis(harging an employee/obligor hunt employment, refusing to employ, or taking disc iplinary action against any enployee/uhligot her ause of a support withholding. Pennsylvania Slate law governs unless the obligor Is employrel In anothe State, in will( It (44'111P law of IhP State in which he Of she Is employed governs. 9.4 Withholding Limits: You may not withhold more than the lesser of: I) flip amounts allowed by the f ellpial I onsmner I relit Protection Acl (15 U.5 C. 51673 (bit; or 1) the amounts allowed by the State of the employee's/)hligor,% pour Ipal plat p of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWI I. ADWI is file net in( ume leh after making mandatory deductions such as: State, Federal, I(lral taxes; Sol i,1l Se( 01ilY taxes; and MPIIRare hops. 10. 'NOTE: If you or your agent are served with a( (illy of Ihis order in the slide Ihal issued fill- under, Vito are to follow the law of the stale that Issued this order "'fill respe( I In fiu•u' dells. Requesting Agency: It you or your employee/uhligur hove any questions, DOMESTIC RELATIONS SLCIION ( urea( I WAC,I A I f A(1IMI N I U N I I 13 N. IiAWYER ST by lelephune a1 1Z1Z1.Zdl_1.Ld15 u1 - - P .O. Box 320 by I AX it (211 CARLISLE PA 17013 by intentel ere I'agr201 2 1nonIN1118 Servile Iype M Winker II) 1AT .,, In the Court of common meos of (11AIDEMI AND Coun11" Pennsyh'unin Ia IMFKItNFa Allrl\s tiH' Ills L1 N. IIANII\ EIi tii, Illl. IIII\ ,Ila, IAK .111.4, i'A. 17111.1 Pelendmil Name: FRANK 11. DIIA,17•IU III Member II) Number: 9 H b 00 0 0 12it fleas, nule: All rani+pn1d19ar I n %I I'm 11111v Ihr NIw111wi III %uudwr. l) ) O!''_?alililhlhNT of:_UNIMPL•(OM'•N'!'_C UMNSATR 1)F.N -11" 'S )?htanclal Break pofIll of Atultlul --tam. 111 -AnBShwufl PM 'SIS Ihn Fr+ 1fu m•u A nu nnlPf R'uurnrl f lmlall Nam Cast Nl 11 ffa1' kus!IL- NEMY L IMAZW YOIHDDU2.1 95 2121 VIVIL $ S99.ut1 /MIINrn S5$ / S$¢ / 5 / S / 101141. A1-I ACHNIES1 AM I N'11 G 599.00 Now, by Order of this Court, rile Department of Labor and Inds slry, Bureau of Unemployment Compensation Iknefits and Allowances IHU('BA), is hereby directed In attach the lesser of S 130 .23 per wreck, or 55 ii 4, ul the I Inenglluymlenl Compensarion benefits otherwise payable to (lie Defendant, FRANK e. DELIZIO Ill Social Security Number 179-99-9591 , Mcmher ID Miller 9etioonoo'e . III VIIA is ordered to remit rite amount attached to the Department of Public Welfare IDI'WI. DPW shall IorYSaud life amount immed lion) IIIWIIA to the Donlesuc Relations Section of this C'oun for support and/or support arrcarages, If the Dcle AMA Awifilosnlem ('onglensauun henom are aoacbed by another Court or Courts fur suplmrl and/or support arremages. IIP%V stay reduce the ununlm alleched under link Order so that the (oral amount allathe I does nut escecd the nla.\imum amount subject to garnishment pursuant Ili I S I I.SV. p 1673 (b)(2) and 23 I'a C.S.A if 414K Igl. lbs (rdw shell he Mike upon Ieccipt of llc none of the order la) the BUCIIA and shall remain to efftal until Ihr. D¢Iendanl's r'11t1delllclll it) I'llr'll plo)IIIern (b111pcusai11n1 f/coclos, order rile Appllr'alt0rl lot Bcucfits dared HEI'TEmlin 2u, 2001 is es omml. uxp wd or dclcned. III ITIA FIWU t'ungA) N lth Ills Ul tie F. ollcss it is alIMILIVd of l scaled by suhsryucml (h der of this (wall. All quest it Ins. challenges in ohhg;olons I o this rhdrr shad) he duecied In the Doulesuc It clat lolls Section of this ('tun BY "I Ilk CM IR l 044 Dale tit Order: OCT Q 6 2003 RUM iL I in in IN SIU Smit e I\pc M Wmkcl ID $IA'r'I. ,, i ,,. .? + f ? ,., ?.. ;: :? -, OROIR/NOTIC[ 10 WI111H0[I) INCOM[ IOR SIiPPORT State Cwtimnnffita :.W renolYboalf1d UlhipinallhdedNlane C(1./Cily/Dlst. Ili CtlMHtrRIJSND O Anuvuled UlderlNlqur DatrolOoler/Noti(e 05/21/04 O Iribun,d/Civa,Nuntbel (See Addendum for case summary) 1i'11111"IIeO'1tP1/Nlaue IngdopelAVnhluddrl,Ieaer.dTINNllmhel --°"__ pl UFi1,l`GlOi_-FHANK 1'_111 I nqd .lvi,/( )bllpoll Name 11 "1r 100, MII X INVUSTMENTH LTD 1788 Sit 487 HLOOMH811R0 11A I78I5 >?-11-0611 I nleluteeh )bhpur', soil ial Set 11n1Y Number 0660000026 I nq duYer/1 )blipul's 1 asp Iaenufier (See Addendum Im p/ainlill Hamer arsoclated with rarer On Attachment) T 7Mo al Nwnl? Nal a f fl ad. 1 int. MII See Addendum for dependent names and bhth dates associated with cases on attachment. ORDIR INIORM.A710N: I his is an Order/Notic e to WIIIIhold In(ntnN for Suppnrt haspd upon an order for support from CUMR8RI.AND County, Commonwealth of Pennsylvania. Hy law, you are rerlUlfed lo deduct Ihpse amounts from the ahovrvnamed employee's/ohligot's income Until further noti(e even it file Order/Notice is nol issued by your Slate. $ 575 , 00 per month In current support f 24 .00 per month in past-due suppofl Arrears 12 weeks or grealert 0Yes 0 no S OA2 per munch in medic al support f n Op per month for genetic test costs S per month in other (spe( ify) for a Iola O _ see. o0 per month to he forwarded to payee below. You do not have to vary your pay (y( le to Ile in compliance with flip support order, If your pay cycle does not match file Ordered support payment cycle, use the following tr) determine how "Unit to withhold: { 1 38. 23 per weekly pay period. f _ oita,"per biweekly pay period (every two weeks). co an per sr•minionlhly Pay penoll (Iwi(e it month). $ 599 00 per monthly pay perhxl. Miff IAN( [ IN/ORA1AI h )N. You must Ixgin withholding nu later than the first pay period urt urring Ipn (10) working days after flip (late of this Order/NoU(p, Send payment within seven (7) working clays of the paying the of k Mate f your You are entitled is) deduct a fee to defray Ili(. ( , W of withholding. Refer fu the laws governng file work stale withholding your employee en for d is allowable amount, flip total withhpld amount, and your fee, cannot esc ped 55'%, of the empioype's/ obligor's aggregate disposable weekly earnings 1 or the purpose of the limitation on withholding, the following inforrnafion is needed (See N 10 on pg. 2). If rerniIt ing try I I I/I DI, please ( all PenligIvani r Slate ( ofIm (ions and Iitshursemenl Unit (S( IAJ) I ruployer Customer Servile at 1-R77-676 95HO for instrul Urns, Make Remittance Payable lot PA SCOU Send (heck tot Pennsylvania SCIM, P,O, Bost 69112, Harrisburg, Pa 17106-9112 IN ADDIE fr PAYM[NIS MUST ]NCIEIDE THE D"INDANI'S NAME AND tiff PACSfS AIfMBER ID above as the he Employee/ObllBor A Case Identifier 0AE SECURITY NUMBER IN ORDER EO Bf PROCESSED. DO NOt SEND CASH BYMAII. "' ?? (shown it ?) t Ry lilt AMAII ],alp nI (,filer _ !,?__2 ? 2QD1 Selvn r l yep M I nrm I N-D2t1 11'olkpl II ) @ 1 A7"1' AOOI110NA1 IMORMA110N 101MPIOVIRS ANOOTIRR WI1111101OIRS ? 11(1114 kill toil ale 11 4 1111114 1. hl 101111)1111. .1 11 opt Of this 1()ml In Y ow ``111 du) ve II 11v1a my 1lo)er N (111,% in a Nall. Ilia Is llllfl•Will ?IIIIII lilt- %fall- 111.11 11H11411% 11111 P1. A 1 Illy IIIIIN he illln Avi tit your 1'If 11111114' 1•\I'll II I)Ie boa Is 111111 111PAINI. I. We applet fail- lilt' NII11111a1) I ompllatll l• Ill 11411.1.1111 11'1 ogl1li141 111111.1II nlh1,N, lobar I) ()"11141 1111\1111'\N9, .11111 Itltllall 11"IIl4l busille%%e% It" ah4l oil a 11.41.1\.4111111 that t homl. IU %%11111111141 III it t unlanl I. "fill I111s 11014" 1. Priorilyl \11n11ho4dmg under If U% 1 hdel/No1i 1. has p"o0111 o%PI ant olhel legal phM vNN undvl %fat" Ia".1µ.011s1 Ili" Name fill on it,. f ellelal lax 11,P11.% In 1'11141 hefole ref ('1111 ill fhM oldrl 11.1%1. pnonty II Ihl.lP am f 1411'Idl tax IM IPS in 1,11141 ple.w. 1 oldaf l the Ieyueslinµ agent y 1101141 below 1. Combloing Paymenls: Yon 1 an 1 unlbine " 111111('141 alnoullk h11m 11)om than one Will it, IV ve/ol Illµit 'N Im ()file ill a single payinvill hI eat h agent y relples111g"I0IIII4 log You must, ho"V%el, WIMMI1,1y Id1'ntllt 1111- p()nion of the Nmgle pa1nU'nl that 14 al11il11dable 1() eat h "nydnyrr/ubl iµ111 4.0 Repnltmg the Paydate/Oat(' fit Withholding Yrnl must rrlnM the paydalrhla11e rd wdhholding when sending the paymrnl the paydawhlate of w ihholding Is the dale nn which amount was withheld tf11m the rmplnyee's wages Y()u fill INI 1 amply "lilt Iht, Iaw of lilt- stale of lilt- 1.11111loyPl"s/nhllgnt'%I lom 111.411 llm a Or en lpl(n nM'1II "III) 11'N111•1 I III IIIv 111111' 111•IIIMI% "IIh III "1111 II )vli (OU'd I II 1111Pllll'l11 lilt' "ilhholdinµ uldel and luf".ud the support paynlPnh. 5.' Empkryee/Obligor with Multiple Suppini Hoklings: II IhrO' n mule I1i.u1 one ( )Ide1/N4111( a tit IVfihhuld Inn unle lot luppon against this employer/()bliRul and lull ate unable to h0nu1 all silppon l hdedNuli( "s due 1111 1 14 14-141 Of Sl.de "11111111Illing 1111111 F, ynu II111N follow 11he law of file stale of enlpluyev'dobligut'N pnnl 11141 plat l. ill t'nyd()ynU•nf Yoil In Iio Ill lnf 11 all I hdi-WNuhl e% In the gn'ateN e0mil Imwille Itiee #I0 bell" I (I, Termination Nollfi"alkrn; You in1FS111 ompl Iy nonIy the Requeslnlg Agent y wile" fill' rnyduyet,/ohliµrn Is 110 10119P( working lot YoU. Pled se Inuvlde 1111, iIto[ natoll 1eyuPN141 dnd U•lunl d ( u)Vol Inns (hdel/Null a 111 the AAtmi y illen1111141 1)(40" WITf1HOLUER'S 10: 2329709020 IMPLOI'IPSIONLIGOR'SNAME: UELjZ10, FIMK P. Ill tMPLOYEE'SCASt IOEN1111ER: 91600 QO)1 OA1t Of SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPIOytR'S NAMEIAOORESS: 7. lump Sum Payments: You may be Iequ I tell to tellorl drift "1li11n111I Itool 11111111 Slllll 11.111111'lll4 %lu If d% bonuses, s ()nunl4s lolm of severam a pay. If you have any ltuesfuu" dboul 11111111 %11111 paymt,"1%, 141111,111 fill- pelNO" 1Ir audun0y below R. Liabililyt if you fad 1111"Ithhold ifit amt- as lilt, 1 halo/Noill a dilef Is, you art- liable lilt hoth lilt- at l 11111llldll4l alllflllfll Vol] should have withheld from the employee/obligur's inn (M)" and fill"" INMA i'% %l.1 by 1'ennsylvd lia %Ial(' law Pennsylvania Sidle law govt-nn unless the obligor is "nlployl4i in an()IIlPr Md11'. 111 AIM If l 44P the lit" (11 1111- Stale in "hit h he of kill- Is 1-fapluy141 RoN fos. 9. Antldht rlminNlun: YOU die subl"4 t tO a line delrnnuu41 under staff. la" lilt Ihu hdtµing all ('ngduyetdObliµol hunl employment. refusing tit en ploy, of 141,11)g (I N(ipiinaly al lion agamN any ('nyduyerlnhliµo" brt cruse Old NUppO11 wilhh01110A VwuuylNanld Stale law governs t111fek% the obllgm 0 empl11t191 III alloillet Stall', 111 "fill 11 4.141' the la" ()I Ill' State in "lilt h h1. of %h1, It, ernployell governs IQs WlthhoWing I[milt: You "lay 11411 wilhh0ld own' Ilia" till. I-ker ill I 1 IIIe allioullis .Ill r"1411ly the I INI1,tal (Iol,allnel ( feild PIut14 bun At 1 115 U s (. S 1671 lbl ,ill )1 Cllr anmu Ilk allu"ed by the Man' III till, ydnyr(''%h)bhµnl'%I mnl glaf plat" 'I "mpluyml-nl.. fill' I vilvial linill 411111119141 1111' 4µµu'µ.11('dt4pu4dldr "P"kl1 e.unmgs 1AI M11 I AI>\1'I IN till. nrl inn unu' It'll aluv nl4king nlandalury 11HIM 00111, %lll 11 A Male. I ell Plal, I1M of Id%l.4, %111 I'll M'1 ullly Ia%"4, .11111 1,014k JIV I4NPN 11 Additional 'N011 : II you of y41111 agent aft- %1'It'141 wllll d 1 up) ill 1111S un11'l in lilt, %Iall• Thal iuuetl fill- 4104.1, you ale to 1041w lilt- law of the Stale 111.11 1%%ued INN f adv1 "fill I4•N111'4 I Io 1111'41• drnlN Submitted Ryl Wh1L5111ALLAIMN5 tiLIIILI^ I l N. MNUYLR I I 113, DUA 110 iARll}LL PA 11011 Serves' typo M It )nu nI )uw enydn)re!nhhµ0( h.rve dny q()l-014111%, 10111.1,1 \VA(11 Al IA( IIMI N1 11N11 by Irlrphonr .4I {1111 x.1(1 61 f 5 Ir _ 411 IIy I Ali al 11 11y) :9LLL:90 Ili 11111-o1"I w"w 1118d%Ullptnl %11dt• 11,1 U% Paw, % 1'1 1 1111111 1 N 01t1 Wutkr'rII) $IA9"I' APULNU)m bummary of Cates an Alla(hmenl Defendant/Ohligor: Imi,m0, FRANK P. III PACSLS Casa Numbe: 991000027 PAJ SI SjjkL'_IYLUIlUU ('Iglu'(( Nana Plaintiff Name NCNDy 1., .JP.I.IZ10 u2w,dul 6m[w.It1 1111 UUILLIS AllathmenlAmount 95.2427 CIVIL( 599.00 1 0.00 Chlldlrenl's Namelsl. ()()If l-hildu4-N's Nd1110S1'. ? If cheeknih you are u•quinvl In enroll the a hddurnl identified above in any health insuram a coverage available Through the employee's/obligor's empluymenl. PACSLS Case Number Plalnliff Name LeSW Altai [intent Arnuun $ 0.00 Child(nm)'s N4ml(s); ()OR ?If ehee keel, you are reyuiuvl to enndl the r hildlrenl Identlfled above in any health Insuam e c uverdge available through the ingdoyee'siubiigor's ermplnynmll PACSLS Case Number I'laln fiff NamO Durket AI thmeill6mout)1 $ 0.00 l hild(ren)'s Namplk)? DOB DOB ?u a luv keel. you .ue nvpmed lu emall'ro ehildtrenl Idenliflnil above in any (Ieahh Inun,ua e e overage available through the employ/4' S/oldlgol s emplllyment. E&Hilaubiuuku ni 71 N dm [)ntkcl Allae Inn +1t )t Amount s 0.00 ( hflduetn's Nanmp(s). DOB ?it (hee keel, you au' eequuml fu enroll file a ldldiren) blentiflwl above in any health Insulance a overage available through the employee's/obligor's wnpluyment, PA(SLS Case u nl 111dWtift t1dilli l)uektl Mai hmentAmuunt $ 0.00 ( hilduem's NamMs). DOB ?_ l' a flee keel, you am m pinvil to enroll the a hildnenl Ulf 11111 knit. son ale requued to linen flue hil(lren) Ideal 1614) AJOVe in 411y hea1111 nlsu14m e e uvlrogl asail,ddl idenllfled dhow in dny 11141111 insueane e ( overage available Ihmugh Ihr ingdnyee 0,1111gor4 4-1111-Ioynuml. thnergh the employee's/ubllgnr's lmplnymanl. Addlndunr I unn I N{1111 Se"ut. lyl)o M ,.,x,_„ „_ ,., N411,44 II) $lATT ORDIRINO11C1 10 W11111101D INCOMI IUR SIIPPORI State common caws of P Illistilyallia Cu./COV/01%t. ill COMUEKIJ") 17a1eufOuler/Nuli(e 07/10/06_ (',Ise Nunlhm (See Addendum for rase summary) '191(100027 95-2427 CIVIL Co 1 h,it,wi 1 hilrirNulu O Mnrndrd Uule?Nnhm C? II'inunalPlhdrdNutur 1 mpluyrlAV'ilhhularl'.Iedel,ll I IN Nuuau?? CHARIA I, BROWNS ACUMB('I'ION Co 1150 ROUTE 22 WEBT MOUTAINSIOE NJ 07092 See Addendum for dependent names and birth dales associated with Gases on allachrnent. ORDI R INI ( )RAIA II()N Ibis is all (fih•I/Nutit e Io Withhold 110 finR• fill Support hued upon an oulei for support from CUMBERI.ANI) (bully, Co1111nfinweatl11 of Pennsylvania. By law, you are required it) dedo(1 diese anwullk hum the above nanu`d enlployedJobligot's ill onu• unlit luither nolit a even it the Order/Noli(e is not issued by your Slide. $ _ 575.00 pet numlh in (urmnl support $ 24 , go per month in pass-due Nupport Armats 12 weeks or greau'rl Oyes O no 0 , DO Prr nnndh in torrent and paslduP medil dl support $ $ _???pper 111011111 lot genetic test ( rests $ per month in other Ispm ily) (nr tole oT__ b99.0_0 per month to be forwarded to payee below. You do not have to vary your pay IV( le Io be in (onlphanre with the support order. 11 your pay (y(le does not mat( h the ordered support pdymenl (y( I4., use the following lu determine how mu( h Ill withhold: f __11tl.." pw weekly pay 1WHOd. f 27@. 4(IP4.1 biweekly p,1y period Irvery two weeks). S ?.3Y2 SIlPrr semimoulhly pay period (lwt( e a month) f 59yyp?ply nlunlhly pay period. R1MIITAN( I INI( WAMW You tnusl IlPµin wilhhuidinµ no Idler than the lirsl pay p('liud ill f ulling ten (10) working days allot the date of Ihls Omer/Noti( I-. Send payment within seven (7) working d,1y4 of the payddlP/ddte ill withhuldlllµ. You are emilled to dedu(1 a Ieo to deftly the (oo of wdllholdnlµ HVIVI Ill the laws governing t11e work stale of your employee lilt the allowdlle dnlount. Ill(' total withheld 1111011111, and )0111 fee. ( ammo iw evd 55"/,, of the employee's/ obligor's JKKIPPIP dlspOsahle weekly eanlillp I or the Ilr11poso of the Iinrllalion fill withholding, I11e following infounatio11 is needed (See 1119 fin page 2) If remitunµ by f 11/11)1, please (all h,IIIIsyh,(Ina S6a1` l ullel0uns and 001kilwilloul unit (S(i)ll) I11lployvi Cuslumer servl(e ,d 1 117 7 6 76 9 5110 tut InsIn11 lions. Make Remittan(e Payable to: 1'A SCIM Send check to: Pennsylvania SCIM, 11.0. IIost 69112, 1larrishurg, PA 17106.9111 KI IIKI.17_.IOy_ FHANK P__ Ill 1 ngdnNv N rbhNm . Nang, tl aN. I uq. Nil) I nyJuyrri( )hliNm". \rn ta1 510 only Nunde•l 9660000029 I mpluyly`/116hg111 1.1,v Idrnlihnl qeP Athirmium la plalnrUl oamPI *ism MUd wllh I MP$ nn arralhmenn 1 do h,d Panml's Nanm (1,10 . 1114t . Nil) ?N AODIIION, PA V4111 N I S MUS 1 1st ( I I IA1 1111 Of If NOA N I'S NAME AND lilt PA( SIS MIAI BM R 11) (shown above as the f"mployee/068Hor'e case Identifier) OR SOl lAf 81( 111111V NUMBIR IN OROMR 10 Bf PRO( M11). 00 NOI SI N0 CASII By A1AI1. BY fill ( l)t)Ril 0,114. l,( I hdv( 11. J 0 1006 1)11), It, ], filcid,t<ty lelvha 11pe M kf!v lII x - I•wi I. 10,00, . I join 1 r, 111[1 Wolf r 111 $ 1 ATT ADDITIONAL INIORMAI ION 101 Mill OVIRSANDOURR W111111OIDIRS ?? I1 Sihea kryl lilt] ,4,r Irlplin4I to p1?1?111r a It ill This 1111111 to yuut ttm dn)'rr it yu``n rngduyrq s silks in a s6ur Ills, Is Iillfou411 bolo the Will 111,11 ImlmY I 1 s a nn rr. 1 silly must hr Ito vii of to 111111 44111) 11 even if IIv bus is 11nl t h(,( Fol. 1. Prlorllyl Wilhholding undo III I% ( hdel/Nolu v ha4 Imool) finer an) 1llhel Irµ,d Inn vs. under Slide law against Ihr same Ina only, I eilerdl tax IvvIv% ill ('111'11 below nY eqd lit Ihn oulef 11mv punnly. II Ihrll' a1P 144104 11.1% Ierios in ellm I please pooled Elie relptestlng agent V bsletl below 1. Combining Payn)enlu Y m) 1 an t umbulr "1111114-111 a11umn6 114,111 omit, than (1nr emplot vo/nbllµut s lilt nom in a mingle pd)nlrnl to pat h algem V It'(11IM1111g wallholdulg \tnl must. hom,kel srpawtvl) IdrnlAy Ihr pullwn (if Illy single patnlrnt than Is atllfbulabl(' to pal h s,ngdoyrr/ubbµul 1.' Reporting the Paydatr/Dale of Woliholdmg You most report Ihr paydatefdan, ill "ohholdmg when splitting the payment. the paydateMatr of withholding H flip date nn who if millions was wdhheld from Ihr rmployre's wages. You n1te.1 i omply "fill the law of Ihr slat(, of Ihr enlldoyre's/obdill, f't prim 111,11111,11 v fit 19up1(1)nu'nl wall n'Np('11 11) lilt- Inns pl-1I1NI4 w11111o "lilt II )(Ili nlnml implrlm'l1i the withholding ordrf and 11nwanf Ihr NLItprlit pa) uu'nl, 4.' trnployee/Obligor with Mulllple Supporl Holdings: II Ihen• n miler than fins, I hdrl/Nolu r to Wllhhuld b4, umr lot Solipsist against Ihis englloyre/obligor and you ,fie unable to honor ,dl support 1 hilel/Nunt rk fill(' to I44lelal of %f ill- wilhllollhhg lillnls, yllu most flllhl"' flip law of it stale (1f rngdoyee'Nhlb4gor's pr ht] 111,11 plat v o1 rig d(1yno'nl Y(lu m114111111 ur all If )n Ivt%/Nul it vs l4, II it, gsralrsl rslenl posslble Oee en brio t) 5. Termination Nolifhallen: Y(lu nultl 11nmpd)' nnnIs Ihr Rrlplrslmg Agent y when the vngdoy('e/obligor is flit longer working for VIAL. Please provide ill pin lonnaI lot ituqursllvl and mlllt)l a 11111) or des OI (If•I/Nor u v It, Ihr Agvnt y ittrnt)fird Endow flit tMPtOYEt/OBLICOR NO ION(it R WORKS #OR: 11 )94816 10 IMPLOytt'S/OBLIGOR'S NAML:__ rh &1?•_YlIBNlS..I'?._lll______ IMPLOV111 CAS, IDlN11H[B: ___ f144?4.4it1R______ DAIS Of III FARAI ION: IASt KNOWN HOMt ADDRESS: NEW EMPLOVIR'S NAME/ADDRM: 6. lump Sum Paymenlu Von slay be Ir(pun4l hl n-purl and wlllihold turn 11111111 tons Ili)rllt-fits slit If as bolloses, I ununissinns, of sevpranl r Italy. If you have any questions dhlnll Insist) Sllin p'n 1111411%, 1 tlllla, I Ihr prison of aulhotlly below 7. liabllllyl If you fail In willlhold fm one' as (lu' I InlydNuhl a dur1lN, you an' Ilable 441 1)(1111 Ills, al t umul,ned amuunl you should have withheld from the employer/ubligulb ins unlr and 1111119 IIs'Ih111if,% SO IIY Ill's Ill4) Ivan I's Slall, law Pennsylvania Stair law µuveuls unless the obligor is rnlpluylYl In anulher Ssalr, in will h f am. lilt- law of flit- Shall' hl "11101 he 111 sir is enlplovvil governs. B. AnlldhcriminaIlon: You sir sullips l If I I fine dl'leumiss t41 under Slab law fur dot 11,11 111)lµ an engdnyer/nbIIgor 6om E'ntploymenL refusing to rnlpluy, or Ilking (I Isl i11linary at sun ag•vnll dol.. rnl)lot rvdul11 gut bet duke ill .1 support "'ilhhullbug. Pennsyiv.ulia Slate Iaw governs i mless the obligor is rlliployId ill anolhrl Yin, in "1110 1 t,lty Ills- I'm or Ihr Slab in "ht] It he or she is engli(1yed goverip, N.' Withholding limli i You may nor wllhhnld mom 111,111 Illy lessm sal' 1) the arllnllllk difino Yf by lisp I vilvi ll I onsurner t onllf Psolm Zion AsY 115 U-S ( 11671 110; sit 11 Ihr ,111141111111,dl(1"ell by Ihr Slare ill Ihr enyduyre's/111)11µ44's pool ,,at ,last, of employment, the I (Yfewl list) it applies l4, file aggmgaly dI4Iun,lhh' "l-ekly vaflllllgt IAUW91 AI )WI i\ Ihr net Ins only Irll ages making mandatory lb4bil 81115 tit 11 is %fa11•, I fYlvial, Ins if Ia V's. SIR I'll Sul Illlly Idll'ti and AL4lR ale Idle, I of 1111111 unit'rs, )'1111 may not withhold Illou. than the anllnlrns adlo"ell 111111('1 Ills' law (11 Ilse INNIIIIIg IIIIII' I fir Illbal 1'11IIII(q '1N "hl I for viA'1' a klau' older, Volt Islay 11111 withhold marl' than Ihr amounts ,dlo"wl under she la" ill Ills, fall' trial INluell 161 old" 11) , Addlllonal Info: 'NU I1 : It you sit your agent are N('Ived "fill a I spy of fills onfel m Ihr side that Issued Ihr ufdm, you are in follow fill Iaw of ills, %lilt• Iltdl issued Ihis pules "fill n•spel 1 to theme teems I I Suhmllled Dili 11 lull Ill your enyllsi)ee%(,1)1)µ11r 11AP any qurNlbnts, UIUMU11L311A111LI-N l x lmlhnl lIVA(A AIIAMMINIIINII 11d iIANS2Ytll5l _ by Irlepbullt' al (,'! If ),IQIs)i of !'.Q: DUN J.10 fly I Ax, it U111) 41,11.1 or LAHLIIf1LPA17011 Ili' 10141'0 1AWN 1 hlldwllllull %ta ll. pa us 1'4µr 1 ill 1 1 nun I N 11!11 Servily Ilpr H „ ,, W'ntker III > IATT 4L 01 W)UM ?I!Ill!IlIiLY.!!?? ?4e? A taChminit Detendant/Obligun vimiz.lt), HIM( It. 111 PACSLS Case Numbel 9910001127 MUL5IAm hutilllu rUWWLN-dl!!1: P 11u, I Hilulit MRNUY L. bRLI¢lu lh AVI AItai lnnen .Anwlrn hn 1,r All.n lunenl Mnounl 95-2427 C'IVII,$ !199.00 $ 0.00 ( hildlmn)1 NamonL 011M t IIII(I -10 % NameM It 1 hl'1 kvil, )'1111 ate rrrlw r141 MI Vnlrlll life I hildilen) h enlfhlvl above illany 111'ahh Insulam e i Overage dvailablo Ihluugh the euglloyrr's/uldigol's emplolmrnl. PACS},S Ease Numbel Plainli f Name L)_w u 611a1 buient Amount $ 0.00 ( hild0enl's Nampm Ot )M ? It t IM k(4 1, )1)u ale 119p111441 In rnmll Ihr Of ildOmU Idenlflleil db1)ve in any health imurdnr e 10%Plagl' available through Ibe engdoyrr's/obligor s employment PAC I S ( list Nymin•r t1L11111ff im. )o ke 911a+.lltakYllAui uuw S o on (hdd11eni's Nanmio 000 DO U If t het klvl, you file trquiuvl to enroll the (hildlien) 11 en11fitvl above fn any health insmanl e i overage available I11f1)ugh the employer's/obligor"s e1111 doynuvu. PAL SLS C ase Numbel JjAgnlilf vu", 1 I t l Amount $ 0100 t hildfrcnt's Name(s): ppp []if c her klvL you me teyuirwl Io enudl file I iocioem OVIllitital AIMP in any health insurdnr e l overage available Ihtuugh the enq duyre's/obligm's employment. j.' S S sv N2111_ ('fygl II Nell- )m 1,e !11111!1!r!S'll1_In)111 S O,un I hdduenl s N,unrlsl I)11M H M r her keg. you drr Itgpdmrf to enroll the 111/111114,1/) C I It 11091,14 1, y( III ,1)r tegllinKf 11) rnnrll the I hddlrrm i11rnllturl about 111 dny heallll insu0u4 r I ovrvafty aaailahly ulem11led allow Ill any hedllh ul5ul4114 P I Overage dvadahle I1110ugh the en11110OW%/1)hfigol's emplot nlrnl Ihnurgh file englluyee s/obligor s lvoplny omnl Adllrnlllr'll I mull f N OM 5lmilr Iylm M AVutkrrll) lJlAT7, ORD[R/NO11C1 1O WIIHIIOI D INCOME IOR SUPPORI State Commonwealth at P tID6vlvAuld Co./Clly/Dlsl, of CUMBERLAND DaleofOrder/Notice 01/24/06 Caw Number (See Addendum for (air sumnrar)) 1 0 Unµmal (hdw/NIA,, r 0 Amended l hdrl/NrAnr 1111, O Irunmal(•IhdrdNalur nylluyrlAYdhhnldrr's I rdrlal I IN Nun,hri K INVESINENT11 UI'11 C/O aDK MANMEMKNT CO 1780 UTATE ROUTE 4117 BUX0181JURd VA 17815-11951 179-44-9541 _ I ngdoyrr4lldiµwl N,. ill Nr, only NundAl 9060000020 nydnyrr/I )hliµnl's 1 aw• 1,11•1106rl (fee Adde"in fa plaintiff nuns ,uer Well with Wires on atfa(hmenn _ 1l uw,?lad blur ors Namr (I J0, 1.141. hill See Addendum for dependent names and birth dales associated with cases on attachment. ORDER INfORAIAIION Ibis is an Ordel/Nolif e to Withhold In(onu' for Suppoll hawd upon an order for support from CUMBERLAND County, ( onunonweallh of Pennsylvania. Hy law, you am to<tulred lu d('(tucl Ihese amounts from the above named rnydoyee's/ubligm's in(onu' until Iunller null a even if the Order/Nufi(e is not Issued by your Stale. $ 0.00 per munlh in (invent suppnll $ 0.00 per nlunlh in pass-due suppnll Aoears 12 weeks or greater? Q yes ® nn S 0 , 00 per month in ( urmnl and p,o due nledu it support f o,,aper month fill genen( IeM ( osls $ per nlunlh in other Ispe, fly) fur a lotafr S _ 0.00 per month to he forwarded to payee below. You du not have to vary your pay (y( le to he Ill I onylhan(e with the support order. II your pay cy(Ie does 1101 mat( If the ordered support paylnew ( yl I(', (Re the following to delennine how four 11 to willihold: $ o. Q2 per weekly pay pefuld! $ o. o0 per biweekly pay perioll teeny two weeks). S 0.00 per semlmunlhly pay pen0d Ilwi( t- a rnonth). S o.go per munlhly pay pmiod. RIMllIAN( I INIORMAWIN, You must begin wilhhuldinµ nu later Ilan the first pay period in (filling ten 1101 working days alter the date of this Order/Nulite. Send payment within seven 171 working days of the p,rydaty/date 0t wilhhuldinµ. You are entitle) to dedu(1 a lee to defray the (uM of "ithhofdmg Refer Io the I,rvvs guveming file wink slate of your employee for the alluwahle amount. I he I01a1 withheld am(unl, and your tee, ( annul eu el•d ')Y%. of Ihr employee's/ obligor's aggregate disposable weekly eamings 1 fir the purpose of the linul'i ion fin withholding, file following information Is needed ISee M9 fin page 2) It remitting try 111/1 DI, please fall I'enn%VIVanl,l Slate 1 olle(0nns and I hshulNvoll'llt I lull IS( DUI 1 mplnyer ('usioniviServnv it 1- 1177670'15010 fill 111Nnu(lunt Make Remlllance Payable lot PA SCUM Send check In: Pennsylvania SLIM P.O. Rox 69112, Harrisburg, Ica 17106-9112 IN ADDITION, PAYMFNIS MOST IN( 11/01 IfIE OtIENUANI'S NAME AND FIIF PA(SIS MIMUR ID (shown above as the Imployee/Oblljot's ( ate IdenlUfer) OR SO( IAI Sf( URIFY NUMBIR IN ORVIR TO BE PROCISSIp. OO NOT SINU CASH BY AIAII. Wit, of (?der Ah 7 II 700h kl Uh'IJ71(1 F'kANK 1'. 111 I ngllnl o-A Ihliµor s Namr li.(d. I w hill HY I111 t1)URII ILI Servil e I$ pe M „ I ono I Il Worker It O A'I"I' ADDITIONAL INIORMA110N 10 [MPIOYERS AND 01HLR WITNIIOIDIRS I ll P i k r9l yuu au, uv uiuYl In ill 1 I1`Ir a lot) y 111111 s Corm to yfiur emldove. II yuu employee Nurls in a stale Iha1 h c?i1(emnl from Ihr slalc! that lsue? 1t I 11s unvM a t opy nwsl be pnrvtde? In yom ill Ill uyee even 111 it, flux is nut l hel k1Y1. I . Priorltyl Withholding under this ( )ales/Nutu a has priority over any 0111111 legal pro( ess under 51ate Llw against lilt, saint- Ind ono,, Federal lax levies In elim I helme ret ('lilt 01 this unlel have pliorlly II Ihere am 111deral tax levies in el(et 1 please t onlat t till, requesiing agent y Iislel below. 1. Combining Payments: You c an I omtiinr w;ihhrld amuunh hum mult• than one rngduyve/ubhµul's inl 01111. in a single payment to eat h agent y reyursling w4111101dtng. You IMM, hoses el, sepaMUrly identity the pnruun of Ihr singir payouvnl that is ,oinfl111able to eat h PIT' 1) 1111 it I.' Reporting the Paydate/Dale of Withholding- You must report the paydatr/date tit withholding when sending the payment. I he paydatrMate of withholding is tilt- dare nn which amount was withheld from the rmplnyer'+ wages 1'0u noel t amply with the law of du, stale of Ihr employee's/obligor's plint ipal plate of rngdoynu?nl w1111 resprt I Io the limn peflals w•illum whi( h you nmsl implement the withholding oule and forward the supporl paymrnh. 4.' Employee/Obflgor with Multiple Support Holdings; If Ihere is more Than one ( )ndedNuh( e lu Withhold Inc ome lux Support against this employee/obl igur and you are unaflit• In honor all suppull I rider/Nou(es due ill I ederal of Slate wllhhoklilig hlluls, You II1nSi follow the law of the stale of employee's/obligor's pun( 111,11 plat v fit employment You must honor all I MIvis/Nulit es to the Rrealest exlenl Imssible. (Se, 119 below) 5. Termination Nolifitatloo: You nntsl plompdy notify the Requ1.sting Agent- y when the employee/uhligol is no longer working for you, please I n vIde the Infornlalion regWNlell full n•tnlll a t opy o1 Ihl% ( Adel/Nout a Ili the Agelu y idrnhfied heluw. 111EtMP10YEE/OBIIGORNO LONGtRWORKS TOM 232e109e20 EMPLOYIE'S/OBLIGOR'S NAME; UN LTZI J._?${f?fl_..,_ 111 EMPLOYII'SCAST IDENIIFIER;_-911Q449421L-- DAIIOFSEPARATION; LAST KNOWN 11OME ADDRESSI?-?_ - NIW EMPLOYER'S NAMEIADDRISS; 6. Lump Sum Paymenlcl You may be Ir;ptind it) Iepun and withhold Imm lump sunl payments $110 1 as hunuses, nnnmissions, or severance pay. It you have any quesfionc ahotd lump sum payments. t onlat 1 the persoll or dulhouly billow 7. Lli bililyl If you fail lu withhold inrolne as the I );dv1/Nolu a dims is, yuu fill liable lot hoth the a(i unlulaleil .unount you should have wilhheld horn Ihr c•uydnyer/ubllµor's in( ome and (other prnalnrs wl by Pennsylvania Stale law. Penmylvaloa Stdle law goverris unless the ohligor is employed In another Stale, in whir If lase Ihr Iaw or Ihr Slam in whit h hr of still Is employed governs, 8. AntidlNrlmtnallon; You are subjet t to it (lilt- drleunuled under stale law it,, din Varying an t-mllloyevAiNigor (runs eogdoymeol, refusing l0 employ, fir Idkhlg f1m iplinary at lion agaiml any empd0yee/obligor b1.( ause fit d support willdmlding. Pennsylvania State law governs unless file ohligor is employed in amnher Stale, in whir h rase the law of Ihr• Stall, fn whir h he fir she is employe) governs. 9.' Withholding Llmilu You may not withhold mum than the 1'54!`1 III: 1) ilw alrnlunis allowed fly the I eleral Consumer Credit Pmteiion Ali (19 D.S.C. If 1671 11111; or 11 the anwunls allowed by the Stale of Ihr 1.nydnyt-r'slubligur's mint Ipal plate of employment. the Federal limit applies In Ihr dggn'Ram dispusablr weekly raminµs UI )WI I ADWf k Ilu, art Innant- Irll after making mandatory deluutom sul h as: Stale, Federal, lot al lasts; Sul ial %v(ulity lases: and hivdit are to u`s. I m hihal ulders, you may not withhold inure than the afninei s allowed under the taw of the Islnlllg nlbe lot (rlhal emphlyeit w'ho wt;'Ice a stale order, yuu may not withhold more than the dnamnlx allowed under the law fit Ihr SMae 111.11 issued Ihr outer. 111. Addlflonal Info; 'NOW It you or your agent air served with a ropy of this older fn Ihr slate that issued the order, you are to follow the law elf Ihr slate that Issued this older "fill re5pe t to 1110-41• ilrnls. I I. Submitted Byi II you fir youl rmpluyee/obligor have "Illy queslions, M(WILULAMUMHl 1Q1)l_ _ tilrll,lti ______WAGI At1A(11MIN1 l1Nll_ 11 NJ AL' UVtX11-- by t1.111phonr ,u 1Zllliill.at111._. fir l'.L1".!l 119 _ by IAN it 17111 2 4019-4fl_, n1. LARI6ll.1A 114!D by imrnml www' 1 IIII;ISli1111,111 Slale pa_us I'aµe 2 ltd 2 1 min I N 11211 Srrvfu' IYhr' M „,,,I W(lrkrl 11) $IA9'T AIN NUUM Il!!BL!lAtY of Ca1ef Ql1 -All itlime1U De(endanl/Obllgon IIF.mzio, PRANK 11, 111 PACSESCaseNumbel 9910(1(11121 MullLAT_N iImkI Plalnlill Name P1d!UWLKm!Ic WXNDY L. DKIAZIu 0111 l A I I hnu41 nnwiI uvl!_kS9 Awl lylnnl AnminH 95.2427 c'IVII.S 0.00 1 0.00 l-hild0enl's NameW I )I Ill 1 IulduenYs N. nn4sc n II tiler krvl, YOU are reyuhr41 lu emulI the l luldlrl•nl nlifial above too any he.dlh unurenl a cuvlvagl` available i1e Through the engdoyre'ilubligor's engduynuml. PACSES C dse Number Yldllllll(1 LAIC l2aid Altai hmentAmuuN 1• 0.00 I hild(mnl's Name(sl: DI )B ?ff chrv kcv1, you are requircvl lu enrull the l hildlmnl Wenlified above In any health insuranl e 1 uvwagr dvalldhle through the empiuyee's/uhligur's engduymmril. PACSES Case Numbcl Plainlif( Name Q2Lkd Altai Intent A lluunl s 0.00 ( hildlmil's Name(%) IN NI DI)B E) If l hl`r 1,141, VnII dill 11vplhr4l lot eurull the 1 hilduenl idenlih44l above ![tiny hedllh lusuldnle coverage available Ihunlgh file PIIII dllyel`'4/r 11111K1Ir'4 errll dnly'r((r'r(l. PAl S S ( ame Number 1'1,011111( Ndine AI AI I hnlen Q Amount 1• 0.00 Ihilduenl•s NamelxP DOB ?II (hill 1,141, yral are lequifed lot enroll the 1 hildlrenl 001141141 above in any health Illswam e 1 overage available Ihruugh the empluyee'duhligur's empiuynlem LA(S SI ise Number rld;,,,;B N,,11_1L U2 !_W AB r n il. Ain Tun 11 0.00 l hddurnl s Namelsc. D()13 ? Ill her k441 yuu are regmn411u e11ndl the n hdduenl []II r her 1,441, $nu dm 11411111441 In enroll the r hildnenl Idellhnr4t abuse m any heahh rlnu6l(u e I us1'rdµ1' .1sa11,110e 1,10-111111441 jimw m any lu•ahh nlbmanl t, I uverape dvallkle Ill Inugh the rngduyer's/ 11 nhgof 's 1 '111 plug till -111 Ihlough the employ Ill. 7/nhli)lof 's employment Addendum I min 1 N 0111 Servi4e Type M Mnkel II) $1ATT In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Defendant Name: FRANK P. DELIZIO III Member ID Number: 9860000028 Please note: All correspondence must include the Member ID Number. ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS Financial Break Down of Multiple Cases on Attachment PACSES Number Docket Attachment Amount/Frequency Plaintiff Name Case Number Number WENDY L. DELIZIO 991000027 95-2427 CIVIL $ 599.00 MONTH TOTAL ATTACHMENT AMOUNT: $ 599.00 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $13 7.8 5 per week, or 55 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, FRANK P. DEL I Z IO III Social Security Number 17 9 - 4 4 - 9 5 41 , Member ID Number 9860000028 . BUCBA is ordered to remit the amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearages, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673 (b)(2) and 23 Pa. C.S.A. § 4348 (g). This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated JANUARY 2 0, 2 0 0 8 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT Date of Order: JAN 2 9 2008 * X4 KEVIN)?. HESS, JUDGE DRO: R.J. SHADDAY Service Type M Form EN-530 Worker ID $ IATT co D ern z ? ?u -n w FRANK P. DELIZIO, III, Plaintiff/Petitioner V. WENDY L. DELIZIO, Defendant/Respondent IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 95-2427 CIVIL ACTION -LAW IN DIVORCE PETITION TO TERMINATE ALIMONY AND NOW comes the Plaintiff/Petitioner, Frank P. DeLizio, III, by his attorney, Diane S. Baker, Esquire, and avers as follows: 1. Plaintiff/Petitioner, Frank P. DeLizio, III, is an adult individual residing at 231 North 15th Street, Lewisburg, Pennsylvania 17837. 2. Defendant/Respondent, Wendy L. DeLizio, is an adult individual residing at 117 Ewe Road, Mechanicsburg, PA 17050. 3. The parties to this action were married on August 27, 1972, and separated on or about in February 1, 1987. 4. A Complaint in Divorce was filed in May, 1995 and a final Decree was issued on August 27, 1996. 5. Pursuant to an Order of Court dated August 27, 1996, that was based upon the agreement of the parties, Petitioner was directed to pay alimony to Respondent in the amount of $667.00 per month beginning September 1, 1996. The directed alimony was designated as non-modifiable until September 1, 2001. The Order further provided that as of September 1, 2001, the monthly amount would reduce to $575.00 per month and would be subject to modification by either party. 6. Petitioner seeks termination of the Alimony Order due to changes of circumstances as follows: a. Petitioner is now unemployed. Petitioner expects to receive unemployment benefits in the amount of approximately $2,100.00 per month, which is significantly less than his previous annual income of approximately $51,000. b. Respondent is believed to be employed and now capable of self- support. WHEREFORE, Petitioner requests this Honorable Court to issue a Rule upon the Respondent to show cause why the alimony should not be terminated or in the alternative schedule a hearing after which time the alimony shall be terminated. Respectfully submitted, Plane S. Baker, Esquire I.D. No. 53200 27 South Arlene Street P.O. Box 6443 Harrisburg, PA 17112-0443 (717) 671-9600 BakerLawOffice@aol.com DATE: 2,r, VERIFICATION I verify that the statements made in the foregoing document are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904 relating to unworn falsification to authorities. FRANK P. DeLI , CERTIFICATE OF SERVICE .01 I hereby certify that on this I Jday of February, 2008, a true and correct copy of the foregoing document was served on the following person by United States Mail, postage prepaid, addressed as follows: Wendy L. DeLizio 117 Ewe Road Mechanicsburg, PA 17050 Resper tted, f, - -??$aker; .Esquire Supreme Court ID 53200 27 South Arlene Street Post Office Box 6443 Harrisburg, PA 17112-0443 (717) 671-9600 ?? ?-? ? J ?..1 ?- ^'? t ?..;. r "'? '"43 ?? r`" _ ., rn ..r ? ,t ?; . .:- ? ?? '?? ?i FRANK P. DELIZIO, III, Plaintiff/Petitioner V. WENDY L. DELIZIO, Defendant/Respondent IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA : NO. 95-2427 CIVIL ACTION - LAW IN DIVORCE PRAECIPE TO ENTER APPEARANCE TO THE PROTHONOTARY: Please enter my appearance on behalf of the Plaintiff in the above matter. Diane S. B Supreme Court ID #53200 27 South Arlene Street P. O. Box 6443 Harrisburg, PA 17112-0443 C`? ? c Yll .17J FRANK P. DELIZIO, III, Plaintiff/Petitioner V. WENDY L. DELIZIO, Defendant/Respondent IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 95-2427 CIVIL ACTION - LAW IN DIVORCE AMENDED PETITION TO TERMINATE ALIMONY AND NOW comes the Plaintiff/Petitioner, Frank P. DeLizio, III, by his attorney, Diane S. Baker, Esquire, and avers as follows: 1. Plaintiff/Petitioner, Frank P. DeLizio, III, is an adult individual residing at 231 North 15`n Street, Lewisburg, Pennsylvania 17837. 2. Defendant/Respondent, Wendy L. DeLizio, is an adult individual residing at 117 Ewe Road, Mechanicsburg, PA 17050. 3. The parties to this action were married on August 27, 1972, and separated on or about in February 1, 1987. 4. A Complaint in Divorce was filed in May, 1995 and a final Decree was issued on August 27, 1996. 5. Pursuant to an Order of Court dated August 27, 1996, that was based upon the agreement of the parties, Petitioner was directed to pay alimony to Respondent in the amount of $667.00 per month beginning September 1, 1996. The directed alimony was designated as non-modifiable until September 1, 2001. The Order further provided that as of September 1, 2001, the monthly amount would reduce to $575.00 per month and would be subject to modification by either party. 6. Petitioner seeks termination of the Alimony Order due to changes of circumstances as follows: a. Petitioner is now unemployed. Petitioner expects to receive unemployment benefits in the amount of approximately $2,100.00 per month, which is significantly less than his previous annual income of approximately $51,000. b. Respondent is believed to be employed and now capable of self- support. 7. The Honorable Kevin A. Hess has had prior involvement with this matter. 8. There is no known opposing counsel from whom to seek concurrence. WHEREFORE, Petitioner requests this Honorable Court to issue a Rule upon the Respondent to show cause why the alimony should not be terminated or in the alternative schedule a hearing after which time the alimony shall be terminated. Respectfully Diane S. Baker, Esquire I.D. No. 53200 27 South Arlene Street P.O. Box 6443 Harrisburg, PA 17112-0443 (717) 671-9600 BakerLawOffice@aol.com CERTIFICATE OF SERVICE I hereby certify that on thi4ay of February, 2008, a true and correct copy of the foregoing document was served on the following person by United States Mail, postage prepaid, addressed as follows: Wendy L. DeLizio 117 Ewe Road Mechanicsburg, PA 17050 tted, bane S. /Baker, Esquire Suprem Court ID 53200 27 South Arlene Street Post Office Box 6443 Harrisburg, PA 17112-0443 (717) 671-9600 ?.) ?.? !' `' ?:3 "'i C „) L;'J _+ ? ~ I,7 ?'?? -y f?.? _ i 'tiJ _ ?` __ -. C..) :"_j ?+ ~c FEB 8 200?,i, I' FRANK P. DELIZIO, III, IN THE COURT OF COMMON PLEAS Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 95-2427 WENDY L. DELIZIO, CIVIL ACTION -LAW Defendant/Respondent IN DIVORCE RULE TO SHOW CAUSE AND NOW this -Trb day of meo-CA , 2008, upon consideration of the within Petition to Terminate Alimony, a Rule is issued upon the Respondent to show cause why the alimony shall not be terminated. Sa w t», a••« c: f% 4d 04 "f BY THE COURT: RULE RETURNABLE Z-0 DAYS FROM SERVICE vin „ gCJ) q,E Distribution: Court File For the Plaintiff: Diane Baker, Esquire 27 S. Arlene Street Harrisburg, PA 17112-0443 (717) 671-9600 (717) 671-9601 (fax) Bakerlawoffice@aol.com For the Defendant: Wendy L. DeLizio 117 Ewe Road Mechanicsburg, PA 17050 V. % FRANK P. DELIZIO, III, Plaintiff v. WENDY L. DELIZIO, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA : NO. 95-2427 CIVIL ACTION -LAW IN DIVORCE AFFIDAVIT OF SERVICE I, Diane S. Baker, Esquire, hereby certify that a true and correct copy of the Rule to Show Cause was served on the Defendant, Wendy DeLizio, by certified mail, restricted delivery, return receipt requested, on March 7, 2008, at last known address of: Wendy DeLizio 117 Ewe Road Mechanicsburg, PA 17050 The return receipt card is attached hereto as Exhib' Diane S. Baker, Esquire Attorney for Plaintiff I.D. No. 53200 27 S. Arlene Street P.O. Box 6443 Harrisburg, PA 17112-0443 717-671-9600 46 ¦ C wOaft Msma 1, 2, and 3. Mso Man 4 if Restricted Delivery is desired. ¦ Prirtt your name and address on the revs so that we can return the card to you. ¦ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: ?2-i6A STR /7 7/47 ?7a 5? EXHIBIT "A" A. X Agent B eceiv b Printed NC. Date of ivory D. Is delivery address different from item 1? ? Yes C'V If YES, enter delivery address below: ? No TED ?ERY 3. ified Mail ? Express mail ? Registered ? Return Receipt for Merchwx ise ? Insured Mail ? C.O.D. 4. Restricted Delivery? (Extra Fee) 2. Miele Number (Ti 7Qp7 0220 0003 1662 1634 armfor ft," mr.4ce A") Ps Form 3811, February 2004 Domestic Return Receipt 1023e65-0¢401-1640 ?" ..? .?;,.,, ? i ' ?? ,, ? {- -r f?:? ^ --x- -» . ? .. N ? ' ` .fi'- -G Andrew C. Sheely, Esquire Attorney for Defendant/Respondent 127 S. Market Street P.O. Box 95 Mechanicsburg, PA 17055 PA ID NO. 62469 717-697-7050 (Phone) 717-697-7065 (Fax) andrewc.sheely@verizon.net FRANK P. DELIZIO, III, Plaintiff/Petitioner Vs. WENDY L. DELIZIO, Defendant/Respondent : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : 95-2427 CIVIL TERM : CIVIL ACTION - LAW : IN DIVORCE ANSWER TO RULE TO SHOW CAUSE IN RE: PETITION TO TERMINATE ALIMONY Defendant/Respondent, Wendy L. Delizio, by and through counsel of Andrew C. Sheely, Esquire, hereby files this Answer to the Rule to Show Cause in response to Plaintiff/Petitioner's Petition to Terminate Alimony, and respectfully states as follows: 1. Admitted upon information and belief. 2. Admitted with clarification. Defendant/Respondent resides in the basement of a residence owned by her daughter and son-in-law. 3. Admitted. 4. Admitted. 5. Admitted. A copy of the Order of Court dated August 27, 1996 is attached hereto as Exhibit "A". 6. Defendant/Respondent answers the allegations contained in paragraph 6 of Plaintiff/Petitioner's Petition as follows: a. Denied. Defendant/Respondent is without sufficient information or belief to form an opinion as to whether or not Petitioner is employed, eligible to receive unemployment benefits or the level of Plaintiff/Petitioners previous annual income, and therefore the allegations are denied. By way of further response, Plaintiff/Petitioner's requests should be denied where Plaintiff/Petitioner has repeatedly failed to comply with the Court ordered payments and where Plaintiff/Petitioner owes Defendant/Respondent arrearages in an amount of $17,108.03. b. Admitted in Part/Denied in Part. It is admitted that Defendant/Respondent remains employed as a custodian with the Commonwealth of Pennsylvania in the same capacity existing as of August 27, 1996, with a slight increase in her annual income. By way of further answer, Defendant/Respondent lives in the basement of the residence of her daughter and Respondent denies that she is capable of self-support without a reasonable amount of support from Plaintiff/Petitioner. WHEREFORE, Wendy L. DeLizio, Defendant/Respondent, hereby respectfully requests that this Honorable Court dismiss Plaintiff/Petitioner's Petition on the basis that he has failed to comply with the August 27, 1996 Order of Court and that Defendant/Respondent's economic circumstances have not 2 substantially changed since August 27, 1996, or in the alternative, enter an Order directing Plaintiff/Petitioner to pay off all arrearages in an adjusted monthly amount, together with an adjusted alimony payment of $400.00 per month for a period of two years or until all arrearages are paid in full. Date: March /y , 2008 Respectfully submitted, AL-,//o Andrew C. Sheely, Esquire PA ID 62469 127 South Market Street P.O. Box 95 Mechanicsburg, PA 17055 717-697-7050 717-697-7065 (fax) andrewc.sheely@verizon.net 3 VERIFICATION I verify that the statements made in this Answer to the Rule to Show Cause are true and correct. I understand that false statements herein are made subject to penalties of 18 Pa.C.S.A. Section 4904, relating to unsworn falsification to authorities. ,n. ?! Date: March 2008 Wendy L DeLizio Exhibit "A" FRANK P. DELIZIO, III s Plaintiff : s v. s s WENDY L. DELIZIO s Defendant s IN THE COURT of COMMON PLEAS of CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 9s - 2427 IN DIVORCE Rt ALIN= AND NOW, this 7 day of 1996, following a y 2 y scheduled hearing before the Cumberland aunty Divorce Master and upon; consideration of the attached agreement of the parties, it is hereby ordered and Directed as follows 1. Plaintiff, Frank P. DeLirio, III, shall pay nonmodifiable alimony to Defendant, Wendy L. DeLitic, in the amount of $676.00 per month, payable $312.00 bi-weekly, commencing on September 1, 1996. Said alimony payments shall not be modifiable until September 1, 20014; Plaintiff shall pay alimony notwithstanding Defendant's remarriage or cohabitation, however, alimony shall cease upon either party's death. The alimony payments shall be deductible from Plaintiff's gross income and included in Defendants gross income. 2. Upon the entry of the final divorce decree, the parties shall notify the Cumberland County Domestic Relations office at which time the spousal support award shall cease and at which time alimony pen- dente lite shall become in effect In the amount of 0676.00 per month until September 1, 1996 when the alimony pendants lite shall convert alimony as provided herein. 3. On September 1, 2001, the payment of alimony shall decrease to an amount of $575.00 per month, at which time either party may petition the Court of Common Pleas of Cumberland County for reduction or further modification of the payment of alimony. In the event Defendant is cohabitating or is married as of September 1, 2001, alimony shall cease. Defendant shall notify Plaintiff as to whether or not she is cohabitating or has remarried as of September 1, 2001, provided she is provided with Plaintiff's current address as of September 1, 2001. +. All alimony payments shall be made payable through the Cumber- land County Domestic Relations Office. Plaintiff shall continue to pay an amount of $8.00 to fully satisfy support arrears owing to Defendant in the amount of $575.00. 6. All remaining terms of the agreement are incorporated herein by reference and shall be enforceable by the Court upon petition of either party. Consented tot Keith Arm , Esquire ]Attorney for Plaintiff - r01;y X11. 40t ? Andrew C. Sheel y, Esq e . ep, %G- Attorney for Defendan . 2 FRANK P. DELIZIO, III, plaintiff ' Vs. WENDY L. DELIZIO, ' Defendant ' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 95 - 2427 IN DIVORCE THE MASTER: Today is Tuesday, August 13, 1996. , are the Plaintiff, Frank P. Present for a Master s hearing DeArmond, and the Delizio, III, and his counsel Keith B. Defendant, Wendy L. Delizio, and her counsel Andrew C. Shealy. A divorce complaint was filed on May 5, 1995, raising grounds for divorce of irretrievable breakdown of the marriage. Both parties have signed this morning affidavits of consent and the waiver of notice of intention to reqan entry of a divorce decree and have provided the original documents to the Master who will file the documents with Prothonotary. Therefore, the divorce can be concluded under section 3301(c) of the Domestic Relations Code. The Defendant, in response to the divorce complaint, filed an answer and counterclaim on June 14, 1995. The counterclaim raised the economic issues of equitable distribution, alimony, and counsel fees and costs. The Master has been advined that after negotiations, this morning, the parties and counsel have reached an agreement with respect to the outstanding economic claims. The agreement is going to be placed ?n the record in the presence of the parties. The agreement, once it is placed on the record, will be considered the substantive agreement of the parties, not subject to any modification or changes except for correction of typographical errors which may be made during the transcription. Counsel and the parties will return later this morning to review the draft of the agreement for typographical errors and make any corrections as required. No corrections or changes can be made, however, to the substantive part of the agreement once it has been stated on the record at this time. After the parties and counsel have reviewed the agreement for typographical errors, they will affix their signatures by way of affirmation of the agreement and the Master will prepare an order vacating his appointment so that the parties can proceed to request the Court enter a final decree in divorce after the filing of the praecipe to transmit the record* It Is the Master's understanding that accompanying the divorce decree will be a proposed alimony order to incorporate the terms of alimony as set forth in the agreement which is going to be entered on the record at this time. The parties were married on August 27, 1972, and were separated in Februnry 1987, They are the natural parents of t.w-) children, both of whom fire emancipat+:.d. Mr. Sheely. MR. I [ILLI.Y : Fh i s agreement precedes a hearing before the Cumherlaritt cotillty I1lvorce Master nn August 13, 1996. In order to resolve t ht, ecolloin i t, i t;u%1j. s ra i Eed in the pleadings, the parties agree as follows: 1. Plaintiff, Frank P. Delizio, III, shall pay nonmodifiable alimony to Defendant, Wendy L. Delizio in the amount of $676.00 per month, payable $312.00 biweekly, commencing on September 1, 1996. Said alimony payments shall not be modifiable until September 1, 2001. Plaintiff shall pay alimony notwithstanding Defendant's remarriage or cohabitation. Alimony shall cease upon either party's death. A separate alimony order shall be entered with the divorce decree. The alimony payments shall be deductable irom Plaintiff's gross income and included in Defendant's gross income. 2. Upon the entry of the divorce decree, the parties shall notify the Cumberland county Domestic Relations office at which time the spousal support award shall cease and at which time alimony pendente lite shall become in effect in the amount of $676.00 per month until September 1, 1996, when the alimony pendente lite shall convert to alimony as provided herein. 3. on September 1, 2001, the payment of alimony shall decrease to an amount of $575.00 per month, at which time either party may petition the Court of Common Pleas of Cumberland County for reduction or further modification of the payment of alimony. In the event wife is cohabiting or is married as of September 1, 1996, alimony shall cease. 4. All alimony payments shall be made payable through the Cumberland County Domestic Relations Office. Plaintiff shall continue to pay an amount of $8.00 to fully satisfy support arrears owing to Defendant in the amount of $575.00. 5. The parties have divided all personal property to their mutual satisfaction. 64 Except as herein otherwise provided, each party may dispose of his or tier 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 otherfs 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. 7. Plaintiff shall maintain life insurance in the amount of $40,000.00, decreasing at an annual rate of $8,000,00 per year for a period of five years. Plaintiff shall provide written notice and verification to Defendant on September 1, 1996, and each year thereafter that said policy remains in effect. Defendant shall be named the sole beneficiary of such policy. 8. Both parties acknowledge that they are not aware of any outstanding marital debts. To the extent that such marital debts exist, Plaintiff shall remain responsible for such debt. 9. Wife hereby waives all claims for counsel fees and costs as raised in her counterclaim. 10. Defendant shall notify Plaintiff as to whether or not she is cohabiting or has remarried as of September 1, 2001, provided she is provided with Plaintiff's current address. MR. DeARMOND: Mr. Delizio, have you heard the agreement that Mr. 5heely recited on the record? MR. DELIZIO: Yes. MR. DeARMOND: Do you understand the agreement? MR. DELIZIO: Yes. MR. DeARMOND: Do you understand that the agreement as set forth on the record is not mnciifiahle except to correct minor errors in punctuation and shelling? MR. DE:LT Z70: Yea. CERTIFICATE OF SERVICE IF ANDREW C. SHEELY, hereby certify that I served a true and correct copy of Defendant/Respondent Answer to Rule to Show Cause upon counsel of record on the below listed date by first class mail, postage prepaid, as follows: Diane S. Baker, Esquire 27 S. Arlene Street P.O. Box 6443 Harrisburg, PA 17112-0443 March , 2008 0 Andrew C. Sheely, Atto ey '77 MAR 202DD8w FRANK P. DELIZIO, III, : IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner : CUMBERLAND COUNTY, PENNSYLVANIA VS. WENDY L. DELIZIO, : 95-2427 CIVIL TERM Defendant/Respondent : CIVIL ACTION - LAW : IN DIVORCE ORDER OF COURT AND NOW, this 0?9r"f day of 7wG1/? , 2008, upon consideration of the Answer to the Rule to Show Cause in response to Plaintiff/Petitioner's Petition to terminate an award of alimony, a hearing is scheduled for the 129 14 day of 2008, at 9-:30g.m., in courtroom No. 4 of the Cumberland County Courthouse, Carlisle, Pennsylvania. BY THE COURT, KEVI A. HESS, J. /iane S. Baker, Esquire / Attorney for Plaintiff/Petitioner drew C. Sheely, Esquire Attorney for Defendant/Respondent 4 XIN ?1?3_aT ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 05/16/08 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number AMF BOWLING INC 8100 AMF DR MECHANICSVILLE VA 23111-3700 179-44-9541 Employee/Obligor's Social Security Number 9860000028 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, Mp See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 575.00 per month in current support $ 24 . oo per month in past-due support Arrears 12 weeks or greater? Oyes Q no $ 0.00 per month in current and past-due medical support $ o . oo per month for genetic test costs $ 0.00 per month in other (specify) for a total of $ 599.00 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: $ 138.23,per weekly pay period. $ 276.46_per biweekly pay period (every two weeks). $ 299.50 per semimonthly pay period (twice a month). $ 599.00 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 1D (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: MAY 19 Z00b DRO-. R. J. SHADDAY BY THE COURT• KEVIN . HESS, JUDGE Form EN-028 Rev. 1 95-2427 CIVIL O Original Order/Notice O Amended Order/Notice O Terminate Order/Notice RE: DELIZIO, FRANK P. III Employee/Obligor's Name (Last, First, MI) Service Type M OMB No.: 0970-0154 Worker ID $IATT ?h 599'4ax 1 2' 138.23 599. x 12• 26• 2?6.46* ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If hecke? you are required to provide a copy of this form to your mployee. If yo r employee works in a state tha is di?erent from the state that issued this order, a copy must be provi?ed to your emp?oyee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee'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: 1338732680 EMPLOYEE'S/OBLIGOR'S NAME: DELIZIO FRANK P. III EMPLOYEE'S CASE IDENTIFIER: 9860000028 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 employeelobligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employeelobligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act 0 5 U.S.C. §1673 01; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11.Submitted By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Service Type M OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker I D $ IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: DELIZIO, FRANK P. III PACSES Case Number 991000027 Plaintiff Name WENDY L. DELIZIO Docket Attachment Amount 95-2427 CIVIL$ 599.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? 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 Form EN-028 Rev. 1 Service Type M OMB No.: 0970-0154 Worker ID $IATT cz? f? ? t 95-2427 CIVIL r - ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dirt. of CUMBERLAND Date of Order/Notice 05/16/08 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number O Original Order/Notice O Amended Order/Notice O Terminate Order/Notice RE:DELIZIO, FRANK P. III Employee/Obligor's Name (Last, First, MI) 179-44-9541 Employee/Obligor's Social Security Number CHARLIE BROWNS ACQUISITION CO* 9860000028 ATTN PAYROLL Employee/Obligor's Case Identifier 1450 ROUTE 22 WEST (See Addendum for plaintiff names MOUTAINS IDE NJ 0 7 0 9 2 associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ o . oo per month in current support $ 0 . oo per month in past-due support Arrears 12 weeks or greater? Dyes ® no $ o . 00 per month in current and past-due medical support $ 0.00 per month for genetic test costs $ 0. oo per month in other (specify) for a total of $ 0.00 per month to be orwar a to payee a ow. 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. o o per weekly pay period. $ o. oo per biweekly pay period (every two weeks). $ o. o0 per semimonthly pay period (twice a month). $ o. oo per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. 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 EmployeelObligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: MAY 19 2008 DRO: R.J. SHADDAY Service Type M BY THE COURT V5, 4. : ? ?7?a?, KEVIN A. SS, JUDGE Form EN-028 Rev. OMB No.: 0970-0154 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If hecked you are required to provide a opy of this form to your mployee. If yo?1 r employee works in a state that is dierent from the state that issued this or?er, a copy must be provided to your employee even if the box is not checKed. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employeelobligor 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: 1339483670 EMPLOYEE'S/OBLIGOR'S NAME: DELIZIO FRANK P. III EMPLOYEE'S CASE IDENTIFIER: 9860000028 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income 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 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 $IATT i f ADDENDUM Summarv of Cases on Attachment DefendanVObligor: DELIZIO, FRANK P. III PACSES Case Number 991000027 Plaintiff Name WENDY L. DELIZIO Docket Attachment Amount 95-2427 CIVIL$ 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. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? 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 Addendum Form EN-028 Rev. 1 OMB No.: 0970-0154 Worker ID $IATT G x CD FRANK P. DELIZIO, III, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA V CIVIL ACTION - LAW WENDY L. DELIZIO, NO. 95-2427 CIVIL TERM Defendant/Respondent IN RE: PETITION TO TERMINATE ALIMONY ORDER OF COURT AND NOW, this 18th day of June, 2008, this matter having been called for hearing, the petition to terminate alimony is granted in accordance with the agreement of the parties as recited in open court and irk their presence. By the Court, Diane Baker, Esquire For the Plaintiff 'Andrew Sheely, Esquire For the Defendant :bg C-Of r ES r?'t?t JCL `/d0?08 LO =01 WV OZ NnP 8081 J4'3 {)3v:t?;ci 31I 30 In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Defendant Name: FRANK P. DELIZIO III Member ID Number: 9860000028 Please note: Ali correspondence must include the Member ID Number. ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS Financial Break Down of Multiple Cases on Attachment Plaintiff Name WENDY L. DELIZIO PACSES Docket Case Number Number 991000027 95-2427 CIVIL TOTAL ATTACHMENT AMOUNT: $ 600.00 Attachment Amount/Frequency $ 600.00 MONTH Now, by Order of this Court, the Department of Labor and Industry, Office of Unemployment Compensation Benefits (OUCB), is hereby directed to attach the lesser of $ 138.08 per week, or 55 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, FRANK P. DELIZIO III Social Security Number XXX-XX- 9541 , Member ID Number 9 8 6 0 0 0 0 0 2 8 . OUCB is ordered to remit the amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received from OUCB to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearages, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673 (b)(2) and 23 Pa. C.S.A. § 4348 (g). This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated JANUARY 2 0, 2 0 0 8 is exhausted, expired or deferred. OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT Date of Order: S E P 14 2009 DRO: R.J. SHADDAY ;5". * ''4 KEVIN . HESS, JUDGE Form EN-530 Rev.2 Service Type M Worker ID $ IATT CAF THE PR Tw")NMARY 2009 SEP 14 PM 2: 2 7 CUPS{}? IN ?' ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT 95-2427 CIVIL State Commonwealth of Penn5XIvania 0Original Order/Notice Co./City/Dist. of CUMBERLAND (Amended Order/Notice Date of Order/Notice 11/15/10 OTerminate Order/Notice Case Number (See Addendum for case summary) OOne-Time Lump Sum/Notice RE:DELIZIO, FRANK P. III Employer/Withholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI) 179-44-9541 Employee/Obligor's Social Security Number AMF BOWLING INC 9860000028 8100 AMF DR Employee/Obligor's Case Identifier MECHANI CS VILLE VA 23111-3700 (See Addendum for plaintiff names associated wdb cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ o.00 per month in current child support $ 0.00 per month in past-due child support Arrears 12 weeks or greater? (-),y no :r L $ o. oo per month in current medical support $ 0.00 per month in past-due medical support $ o . oo per month in current spousal support $ o. oo per month in past due spousal support $ o.0o per month for genetic test costs $ o. oo per month in other (specify) $ one-time lump sum payment -7 for a total of $ o . o o per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 0.00 per weekly pay period. $ 0.00 per semimonthly pay period (twice a month) $ 0.00 per biweekly pay period (every two weeks) $ 0.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten 00) 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). Pennsylvania law (23 PA C.S. § 4374(b)) requires remittance by an electronic Payment method if an employer is ordered to withhold income from more than one employee and employs 15 or more persons, or if an employer has a history of two or more returned checks due to nonsufficient funds. Please call the Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00 Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFE `NIMMEAND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) O CIAL SE TY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: DRO: R. J. Shadday Form EN-028 Rev.5 Service Type M OMB No.: 097"154 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS If heckell you are required to provide aopy of this form to your?emxloyee. If yoyr employee v?orks in a state thatis di Brent firom the state that issueedd this o er, a copy must be provi a to your employee even if t e 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 employeelobligor'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 Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employeelobligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. 1338732680 THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : 0 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: C] EMPLOYEE'S/OBLIGOR'S NAME:DELIZIO, FRANK P. III EMPLOYEE'S CASE IDENTIFIER: 9860000028 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: LAST KNOWN PHONE NUMBER: FINAL PAYMENT AMOUNT: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employeelobligor from employment, refusing to employ, or taking disciplinary action against any employeelobligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9. * Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (CCPA) 0 5 U.S.C. 1673 (b)); or 2) the amounts allowed by the State or Tribe of the employee's/obligor's principal place of employment. Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes, Social Security taxes, statutory pension contributions and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is supporting another family and 60% of the disposable income if the obligor is not supporting another family.However, that 50% limit is increased to 55% and that 60% limit is increased to 65% if the arrears are greater than 12 weeks. If permitted by the State, you may deduct a fee for administrative costs. The support amount and the fee may not exceed the limit indicated in this section. Arrears greater than 12 weeks : If the Order Information does not indicate whether the arrears are greater than 12 weeks, then the employer should calculate the CCPA limit using the lower percentage. For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Tribal employers who receive a State order, you may not withhold more than the lesser of the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(d) of the CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may need to take into consideration the amounts paid for health care premiums in determining disposable income and applying appropriate withholding limits. 10. Additional info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 1 1. Send Termination Notice and other correspondence to: DOMESTIC RELATIONS SECTION If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Rev.5 Service Type M OMB No.: 0970-0154 Worker ID $IATT s ADDENDUM Summary of Cases on Attachment Defendant/Obligor: DELIZIO, FRANK P. III PACSES Case Number 991000027 Plaintiff Name WENDY L. DELIZIO Docket Attachment Amount 95-2427 CIVIL$ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Service Type M Addendum OMB No.: 0970-0154 PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Form EN-028 Rev.5 Worker ID $IATT In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER Sr, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) 240-6248 Defendant Name: FRANK P. DELIZIO III Member ID Number: 9860000028 Please note: All correspondence must include the Member ID Number. ORDER TO VACATE ATTACHMENT OF UNEMPLOYMENT BENEFITS Financial Break Down of Multiple Cases on Attachment Plaintiff Name WENDY L. DELIZIO PACSES Docket Case Number Number 991000027 95-2427 CIVIL TOTAL ATTACHMENT AMOUNT: Attachment Amo°ue $ 600.00 °1'rH $ : -. CD $ 600.00 .a} The prior Order of this Court directing the Department of Labor and Industry, Office of Unemployment Compensation Benefits (OUCB), to attach $ 138.08 or 5 o % per week of the Unemployment Compensation benefits of FRANK P. DELIZIO III JCV) ,Social Security Number XXX-XX-9541 , Member ID Number 9860000028 is hereby vacated. This Order to Vacate shall be effective upon receipt of the notice of the Order by the Department and shall remain in effect until a further Order of the Court is filed. BY THE COURT Date of Order: NOV 16 2010 EDWARD E. GUIDO. JUDGE DRO: R. J . SHADDAY Form EN-035 Rev.2 Service Type M Worker ID $ IATT