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HomeMy WebLinkAbout02-4380BRIGETTE B. FARLEY, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - LAW 2002 - K3 *CML TERM MICHAEL P. FARLEY, Defendant IN DIVORCE NOTICE You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree in divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other claim or relief requested in these papers by the plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, Cumberland County Courthouse, Carlisle, Pennsylvania 17013. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 2 Liberty Avenue Carlisle, Pennsylvania 17013 717-249-3166 1-800-990-9108 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of Cumberland County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact our office. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled conference or hearing. BRIGETTE B. FARLEY, Plaintiff V. MICHAEL P. FARLEY, Defendant CIVIL ACTION - LAW 2002 - OCC> IVIL TERM IN DIVORCE COMPLAINT IN DIVORCE PURSUANT TO SECTION 3301(c) OF THE DIVORCE CODE NOW comes the Plaintiff, Brigette B. Farley, by her attorney, Marcus A. McKnight, III, Esquire, and files this Complaint in Divorce against defendant, Michael P. Farley, representing as follows: 1. The Plaintiff is Brigette B. Farley, an adult individual residing at 117 Bauserman Lane, Stuart's Draft, Virginia 24477. 2. The Defendant is Michael P. Farley, an adult individual residing at 136 Stoney Run Road, Dillsburg, Pennsylvania 17019. 3. The Plaintiff has been a resident of the Commonwealth of Pennsylvania at least six : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA months prior to the filing of this action in divorce. 4. The Plaintiff and the Defendant were married on November 22, 1980, in North Carolina and separated on August 16, 2002. 5. There have been no prior actions of divorce or for annulment between the parties. 6. There were two children born to this marriage, namely Michelle P. Farley, born April 5, 1982, and Sarah A. Farley, born January 5, 1995. 7. Pursuant to the Divorce Code, Section 3301(c), the Plaintiff avers as the grounds upon which this action is based that the marriage between the parties is irretrievably broken. 8. The Plaintiff avers that she has been advised of the availability of counseling and that said party has the right to request that the court require the parties to participate in counseling. WHEREFORE, the Plaintiff demands judgment dissolving the marriage between the two parties. Respectfully submitted, IRWIN, By: Atto ey for Plaintiff 60 st Pomfret Street Carlisle, lvani 013-3222 (717) 249-2353 Supreme Court I.D. No. 25476 Date: August 27, 2002 VERIFICATION The foregoing Complaint in Divorce is based upon information which has been gathered by counsel and myself in the preparation of this action. I have head the statements made in this document and they are true and correct to the best of my knowledge, information and belief. I understand that false statements herein made are subject to the penalties of 18 Pa. C.S.A. Section 4904, relating to unsworn falsification to authorities. BRIGETTF. B. FARLEY=? / // Date: V /;z 7 /0.)- I BRIGETTE B. FARLEY, Plaintiff V. MICHAEL P. FARLEY, Defendant : IN THE I:OUKI Or 4:V1v11v1"r4 rl nt%a . , : CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 2002- CIVIL TERM IN DIVORCE PLAINTIFF'S MARRIAGE COUNSELING AFFIDAVIT The plaintiff, being duly sworn according to law, deposes and says: 1. I have been advised of the availability of marriage counseling and understand that I may request that the court require that my spouse and I participate in counseling. 2. I understand that the court maintains a list of marriage counselors in the Prothonotary s Office, which list is available to me upon request. 3. Being so advised, I do not request that the court require that my spouse and I participate in counseling prior to a divorce decree being handed down. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unswom falsification to authorities. Date: O 2 ??u c cz`° /- BRIGETT + B. FARLEY N ? r C c f' 7 -? 0 ?I BRIGETTE B. FARLEY, Plaintiff/Petitioner V. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 2002 - 4380 CIVIL TERM MICHAEL P. FARLEY, Defendant/Respondent IN CUSTODY PETITION FOR CUSTODY AND NOW, this 20`h day of September 2002, comes the Petitioner, Brigette B. Farley, by her attorneys, Irwin, McKnight and Hughes, and presents the following Petition for Custody: 1. The Plaintiff/Petitioner is Brigette B. Farley, an adult individual residing at 518 Bridge Street, Apt. 4, New Cumberland, Cumberland County, Pennsylvania 17070. 2. The Defendant/Respondent is Michael P. Farley, an adult individual whose address is P. 0. Box 711, Dillsburg, York County, Pennsylvania. 3. The parties are the natural parents of one minor child, namely Sarah A. Farley, born January 5, 1995. 4. The Petitioner desires primary physical custody of the child and joint legal custody with periods of visitation to respondent as can be mutually arranged between the parties. 5. The best interest of the child requires that the court grant the Petitioner's request as set forth above. WHEREFORE, Petitioner respectfully seeks the entry of an Order of Court seeking primary physical custody of the child and joint legal custody with periods of visitation to Respondent as can be mutually arranged between the parties. Respectfully submitted, IRWIN, McKNJGHT & By: Marcus t4. McKn*1?II, Esquire Attorne for Petitioner, 60 West Pomfret Street Carlisle, Pennsylvania 17013 (717) 249-2353 Supreme Court I. D. No. 25476 Date:. September 20, 2002 VERIFICATION The foregoing Petition for Custody is based upon information which has been gathered by counsel and myself in the preparation of this action. I have head the statements made in this document and they are true and correct to the best of my knowledge, information and belief. I understand that false statements herein made are subject to the penalties of 18 Pa. C.S.A. Section 4904, relating to unworn falsification to authorities. BRIGETTIE B. FARLEY Date: September 20, 2002 U 0o w Rte' n c CD rv n, N LJ en m 0 T T7 C7 ? m -c BRIGETTE B. FARLEY IN THE COURT OF COMMON PLEAS OF PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA V. 024380 CIVIL ACTION LAW MICHAEL P. FARLEY IN CUSTODY DEFENDANT ORDER OF COURT AND NOW, Wednesday, September 25, 2002 , upon consideration of the attached Complaint, it is hereby directed that parties and their respective counsel appear before Jacqueline M. Verney, Esq. the conciliator, at 4th Floor, Cumberland County Courthouse, Carlisle on Tuesday, October 22, 2002 at 8:30 AM for a Pre-Hearing Custody Conference. At such conference, an effort will be made to resolve the issues in dispute; or if this cannot be accomplished, to define and narrow the issues to be heard by the court, and to enter into a temporary order. All children age five or older may also be present at the conference. Failure to appear at the conference may provide grounds for entry of a temporary or permanent order. The court hereby directs the parties to furnish any and all existing Protection from Abuse orders, Special Relief orders, and Custody orders to the conciliator 48 hours prior to scheduled hearing. FOR THE COURT, Jacqueline M Vernev,q V By: /s/ Custody Conciliator The Court of Common Pleas of Cumberland County is required by law to comply with the Americans with Disabilites Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact our office. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled conference or hearing. YOU SHOULD TAKE THIS PAPER TO YOUR ATTORNEY AT ONCE. IF YOU DO NOT HAVE AN ATTORNEY OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 2 Liberty Avenue Carlisle, Pennsylvania 17013 Telephone (717) 249-3166 diNNnlI\SNN3d ®1:1; WJ cz d3S za ?3i?a }-0311) nrT 9 7!1f1? BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 2002-4380 CIVIL TERM MICHAEL P. FARLEY, : CIVIL ACTION - LAW Defendant IN CUSTODY ORDER OF COURT AND NOW, this day of QZ" i^ 2002, upon consideration of the attached Custody Conciliation Report, it is ordered and directed as follows: 1. The Mother, Brigette B. Farley, and the Father, Michael P. Farley, shall have shared legal custody of Sarah A. Farley, born January 5, 1995. Each parent shall have an equal right, to be exercised jointly with the other parent, to make all major non- emergency decisions affecting the Child's general well-being including, but not limited to, all decisions regarding her health, education and religion. 2. Mother shall have primary physical custody of the child. 3. Father shall have periods of partial physical custody as follows: A. Beginning October 25, 2002 alternating weekends from Friday after school to Sunday at 8:00 p.m. B. Two periods of two consecutive weeks every summer. Father shall provide at least 90 days prior notice to Mother of the weeks he has selected during the summer. C. Such other times as the parties agree. 4. The Thanksgiving holiday shall be split between the parties. The holiday shall be defined as the day school ends to the day before school resumes. Father shall have the first half of the holiday in 2002 and the parties shall alternate thereafter from year to year. 5. The following holidays shall be alternated from year to year: Easter, Memorial Day, 0' of July, Labor Day. The holiday shall be defined as the evening before the holiday at a time agreed by the parties and shall conclude on 8:00 p.m. on the day of the holiday. Mother shall have Easter in 2003. 6. The Christmas holiday shall be divided into two blocks: Block A shall be from the day school ends to Christmas Day at 1:00 p.m. and Block B shall be from 1:00 p.m. Christmas Day to New Year's Day. Mother shall always have Block A and Father shall always have Block B. 7. Father shall be responsible for all transportation. 8. Father and Mother will notify each other of all medical care the child receivse while in that parent's care. Father and Mother will notify the other immediately of medical emergencies which arise while the child is in that parent's care. 9. This Order is entered pursuant to an agreement of the parties at a Custody Conciliation Conference. The parties may modify the provisions of this Order by mutual consent. In the absence of mutual consent, the terms of this Order shall control cc: Marcus A. McKnight, III, Esquire, Counsel for Mother Lawrence J. Rosen, Esquire, Counsel for Father J. /o, 2 6.L o f^ tyt =i_ ? :=711. U BRIGETTE B. FARLEY, Plaintiff V. MICHAEL P. FARLEY, Defendant IN CUSTODY PRIOR JUDGE: None CUSTODY CONCILIATION SUMMARY REPORT IN ACCORDANCE WITH CUMBERLAND COUNTY RULE OF CIVIL PROCEDURE 1915.3-8, the undersigned Custody Conciliator submits the following report: : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA :2002-4380 CIVIL TERM : CIVIL ACTION - LAW 1. The pertinent information concerning the Child who is the subject of this litigation is as follows: NAME DATE OF BIRTH CURRENTLY IN CUSTODY OF Sarah A. Farley January 5, 1995 Mother 2. A Conciliation Conference was held in this matter on October 22, 2002, with the following individuals in attendance: The Mother, Brigette B. Farley, with her counsel, Marcus A. McKnight, III, Esquire and the Father, Michael P. Farley, with his counsel, Lawrence J. Rosen, Esquire. 3. The parties agreed to the entry of an Order in the form as attached. Date cqu me M. Verney, Esquire Custody Conciliator BRIGETTE B. FARLEY, Plaintiff/Respondent V. MICHAEL P. FARLEY, Defendant/Petitioner :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA :CIVIL ACTION - LAW :CIVIL TERM - 2002 - 4380 :IN DIVORCE PETITION FOR SPECIAL RELIEF PURSUANT TO RULE 1920.43 AND NOW, this day of January, 2003, comes Petitioner, Michael P. Farley, by and through counsel, Lawrence J. Rosen, Esquire, and offers the following averments in support of the within Petition for Special Relief: COUNT 1. EXCLUSIVE POSSESSION MARITAL RESIDENCE 1. Petitioner is Michael P. Farley currently residing at 136 Stoney Run Road, Dillsburg, Pennsylvania. 2. Respondent is Brigette B. Farley currently residing at 117 Bauserman Lane, Stuart's Draft, Virginia. 3. The parties were married in 1980 and separated in August of 2002. 4. Respondent filed a Complaint in Divorce on September 11, 2002. 5. Subsequent to separation, Respondent moved to Virginia to live with/near her parents. 6. Subsequent to separation, Respondent and Petitioner have divided most, if not all, personal property subject to equitable distribution. 7. Subsequent to separation, Petitioner has resided in the marital residence and has assumed all responsibility for the care and maintenance of the residence and has been solely responsible for all expenses related thereto. 8. Respondent has recently indicated to Petitioner that she may move back to the marital residence should she so choose. 9. The marriage has been irrevocably broken and a reconciliation is not possible. 10. Custody and support orders have been entered in this matter. WHEREFORE, Petitioner asks Your Honorable Court of grant him exclusive possession of the marital residence. By: Respectfully submitted: KREVSKY & ROSEN, P.C. 4wre e J. Rosen, Esquire O1 orth Front Street arrisburg, PA 17102 IM' 10625 (717) 234-4583 BRIGETTE B. FARLEY, :IN THE COURT OF COMMON PLEAS OF Plaintiff/Respondent :CUMBERLAND COUNTY, PENNSYLVANIA :CIVIL ACTION - LAW V. :CIVIL TERM - 2002 - 4380 :IN DIVORCE MICHAEL P. FARLEY, Defendant/Petitioner VERIFICATION I, MICHAEL P. FARLEY, hereby verify that the information contained in the foregoing Petition is true and correct to the best of my knowledge, information and belief. I also understand that false statements made herein are subject to the penalties of 18 Pa. C.S. § 4904, relating to unsworn falsification to authorities. DATE: MICHAEL P. FARLEY BRIGETTE B. FARLEY, Plaintiff/Respondent V. MICHAEL P. FARLEY, Defendant/Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA :CIVIL ACTION - LAW CIVIL TERM - 2002 - 4380 IN DIVORCE CERTIFICATE OF SERVICE AND NOW, this day of 2003, I, Aimee L. Rasheed, for the Law Firm of KREVSKY & ROSEN, P.C on behalf of Defendant/Petitioner, MICHAEL P. FARLEY hereby certify that I have this day served a copy of the forgoing Petition in the above- captioned matter, by First Class U.S. Mail on the following: MARCUS A. MCKNIGHT, III, ESQUIRE IRWIN MCKNIGHT & HUGHS WEST POMFRET PROFESSIONAL BUILDING 60 WEST POMFRET STREET CARLISLE, PA 17013 a lb` kmko? - Aimee L. Rasheed 1101 North Front Street Harrisburg, PA 17102 (717) 234-4583 77 1 ? .x? JAM 1 '? ?I103 BRIGETTE B. FARLEY, Plaintiff/Respondent V. MICHAEL P. FARLEY, Defendant/Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA :CIVIL ACTION - LAW :CIVIL TERM - 2002 - 4380 :IN DIVORCE ORDER OF COURT AND NOW, this 04day of 2003, IT IS HEREBY ORDERED AND DECREED that Defendant/Petitioner is granted exclusive possession of the marital residence located at 136 Stoney Run Road, Dillsburg, Pennsylvania; or, in the alternative IT IISQ HEREBY ORDERED AND DECREED that a hearing in this matter is scheduled for the A " day of 2003, at the Cumberland County Courthouse, Courtroom Number c)\- at o'clock A.M./9-.-k9I. BY THE COURT: Distribution: J. Lawrence J. Rosen, Esq., 1101 N. Front St., Hbg., PA 17102 Marcus A. McKnight, III, Esq., 60 W. Pomfret St., Carlisle, PA 17013 Cumberland County Sheriff. Cumberland County Prothonotary d VINy OASNN3d lul u0 :'i ydd C'Z NU(' E0 BRIGETTE B. FARLEY, Plaintiff/Respondent V. MICHAEL P. FARLEY, Defendant/Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW CIVIL TERM - 2002 - 4380 IN DIVORCE ORDER OF COURT AND NOW, this a of 2003, IT IS HEREBY ORDERED AND DECREED that a hearing relative to the exclusive possession of the marital residence located at 136 Stoney Run Road, Dillsburg, Pennsylvania is rescheduled for the 27`h day of March, 2003, at the Cumberland County Courthouse, Courtroom Number 2 at 10:30 a.m. BY The Honorabl d B. Bayley J. Distribution: Lawrence J. Rosen, Esq., 1101 N. Front St., Hbg., PA 17102 Marcus A. McKnight, III, Esq., 60 W. Pomfret St., Carlisle, PA 17013 y, 0 Cumberland County Sheriff - A t Cumberland County Prothonotary v ` v NVY1 kSN,, ,:2 Y ??l BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 2002-4380 MICHAEL P. FARLEY, : CIVIL ACTION - LAW Defendant : IN DIVORCE ANSWER OF DEFENDANT AND NOW, this 3?tay of February, 2003, comes Defendant, Michael P. Farley, by and through counsel, KREVSKY & ROSEN, P.C., and offers the following response to Plaintiff's Complaint in Divorce Pursuant to Section 3301 (c) of the Divorce Code. 1. Admitted. 2. Admitted. 3. Admitted. 4. Admitted. 5. Admitted. 6. Admitted. 7. Admitted. 8. Admitted. BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO.2002-43 80 MICHAEL P. FARLEY, : CIVIL ACTION - LAW Defendant : IN DIVORCE NOTICE TO PLEAD TO: MARCUS A. MCKNIGHT, III., ESQUIRE 60 WEST POMFRET STREET CARLISLE, PA 17013 ATTORNEY FOR BRIGETTE B. FARLEY, PLAINTIFF You are hereby notified to file a written response to the enclosed Answer and New Matter within twenty (20) days from service hereof or a judgement will be entered against you. ?j Date: IXwrence J~en, Esquire Krevsky & Rosen, P.C. 1101 North Front Street Harrisburg, PA 17102 Attorney for Defendant WHEREFORE, Defendant respectfully requests this Honorable Court to enter a Final Decree of Divorce. COUNTERCLAIM COUNTI Request for a Fault Divorce under § 3301(a)(6) of the Domestic Relations Code 11. Plaintiff hereby incorporates Paragraphs 1 through 11 as if fully set forth herein. 12. Defendant has offered such indignities to Plaintiff, the innocent and injured spouse, as to render his condition intolerable and life burdensome. WHEREFORE, Plaintiff respectfully requests this Court to enter a Decree of Divorce pursuant to § 3301(a)(6) of the Domestic Relations Code. Respectfully submitted: KREVSKY & ROSEN, P.C. Date: -a ? 0 5 By: 4 Lawrence J. Rosen, Esquire 1101 North Front Street Harrisburg, PA 17102 ID# 10625 (717) 234-4583 Counsel for Defendant BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 2002-4380 MICHAEL P. FARLEY, : CIVIL ACTION - LAW Defendant : IN DIVORCE CERTIFICATE OF SERVICE AND NOW, this R day of , 2002, I, Aimee L. Paukovits, for the Law Firm of KREVSKY & ROSEN, P.C on behal of Defendant, Michael P. Farley, hereby certify that I have this day served a copy of the foregoing Answer and New Matter in the above-captioned matter, by First Class U.S. Mail on the following: MARCUS A. MCKNIGHT, III., ESQUIRE 60 WEST POMFRET STREET CARLISLE, PA 17013 Aimee L. Paukovits 1101 North Front Street Harrisburg, PA 17102 (717) 234-4583 BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 2002-4380 MICHAEL P. FARLEY, : CIVIL ACTION - LAW Defendant : IN DIVORCE VERIFICATION I, MICHAEL P. FARLEY, hereby verify that the information contained in the foregoing Answer and New Matter is true and correct to the best of my knowledge, information and belief. I also understand that false statements made herein are subject to the penalties of 18 Pa. C.S. § 4904, relating to unsworn falsification to authorities. DATE: U MICHAEL P. FARLE ( 1, riPY F.'46 2: 2'S 1"7ENNSYLVANA BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. MICHAEL P. FARLEY, 024380 CIVIL TERM Defendant CIVIL ACTION - LAW IN DIVORCE ORDER OF COURT AND NOW, this I day of March 2003, upon consideration of the request of counsel for the Plaintiff, the hearing relative to the exclusive possession of the marital residence located at 136 Stoney Run Road, Dillsburg, Pennsylvania scheduled for March 27, 2003 at 10:30 a.m. has been rescheduled to Wednesday, April 23, 2003, at 1:30 p.m. in Courtroom #2 of the Cumberland County Courthouse. By the cc: Marcus A. McKnight, III, Esquire Attorney for Plaintiff Lawrence J. Rosen, Esquire Attorney for Defendant Edgar B.'Bayley4 Judge c r: L LL ?_ CI.. . .1 ._.+ ?? C 7 ? ? ? ?5.:? i'.'1.J ? s ? ?a 3-? 1..- ra - C'?? ? -? _ G' C°.:7 ? BRIDGETTE B. FARLEY, PLAINTIFF IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA V. MICHAEL P. FARLEY, DEFENDANT 02-4380 CIVIL TERM ORDER OF COURT L'? day of April, 2003, the hearing currently AND NOW, this scheduled for April 23, 2003, IS CANCELLED. The hearing is rescheduled to Thursday, May 15, 2003, at 3:00 p.m., in Courtroom Number 2, Cumberland County Courthouse, Carlisle, Pennsylvania. ` Marcus A. McKnight, III, Esquire For Plaintiff ?Lawrence J. Rosen, Esquire For Defendant sal 0?"?5 1 -,1 i3 d ;... BRIGETTE B. FARLEY, Plaintiff/Respondent V. MICHAEL P. FARLEY, Defendant/Petitioner - IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW IN DIVORCE 2002-4380 CIVIL TERM ORDER OF COURT AND NOW, this 15th day of May, 2003, this matter having come before the Court on a petition for special relief, including a motion by husband, Michael P. Farley, for exclusive possession of the marital residence at 136 Stoney Run Road, Carroll Township, Cumberland County, the parties have reached an overall agreement as to how to proceed in this divorce action which agreement has been placed on the record, it is now ordered that Michael P. Farley shall have exclusive possession of the marital residence at 136 Stoney Run Road, Carroll Township, York County, pending any further order following litigation for settlement of the within divorce action By the,/Court Edgar B. Bayiey, a. Marcus A. McKnight, III, Esquire n?,??,p3 For the Plaintiff/Respondent Lawrence J. Rosen, Esquire 03 For the Defendant/Petitioner pcb t 1l , , "' 'Sr) ? it rr BRIGETTE B. FARLEY, Plaintiff/Respondent V. MICHAEL P. FARLEY, Defendant/Petitioner IN RE: STIPULATION IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW IN DIVORCE 2002-4380 CIVIL TERM TRANSCRIPT OF PROCEEDINGS Proceedings held before the HONORABLE EDGAR B. BAYLEY, J., Cumberland County Courthouse, Carlisle, Pennsylvania, on May 15, 2003, in Courtroom Number 2. APPEARANCES: Marcus A. McKnight, III, Esquire For the Plaintiff/Respondent Lawrence J. Rosen, Esquire For the Defendant/Petitioner 1 THE COURT: I understand there is a resolution. 2 MR. ROSEN: Yes, there is, Your Honor, in the 3 matter of Brigette B. Farley versus Michael P. Farley at 4 Docket No. 4380, 2002, this hearing was called in response to 5 Mr. Farley's petition for special relief in the form of 6 possession of marital residence, the parties have agreed to 7 the following: Mr. Farley shall have exclusive possession of 8 the marital residence, Mr. Farley will give to Mrs. Farley a 9 mattress from the marital bed, a set of dishes that were given 10 as a gift to Mrs. Farley by her brother, and a set of four 11 German wine glasses; furthermore, Mr. Farley has indicated 12 that since he has filed an extension to file his tax return, 13 he anticipates being able to file that within the next 30 14 days, upon filing that return he will provide a copy 15 immediately to Mr. McKnight. 16 Subsequent to Mr. McKnight obtaining that tax 17 return the parties will use their best effort to enter into a 18 comprehensive settlement of all outstanding issues, failing to 19 do so, the parties will immediately thereafter list this 20 matter for a master's hearing and both parties will sign the 21 appropriate affidavits to permit that hearing to go forward. 22 THE COURT: So agreed? 23 MR. MCKNIGHT: So agreed, Your Honor. 24 THE COURT: I will have the stenographer prepare 25 the stipulation and send it out to you. For now, for the 2 1 purpose of the petition for exclusive possession I will enter 2 an order on that portion. Does that meet your approval? 3 MR. MCKNIGHT: Fine. 4 MR. ROSEN: Fine. 5 THE COURT: This property, 136 Stoney Run Road, is 6 that Cumberland County? 7 MR. ROSEN: York. 8 THE COURT: What township? 9 THE DEFENDANT: Carroll Township. 10 THE COURT: Carroll Township, York County. 11 MR. FARLEY: Yes, sir. 12 THE COURT: We will enter this order: AND NOW, 13 this 15th day of May, 2003, this matter having come before the 14 Court on a petition for special relief, including a motion by 15 husband, Michael P. Farley, for exclusive possession of the 16 marital residence at 136 Stoney Run Road, Carroll Township, 17 Cumberland County, the parties have reached an overall 18 agreement as to how to proceed in this divorce action which 19 agreement has been placed on the record, it is now ordered 20 that Michael P. Farley shall have exclusive possession of the 21 marital residence at 136 Stoney Run Road, Carroll Township, 22 York County, pending any further order following litigation 23 for settlement of the within divorce action. 24 25 3 CERTIFICATION I hereby certify that the proceedings are contained fully and accurately in the notes taken by me on the above cause and that this is a correct transcript of same. 1 Itt Patricia C. Official Stenographer The foregoing record of the proceedings on the hearing of the within matter is hereby approved and directed to be filed. 7(; Date 4 i ? rr?inr ,,? ??r ? ,??.:ar ?„ ? ?,,?( f,_ .,;'tit{; ^ jr ??'" ,??.: BRIGETTE B. FARLEY, Plaintiff/Petitioner V. MICHAEL P. FARLEY, Defendant/Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 2002 - 4380 CIVIL TERM IN CUSTODY PETITION FOR MODIFICATION OF CUSTODY AND NOW, this 3rd day of March, 2004, comes the Petitioner, Brigette B. Farley, by her attorneys, Irwin & McKnight, and presents the following Petition for Modification of Custody: 1. The Plaintiff/Petitioner is Brigette B. Farley, an adult individual residing at 904 Patton Farm Road, Stuarts Draft, Virginia 24477. 2. The Defendant/Respondent is Michael P. Farley, an adult individual whose last known address is P. O. Box 711, Dillsburg, York County, Pennsylvania. 3. The parties are the natural parents of one minor child, namely Sarah A. Farley, born January 5, 1995. 4. The parties are currently governed by a custody Order of Court dated October 24, 2002, a copy of which is attached hereto and marked as Exhibit "A". 5. The Defendant/Respondent has recently been abusing alcohol and/or drugs while said minor child is in his custody. The Defendant/Respondent also has had various girlfriends with him while he has had custody of said minor child. He has not seen Sarah A. Farley since late December 2003. 6. The Petitioner desires primary physical custody and joint legal custody of said minor child with suspension of Defendant's custody. Defendant's periods of custody of said minor child will be as the parties agree. 7. In the alternate, the Petitioner desires that periods of visitation with the Respondent and said minor child be suspended until Respondent agrees to not use drugs and/or alcohol in the presence of said minor child and supply proof to the Petitioner that he is not using drugs and/or alcohol. 8. The best interest of the child requires that the court grant the Petitioner's request as set forth above. WHEREFORE, Petitioner respectfully seeks the entry of an Order of Court seeking primary physical custody of the child and joint legal custody with suspension of visitation to Respondent as the parties agree is in the best interest of said minor child, Sarah A. Farley. Respectfully submitted, IRWIN & McKNIGHT By: qWestPo ight, III, Esquire oner, Street ania 17013 SupremeCourt I. D. No. 25476 Date: March 3, 2004 EXHIBIT "A" OCT222.002? BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. :NO. 2002-4380 CIVIL TERM MICHAEL P. FARLEY, : CIVIL ACTION - LAW Defendant IN CUSTODY ORDER OF COURT AND NOW, this .2112' day of O , 2002, upon consideration of the attached Custody Conciliation Report, it is ordered and directed as follows: 1. The Mother, Brigette B. Farley, and the Father, Michael P. Farley, shall have shared legal custody of Sarah A. Farley, bom January 5, 1995. Each parent shall have an equal right, to be exercised jointly with the other parent, to make all major non- emergency decisions affecting the Child's general well-being including, but not limited to, all decisions regarding her health, education and religion. 2. Mother shall have primary physical custody of the child. 3. Father shall have periods of partial physical custody as follows: A. Beginning October 25, 2002 alternating weekends from Friday after school to Sunday at 8:00 p.m. B. Two periods of two consecutive weeks every summer. Father shall provide at least 90 days prior notice to Mother of the weeks he has selected during the summer. C. Such other times as the parties agree. 4. The Thanksgiving holiday shall be split between the parties. The holiday shall be defined as the day school ends to the day before school resumes. Father shall have the first half of the holiday in 2002 and the parties shall alternate thereafter from year to year. 5. The following holidays shall be alternated from year to year: Easter, Memorial Day, 4'h of July, Labor Day. The holiday shall be defined as the evening before the holiday at a time agreed by the parties and shall conclude on 8:00 p.m. on the day of the holiday. Mother shall have Easter in 2003. 6. The Christmas holiday shall be divided into two blocks: Block A shall be from the day school ends to Christmas Day at 1:00 p.m, and Block B shall be from 1:00 p.m. Christmas Day to New Year's Day. Mother shall always have Block A and Father shall always have Block B. Father shall be responsible for all transportation. 8. Father and Mother will notify each other of all medical care the child receivse while in that parent's care. Father and Mother will notify the other immediately of medical emergencies which arise while the child is in that parent's care. 9. This Order is entered pursuant to an agreement of the parties at a Custody Conciliation Conference. The parties may modify the provisions of this Order by mutual consent. In the absence of mutual consent, the terms of this Order shall control BY THE COURT, ?/ l!LIn J /.l. J. cc: Marcus A. McKnight, III, Esquire, Counsel for Mother Lawrence J. Rosen, Esquire, Counsel for Father TRUE COPY FROM RECORD In Taat'>mony votrareot, i itere unto set my hand ar; ;'o std: oiI said I' at Cartista, Pa. r"--1 ." Z IC Z Prvthonota r BRIGETTE B. FARLEY, Plaintiff V. MICHAEL P. FARLEY, Defendant PRIOR JUDGE: None : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA .2002-4380 CIVIL TERM : CIVIL ACTION - LAW : IN CUSTODY CUSTODY CONCILIATION SUMMARY REPORT IN ACCORDANCE WITH CUMBERLAND COUNTY RULE OF CIVIL PROCEDURE 1915.3-8, the undersigned Custody Conciliator submits the following report: 1. The pertinent information concerning the Child who is the subject of this litigation is as follows: ' NAME DATE OF BIRTH CURRENTLY IN CUSTODY OF Sarah A. Farley , January 5, 1995 Mother 2. A Conciliation Conference was held in this matter on October 22, 2002, with the following individuals in attendance: The Mother, Brigette B. Farley, with her counsel, Marcus A. McKnight, III, Esquire and the Father, Michael P. Farley, with his counsel, Lawrence J. Rosen, Esquire. The parties agreed to the entry of an Order in the form as attached. lU -aa 0 :?' Date cqu ne M. Verney, Esquire Custody Conciliator SIRSH ? lHOINAV 'NIMSI zooz 92 .Loo bRIM529 VERIFICATION The foregoing Petition for Modification of Custody is based upon information which has been gathered by counsel and myself in the preparation of this action.. I have head the statements made in this document and they are true and correct to the best of my knowledge, information and belief. I understand that false statements herein made are subject to the penalties of 18 Pa. C.S.A. Section 4904, relating to unworn falsification to authorities. n c BRIGETT B. FARLEY Date: MARCH 3, 2004 C] ? n Y ' 7.- T'- L? Ra r BRIGETTE B. FARLEY IN THE COURT OF COMMON PLEAS OF PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA V. MICHAEL P. FARLEY DEFENDANT • 02-4380 CIVIL ACTION LAW IN CUSTODY ORDER OF COURT AND NOW, Wednesday, March 10, 2004 , upon consideration of the attached Complaint, it is hereby directed that parties and their respective counsel appear before Jacqueline M. Verney, Esq. , the conciliator, at 4th Floor, Cumberland County Courthouse Carlisle on Monday, April 05, 2004 at 10:30 AM for a Pre-Hearing Custody Conference. At such conference, an effort will be made to resolve the issues in dispute; or if this cannot be accomplished, to define and narrow the issues to be heard by the court, and to enter into a temporary order. All children age five or older may also be present at the conference. Failure to appear at the conference may provide grounds for entry of a temporary or permanent order. The court hereby directs the parties to furnish any and all existing Protection from Abuse orders, Special Relief orders, and Custody orders to the conciliator 48 hours prior to scheduled hearing. FOR THE COURT, By: /s/ _facqueline M Verney Esq L/ Custody Conciliator The Court of Common Pleas of Cumberland County is required by law to comply with the Americans with Disabilites Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact our office. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled conference or hearing. YOU SHOULD TAKE THIS PAPER TO YOUR ATTORNEY AT ONCE. IF YOU DO NOT HAVE AN ATTORNEY OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 32 South Bedford Street Carlisle, Pennsylvania 17013 Telephone (717) 249-3166 6? ' I S ? 6'u G I "6? hGGZ ????1 hOQZ 2N1 J-© BRIGETTE B. FARLEY, :IN THE COURT OF COMMON PLEAS Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA :02-4380 CIVIL ACTION - LAW V. MICHAEL P. FARLEY, Defendant IN CUSTODY NOTICE TO PLEAD TO: MARCUS A. MCKNIGHT, III, ESQUIRE 60 WEST POMFRET STREET CARLISLE, PA 17013-3222 ATTORNEY FOR BRIGETTE B. FARLEY, PLAINTIFF You are hereby notified to file a written response to the enclosed Answer and New Matter within twenty (20) days from service hereof or a judgement will be entered against you. Date: tot 6 L vrenc Rosen, Esquire vsk & Rosen, P.C. 1101 North Front Street Harrisburg, PA 17102 Attorney for Defendant (717)234-4583 BRIGETTE B. FARLEY, Plaintiff V. MICHAEL P. FARLEY, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA :02-4380 CIVIL .ACTION - LAW IN CUSTODY ANSWER NEW MATTER AND DEFENDANT'S COUNTER-PETITION TO MODIFY AND HOLD PLAINTIFF IN CONTEMPT AND NOW, this Al-day of March, 2004, comes Defendant, by and through counsel, Lawrence J. Rosen, Esquire, and offers the following Answer to Plaintiff's Petition and New Matter and Counterclaim(s): Admitted. 2. Admitted. Admitted. 4. Admitted. ANSWER 5. Denied. By way of further explanation, Defendant has had one female friend with him while exercising custody of the minor child. It is believed and therefore averred that Plaintiff has likewise had at least one male friend with her while exercising custody of the minor child. Defendant has not seen the minor child since December of 2003 due to Plaintiff's contemptuous behavior in denying his Court Ordered periods of partial custody. 6. No response required. No response required. 8. Denied. It would be in the best interest of the minor child for Plaintiff to begin behaving in a more responsible manner and not depriving the minor child of her right to see her father and not to behave in a manner calculated to alienate the minor child from her father. Should that behavior continue, primary physical custody should be awarded to Defendant. WHEREFORE, Defendant asks that Your Honorable Court dismiss the instant Petition for modification. NEW MATTER AND DEFENDANT'S COUNTER-PETITION TO MODIFY AND HOLD PLAINTIFF IN CONTEMPT 9. Paragraphs one (1) through eight (8) are hereby incorporated as if fully set forth herein. 9. Plaintiff, without consulting Defendant moved herself and the minor child from Cumberland County to Virginia. 10. Since October of 2002, Defendant has been doing all of the driving when exercising his periods of partial custody. 11. Defendant has requested Plaintiff to share the driving on several occasions but she has steadfastly refused to do so. 12. It is unfair and unjust to require Defendant to drive six hours round trip to pick up his daughter and six hours hours round trip to return her. 13. Plaintiff has been in contempt of the existing Order since December of 2003 in that she has refused to permit Defendant to see his daughter. WHEREFORE, Defendant asks that Your Honorable Court modify the existing Order to compel Plaintiff to do one half of the driving during Defendant's periods of partial custody. Furthermore, Defendant asks that Your Honorable Court find Plaintiff in contempt for failing to permit Defendant to see his daughter in violation of the existing; Order and to award Defendant counsel fees for the cost of defending the subject Petition to Modify and bringing his counter- petition to modify and to hold Plaintiff in contempt. By: Respectfully submitted: KRIEVSKY & ROSEN, P.C. -,nce J. Rosen, Esquire North Front Street sbure.:PA 17102 ID# 10625 (717) 234-4583 BRIGETTE B. FARLEY, :IN THE COURT OF COMMON PLEAS Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA V. :02-4380 CIVIL ACTION -LAW IN CUSTODY MICHAEL P. FARLEY, Defendant VERIFICATION I, MICHAEL P. FARLEY, hereby verify that the information contained in the foregoing Answer is true and correct to the best of my knowledge, information and belief. I also understand that false statements made herein are subject to the penalties of 18 Pa. C. S. § 4904, relating to unsworn falsification to authorities. DATE: 3/19/0(( x 9 F MICHAEL. P. FARLEY BRIGETTE B. FARLEY, Plaintiff V. MICHAEL P. FARLEY, Defendant :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA 02-4380 CIVIL ACTION -LAW IN CUSTODY CERTIFICATE OF SERVICE AND NOW, this _e_ day of , 2004, I, Aimee L. Paukovits, for the Law Firm of KREVSKY & ROSEN, P.C on behalf of Defendant, MICHAEL P. FARLEY hereby certify that I have this day served a copy of the foregoing Answer and New Matter in the above-captioned matter, by First Class U.S. Mail on the following: MARCUS A. MCKNIGHT, III, ESQUIRE IRWIN & MCKNIGHT 60 WEST POMFRET STREET CARLISLE, PA 17013 '??22ih Aimee L. Pau ovits 1101 North Front Street Harrisburg, PA 17102 (717) 234-4583 ?. 41 .9 ? ' ?.... C`f -_ LLJ C: .._.41.1 cc ? .. .,. ,.. _ , N ?, APR U 6 2004 BRIGETTE B. FARLEY, Plaintiff V. MICHAEL P. FARLEY, Defendant : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND 'COUNTY, PENNSYLVANIA NO. 2002-4380 CIVIL TERM CIVIL ACTION - LAW IN CUSTODY `??pp ORDER OF COURT AND NOW, this day of 2004, upon consideration of the attached Custody Conciliation Report, it is ordered and directed as follows: The prior Order of Court dated October 24, 2002 is hereby vacated. 2. The Mother, Brigette B. Farley, and the Father, Michael P. Farley, shall have shared legal custody of Sarah A. Farley, born January 5, 1995. Each parent shall have an equal right, to be exercised jointly with the other parent, to make all major non- emergency decisions affecting the Child's general well-being including, but not limited to, all decisions regarding her health, education and religion. 3. Mother shall have primary physical custody of the child. 4. Father shall have periods of partial physical custody as agreed by the parties. 5. This Order is entered pursuant to an agreement of the parties at a Custody Conciliation Conference. The parties may modify the provisions of this Order by mutual consent. In the absence of mutual consent, the terms of this Order shall control BY T t RT) W J. cc:,kfa'rcus A. McKnight, III, Esquire, Counsel for Mother 4.kawrence J. Rosen, Esquire, Counsel for Father op? oy -og-off ?r? ???? '??? ??j ? ? ???.t t ??? t1?? ?_? +t? :01 L.a1? ?^ `?lL6tl h?aZ ::Y?11,!??-Olin BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. :2002-4380 CIVIL TERM MICHAEL P. FARLEY, : CIVIL ACTION - LAW Defendant IN CUSTODY PRIOR JUDGE: Edgar B. Bayley, J. CUSTODY CONCILIATION SUMMARY REPORT IN ACCORDANCE WITH CUMBERLAND COUNTY RULE OF CIVIL PROCEDURE 1915.3-8, the undersigned Custody Conciliator submits the following report: 1. The pertinent information concerning the Child who is the subject of this litigation is as follows: NAME DATE OF BIRTH CURRENTLY IN CUSTODY OF Sarah A. Farley January 5, 1995 Mother 2. A Conciliation Conference was held in this matter on April 5, 2004, with the following individuals in attendance: The Mother, Brigette B. Farley, with her counsel, Marcus A. McKnight, III, Esquire and the Father, Michael I'. Farley, with his counsel, Lawrence J. Rosen, Esquire. 3. The Honorable Edgar B. Bayley entered a prior Order of Court dated October 24, 2002 providing for shared legal custody, Mother having primary physical custody and Father having alternating weekends. Mother filed a Petition for Modification and Father filed a Petition for Contempt. Father withdrew his Contempt Petition. 4. The parties agreed to the entry of an Order in the form as attached. Date cq line M. Verney, Esquire Custody Conciliator OCT 21 2004 BRIGETTE B. FARLEY, PlaintifVPetitioner V. MICHAEL P. FARLEY, Defendant/Respondent : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 2002-4380--CIVIL TERM IN DIVORCE ORDER O COURT AND NOW, this day of 69 2004, upon c nsidera ' n of the attached Petition for Special Relief, ash/ea'rringg is hereby scheduled for Oc/• ?b?? / 2004, in Courtroom No., at O'clock ?.m., Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania 17013. Pending a hearing, the Defendant/Respondent, Michael P. Farley, is enjoined from the sale of the heavy construction-blacktop paving business and/or its assets unless the time and location of said sale is given to Plaintiff/Petitioner's counsel, Marcus A. McKnight, III, Esq., and any proceeds are placed in escrow pending further Order of Court. cc: Marcus A. McKnight, III /??? Attorney for Plaintiff/Petitioner ?- '7< y _h M e6,.-1Gp Lawrence P. Rosen, Esq. d `1 /,? 12-?Y Attorney for Defendant/Respondent 14- F O' ti K BRIGETTE B. FARLEY, Plaintiff/Petitioner V. MICHAEL P. FARLEY, Defendant/Respondent : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 2002-4380--CIVIL TERM IN DIVORCE AFFIDAVIT OF SERVICE I, JOHN CHRONISTER, a competent adult, being duly sworn according to law, depose and say that at // 1329x9 on October-3, 2004, I personally served by hand delivery the attached Petition for Special Relief in reference to the above-captioned case: To: Michael P. FarleyS i?d/?°l"?? ??F?9 z? 136 Stoney Run Road l?igf1 D ?1?' Dillsburg, PA 17019 I verify that the statements in this return of service are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S.A Section 4904 relating to unswom falsification to authorities. Date: 2004 OHN CHRONISTER n1oFnv Woirw aer OMwMWftM1 BaoNaKQ?rbNobryid CPub1cwNy *CM"WM E"ft 8apt 18, 2007 e«, weMVti..u A..oebnon a Nio1Ma Sworn and subscribed before me this ? 5 day ?....a _r? ,- _.. _... ._' L': L ? - iw , ?., BRIGETTE B. FARLEY IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - LAW 2002-4380 CIVIL TERM MICHAEL P. FARLEY ORDER OF COURT AND NOW, October 25, 2004, Michael P. Farley, having appeared pro se at the scheduled time for his hearing today, and having requested the opportunity to retain his private counsel, at the defendant's request, hearing in the matter is continued to Thursday, November 18, 2004, at 11:00 a.m. in Courtroom No. 3. Pending this hearing, defendant remains subject to the probation of the sale of any of his assets, as outlined in our prior order of October 21, 2004. By the Court, Marcus A. McKnight III, Esquire For the Petitioner han? Jy(Ivefd L?l QS Michael B. Farley ?( Cpurf 136 Stony Run Road Dillsburg, PA 17019 '^' ` r, , _. .L- -, . c- ;. , ?- ; c. ? .. BRIGETTE B. FARLEY, V. MICHAEL P. FARLEY, Plaintiff Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA NO. 2002.4380 CIVIL ACTION - LAW MOTION FOR CONTINUANCE AND NOW COMES, Michael Farley, Defendant, through his attorneys, the Law Offices of Leslie D. Jacobson, with this Motion for Continuance in the above captioned case for the following reason(s): 1. Defendant has recently retained Allen D. Moyer, of the Law Offices of Leslie D. Jacobson, to represent him in the above listed matter. 2. A hearing on this matter is scheduled for Thursday, 18 November 2004, at 11:00 a.m. before the Honorable George E. Hoffer, P.J. 3. Attorney Moyer has a hearing in federal court in Harrisburg at that time and is unable to change it. 4. Therefore said Attorney is unable to adequately represent his client before this Honorable Court on the assigned date of 18 November 2004. 5. Attorney Moyer attempted to contact opposing counsel, Attorney McKnight, on Monday, 15 November 2004, but Attorney McKnight was out of his office. WHEREFORE, Defendant petitions this Court to continue this hearing to a more convenient date for the parties involved. Date: 11. 15.04 LAW OFFICES OF LESLIE D. JACOBSON Allen D. Moyer ' Attorney for Defendant No. 84861 8150 Derry Street Harrisburg, PA 17111.5260 717.909.5858 717.909.7788 [fax] BRIGETTE B. FARLEY, V. MICHAEL P. FARLEY, IN THE COURT OF COMMON PLEAS Plaintiff OF CUMBERLAND COUNTY, PA NO.2002.43 80 Defendant CIVIL ACTION - LAW CERTIFICATE OF SERVICE AND NOW, this 15th day of November, 2004, I, Allen D. Moyer, attorney at the Law Offices of Leslie D. Jacobson, attorneys for the Defendant, hereby certify that on this day I served the within Motion for Continuance, along with the proposed Order, upon the person indicated below, by depositing a true and correct copy of the same in the United States Mail, postage prepaid, which service satisfies the requirements of the Pennsylvania Rules of Civil Procedure: Marcus A. McKnight, III, Esq. Irwin & McKnight W. Pomfret Professional Building 60 West Pomfret Street Carlisle, PA 17013.3222 By: Q ' -?4zz Allen D. Moyer ID No. 81846 Law Offices of Leslie D. Jacobson 8150 Derry Street Harrisburg, PA 17111.5260 717.909.5858 717.909.7788 [fax] . , , y r_.y <;y mac'- ?? 1 _ I rr, C'°y BRIGETTE B. FARLEY : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA V. : CIVIL ACTION -LAW : 2002-4380 CIVIL TERM MICHAEL P. FARLEY ORDER OF COURT AND NOW, November 18, 2004, counsel for the defendant having filed a motion for continuance in the above matter, the hearing is continued to TUESDAY, DECEMBER 14, 2004, AT 3:00 P.M. IN COURTROOM 3. Pending this hearing, defendant remains subject to the probation of the sale of any of his assets, as outlined in our prior order of October 21, 2004. By the Court, rG (C-1eX kff e r, P.J. , arcus A. McKnight III, Esquire 60 West Pomfret Street Carlisle, PA 17013-3222 For the Plaintiff > Alen D. Moyer, Esquire 8150 Derry Street Harrisburg, PA 17111-5260 For the Defendant CPAAZ) II-18?0'? iV ?iI ri-? t! I ti£?{?j ?1 ?]??JV NOV 2 9 2004 BRIGETTE B. FARLEY, Plaintiff V. MICHAEL P. FARLEY, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA NO. 2002.4380 Defendant CIVIL ACTION - LAW Order AND NOW, this Y day of er, 2004, the Motion is granted/dam • ` J. Special Instruments: '*I ?,"? 113.,E"?' ' - ?,, ,y BRIGETTE B. FAR:LEY, V. MICHAEL P. FARLEY, Plaintiff Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA NO.2002.43 80 CIVIL ACTION - LAW MOTION FOR CONTINUANCE AND NOW COMES, Michael Farley, Defendant, through his attorneys, the Law Offices of Leslie D. Jacobson, with this Motion for Continuance in the above captioned case for the following reason(s): 1. Defendant has recently retained Allen D. Moyer, of the Law Offices of Leslie D. Jacobson, to represent him in the above listed matter. 2. A hearing on this matter is scheduled for Thursday, 18 November 2004, at 11:00 a.m. before the Honorable George E. Hoffer, P.J. 3. Attorney Moyer has a hearing in federal court in Harrisburg at that time and is unable to change it. 4. Therefore said Attorney is unable to adequately represent his client before this Honorable Court on the assigned date of 18 November 2004. 5. Attorney Moyer attempted to contact opposing counsel, Attorney McKnight, on Monday, 15 November 2004, but Attorney McKnight was out of his office. WHEREFORE, Defendant petitions this Court to continue this hearing to a more convenient date for the parties involved. LAW OFFICES OF LESLIE D. JACOBSON Date: 11. 15.04 Allen D. Moyer ' V Attorney for Defendant V No. 84861 8150 Derry Street Harrisburg, PA, 17111.5260 717.909.5858 717.909.7788 [fax] BRIGETTE B. FARLEY, IN THE COURT OF COMMON PLEAS Plaintiff OF CUMBERLAND COUNTY, PA V. NO.2002.43 80 MICHAEL P. FARLEY, Defendant CIVIL ACTION - LAW CERTIFICATE OF SERVICE AND NOW, this 15`' day of November, 2004, I, Allen D. Moyer, attorney at the Law Offices of Leslie D. Jacobson, attorneys for the Defendant, hereby certify that on this day I served the within Motion for Continuance, along with the proposed Order, upon the person indicated below, by depositing a true and correct copy of the same in the United States Mail, postage prepaid, which service satisfies the requirements of the Pennsylvania Rules of Civil Procedure: Marcus A. McKnight, III, Esq. Irwin & McKnight W. Pomfret Professional Building 60 West Pomfret Street Carlisle, PA 17013.3222 OF 0 By: -.1 44% 4 -L0 Allen D. Moyer ' ID No. 81846 Law Offices of Leslie D. Jacobson 8150 Derry Street Harrisburg, PA 17111.5260 717.909.5858 717.909.7788 [fax] 's3 -1 z ? BRIGETTE B. FARLEY, Plaintiff/Petitioner V. MICHAEL P. FARLEY, Defendant/Respondent : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA 024380 CIVIL TERM CIVIL ACTION - LAW IN DIVORCE ORDER OF COURT AND NOW, this 14th day of December 2004, upon hearing, it is hereby Ordered that the real estate situate at 136 Stoney Run Road, Dillsburg, Pennsylvania 17019, will be immediately listed with Jack Gaughen Realtor. Both parties will sign the Listing Agreement recommended by the Realtor. The Defendant/Respondent, Michael P. Farley, is hereby required to: A. Comply with all requests for real estate showings by realtors; and B. Make all fire and casualty insurance payments and keep the mortgage payments with National City Bank current. The Defendant/Respondent, Michael P. Farley, is enjoined from selling any marital or business assets without the written consent of Plaintiff/Petitioner's counsel, Marcus A. McKnight, III, Esq. Proceeds of the sale of the real estate will be placed in escrow. President Judge cc: Marcus A. McKnight, 111, Esquire Attorney for Plaintiff/Petitioner ? , Mop Cr;?? %Euire Attorney for Defendant/Respondent ?yl O ,._._.( ti J (: ;t . BRIGETTE B. FARLEY, Plaintiff V. MICHAEL P. FARLEY, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA NO. 2002.4.380 CIVIL ACTION - LAW PRAECIPE FOR ENTRY OF APPEARANCE TO: PROTHONOTARY OF CUMBERLAND COUNTY Kindly enter the appearance of Allen D. Moyer of the Law Offices of Leslie D. Jacobson on behalf of the Defendant in the above captioned case. Thank you. LAW OFFICES OF LESLIE D. JACOBSON Date: 12.29.04 By: JC2D?-- 0e. Allen D. Moyer ID No. 81,346 8150 Derry Street Harrisburg,,, PA 17111.5260 717.909.5858 717.909.7788 [fax] C7 O U t77 ril rn 70 - L? r, -rz IN THE COURT OF COYMON PLEAS OF C71MBERLAND COUNTY, PEITNSYLVANIA BRIGETTE B. FARLEY Plaintiff VS. MICHAEL P. FARLEY NO. 2002-4380 Defendant MOTION FOR APPO LN= T OF MASTER BRIGETTE B. FARLEY (Plaintiff) dC6411W a master with respect to the following claims: ( X) Divorce ( X) ( ) Annulment ( ) ( X) Alimony ( X) ( ) Alimony Pendente Lite ( X) git), moves the court to appoint Distribution of Property Support Counsel Fees Costs and Expenses and in support of the motion states: (1) Discovery is complete as to the claims(s) for which the appointment of a master is requested. (2) The defendant (has) ( X=x) appeared in the action (personally) (by his attorney, ALLEN D. MOYER Esquire). (3) The staturory ground(s) for divorce (is) Care) (4) Delete the inapplicable paragraph(s): (a) The action is not contested. (b) An agreement bas been reached with respect to the following claims: DIVORCE (c) The action is contested with respect to the following claims:-ALIMONY, EQUITABLE DISTRIBUTION COSTS AND EXPENESES ANT) rnnNeFr FFFC (5) The action (involves) (does not involve) complex issues of law or fact. (6) The hearing is expected to take ONE (1) (k4w2p`) (days). (7) Additional information, if any. relevant to the motion: Date: FEBRUARY 2, 2005 Marcus A. McKnight, III( ) ORDER APPOINTING :•LSSTER AND NOW ,19 Esquire, is appointed master with respect to the following claims: By the Court: J BRIGETTE B. FARLEY, Plaintiff/Petitioner V. MICHAEL P. FARLEY, Defendant/Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 2002-4380--CIVIL TERM IN DIVORCE PETITION FOR ECONOMIC RELIEF AND NOW, this 2nd day of February, 2005, comes the Plaintiff/Petitioner, Brigette B. Farley, by her attorneys, IRWIN & McKNIGHT, and makes the following Petition for Economic Relief against the Defendant/Respondent, Michael P. Farley, as follows: 1. The Petitioner is Brigette B. Farley and is the Plaintiff in a divorce action filed at 2002- 4380 in Cumberland County, Pennsylvania. Her address is 904 Patton Farm Road, Stuarts Draft, Virginia 24477. 2. The Respondent is Michael P. Farley and is the Defendant in this divorce action. His address is 136 Stoney Run Road, Dillsburg, Pennsylvania 17019. 3. The petitioner seeks the following relief from the Court: a. Equitable distribution of the marital assets; b. Alimony; C. Costs and expenses; and e. Counsel fees. WHEREFORE, the Petitioner, Brigette B. Farley, requests the relief set forth above. Respectfully submitted, IRWIN & By: 60 WestlPomfret Street III, Esquire Carlisle,'PA 17013 717-249-2353 Supreme Court I.D. No: 25476 Attorney for the Plaintiff/Petitioner, Brigette B. Farley Date: February 2, 2005 2 BRIGETTE B. FARLEY, Plaintiff/Petitioner V. MICHAEL P. FARLEY, DefendantlRespondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 2002-4380--CIVIL TERM IN DIVORCE CERTIFICATE OF SERVICE I, Marcus A. McKnight, lII, Esquire, hereby certify that a copy of attached Petition was served upon the following by depositing a true and correct copy of the same in the United States mail, First Class, postage prepaid in Carlisle, Pennsylvania, on the date referenced below and addressed as follows: Allen D. Moyer, Esq. Law Offices of Leslie David Jacobsen 8150 Derry Street, Suite A Harrisburg, PA 17111-5260 IRWIN & McKNIGHT By: Mar us A. Mc fight, III, Esquire 60 West Pomfret Street Carlisle, PA 17013 (717) 249-2353 Supreme Court I.D. No. 25476 Date: February 2, 2005 4 -" i-fft j ' ? Vry V \j V 1 G4 BRIGETTE B. FARLEY, Plaintiff/Petitioner V. MICHAEL P. FARLEY, Defendant/Respondent CIVIL ACTION - LAW 2002-4380--CIVIL TERM IN DIVORCE PETITION FOR CONTEMPT AND NOW, comes the Plaintiff/Petitioner, Brigette B. Farley, by and through her attorneys, IRWIN & McKNIGHT, and files this Petition for Contempt as follows: 1. The Plaintiff/Petitioner is Brigette B. Farley, an adult individual residing at 904 Patton Farm Road, Stuarts Draft, Virginia 24477. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA 2. The Defendant/Respondent is Michael P. Farley, an adult individual residing at 136 Stoney Run Road, Dillsburg, Pennsylvania 17019. 3. By Order of Court dated December 14, 2004, a copy is attached hereto and marked as Exhibit "A, the Defendant/Respondent was ordered to comply with the following: A. Comply with all requests for real estate showings by realtor; and B. Make all fire and casualty insurance payments and keep the mortgage payments current with National City Bank. 2 4. The Defendant/Respondent has failed comply with the requirements in the Court Order in that he has failed to make all fire and casualty insurance payments and keep the mortgage payments current with National City Bank. 5. Due to Defendant/Respondent's failure to comply with the Court Order, he is in Contempt of Court. WHEREFORE, Plaintiff/Petitioner, Brigette B. Farley, respectfully requests this Honorable Court to Order the Defendant/Respondent to comply with Order of Court dated December 14, 2004, as follows: A. Make all fire and casualty insurance payments and keep the mortgage payments current with National City Bank. Respectfully submitted, IRWIN & By: Marcus(A. McKnight, III, Esq. 60 West Pomfret Street Carlisle, PA 17013 717-249-2353 Attorney I.D. #: 25476 Attorney for the Plaintiff, Brigette B. Farley Dated: February 9, 2005 3 BRIGETTE B. FARLEY, Plaintiff/Petitioner V. MICHAEL P. FARLEY, Defendant/Respondent IN DIVORCE ORDER OF COURT AND NOW, this 14th day of December 2004, upon hearing, it is hereby Ordered that the real estate situate at 136 Stoney Run Road, Dillsburg, Pennsylvania 17019, will be immediately listed with Jack Gaughen Realtor. Both parties will sign the Listing Agreement recommended by the Realtor. The Defendant/Respondent, Michael P. Farley, is hereby required to: A. Comply with all requests for real estate showings by realtors; and B. Make all fire and casualty insurance payments and keep the mortgage payments with National City Bank current. The Defendant/Respondent, Michael P. Farley, is enjoined from selling any marital or business assets without the written consent of Plaintiff/Petitioner's counsel, Marcus A. McKnight, III, Esq. Proceeds of the sale of the real estate will be placed in escrow. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA 02-4380 CIVIL TERM CIVIL ACTION - LAW By the Court, 'deorge E. offer, President Judge cc: Marcus A. McKnight, III, Esquire Attorney for Plaintiff/Petitioner A(1 4). Vh f Esquire Attorney for Defendant/Respondent r?t.1r i::.,a,"Rr, lvd?9 1:.""w U00 sm. my K- 5, S a VERIFICATION The foregoing Petition is based upon information which has been gathered by counsel and myself in the preparation of this action. I have read the statements made in this document and they are true and correct to the best of my knowledge, information and belief. I understand that false statements herein made are subject to the penalties of 18 Pa. C.S.A. Section 4904, relating to unworn falsification to authorities. , Q? BRIGET B.FARLEY Date: G BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner : CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - LAW 2002-4380--CIVIL TERM MICHAEL P. FARLEY, Defendant/Respondent IN DIVORCE CERTIFICATE OF SERVICE I the undersigned hereby certify that on this _ day of February, 2005, a copy of the Petition for Contempt was served by first-class, postage prepaid United States mail in Carlisle, Pennsylvania upon the following: Allen D. Moyer, Esq. Law Offices of Leslie David Jacobsen 8150 Derry Street, Suite A Harrisburg, PA 17111-5260 IRWIN 60 est Pomfref Street Carlisle, PA 17,013 III, Esq. 7171249-2353 Attorney I.D. #: 25476 Attorney for the Plaintiff/Petitioner Brigette B. Farley Date: February 9, 2005 4 ?\ G ? .? "r? w ? rnr? BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner : CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - LAW 2002-4380--CIVIL TERM MICHAEL P. FARLEY, Defendant/Respondent IN DIVORCE ORDER OF COURT AND NOW, this --L5 day of 2005, upon consideration of the Petition for Contempt filed by the Plaintiff/Petitioner, the Defendant/Respondent, Michael P. Farley, is found in contempt and a hearing is set for d3K' day of,A 2005, at '? A.M. in Courtroom ---a7 Cumberland County Courthouse, Carlisle, Pennsylvania 17013. By the?ourt, J. Marcus A. McKnight, III, Esq. Attorney for Plaintiff/Petitioner Allen D. Moyer, Esq. Attorney for Defendant/Respondent ? ,. li',jJC _- ,:J V. - BRIGETTE B. FARLEY, IN THE COURT OF COMMON PLEAS OF PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA V. MICHAEL P. FARLEY, DEFENDANT ; 02-4380 CIVIL TERM ORDER OF COURT AND NOW, this 27;7 day of February, 2005, this matter having been called on a petition by Bridgette Farley to hold Michael Farley in contempt of an order dated December 14, 2004, and defendant having acknowledged that he is in contempt, defendant is adjudicated in civil contempt. Defendant may purge himself of contempt by at the time of distribution of the net proceeds from the sale of the marital residence in Dillsburg, York County, allowing wife to receive all of the proceeds. , By'" Court Edgar B. arcus A. McKnight, III, Esquire For Plaintiff _',,?!n D. Moyer, Esquire For Defendant :sal oa -a.5-os BRIGETTE B. FARLEY, Plaintiff V. MICHAEL P. FARLEY, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 20024380 CIVIL TERM IN DIVORCE PLAINTIFF'S AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on September 11, 2002. 2. The marriage of plaintiff and defendant is irretrievably broken and ninety days have elapsed from the date of the filing of the complaint. 3. I consent to the entry of a final decree in divorce. 4. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein made are subject to the penalties of 18 Pa. C. S. Section 4904 relating to unworn falsification to authorities. Date: a-A 2005 TTE B. FARLEY ?, -;?„ BRIGETTE B. FARLEY, Plaintiff V. : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 20024380 CIVIL TERM MICHAEL P. FARLEY, Defendant IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 3301(c) OF THE DIVORCE CODE 1. I consent to the entry of a final Decree of Divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. I understand that I will not be divorced until a 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. I understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Date: off' , 2005 B ETTE B. FARLEY Plaintiff BRIGETTE B. FARLEY, Plaintiff V. : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 2002-4380 CIVIL TERM MICHAEL P. FARLEY, Defendant IN DIVORCE DEFENDANT'S AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on September 11, 2002. 2. The marriage of plaintiff and defendant is irretrievably broken and ninety days have elapsed from the date of the filing of the complaint. 3. I consent to the entry of a final decree in divorce. 4. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein made are subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Date: 2005 MICHAEL P. FARLEY BRIGETTE B. FARLEY, Plaintiff V. MICHAEL P. FARLEY, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 20024380 CIVIL TERM IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 3301(c) OF THE DIVORCE CODE 1. I consent to the entry of a final Decree of Divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. I understand that I will not be divorced until a 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. I understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Date: S ?S , 2005 < MICHAEL P. ARLEY Defendant :.., _? BRIGETTE B. FARLEY, Plaintiff VS. MICHAEL P. FARLEY, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 02 - 4380 CIVIL IN DIVORCE ORDER OF COURT AND NOW, this day of 2005, the parties and counsel having entered int an agreement and stipulation resolving the economic issues on May 25, 2005, the date set for a conference, 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, Georg E. Hoffer, P.J. cc: <aricus A. McKnight, III Attorney for Plaintiff I ,'llen D. Moyer \I Attorney for Defendant ???r;_ _. BRIGETTE B. FARLEY, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA VS. NO. 02 - 4380 CIVIL MICHAEL P. FARLEY, Defendant IN DIVORCE THE MASTER: Today is Wednesday, May 25, 2005. This is the date set for a conference in the above captioned divorce proceedings. Present in the hearing room are the Plaintiff, Brigette B. Farley, and her attorney Marcus A. McKnight, III, and the Defendant, Michael P. Farley, and his counsel Allen D. Moyer. This action was commenced by the filing of a complaint in divorce on September 11, 2002, raising grounds for divorce of irretrievable breakdown of the marriage. No economic claims were raised in the complaint. On February 2, 2005, the Plaintiff filed a petition for economic relief raising claims of equitable distribution, alimony, and counsel fees, costs and expenses. The parties were married on November 22, 1980, and separated August 16, 2002. They are the natural parents of two children, Michelle and Sarah; Sarah is still a minor living with wife and Michelle is emancipated. The Master has been advised that the parties have reached an agreement with respect to the outstanding economic issues. With respect to the grounds for divorce, 1 r the Master has been given affidavits of consent and waivers of notice of intention to request entry of divorce decree which will be filed by the Master's office with the Prothonotary so that the divorce can be concluded under Section 3301(c) of the Domestic Relations Code. With respect to the economic issues, an agreement is going to be placed on the record in the presence of the parties. The agreement will be considered the substantive agreement of the parties not subject -to any changes or modifications except for correction of typographical errors which may be made during the transcription. After the agreement has been transcribed, it will be sent to counsel to review for typographical errors, any corrections will be made as necessary, and then the parties will be asked to affix their signatures to the agreement affirming the terms of settlement as stated on the record. Upon receipt by the Master of a completed agreement, the Master will prepare an order vacating his appointment and counsel will then be able to file a praecipe transmitting the record to the Court requesting a final decree in divorce. Mr. McKnight. MR. McKNIGHT: 1. The parties agree that all personal property in their possession will be their sole property and they waive any interest in the personal property of the other party. 2. The parties waive any claim for counsel fees or costs. 2 Jr The only outstanding obligation created under this agreement will be that husband agrees to pay to wife alimony and it will begin on July 15, 2005, in the amount $127.00 and that will be for three months - July, August and September, and then beginning in October 2005 the amount will go to $250.00 for 36 additional months of alimony at which point the alimony will then terminate. The cohabitation of the parties or remarriage of the parties will not cause this amount of alimony to be deviated from, any change of circumstances will also not permit the alimony to be deviated from, so this is a permanent award for a fixed period of the time. In case of the death of one of the parties - if the husband dies, any amount still due and owing in alimony can be reduced to judgment and entered as a lien against his estate. If wife dies, any amount still payable under this alimony award likewise could be reduced to judgment and made payable to Sarah, the minor child in this case. In addition if the wife dies, wife agrees the alimony payment would continue to be payable to her daughter Sarah as an obligation to wife's estate of husband to wife for the balance due of the alimony at the time of wife's death on a monthly basis as had been previously arranged by husband and wife. There is a current order for both child support and spousal support with the Domestic Relations Office at PACSES case No. 002104888. Upon the entry of the divorce decree those arrearages under the spousal support order and child support order will not be affected in any way by this settlement. There is an enforcement court date set for July 7, 2005, at which time those issues will be addressed by the Court but the alimony to be entered pursuant to this agreement is in addition to those present arrearages, and under the current support order at husband's reduced income temporarily, there is no spousal support accruing today at the current time and will not be accruing after the entry of a decree in divorce. 3. The equitable distribution issue has been dealt with by the sale of the real estate and the distribution of those proceeds. There is no outstanding debt due and owing by the parties as a joint marital debt and, therefore, all equitable distribution issues have been resolved. 4. Except as herein otherwise provided, each party may dispose of his or her property in any way and each parity 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 3 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 interest, rights, and claims. THE MASTER: Mrs. Farley, have you heard the agreement as stated on the record? MRS. FARLEY: Yes. THE MASTER: Do you understand it? MRS. FARLEY: Yes. THE MASTER: Do you have any questions about it? MRS. FARLEY: No. THE MASTER: And you are satisfied that this is an agreement that can be entered into to resolve all outstanding issues between you and your husband with respect to the divorce? MRS. FARLEY: Yes. THE MASTER: Mr. Farley, you've heard the agreement? MR. FARLEY: Yes, sir. THE MASTER: And you have been present during the statement of the agreement on the record? MR. FARLEY: Yes. THE MASTER: Do you understand it? 4 t' it? MR. FARLEY: Yes. THE MASTER: Do you have any questions about MR. FARLEY: No, sir. THE MASTER: You understand that you are bound by the agreement after you leave here today even though there is no subsequent signing of the agreement? MR. FARLEY: Yes, I do. I acknowledge that I have read the above stipulation and agreement, that I understand the terms of settlement as set forth herein, and that by signing below I ratify and affirm the agreement previously made and intend to bind myself to the settlement as a contract obligating myself to the terms of settlement and subjecting myself to the methods and procedures of enforcement which may be imposed by law and in particular Section 3105 of the Domestic Relations Code. DATE: t, III aintiff tillen u. moyer U Attorney for Defendant Br?te B.-Farley .3 ichael`P. arley 5 WITNESS: BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - LAW 2002-4380--CIVIL TERM MICHAEL P. FARLEY, Defendant IN DIVORCE ACCEPTANCE OF SERVICE 1, MICHAEL P. FARLEY, defendant in the above-captioned divorce action, hereby state that I accepted service on or about September 13, 2002 of the Complaint in Divorce, Docket Number 2002-4380 which was filed on September 11, 2002. Date: 6.41V. O S Subscribed andesworn to before me this daffy of8'y"04- , 2005. ?IICHAEL P. FARLEY Defendant NOTARIAL SEAL TAMMY L. KETTERER, NOTARY PUBLIC SWATARA TWP., COUNTY OF DAUPHIN MY COMMISSION EXPIRES OCTOBER 30, 2006 ° n C". cxi .vt ' 3 . -:a BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION • LAW 2002-4380 CIVIL TERM MICHAEL P. FARLEY, Defendant IN DIVORCE To the Prothonotary: PRAECIPE TO TRANSMIT RECORD Transmit the record, together with the following information, to the court for entry of a divorce decree: 1. Ground for Divorce: irretrievable breakdown under Section 3301(c) of the Divorce Code. 2. Date and manner of service of complaint: A certified copy of the Complaint in Divorce was served upon the defendant, Michael P. Farley, on September 13, 2002, by certified, restricted delivery mail, addressed to him at 136 Stoney Run Road, Dillsburg, Pennsylvania, 17019, with Return Receipt Number 7001 2510 0009 2828 3923. 3. Complete either paragraph (a) or (b). (a) Date of execution of the Affidavit of Consent required by Section 3301(c) of the Divorce Code: by plaintiff: May 25, 2005; by defendant: May 25, 20054. (b)(1) Date of execution of the affidavit required by Section 3301(d) of the Divorce Code: (b)(2) Date of filing and service of the plaintiffs affidavit upon the defendant: 4. Related claims pending: NONE. 5. Complete either (a) or (b). (a) Date and manner of service of the Notice of Intention to file Praecipe to Transmit Record, a copy of which is attached: (b) Date plaintiffs Waiver of Notice in Section 3301(c) Divorce was filed with the Prothonotary: May 27, 2005 Date defendant's Waiver of Notice in Section 3301(c) Divorce was filed with the Prothonotary: May 27, 2005. / AIJ p 111, Esquire Date: June 9, 2005 ?.^' 4 C, C., u? 'y ?{ ::;.: ^r. __ 4 1 Fi `- ^C '?? p'J v c; -• ?-, W ... -? -- IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY STATE OF PENNA. ? re. m BRIGETTE B. FARLEY PLAINTIFF N 0. 2002-4380 VERSUS MICHAEL P. FARLEY, DEFENDANT DECREE IN DIVORCE AND NOW, IT IS ORDERED AND DECREED THAT BRIGETTE B. FARLEY PLAINTIFF, AND MICHAEL P. FARLEY ARE DIVORCED FROM THE BONDS OF MATRIMONY. DEFENDANT, 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; NONE BY THE COURT: ATTEST: PROTHONOTARY Ll CE B. FARLEY, PLAINTIFF V. EL P. FARLEY, DEFENDANT IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVAN: PACSES# 002104888 SUPPORT NO. 2002-4380 CIVIL TERM SUPPORT STIPULATION AND AGREEMENT ??W, this day of July 2005, comes the parties, BRIC:ETTE B. FARLEY and kEL P. FARLEY, and enter into the following Support Stipulation: The plaintiff, Brigette B. Farley, and the defendant, Michael P. Farley, have reached an Lent pursuant to an Agreement reached before the Divorce Master, E. Robert Elicker,11, day 25, 2005. a copy of which is attached and marked as Exhibit "A" and made a part o ipulation and Agreement. The defendant, Michael P. Farley, agrees to have the Alimony Order collected and ed by the Domestic Relations Section of Cumberland County, Pennsylvania. IN WITNESS WHEREOF, the parties hereto, intending; to be legally bound by the t set forth their hands and seals the day and year herein set forth. Esq. Allen D. Moyer, Esq. U Attorne for Defendant /I L Michael P. ar ey, Defen t BRIGETTE B. FARLEY, Plaintiff VS. MICHAEL P. FARLEY, Defendant . IN THE COURT OF COMMON PLEAS OF . CUMBERLAND COUNTY, PENNSYLVANIA NO. 02 - 4380 CIVIL IN DIVORCE: THE MASTER: Today is Wednesday, May 25, 2005. This is the date set for a conference in the above captioned divorce proceedings. Present in the hearing room are the Plaintiff, Brigette B. Farley, and her attorney Marcus A. McKnight, III, and the Defendant, Michael P. Farley, and his counsel Allen D. Moyer. This action was commenced by the filing of a complaint in divorce on September 11, 2002, raising grounds for divorce of irretrievable breakdown of the marriage. No economic claims were raised in the complaint. On February 2, 2005, th.e Plaintiff filed a petition for economic relief raising claims of equitable distribution, alimony, and counsel fees, costs and expenses. The parties were married on November 22, 1980, and separated August 16, 2002. They are the natural parents of two children, Michelle and Sarah; Sarah is still a minor living with wife and Michelle is emancipated. The Master has been advised that the parties have reached an agreement with respect to the outstanding economic issues. With respect to the grounds for divorce, 1 the Master has been given affidavits of consent and waivers of notice of intention to request entry of divorce decree which will be filed by the Master's office with the Prothonotary so that the divorce can be concluded under Section 3301(c) of the Domestic Relations Code. With respect to the economic issues, an agreement is going to be placed on the record in the presence of the parties. The agreement will be considered the substantive agreement of the parties not subject to any changes or modifications except for correction of typographical errors which may be made during the transcription. After the agreement has been transcribed, it will be sent to counsel to review for typographical errors, any corrections will be made as necessary, and then the parties will be asked to affix their signatures to the agreement affirming the terms of settlement as stated on the record. Upon receipt by the Master of a completed agreement, the Master will prepare an order vacating his appointment and counsel will then be able to file a praecipe transmitting the record to the Court requesting a final decree in divorce. Mr. McKnight. MR. McKNIGHT: 1. The parties agree that all personal property in their possession will be their sole property and they waive any interest in the personal property of the other party. 2. The parties waive any claim for counsel fees or costs. 2 The only outstanding obligation created under this agreement will be that husband agrees to pay to wife alimony and it will begin on July 15, 2005, in the amount $127.00 and that will be for three months - July, August and September, and then beginning in October 2005 the amount will go to $250.00 for 36 additional months of alimony at which point the alimony will then terminate. The cohabitation of the parties or remarriage of the parties will not cause this amount of alimony to be deviated from, any change of circumstances will also not permit the alimony to be deviated from, so this is a permanent award for a fixed period of the time. In case of the death of one of the parties - if the husband dies, any amount still due and owing in alimony can be reduced to judgment and entered as a lien against his estate. If wife dies, any amount still payable under this alimony award likewise could be reduced to judgment and made payable to Sarah, the minor child in this case. In addition if the wife dies, wife agrees the alimony payment would continue to be payable to her daughter Sarah as an obligation to wife's estate of husband to wife for the balance due of the alimony at the time of wife's death on a monthly basis as had been previously arranged by husband and wife. There is a current order for both child support and spousal support with the Domestic Relations Office at PACSES case No. 002104888. Upon the entry of the divorce decree those arrearages under the spousal support order and child support order will not be affected in any way by this settlement. There is an enforcement court date set for July 7, 2005, at which time those issues will be addressed by the Court but the alimony to be entered pursuant to this agreement is in addition to those present arrearages, and under the current support order at husband's reduced income temporarily, there is no spousal support accruing today at the current time and will not be accruing after the entry of a decree in divorce. 3. The equitable distribution issue has been dealt with by the sale of the real estate and the distribution of those proceeds. There is no outstanding debt due and owing by the parties as a joint marital debt and, therefore, all equitable distribution issues have been resolved. 4. Except as herein otherwise provided, each party may dispose of his or her property in any way and each party hereby waives and relinquishes any and. all rights he or she may now have or hereafter acquire under the present or future laws of any jurisdiction to share in the property or the estate of the other as a result of the marital 3 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 interest, rights, and claims. THE MASTER: Mrs. Farley, have you heard the agreement as stated on the record? MRS. FARLEY: Yes. THE MASTER: Do you understand it? MRS. FARLEY: Yes. THE MASTER: Do you have any questions about it? MRS. FARLEY: No. THE MASTER: And you are satisfied that this is an agreement that can be entered into to resolve all outstanding issues between you and your husband with respect to the divorce? MRS. FARLEY: Yes. THE MASTER: Mr. Farley, you've heard the agreement? MR. FARLEY: Yes, sir. THE MASTER: And you have been present during the statement of the agreement on the record? MR. FARLEY: Yes. THE MASTER: Do you understand it? 4 MR. FARLEY: Yes. THE MASTER: Do you have any questions about it? MR. FARLEY: No, sir. THE MASTER: You understand that you are bound by the agreement after you leave here today even though there is no subsequent signing of the agreement? MR. FARLEY: Yes, I do. I acknowledge that I have read the above stipulation and agreement, that I understand the terms of settlement as set forth herein, and that by signing below I ratify and affirm the agreement previously made and intend to bind myself to the settlement as a contract obligating myself to the terms of settlement and subjecting myself to the methods and procedures of enforcement which may be imposed by law and in particular Section 3105 of the Domestic Relations Code. WITNESS: DATE: lam ?-/,.r a 7Marc McKn ght, III or,Pl in'tiff rte-- V? :.211= O? A11en D. Moyer Attorney for Defendant 5 BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS OF PLAINTIFF : CUMBERLAND COUNTY, PENNSYLVANIA v. PACSES# 002104888 SUPPORT MICHAEL P. FARLEY, NO. 2002-4380 CIVIL TERM DEFENDANT ORDER OF COURT AND NOW, this ?+day of July 2005, upon presentation and consideration of the attached Stipulation and Agreement and upon agreement of the parties, it is hereby Ordered and Directed that the Domestic Relations Section of Cumberland County collect and enforce the alimony set forth in the Agreement reached befoz 25, 2005. Divorce Master, on May Edward E. Guido, Judge Oaf?l I f'('1 (C DA CC* i ,Ell 4r IF(c ?hf t; ('J39 8h :6 PV L- lnr 5007 AUILCIN& Hiodd 3Hl d0 ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 07/18/05 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:FARLEY, MICHAEL P. Employee/Obligor's Name (Last, First, Mb 184-48-3770 Employee/Obligor's Social Security Number JFC TEMPS INC -/Vq S aW;X 7556101044 C/O JFC STAFFING ASSOCIATES Employee/Obligor's Case Identifier 1520 MARKET ST (See Addendum for plaintiff names CAMP HILL PA 17011-4815 ?,,j ??G ?/ associated with cases on attachment) .'RI , ,ZW7 7 d0 1?!/ Custodial Parent's Name (Last, First, MI) I%Vr, 909167YPY 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. Ely law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the order/Notice is not issued by your State. $ 0.00 per month in current support $ o . 0 o per month in past-due support Arrears 12 weeks or greater? Oyes ® no $ o. oo per month in current and past-due medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ o. oo per weekly pay period. $ o. oo per biweekly pay period (every two weeks). $ o. oo 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 0 0) 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 remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg;, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: Date of Order: JUL 1 8 2005 1% T Form EN-028 Service Type M OMBNO.:0970-0154 WOrkerlD $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If?heckefl you are required to provide a copy of this form to your.demployee. If your employee works in a state that is di event rom the state that issued this order, a copy must be prowedd 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 Df the single payment that is attributable to each employee/obligor. 3.*?2eporting afwithhokfing-when-serndirtgthe-payment-Tfte- amoant was-wR =_`s-wager. 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: 2322201350 EMPLOYEE'S/OBLIGOR'S NAME: FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 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 If you or your employee/obligor have any questions contact WAGE ATTACHMENT UNIT by telephone at 717) 240-6225 or by FAX at (717) 24 -6248 or by internet www.childsupport.state.pa.us Service Type M Page 2 of 2 OMB No.A9700154 Form EN-028 Worker ID $IATT C) ? ?:._ u' ? ", r-' `y, r ? _? ?? "'" J -;'C W ,? ?/ .. '? (r> { ?, ORDERINOTICE TO WITHHOLD INCOME FOR SUPPORT 002104888 State Commonwealth of Penns v nia 849 S 2002 OOriginal OrderfNOtice Co./City/Dirt. of CUMBERLAND O Amended Order/Notice Date of Order/Notice 11/02/05 909107484 O Terminate Order/Notice Case Number (See Addendum for case summary) 02-4380 CIVIL RE: FARLEY, MICHAEL P. Employer/Withholder's Federal FIN Number Employee/Obligor's Name (Last, First, MI) CHECKERED FLAG MOTOR CAR CO IN 236 CLEARFIELD AVE STE 20 VIRGINIA BEACH VA 23462-1893 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 811.00 per month in current support $ 43 .33 per month in past-due support Arrears 12 weeks or greater? (9) Yes Q no $ 0.00 per month in current and past-due medical support $ 0 . 00 per month for genetic test costs $ per month in other (specify) for a total of $ 854.33 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: $ 197.15 per weekly pay period. $ 394.31 per biweekly pay period (every two weeks). $ 427.17 per semimonthly pay period (twice a month). $ 854.33 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 remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to- PA SCDU Send check to- Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: NOV Q 3 2065 DRO: R.J. Shadday Service Type M 0RT:BY THE 00 Edward ?r- E. O, Judge Form EN-028 oMS rlo.: ovJO-o, sa Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? Ifghecked you are required to provide a Copy of this form to your employee. If yoUr employee works in a state that is di erent ffrom the state that issued this order, 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.* -payment--The paydate/date . 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: 5407553130 EMPLOYEE'S/OBLIGOR'S NAME: FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 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 employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. §1673 01; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. I (.Submitted By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Service Type M OMBNo.:0970-0,54 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACKS Case Number 002104888 Plaintiff Name BRIGITTE B. FARLEY Docket Attachment Amount 00849 S 2002 $ 604.33 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 PACSES Case Number 909107484 Plaintiff Name BRIGITTE B. FARLEY Docket Attachment Amount 02-4380 CIVIL$ 250.00 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. ?If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Service Type M Worker ID $IATT OMB No.: 0970-0154 n ?A ' ? t ? cS? ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania 002104888 OX Original Order/Notice Co./City/Dist. of CUMBERLAND 849 S 2002 O Amended Order/Notice Date of Order/Notice 10/28/05 O Terminate Order/Notice Case Number (See Addendum for case summary) 909107484 02-4380 CIVIL RE: FARLEY, MICHAEL P. EmployerM/ithholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI) HERITAGE LIGHTING 3540 HOLLAND RD STE 101 VIRGINIA BCH VA 23452-4059 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 811 . oo per month in current support $ 43 .33 per month in past-due support Arrears 12 weeks or greater? ®yes Q no $ 0. oo per month in current and past-due medical support $ o . oo per month for genetic test costs $ per month in other (specify) for a total of $ 854.33 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: $ 197.1s per weekly pay period. $ 394 .31 per biweekly pay period (every two weeks). $ 427.17 per semimonthly pay period (twice a month). $ 854.33 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 remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to. PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: Kria' l' DRO: R.J. Shadday Service Type M BY THE COUR Edward E.-TR o, Judge Form EN-028 FMB No. 0970-0154 $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If hecke? you are required to provide a copy of this form to your mployee. If yoUr employee works in a state that is difgferent from the state that issued this order, a copy must be provi3ed 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. JdyUdlE102Te-0rVVrtnn0tahn1g`?? MU claie on Wnch amount was witMrek 11U 11 theemptoyue'5 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: 5413105530 EMPLOYEE'S/OBLIGOR'S NAME: FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 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. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (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 stale 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. ] ].Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 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 Service Type M Page 2 of 2 OMB No,: 0970-0154 Form EN-028 Worker ID $IATT ADDENDUM Summary of Cases on Attachment DefendanUObligor: FARLEY, MICHAEL P. PACSES Case Number 002104888 Plaintiff Name BRIGITTE B. FARLEY Docket Attachment Amount 00849 S 2002 $ 604.33 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 PACSES Case Number 909107484 Plaintiff Name BRIGITTE B. FARLEY Docket Attachment Amount 02-4380 CIVIL$ 250.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) 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. ? 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. ?lf checked, you are required to enroll the child(ren) ?lf checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Service Type M Worker ID $IATT OMB No:09JP0154 r? ?? <- ? v U `n ?;% ? ? c: ? _y ?? r77 ??I _ C.J ? f J --? CJ ? ?' T r. ca ?^ .. ??? r ? r '?\ - ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dirt. of CUMBERLAND Date of Order/Notice 11/04/05 Case Number (See Addendum for case summary) 002104888 849 S 2002 909107484 02-4380 CIVIL O Original Order/Notice O Amended Order/Notice Q Terminate Order/Notice Employer/Withholder's Federal EIN Number HERITAGE LIGHTING 3540 HOLLAND RD STE 101 VIRGINIA BCH VA 23452-4059 RE: FARLEY, MICHAEL P. Employee/Obligor's Name (Last, First, MI) 184-48-3770 Employee/Obligor's Social Security Number 7556101044 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. $ 0.00 per month in current support $ o. oo per month in past-due support Arrears 12 weeks or greater? Dyes ® no $ o . oo per month in current and past-due medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ o. o o per weekly pay period. $ o. oo per biweekly pay period (every two weeks). $ o. oo 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 remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: Date of Order. EdwaxiuE G d Judge Form EN-028 Service Type M OMB No.: 0970-0154 WorkerlD $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If hecked you are required to provide a copy of this form to your employee. If yoUr employee works in a state that is different from the state that issued this order, a copy must be provides 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.* paydat&date of vv thholding is the date or. whid. 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: 5413105530 EMPLOYEE'S/OBLIGOR'S NAME: FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 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. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (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 171 7) 240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 OMB No.: 0970-0154 Form EN-028 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACSES Case Number 002104888 Plaintiff Name BRIGITTE B. FARLEY Docket Attachment Amount 00849 S 2002 $ 0.00 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 PACSES Case Number 909107484 Plaintiff Name BRIGITTE B. FARLEY Docket Attachment Amount 02-4380 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. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Service Type M Worker ID $IATT oma No.: 0970-0154 k?s ?S ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Disc. of CUMBERLAND Date of Order/Notice 12/07/05 Case Number (See Addendum for case summary) EmployerM/ithholdei's Federal EIN Number N B LIEBMAN & CO INC 4705 CARLISLE PIKE MECHANICSBURG PA 17050-3024 002104888 849 S 2002 0 OriginalOrder/Notice O Amended Order/Notice 02-4380 CIVIL O Terminate order/Notice 909107484 RE: FARLEY, MICHAEL P. Employee/Obligor's Name (Last, First, Nip 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MD 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. $ 639. 00 per month in current support $ 43 .33 per month in past-due support Arrears 12 weeks or greater? Oyes O no $ 0.00 per month in current and past-due medical support $ 0 . 00 per month for genetic test costs $ per month in other (specify) for a total of $ 682.33 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: $ 157.46 per weekly pay period. $ 314.92 per biweekly pay period (every two weeks). $ 341.17 per semimonthly pay period (twice a month). $ 682.33 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 remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: DEC 0 v 211155 DRO: R.J. Shadday Service Type M BY THE COURT: ?. Edward E. o, Judge Form EN-028 OMB Na: 0970-011,4 WorkerlD $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If checked you are required to provide a copy of this form to your employee. If your employee works in a state that is different from the state that issued this order, 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.*Repo, fig-thef`ayelate/DateofWith ha{d,g:-Yvamust-report thepaydat&dateofwithhokim when sending -thepayment-The- P -date on-vvhicI, amarntrovasrovithheM front e-employee'<-wager. 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: 2312785420 EMPLOYEE'S/OBLIGOR'S NAME: FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 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. I ].Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 Service Type M If you or your employee/obligor have any questions contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by internet www.cftildsupport.state.pa.us Page 2 of 2 OMB No, 09700154 Form EN-028 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACSES Case Number 002104888 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 00849 S 2002 $ 432.33 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 PACKS Case Number 909107484 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 02-4380 CIVIL$ 250.00 Child(ren)'s Name(s): DOB ?lf 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(rern's Name(s): DOB ? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Service Type M Worker ID $IATT oma No. oa7nnua ;' _. ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 12/07/05 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number CHECKERED FLAG MOTOR CAR CO IN 236 CLEARFIELD AVE STE 20 VIRGINIA BEACH VA 23462-1893 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, Mb See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 0. 00 per month in current support $ o. oo per month in past-due support Arrears 12 weeks or greater? Oyes ® no $ o. oo per month in current and past-due medical support $ o . 00 per month for genetic test costs $ per month in other (specify) for a total of $ 0. 00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 0. o0 per weekly pay period. $ o. oo per biweekly pay period (every two weeks). $ 0. oo per semimonthly pay period (twice a month). $ 0 . 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 5.5% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information i needed (See #9 on page 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (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 NAMEAND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: DEC 0 v 2065 DRO: R.J. Shadday Service Type M 002104888 849 S 2002 909107484 02-4380 CIVIL 0Original Order/Notice O Amended Order/Notice O Terminate Order/Notice RE: FARLEY, MICHAEL P. Employee/Obligor's Name (Last, First, MI) BY THE COU Edward E. ido, Judge Form EN-028 OMB No, 0970-01 ,4 WorkerlD $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If checked you are required to provide a copy of this form to your3mployee. tf yoVr employee works in a state that is different from the state that issued this order, a copy must be provi edd to your MID 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. pagdatefdate-of-wHhhotding is the date on whieh- 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 longerworking foryou. 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: 5407553130 EMPLOYEE'S/OBLIGOR'S NAME: FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 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. 1 ].Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at x'17) 240-6225 or by FAX at 717 240-6248 or by internet www.childsupport.state.pa.us Service Type M Page 2 of 2 OMB No.'. 0970 01 34 Form EN-028 WorkerlD $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACSES Case Number 002104888 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 00849 S 2002 $ 0.00 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 PACSES Case Number 909107484 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 02-4380 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. PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren's Name(s): DOB ? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Service Type M Worker ID $IATT OMB No, 0970 0154 ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 03/31/06 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number N B LIEBMAN & CO INC 4705 CARLISLE PIKE MECHANICSBURG PA 17050-3024 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MU See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 0.00 per month in current support $ o . oo per month in past-due support Arrears 12 weeks or greater? Oyes ® no $ 0.00 per month in current and past-due medical support $ o . 00 per month for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ o . 00 per weekly pay period. $ o. co per biweekly pay period (every two weeks). $ o. oo 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 remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: APR 0 3 2006 DRO: R.J. Shadday Service Type m 002104888 849 S 2002 909107484 02-4380 CIVIL O Original Order/Notice O Amended Order/Notice 0 Terminate Order/Notice RE: FARLEY, MICHAEL P. Employee/Obligor's Name (Last, First, MI) BY THE COURT: Edward E. o, Judge Form EN-028 OMBNo.:o970-0154 WorkerlD $IATT CL- ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If checked you are required to provide a copy of this form to your mplevee. If your employee works in a state that is different from the state that issued this order, a copy must be provi?ed 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. paydate/date of withholding is the date o,, which-amountwas withheld from the employees-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: 2312785420 EMPLOYEE'S/OBLIGOR'S NAME: FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. § 1673 01; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 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.chiIdsupport.state.pa.us Service Type M Page 2 of 2 OMB No.: 0970-0154 Form EN-028 Worker ID $IATT 11 ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACKS Case Number 002104888 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 00849 S 2002 $ 0.00 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number 909107484 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 02-4380 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. PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Service Type M Worker ID $IATT OMB No. 0970A1 54 ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT 002104888 849 S 2002 XO Original Order/Notice State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND O Amended Order/Notice Date of Order/Notice 04/03/06 909107484 0 Terminate Order/Notice Case Number (See Addendum for case summary) 02-4380 CIVIL RE: FARLEY, MICHAEL P. Employer/Withholder's Federal FIN Number Employee/Obligor's Name (Last, First, MI) RTA FURNITURE DIST 5500 LINGLESTOWN RD HARRISBURG PA 17112-9187 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 639. 00 per month in current support $ 43 .33 per month in past-due support Arrears 12 weeks or greater? ®yes Q no $ 0.00 per month in current and past-due medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 682.33 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: $ 157.46 per weekly pay period. $ 314. 92 per biweekly pay period (every two weeks). $ 341.17 per semimonthly pay period (twice a month). $ 682.33 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 needed (See #9 on page 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: Date of Order: APR 0 4 2006 DRO: R.J. Shadday Service Type M Edward E. GutTp,,,,? Judge Form EN-028 OMB No, 0970-0154 WOrkerlD $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If fhecked you are required to provide a copy of this form to your employee. If your employee works in a state that is different from the state that issued this order, 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.* t rwnuu?iunig vvnoi ?cn?iiig ai?yay paydatefdate-of-wiNihatdirtgis- m-the-empfagee`s-wager. 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: 2322148750 EMPLOYEE'S/OBLIGOR'S NAME: FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 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. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. §1673 01; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: 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.: 097"154 Form EN-028 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACSES Case Number 002104888 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 00849 S 2002 $ 432.33 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 PACSES Case Number 909107484 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 02-4380 CIVIL$ 250.00 Child(ren)'s Name(s): DOB ?Ifchecked, 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) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Service Type M Worker ID $IATT OMB No: 0'Pn-Otsd r^? r.,? . -1 -r ? ? -?' .,? .. f,} 1 ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 05/22/06 Case Number (See Addendum for case summary) 002104888 O Original Order/Notice 849 S 2002 O Amended Order/Notice 909107484 xQ Terminate Order/Notice 02-4380 CIVIL RE:FARLEY. MICHAEL P. EmployerNJithholder's Federal EIN Number RTA FURNITURE DIST 5500 LINGLESTONN RD HARRISBURG PA 17112-9187 Employee/Obligor's Name (Last, First, MI) 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases m auachmem) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee'slobligor's income until further notice even if the Order/Notice is not issued by your State. $ o. oo per month in current support $ o. 00 per month in past-due support Arrears 12 weeks or greater? Dyes ® no $ 0.00 per month in current and past-due medical support $ o. 00 per month for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ o, oo per weekly pay period. $ o. oo per biweekly pay period (every two weeks). $ o. oo 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 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). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (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 NAMEAND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: MAY 2 3 2Op5 DRO: R.J. Shadday Service Type M BY THE COURT; Edward E. Guid , Judge Form EN-028 OMB No.: 0970-0154 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If hecked you are required to pr vide a?opy of this form to yourgeuloyee. If yoyr employee works in a state tha is di erent rrom the state that issu this o er, a copy must be provi to your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3. paydate/date of Mthholdi. ?g is the date un which ainount Yvas withheld hoin the employee's WarM. 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: 2322148750 EMPLOYEE'S/OBLIGOR'S NAME:- - FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 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: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240.6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Service Type M Page 2 of 2 Form EN-028 Worker ID $IATT OMB No.: 0970-0154 ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACKS Case Number 002104888 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 00849 S 2002 $ 0.00 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 PACSES Case Number 909107484 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 02-4380 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. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Service Type M Worker ID $IATT OMB No.: 0970-0154 c? ? O `? -?-?'- ,. r'i, ? fT ?,? N ' W t. ;['! L. "Ct ?: _: -r. C]-ti --r C ? , am :? ? BRIGETTE B. FARLEY, Plaintiff/Respondent V. MICHAEL P. FARLEY, Defendant/Petitioner :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA :NO. 2002-4380-CIVIL TERM :CIVIL ACTION - LAW JN CUSTODY TO THE HONORABLE EDGAR B. BAYLEY, JUDGE OF SAID COURT: PETITION FOR EMERGENCY MODIFICATION OF CUSTODY ORDER AND NOW comes Petitioner, Michael P. Farley, by and through counsel, Lawrence J. Rosen, Esquire, and offers the following averments in support of the within Motion for Emergency Modification of Custody Order: 1. On or about April 8, 2004, Your Honorable Court entered an Order in the above captioned matter based upon a Stipulation of the parties granting primary physical custody of the minor child, Sarah A. Farley (DOB 1/5/1995) to mother/Respondent and periods of partial custody to father/Petitioner as per the agreement of the parties. (See Exhibit A) 2. The minor child has lived with her mother since that time in Stuarts Draft, Virginia and since approximately June of 2005 with Respondent's fiance/husband, Timothy Montgomery who has been married four times. 3. On or about January 28, 2007, the minor child came to Cumberland County to reside with Petitioner, with the consent of Respondent, due to the wishes of the minor child who desired to leave the toxic home environment which endangered her emotional well-being. 4. The elements of this toxic environment included: A. Constant arguments between Respondent and her husband in front of the minor child. These arguments were often about her and her step-father's frequenting strip clubs. B. Use of alcohol to excess on an almost daily basis by Respondent and her husband. This included both parties driving while intoxicated with the minor child in the car. Respondent's husband has even driven with the minor child in the car while drinking. C. Respondent shared with the minor child her great anger over finding her husband watching pornographic videos in the home. D. When the minor child told Respondent that she wished to come to Pennsylvania to live with her father and be close to her sister and her family as well as other family members living here, Respondent and her mother began to call the minor child evil and no good and threatened that she would not see her father and sister until she turned eighteen. E. Respondent constantly denigrated Petitioner in front of the minor child, calling him a scumbag, whore monger, drug addict, pot head and devil. This caused the minor child much stress. F. Respondent failed to exhibit proper care and concern for the welfare of the minor child by constantly pawning her off to friends and family. The minor child spent several nights per week away from home at the home of her school friends and the home of her grandmother due to Respondent's failure and unwillingness to exercise proper parental responsibility and authority. 5. Finally, Respondent agreed that the minor child should/could go to live with Petitioner. 6. When Petitioner went to pick up the minor child in Virginia, Respondent literally threw the minor child's clothing off of the back of a pick-up truck onto the asphalt parking lot. 7. Due to the nature of the current Order, both Petitioner and the minor child are fearful that Respondent could demand the return of the minor child placing her back in a situation which has caused her be become extremely depressed and fearful. 8. The minor child has been enrolled in school in the West Shore School District and is very happy there. 9. The minor child has personally requested counsel to ask Your Honorable Court to enable her to remain in Pennsylvania with her father. WHEREFORE, Petitioner asks that Your Honorable Court grant the instant Petition and Order that he be granted primary physical custody pending further action of Court. Respectfully submitted: KREVSKY & ROSEN, P.C. By: Lawrence J. Rosen, Esquire 1101 North Front Street Harrisburg, PA 17102 ID# 10625 (717) 234-4583 EXHIBIT A APR 0 6 2004 ?j BRIGETTE B. FARLEY, Plaintiff V. MICHAEL P. FARLEY, Defendant : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA NO. 2002-4380 CIVIL TERM CIVIL ACTION - LAW IN CUSTODY ORDER OF COURT AND NOW, this ?h day of , l , 2004, upon consideration of the attached Custody Conciliati n Report, it is ordered and directed as follows: 1. The prior Order of Court dated October 24, 2002 is hereby vacated. 2. The Mother, Brigette B. Farley, and the Father, Michael P. Farley, shall have shared legal custody of Sarah A. Farley, born January 5, 1995. Each parent shall have an equal right, to be exercised jointly with the other parent, to make all major non- emergency decisions affecting the Child's general well-being including, but not limited to, all decisions regarding her health, education and religion. 3. Mother shall have primary physical custody of the child. 4. Father shall have periods of partial physical custody as agreed by the parties. 5. This Order is entered pursuant to an agreement of the parties at a Custody Conciliation Conference. The parties may modify the provisions of this Order by mutual consent. In the absence of mutual consent, the terms of this Order shall control BY THE COURT, 01 :cc: Marcus A. McKnight, III, Esquire, Counsel for Mother Lawrence J. Rosen, Esquire, Counsel for Father TRUE COPY FROM RECORD In Testimony whereof, I here unto set my hand and he sepal. of sal Court at Carlisle, Pa. T ........5 ...... .. .. .., BRIGETTE B. FARLEY, Plaintiff V. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA :2002-4380 CIVIL TERM MICHAEL P. FARLEY, : CIVIL ACTION - LAW Defendant IN CUSTODY PRIOR JUDGE: Edgar B. Bayley, J. CUSTODY CONCILIATION SUMMARY REPORT IN ACCORDANCE WITH CUMBERLAND COUNTY RULE OF CIVIL PROCEDURE 1915.3-8, the undersigned Custody Conciliator submits the following report: 1. The pertinent information concerning the Child who is the subject of this litigation is as follows: NAME Sarah A. Farley DATE OF BIRTH CURRENTLY IN CUSTODY OF January 5, 1995 Mother 2. A Conciliation Conference was held in this matter on April 5, 2004, with the following individuals in attendance: The Mother, Brigette B. Farley, with her counsel, Marcus A. McKnight, III, Esquire and the Father, Michael P. Farley, with his counsel, Lawrence J. Rosen; Esquire. 3. The Honorable Edgar B. Bayley entered a prior Order of Court dated October 24, 2002 providing for shared legal custody, Mother having primary physical custody and Father having alternating weekends. Mother filed a Petition for Modification and Father filed a Petition for Contempt. Father withdrew his Contempt Petition. 4. The parties agreed to the entry of an Order in the form as attached. Date cq line M. Verney, Esquire Custody Conciliator BRIGETTE B. FARLEY, Plaintiff/Respondent V. MICHAEL P. FARLEY, Defendant/Petitioner :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA :NO. 2002-4380-CIVIL TERM :CIVIL ACTION - LAW JN CUSTODY VERIFICATION I, MICHAEL P. FARLEY, hereby verify that the information contained in the foregoing Petition is true and correct to the best of our knowledge, information and belief. I also understand that false statements made herein are subject to the penalties of 18 Pa. C. S. § 4904, relating to sworn falsification to authorities. DATE• 7 7;1J'-4L1 A'4 -?' MICHA V L P. FART, Y BRIGETTE B. FARLEY, Plaintiff/Respondent :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA :NO. 2002-4380-CIVIL TERM V. MICHAEL P. FARLEY, Defendant/Petitioner :CIVIL ACTION - LAW :IN CUSTODY CERTIFICATE OF SERVICE day of February, 2007, I, Elisabeth J. Clough, for Petitioner, AND NOW, this /? 4* MICHAEL P. FARLEY, hereby certify that I have this day served a copy of the Petition in the above-captioned matter, by First Class U.S. Mail, Certified Mail on the following: BRIGETTE B. MONTGOMERY 169 ARROWHEAD LANE STUARTS DRAFT, VIRGINIA 24477 MARCUS A. MCKNIGHT, III, ESQUIRE 60 WEST POMFRET STREET CARLISLE, PA 17013 Elisabeth J. Clough 1101 North Front Street Harrisburg, PA 17102 Phone: (717) 234-4583 Fax: (717) 234-3650 aV 'w ' C.. -WTI "Tt t i --= rs3 -om T, t BRIGETTE B. FARLEY IN THE COURT OF COMMON PLEAS OF PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA V. MICHAEL P. FARLEY DEFENDANT 02-4380 CIVIL ACTION LAW . IN CUSTODY ORDER OF COURT AND NOW, Monday, February 26, 2007 , upon consideration of the attached Complaint, it is hereby directed that parties and their respective counsel appear before Jacqueline M. Verney, Esq. , the conciliator, at 4th Floor, Cumberland County Courthouse, Carlisle on Tuesday, March 27, 2007 at 8:30 AM for a Pre-Hearing Custody Conference. At such conference, an effort will be made to resolve the issues in dispute; or if this cannot be accomplished, to define and narrow the issues to be heard by the court, and to enter into a temporary order. All children age five or older may also be present at the conference. Failure to appear at the conference may provide grounds for entry of a temporary or permanent order. The court hereby directs the parties to furnish any and all existing Protection from Abuse orders, Special Relief orders, and Custody orders to the conciliator 48 hours prior to scheduled hearing. FOR THE COURT. By: /s/ ac ueline M. Verne Es . Custody Conciliator The Court of Common Pleas of Cumberland County is required by law to comply with the Americans with Disabilites Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact our office. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled conference or hearing. YOU SHOULD TAKE THIS PAPER TO YOUR ATTORNEY AT ONCE. IF YOU DO NOT HAVE AN ATTORNEY OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 32 South Bedford Street Carlisle, Pennsylvania 17013 Telephone (717) 249-3166 V-P? 4-? *v 4?7 ((;2- 40" 9 Z . 144 O? 93J L931 dvi U FEB 8$ 2007A'i \I BRIGETTE B. FARLEY, :IN THE COURT OF COMMON PLEAS Plaintiff/Respondent :CUMBERLAND COUNTY, PENNSYLVANIA :NO: 2002-4380 CIVIL TERM V. :CIVIL ACTION - LAW MICHAEL P. FARLEY, Defendant/Petitioner :IN CUSTODY ORDER OF COURT AND NOW this day of , 2007, in consideration of the within Petition for Emergency Modification of Custody Order it is HEREBY ORD D ND DECREED that Petitioner Michael P. Farley P shal exerimarY physical custody of the minor child, Sarah A. Farley. Respondent, Brigitte B. Farley, shall have periods of partial physical custody at such times and under such conditions as agreed upon by the parties. The parties shall continue to share legal custody. A conciliation conference in this matter shall be scheduled at the earliest possible time. BY THE COURT: J. Distribution: Lawrence J. Rosen, Esquire, 1101 North Front Street, Harrsiburg, PA 17102 Brigette Montgomery, 169 Arrowhead Lane, Stuarts Draft, Virginia 24477 Marcus A. McKnight, III, Esquire, 60 West Pomfret Street, Carlisle, PA 17013 ag1D7 C4• AQVVaV^'-- ',At h ` ` 0N'0Hlo? d 3141 ?0 4? S+ APR IS zoom BRIGETTE B. FARLEY, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 2002-4380 CIVIL TERM MICHAEL P. FARLEY, : CIVIL ACTION - LAW Defendant IN CUSTODY ORDER OF COURT AND NOW, this 11'0' day of 3 , 2007, upon consideration of the attached Custody Concili tion Report, it is ordered and directed as follows: 1. A Hearing is scheduled in Court Room No. oZ , of the Cumberland County Court House, on the . L day of _, 2007, at I -. q5 o'clock, V M., at which time testimony will e taken. For purposes of this Hearing, the Father shall be deemed to be the moving party and shall proceed initially with testimony. Counsel for each party shall file with the Court and opposing counsel a Memorandum setting forth each party's position on custody, a list of witnesses who will be expected to testify at the Hearing and a summary of the anticipated testimony of each witness. These Memoranda shall be filed at least ten days prior to the Hearing date. 2. Pending further Order of Court or agreement of the parties, the prior Orders of Court dated April 8, 2004 and February 23, 2007 shall be vacated. 3. The Father, Michael P. Farley and the Mother, Brigette B. Farley, shall have shared legal custody of Sarah A. Farley, born January 5, 1995. Each parent shall have an equal right, to be exercised jointly with the other parent, to make all major non- emergency decisions affecting the Child's general well-being including, but not limited to, all decisions regarding her health, education and religion. Pursuant to the terms of 23 Pa.C.S. §5309, each parent shall be entitled to all records and information pertaining to the child including, but not limited to medical, dental, religious or school records, the residence address of the child and the other parent. To the extent one parent has possession of any such records or information, that parent shall be required to share the same, or copies thereof, with the other parent within such reasonable time as to make the records and information of reasonable use to the other parent. Both parents shall be entitled to full participation in all educational and medical/treatment planning meetings and evaluations with regard to the minor child. Each parent shall be entitled to full and complete information from any physician, dentist, teacher or authority and copies of any reports given to them as parents including, but not limited to: medical records, birth certificates, school or educational attendance records or report cards. Additionally, each parent shall be entitled to receive copies of any notices which come from school with N regard to school pictures, extracurricular activities, children's parties, musical presentations, back-to-school nights, and the like. 4. Father shall have primary physical custody of the child. 5. Mother shall have periods of partial physical custody of the child on alternating weekends to begin at Mother's request. The first weekend shall occur in Cumberland County from Friday at 4:00 p.m. to Sunday at 6:00 p.m. Mother shall be responsible for all transportation. On Mother's next alternating weekend, the parties shall meet at the Cracker Barrel in Winchester, Virginia on Friday at 6:00 p.m. and Sunday at 3:00 p.m. Said weekends and exchanges shall alternate thereafter. 6. Both parties shall have liberal telephone contact with the child. 7. The parties may modify this Order by mutual agreement. In the absence of mutual consent, the terms of this Order shall control. BY THE 5?WR , Edgar B. Bayley, P.J. cc: Lawrence J. Rosen, Esquire, coup el for Father Brigette B. Farley, pro se 4- (I?1 a ?¢4.{ 't-17 - a 7 169 Arrowhead Lane Stuarts Draft, VA 24477 =-- r- r? ` - Lea ? Csi > ' - {?? r-. ? ? .? ? = c:._ ? ,? t, _: rte.. ? >...? Q ?t..,?-, ?_i ?"v (..) BRIGETTE B. FARLEY, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA V. MICHAEL P. FARLEY, Defendant :2002-4380 CIVIL TERM : CIVIL ACTION - LAW : IN CUSTODY PRIOR JUDGE: Edgar B. Bayley, P.J. CUSTODY CONCILIATION SUMMARY REPORT IN ACCORDANCE WITH CUMBERLAND COUNTY RULE OF CIVIL PROCEDURE 1915.3-8, the undersigned Custody Conciliator submits the following report: 1. The pertinent information concerning the Child who is the subject of this litigation is as follows: NAME DATE OF BIRTH CURRENTLY IN CUSTODY OF Sarah A. Farley January 5, 1995 Father 2. A Conciliation Conference was held April 12, 2007 with the following individuals in attendance: The Father, Michael P. Farley, with his counsel, Lawrence J. Rosen, Esquire, and the Mother, Brigette B. Farley, pro se. 3. The Honorable Edgar B. Bayley previously entered an Order of Court dated April 8, 2004 providing for shared legal custody, Mother having primary physical custody and Father having times as agreed by the parties. On February 23, 2007 the Honorable Edgar B. Bayley entered an Order of Court providing for shared legal custody, Father having primary physical custody and Mother having periods of partial physical custody as agreed by the parties. 4. Father's position on custody is as follows: Father seeks shared legal and primary physical custody. Father asserts that the child requested to live with Father due to the tumultuous environment at Mother's home. The child has a sister who lives in Cumberland County who she is close to. Father maintains that the child has a well rounded family atmosphere in his home. The child is excelling in school. He denies Mother's allegations of drug and alcohol abuse. T' 5. Mother's position on custody is as follows: Mother seeks shared legal custody. She is satisfied for the child to finish the school year while in Father's custody, but wishes to regain primary physical custody this summer. She admits that the child requested to live with Father and Mother agreed. Mother asserts that Father is living with a girlfriend, unmarried, setting a bad example for the child. She has a safety concern because the child walks to/from school. She maintains that the child did well in school while in Mother's primary custody. She indicates that there is family close to her home also. 6. The Conciliator recommends an Order in the form as attached scheduling a Hearing, granting shared legal custody, Father having primary physical custody with Mother having alternating weekends. It is expected that the Hearing will require one day. --0,, Date acq line M. Verney, Esquire Custody Conciliator BRIGETTE B. FARLEY, IN THE COURT OF COMMON PLEAS OF PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA V. MICHAEL P. FARLEY, DEFENDANT 02-4380 CIVIL TERM ORDER OF COURT AND NOW, this 13t' day of June, 2007, this case having been called for a hearing and the parties having reached an agreement, IT IS ORDERED: (1) All prior custody orders are vacated and replaced with this order. (2) Brigette B. Farley and Michael P. Farley shall have shared legal custody of their daughter, Sarah A. Farley, born January 5, 1995. (3) The father shall have primary physical custody of Sarah. (4) The mother shall have temporary physical custody of Sarah: (a) On a weekend each month when she is not working. The mother shall give the father and Sarah as much advance notice as possible of these weekends. (b) For two non-consecutive weeks each summer to be set by the parents. (c) At such other times as the parties shall agree. (5) The parents will share holidays to be arranged between them. (6) If the mother is visiting in the area where the father lives she shall be liberally allowed to be with Sarah. (7) All transfers shall be made at a half-way point between the homes of the parents. (8) If Sarah tells her father and mother that she wants to move back to her mother's home, the father shall allow her to do so.' If the father thereafter seeks to reassert primary physical custody he shall do so by legal proceedings. Bridgette B. Farley, Pro se 169 Arrowhead Lane Stuarts Draft, VA 24477 Lawrence J. Rosen, Esquire For Michael P. Farley sal Edgar B. Bayley, ' The mother, with some reservations, is agreeing to this order because it is what Sarah wants at this time. c L.q O cv "' ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania 002104888 Co./City/Dist. of CUMBERLAND 849 S 2002 Date of Order/Notice 11/28/07 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number THE DREXEL GROUP INC* 1832 MARKET ST CAMP HILL PA 17011-4824 909107484 02-4380 CIVIL O Original Order/Notice O Amended Order/Notice O Terminate Order/Notice Employee/Obligor's Name (Last, First, MI) 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 250. 00 per month in current support $ 400.00 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 $ 0.00 per month for genetic test costs $ 0.00 per month in other (specify) for a total of $ 650.00 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: $ 150.00per weekly pay period. $ 300.00per biweekly pay period (every two weeks). $ 325. 00 per semimonthly pay period (twice a month). $ 650. 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. Ili 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 /D (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: NOV 2 9 2007 RE: FARLEY, MICHAEL P. BY THE COU . EDWARD E. GUIDO, JUDGE DRO: R.J. SHADDAY Form EN-028 Rev. " Service Type M OMB No.: 0970-0154 Worker ID $IATT 650• x 12jz 52• 1 50. 00* 650* x 12-r 26• 300.00* ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? if4hecked you are required to provide aSopy of this form to your?m?loyee. If yog employee works in a state that is di Brent from the state that issued this or er, a copy must be provi a to your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydateMate of withholding is the date on which allIOU11t WaS witiffield frorn 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: 2327637600 EMPLOYEE'S/OBLIGOR'S NAME: FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 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. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act 0 5 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11.Submitted By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 Service Type M by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker ID $IATT -. ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACSES Case Number 002104888 n l _ e _ _ ff . , _ _ _ - BRIGITTE B. MONTGOMERY Docket Attachment Amount 00849 S 2002 $ 400.00 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. Service Type M PACKS Case Number 909107484 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 02-4380 CIVIL$ 250.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. Addendum OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker ID $IATT 0 vy. bl. 713 ~ CO -< ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania 002104888 Co./City/Dist. of CUMBERLAND 849 S 2002 Date of Order/Notice 12/10/07 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number THE DREXEL GROUP INC* 1832 MARKET ST CAMP HILL PA 17011-4824 909107484 02-4380 CIVIL O Original Order/Notice 0 Amended Order/Notice O Terminate Order/Notice RE: FARLEY, MICHAEL P. Employee/Obligor's Name (Last, First, MI) 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 250.00 per month in current support $ 200.00 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 $ 0.00 per month for genetic test costs $ 0. oo per month in other (specify) for a total of $ 450.00 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: $ 103.85; per weekly pay period. $ 207.69t per biweekly pay period (every two weeks). $ 225. oo per semimonthly pay period (twice a month). $ 450.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: DEC 1 1 2007 DRO: R.J. SHADDAY Service Type M BY THE COURT- 7. EDWARD E. dffIlt, JUDM Form EN-028 Rev. OMB No.: 0970-0154 Worker I D $ IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS die entefrom the state that issued thdeoerpa ?opy? must be proovigedpto your lemp?oyee el?en?if tworks x is not state tha 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.* 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 EMPLOYEEIOBLIGOR NO LONGER WORKS FOR: 2327637600 EMPLOYEE'S/OBLIGOR'S NAME: FARLEY MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit Protection Act 0 5 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 Service Type m by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by internet www.childsupport.state.pa.us if you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT Page 2 of 2 OMB No.: 09700154 Form EN-028 Rev. 1 Worker 1 D $ IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACSES Case Number 00,2104888 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 00849 S 2002 $ 200.00 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 ? 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 PACSES Case Number 909107484 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 02-4380 CIVIL$ 250.00 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 El If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. Addendum OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker I D $ IATT ;- ' ? ? cc;? _? ?'? ?j -:: 4, e p' -` Y ? ?LL} .. ? 1 ; ? ? u- } ? l..a N ORDERINOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dirt. of CUMBERLAND Date of Order/Notice 01/31.'/08 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number THE DREXEL GROUP INC* 1832 MARKET ST CAMP HILL PA 17011-4824 002104888 849 S 2002 02-4380 CIVIL O Original Order/Notice O Amended Order/Notice O Terminate Order/Notice RE: FARLEY, MICHAEL P. Employee/Obligor's Name (Last, First, MI) 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ o . oo per month!.in current support $ o . oo per month in past-due support Arrears 12 weeks or greater? Oyes ® no $ 0.00 per month in current and past-due medical support $ 0 .00 per month', for genetic test costs $ 0.00 per month in other (specify) for a total of $ 0. 00 per month to be forwarded to payee below. You do not have to vary your, pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ o . o.2 per weekly pay period. $ o. oo per biweekly pay period (every two weeks). $ o, oo 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 cast 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 Collectibns and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsytvania 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/ObNgor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: FEB a 1 200b DRO: R. J. SHADDAY Service Type M BY THE COU EDWARD E. GUIDO,% JUDGE Form EN-028 Rev. OMB No.: 0970-0154 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If heck you are required to provide a opy of this form to your m loyee. If yo r employee works in a state that is diferent from the state that issued this order, a copy must be provideedpto your employee even if tie 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 employee/obligor. 3.* Reporting the PaydateiDate of Withholding. )'ou inunot repoit the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which aniount wan, withheld froin 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 unlable 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. THE EMPLOYEE/OBLIGOR ENO LONGER WORKS FOR: 2327637600 EMPLOYEE'S/OBLIGOR'S DAME: FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 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. Anti-discrimination: You are subject to a fine determined under State law for discharging an employeelobligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act 0 5 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: AOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 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 Service Type M OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACSES Case Number 002104888 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 00849 S 2002 $ 0.00 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 PACSES Case Number 909107484 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 02-4380 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. ? 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. 0 if checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Rev. 1 Service Type M Worker ID $IATT OMB No.: 0970-0154 Q EE T u'ias uj ;x 3 C° rte., V ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 03/14/08 Case Number (See Addendum for case summary) E m pl oyer/With holder's Federal EIN Number LA FITNESS SPORTS CLUB* STE 300 2600 MICHELSON DR IRVINE CA 92612-6536 Employee/Obligor's Name (Last, First, MI) 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 250.00 per month in current support $ 201.00 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 $ 0.00 per month for genetic test costs $ 0.00 per month in other (specify) for a total of $ 451.00 per month to be forwarded 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: $ 104.08. per weekly pay period. $ 208.15 per biweekly pay period (every two weeks). $ 225.50 per semimonthly pay period (twice a month). $ 451.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. MAR 17 2008 Date of Order: DRO: R.J. SHADDAY 002104888 849 S 2002 02-4380 CIVIL O Original Order/Notice O Amended Order/Notice O Terminate Order/Notice RE: FARLEY, MICHAEL P. BY THE COUR EDWARD E. I JUDGE Form EN-028 Rev. Service Type M OMB No.: 0970-0154 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If heck you are required to provide a copy of this form to your. m loyee. If yo r employee works in a state that is Uerent from the state that issued this order, a copy must be provicedpto 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: 3307749390 EMPLOYEE'S/OBLIGOR'S NAME: FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 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: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Service Type M Page 2 of 2 OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACSES Case Number 002104888 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 00849 S 2002 $ 200.00 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 PACSES Case Number 909107484 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 02-4380 CIVIL$ 251.00 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. ? 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. ? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Rev. 1 Service Type M OMB No.: 0970-0154 Worker I D $ IATT ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 03/20/08 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number STYLES BOUTIQUE 4701 E TRINDLE RD MECHANICSBURG PA 17050-3616 02-4380 CIVIL O Original Order/Notice O Amended Order/Notice O Terminate Order/Notice Employee/Obligor's Name (Last, First, MI) 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 663 . oo per month in current support $ 88. 00 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 $ 0.00 per month for genetic test costs $ 0.00 per month in other (specify) for a total of $ 751.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 173® 31. per weekly pay period. $ 46.62.per biweekly pay period (every two weeks). $ 375. 50 per semimonthly pay period (twice a month). $ 751. 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 NAMEAND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: MAR 2 4 2008 DRO: R.J. SHADDAY Service Type M 002104888 849 S 2002 RE: FARLEY, MICHAEL P. BY THE COURT• EDWARD E. GUIDO, JUDGE Form EN-028 Rev OMB No.: 0970-0154 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If checko you are required to provide aSopy of this form to your m loyee. If yo r employee works in a state that is different ffrom the state that issued this or er, a copy must be provi?edpto your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee'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: 2010550450 EMPLOYEE'S/OBLIGOR'S NAME: FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act 0 5 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11.Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 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 Service Type M OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACSES Case Number 002104888 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 00849 S 2002 $ 500.00 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 ? 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 PACSES Case Number 909107484 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 02-4380 CIVIL$ 251.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. Addendum OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker ID $ IATT ?`? Q ? •'T}j ? A C.?,q b ? ? S ' •: ^wI ? f / ? .',,,? 't,w ?` "? rJ 4? ` . .?.. ?:? f , ,?,.' 02-4380 CIVIL ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania 002104888 Co./City/Dist. of CUMBERLAND 849 S 2002 Date of Order/Notice 03/20/08 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number LA FITNESS SPORTS CLUB* STE 300 2600 MICHELSON DR IRVINE CA 92612-6536 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 0.00 per month in current support $ o . oo per month in past-due support Arrears 12 weeks or greater? Dyes ® no $ 0.00 per month in current and past-due medical support $ 0 .00 per month for genetic test costs $ 0.00 per month in other (specify) for a total of $ 0.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ o . oo per weekly pay period. $ 0.00 per biweekly pay period (every two weeks). $ o. oo 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 Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: MAR 2 4 2008 BY THE COURT: EDWARD E. GUI DO, JUDGE DRO: R.J. SHADDAY Service Type M OMB No.: 0970-0154 O Original Order/Notice O Amended Order/Notice O Terminate Order/Notice RE: FARLEY, MICHAEL P. Employee/Obligor's Name (Last, First, MI) Form EN-028 Rev. 1 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? Ifjheckesl you are required. to provide aopy of this form to your em loyee. If your employee works in a state that is di Brent rom the state that issued this o er, a copy must be providedpto your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one 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 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: 3307749390 EMPLOYEE'S/OBLIGOR'S NAME: FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 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. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. §1673 01; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 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 Service Type M Page 2 of 2 OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACSES Case Number 002104888 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 00849 S 2002 $ 0.00 Child(ren)'s Name(s): DOB SARAH A.. FARLEY 01/05/95. PACKS Case Number 909107484 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 02-4380 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 PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Rev. 1 Service Type M OMB No.: 0970-0154 Worker ID $IATT 37 ?5 f r N> r r? A ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 04/23/09 Case Number (See Addend m or case summary) Employer/Withholder's Federal EIN Number STYLES BOUTIQUE 4701 E TRINDLE RD PA 17050-3616 184-48-3770 Employee/Obligor's Social Security Number 7556101044 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ o. oo per month in current child support $ o. oo per month in past-due child support Arrears 12 weeks or greater? Dyes ® no $ 0.00 per month in current medical support $ o . oo per month in past-due medical support $ 0.00 per month in current spousal support $ o.oo per month in past-due spousal support $ 0.00 per month for genetic test costs $ 0.00 per month in other (specify) $ one-time lump sum payment for a total of $ 0.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 0.00 per weekly pay period. $ 0. 00 per semimonthly pay period (twice a month) $ o . 00 per biweekly pay period (every two weeks) $ o . 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. S 4374(b)) to remit by electronic payment method, please call Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00 Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND T CSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY R /N RDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: Edward E Guidd Judge DRO: R.J. Shadday Service Type M OMB No.: 0970-0154 002104888 849 S 2002 02-4380 CIVIL O Origi nal Order/Notice OAmended Order/Notice X@Terminate Order/Notice QOne-Time Lump Sum/Notice RE: FARLEY, MICHAEL P. Employee/Obligor's Name (Last, First, MI) Form EN-028 Rev. 4 Worker ID $IATT 1: ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS If #heckes! you are required to per?vide aopy of this form to your m loyee. If your employeevyorks in a state that is di 'rent rom the state that lssu this o er, a copy must be provi c?edpto your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employeelobligor. 3.* Reporting the Paydate/Date of 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'slobligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the 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. 2010550450 THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : O THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: E3 EMPLOYEE'S/OBLIGOR'S NAME:FARLEY, MICHAEL P. EMPLOYEE'S CASE IDENTIFIER: 7556101044 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: LAST KNOWN PHONE NUMBER: FINAL PAYMENT AMOUNT- NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employeelobligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. 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. 11. Send Termination Notice and other correspondence to: DOMESTIC RELATIONS SECTION If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 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 Form EN-028 Rev. 4 Service Type M OMB No.: 0970-0154 Worker I D $ IATT . ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FARLEY, MICHAEL P. PACSES Case Number 002104888 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 00849 S 2002 $ 0.00 Child(ren)'s Name(s): DOB SARAH A. FARLEY 01/05/95 PACSES Case Number 909107484 Plaintiff Name BRIGITTE B. MONTGOMERY Docket Attachment Amount 02-4380 CIVIL$ 0.00 Child(ren)'s Name(s): DOB PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Addendum Form EN-028 Rev. 4 Service Type M OMB No.: 097"154 Worker I D $ IATT 0r- TH` RR. 1'' NC,TARY 2009 APR 27 k` 10: 05 CHILD SUPPORT ENFORCEMENT TRANSMITTAL #1 - INITIAL REQUEST Petitioner: Name (First, Middle, Last) IV-D Case: O TANF BRIGITTE B. MONTGOMERY 0IV-E Foster C r SSN: 243-31-1554 a e Tribal Affiliation (If Applicable) 0 Medicaid Only Respondent: Name (First, Middle, Last) O Former Assistance MICHAEL P. FARLEY SSN: 184-48-3770 ® Never Assistance Tribal Affiliation (If Applicable) 0 Non-IV-D Case To: (Agency Name and address) Ocean Probation Division P.O. Box 2191 Toms River NJ 08754 USA From: (Contact Person, Agency, Address, Phone, Fax, E-Mail) CUMBERLAND COUNTY DOMESTIC RELATIONS SECTION ANGELA S. RYAN 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 Send Payments To: (if different from above) PA SCDU P.O. Box 61167 Harrisburg, PA 17106-9167 Responding FIPS Code 3402900 --- State NJ Responding IV-D Case No. Responding Tribunal No. Initiating FIPS Code 4204121 State PA Initiating IV-D Case No. 909107484 Initiating Tribunal No. 02-4380 CIVIL Payment FIPS Code 4200000 State PA Bank Account Routing Code 1. Action. The Responding Jurisdiction Should Provide All Appropriate Services Including: (Please Return the Acknowledgment Attached) 1. 0 Establishment of Paternity 2. 0 Establishment of Order for: A. OCurrent Child Support, Including Medical Support B. O Retroactive Child Support C. O Medical Support Only D. OSpousal Support E. 0Costs and Fees (Use Sec. VII) 7. ® Registration of Foreign Support Order(s): A. OFor Enforcement Only B. OFor Modification and Enforcement C. OFor Modification Only D. 0For Tribunal Determination of Controlling Order Including Arrears Reconciliation Requested by: O Obligor O Obligee 0 State Agency (Requires Sworn Statement of Arrears) 3. 0 Enforcement of Responding Tribunal Order 8. ® Collection of Arrears Only 4. 0 Modification of Responding Tribunal Order 9. ® Income Withholding 5. 0 Change IV-D Payee of Responding Tribunal Order 10.0 Administrative Review for Federal Tax Refund Offset 6. 0 Redirect Payment to Obligee State 11.0 Other II. Case Summary (Background of this Matter: Court/Administrative Actions) Date of Support Order State & County or Tribe Issuing Order Tribunal Case No. JULY 7, 2005 PA CUMBERLAND 090107484 Support Amount/Frequency Date of Last Payment Amount of Arrears Period of Computation $ 0.00 per MONTH 09/30/09 $ 4, 599, 034.00 07/15/05 thru 10/14/09 Presumed Controlling Order 0 Tribunal Determined Controlling Order Date Date Date of Support Order State & County or Tribe Issuing Order Tribunal Case No. Support Amount/Frequency Date of Last Payment Amount of Arrears Period of Computation $ 0.00 per $ 0.00 thru Presumed Controlling Order Date Date Date of Support Order State & County or Tribe Issuing Order Tribunal Case No. Support Amount/Frequency Date of Last Payment Amount of Arrears Period of Computation $0.00 per $ 0.00 thru Date Date Presumed Controlling Order File Stamp Service Type M Form UF-003 Rev. 5 OMB 0970-0085 Expiration Date: 01/31/2011 Worker ID 21205 CHILD SUPPORT ENFORCEMENT TRANSMITTAL #1- INITIAL REQUEST Initiating IV-D Case No. 909107484 111. Mother Information O Obligor ® Obligee Full Name and Aliases Address (Street, City, State, Zip) Employer/Address (Name, Street, City, State, Zip) (First, Middle, Last) 169 ARROWHEAD LN CARTER BANK AND TRUST BRIGITTE B. MONTGOMERY STUARTS DRAFT VA 24477-2954 1300 KINGS MOUNTAIN RD MARTINSVILLE VA 24112-7268 Home Phone (540) 849-6235 Work Phone Q Address Confirmed _07/07/08 Employer Confirmed 07/04/08 -mate at- i Date/Place of Birth 07/23/58 SESPACH SSN: 243-31-1554 ---Date - - --- Place ----- IV. Father Information ®Obligor Q Obligee Full Name and Aliases Address (Street, City, State, Zip) Employer/Address (Name, Street, City, State, Zip) (First, Middle, Last) 25 4TH AVE # 1 MICHAEL P. FARLEY SEASIDE PARK NJ 08752-1750 Home Phone Work Phone O Address Confirmed 00 00jo0 O Employer Confirmed - Date Date Date/Place of Birth 08/15/57 HARRISBURG PA SSN: 184-48-3770 Date Place V. Caretaker (If Not a Parent) Relationship to Child(ren) _ Full Name and Aliases Address (Street, City, State, Zip) Employer/Address (Name, Street, City, State, Zip) (First, Middle, Last) Home Phone Work Phone Date/Place of Birth O Address Confirmed Date O Employer Confirmed Sex SSN: Date VI. Dependent Children Information State of Residence Born Out of Wedlock if established, Paternity Full Legal Name (First, Middle, Last) Date of Birth Sex SSN for last 0 mo's "Y"-Yes, "N"=No Establishment Date VII. Additional Case Information CASE IS ARREARS ONLY COLLECTABLE AT $250.00 PER MONTH. 0 Nondisclosure Finding Attached Vill. Attachments (Supporting Documentation) ® Arrears Statement/Payment History Q Uniform Support Petition Q Copies) Q General Testimony/Affidavit 0 Affidavit in Support of Establishing Paternity Q Acknowledgment of Parentage Q Other Documents Relating to Paternity 10/14/09 Date FAX: 717-240-6248 ANGELA S. RYAN Q Notice of Determination of Controlling Order ® Support Order(s) ® Divorce Decree Q Assignment of Rights Q Description of Real/Personal Property Q Photograph of Respondent 0 Other Attachments Initiating Contact Person (Print or Type) E-Mail:ANGELARYAN@PACSES. COM 717-240-6545 Telephone Number & Extension Page 2 of 3 Form UF-003 Rev. 5 Service Type M Worker ID 21205 CHILD SUPPORT ENFORCEMENT TRANSMITTAL #1 - INITIAL REQUEST Petitioner: Name (First, Middle, Last) BRIGITTE B. MONTGOMERY SSN: 243-31-1554 Tribal Affiliation (If Applicable) Respondent: Name (First, Middle, Last) MICHAEL P. FARLEY SSN: 184-48-3770 Tribal Affiliation (If Applicable) To: (Agency Name and address) CUMBERLAND COUNTY DOMESTIC RELATIONS SECTION IV-D Case: 0 TANF 0 IV-E Foster Care 0 Medicaid Only 0 Former Assistance ® Never Assistance 0 Non-IV-D Case ANGELA S. RYAN Responding FIPS Code 3402900 State NJ 13 N. HANOVER ST - - P.O. BOX 320 Responding IV-D Case No. CARLISLE PA 17013 -- Responding Tribunal No. Front: (Contact Person, Agency, Address, Phone, Fax, E-Mail) Ocean Probation Division P.O. Box 2191 Toms River NJ 08754 USA Send Payments To: (if different from above) PA SCDU P.O. Box 61167 Harrisburg, PA 17106-9167 Initiating FIPS Code Initiating IV-D Case No. Initiating Tribunal No. Payment FIPS Code Bank Account 4204121 909107484 02-4380 CIVIL A9nnnnn State PA State PA Routing Code ACKNOWLEDGMENTS Return This Form to Initiating State 0 Request Received and No Additional Information is Necessary 0 Additional Information Needed Arrears Statement/Payment History Uniform Support Petition General Testimony/Affidavit Affidavit in Support of Establishing Paternity Acknowledgment of Parentage 0 Other Documents Relating to Paternity 0 Remarks/Response 0 Your Case has been Forwarded for Action to: FAX: Date 0 Notice of Determination of Controlling Order Q Support Order(s) Divorce Decree Assignment of Rights Description of Real/Personal Property Photograph of Respondent 0 Other (See Remarks) Person Completing Form (Print or Type) E-Mai I: Name of Worker Agency Name Address, FIPS Code Phone & Extension FAX / E-Mail Telephone Number & Extension Service Type M Return This Page to the Initiating Jurisdiction Page 3 of 3 Form UF-003 Rev. 5 Worker ID 21205 REGISTRATION STATEMENT Responding IV-D Case No. Initiating IV-D Case No. 909107484 Responding Tribunal No. Initiating Tribunal No. 02-4380 CIVIL Action: (j) Register for Enforcement O Register for Modification 1. Case Summary (Background of this Matter: Court /Administrative Actions) Date of Support Order State and County Issuing Order Tribunal Case No. JULY 7, 2005 PA CUMBERLAND 909107484 Support Amount/Frequency Date of Last Payment Amount of Arrears Period of Computation $ 0.00 per MONTH 09/30/09 $4,599.34 07/15/05 thru 10/14/09 QTribunal Has Determined This to Be Controlling Order O Only Order Date Date II. Mother Information O Obligor ® Obligee Full Name Address (Street, City, State, Zip) Employer/Address (Name, Street, City, State, Zip) (First, Middle, Last) 169 ARROWHEAD LN CARTER BANK AND TRUST BRIGITTE B. MONTGOMERY STUARTS DRAFT VA 24477-2954 1300 KINGS MOUNTAIN RD Aliases, Maiden Name MARTINSVILLE VA 24112-7268 SSN:243-31-1554 III. Father Information Q Obligor O Obligee Full Name Address (Street, City, State, Zip) Employer/Address (Name, Street, City, State, Zip) (First, Middle, Last) 25 4TH AVE # 1 MICHAEL P. FARLEY SEASIDE PARK NJ 08752-1750 Aliases SSN: 184-48-3770 IV. Caretaker (If Not a Parent) Relationship to Child(ren) Full Name Address (Street, City, State, Zip) (First, Middle, Last) Aliases SSN: O Has legal custody/ guardianship of child(ren) V. Additional Case Information O Nondisclosure Finding Attached This order is registered in the following states: Description and location of any property not exempt from execution: Other: CASE IS ARREARS ONLY OWED TO THE PLAINTIFF COLLECTABLE AT $250.00 PER MONTH. VI. Verification /Certification Under penalties of perjury, all information and facts concerning the arrearage accrued under this order are true to the best of my knowledge and belief. /DZ/4/09 Date Sworn to and Signed Before Me This Date, County/State O Party seeking Registration Records Court/Agen ykifficial and Title Z-e e 4ian Deputy Clerk of Courts herland County Commission Expires First Ronda yrdn J*owrY 20 -ILL Form UF-002 Rev. 3 Service Type M Worker ID 21205 OMB 0970-0085 Expiration Dale: 01/31/2008 nr 2009 OCT 15 AM 11: 22 5