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Case 11-40913
Doc 5
Hennepin Couniy
300 S 6th Street
Minneapolis,!>.fN 55437
Pay Group:
Pay Begin Date:
I Employee
ID,
Department:
Stott Sargent
16609 77th PI N
Maple Grove, MN 5531\
711840001
18541(}.Juv Prob - Gencm! Supervision
Juvenile Justice Center
ProbatfPa."Ole Offieer, Career
$2,B98,oo Biweekly
Loeaiion:
, Job Title:
PAy Rate:
E_
RItl!:.
ulUgcvity Paymem
Stability Pay
Holiday Hourly
Regu]arPay
Sick Leave - Hourly
Vacation - Hourly
16.00
64,OQ
......
TOTAL:
Ilo!uJ!
S.77
579.60
2,318.40
0,00
0,00
4,11)3.77
72.47
4;J!i'
fs
8@.64
1% SuppJemenlat Retirement
AFSCME Prob Officer LoeB1
15.00
76.93
315.00
1,923.08
146_23
45.60
4,427.75
547.20'
I{KCTY
000000(100%36741
12/10/2010
TAX DATA:
Federal
MN State
MariHl.! Status:
Allowances:
Add!. Pet:
Add!. Amt:
t.1arrlOO
Married
3
TAXES
Y'fD
~
Ilo!uJ!
Ul&s:[ilHliln
Fed Wilhholdng
Fed MEDIEE
Fed OASDL'EE
MN Withholdng
24.00
160.00
144.2B
1,100.00
3,187.80
62,S96.SO
869".40
5,7%.00
2.,000,00
73,794.18
TOTAL:
1,200.00
36.225000
36.225000
Business Unit:
Advicc#;
Advice Date:
Desc Main
88.00
1,72iUm
"2
7~
35-40'
424.80'
OJ)O
176.00
!;,~~,:~~~!::":.~:~ncome
Long-Term Disability
f'BRA CQOrdiufltcd Plan
MTC Metropass S69 Subsidy
J% Supplemental RtnnD[ Match
J:oia:l:!ll
YII!
361.76
54.17
13J.62
169.60
5,040,18
%0.93
4,lOs'82
2,469.86
,fU7.15
12.,579.19
~
L6(l
14.20
287,26
30.40'
41.04
,~
15,631.03
19.20
355.00
5,143.75
36U.
738.00 .
i
i
1;J3U.
76.44
I
Current
Y11)
TOTAL GROSS
4,103,17
73,794.28
Advire #000000000236741
TOTAL:
MESSAGE:
TOTAL DEDUCTIONS
746.63
14,402.55
:"VE'fPAY
2,539.99
46,lHL94
Hoop'" Amount
TOTAL TAXES
817.15
12,579.79
I
I
$2,539,99 :
Case 11-40913
Doc 5
Hennepin County
Pay Group:
Pay Begin Date:
Pay End Date:
MlnJleRpolis, MN 55487
HNC1Y
BllSiness Unit
Advice #:
Advice Date:
12118/2010
Desc Main
OOOi.IDOOO{)l44469
12123,'2010
Federal
Married
TAX DATA:
S~ott Sargent
Employee ID:
16609 77th Pl N
Department
: Looation:
J
!
--Marilal Status:
Allowauces'
111&40001
2854\0-Juv Pfflb General Supervision
lQbTitle:
Pay RAte:
Curreut
DillrioUrw
Lougevily Payment
RegularPu)'
Sick Leave - Hourly
Holiday. Hourly
Stability Pay
Vacation ~ Hourly
I!liJ<
Hom
36.225QOO
36.22:5000
69,00
5.77
2,49953
11.00
398.48
35_00
0_00
0-00
0-00
88.00
ilirlIlIII:>
iIlUIn
160.00
AddL Pet
AddJ.Am!:
Dncriutign
Fed Witbholdll8
Fed MEDIEE
fed OASDl!EE
MN Withholdng
150,05
65,0%..33
1,267.88
3,187.80
1,200.00
5,796.00
1,797.00
Married
TAXES
ilirlIlIII:>
TD
MN State
l:m<nI
Ym
200.38
3831
163.80
98.40
5,240.56
999.24.
4.212.62
2.568.26
500."
13,081).68
:
-tOTAL,
80.00
2,903.78
AITE.R~TAX
BEFORE-TAX DEDUCTIONS
Pwnptil)Q
l:m<nI
213.96
15.00
76.92
Deaerip1jPD
Ym
5,135.04
390.00
2.000.00
HeEA
2,080.'.
76,69$.06
DEDUCTIONS
Ym -'PwwtiM
l:m<nI
192.00
16.00
29.04
767.04
424,80
0.0.
552
174.23
0.00
0.00
TOTAL:
4,601.98
869.64
547.20 "
l:m<nI
619.61
]4,20
203.26
29.64
MO
0.00
Ym
16,310.64
369.20
5.347.01
767.04
19.2(} ,
364.Sf}
TOTAL:
480.11
TOTAL GROSS
2,90),78
76.698..06
13,543.86
TOTAL:
,84
45.04
TOTAL TAXES
500.89
13,080.68
*TAXABLE
TOTAl, DEOtsCTIONS
525.15
14,927.70
TOTAL:
MESSAGE:
NET PAY
1,877.74
48,689.68
IlepqMt AmWDt
$1,877.74 :
$1.877,"\
Case 11-40913
Doc 5
Hennepin County
Puy Group;
Pay Begin Date:
Pay End Oa!c;
Fm,"',., 10,
1660917th"'N
Map-Ie Grove. M~ 55311
Job Title:
Pay Rate;
Current
Dmrlpdqn
.8m
Longevity Payment
36.225000
RegulnrPay
36225000
IllIW:>
lWnilllI1
5.17
869.'1(1
2,028.60
24.00
56.00
Business Unit:
HNCTY
Advice#:
AdVIce Dale;
00000000I.)251157
Oli07f2{)ll
I~
Location:
Holiday. Hourly
Desc Main
M.m,~
, Allowances:
Addl.Pe!:
AddLAml:
-IllIW:>
TAXES
YTO
5,77
S69AO
2,028.60
24.00
56,00
lJil:I<m
IliiJ!:dulW.D
lWnilllI1
175JW
35.%
104.17
90.65
Fed Withholdns
FedMEDIEE
FedOASDVEE
MN Withhojdng
.....
TOTAL;
BEFORETAX DEDUCTIONS
Jlw:rWtiop
lJil:I<m
213.%
77.56
15.00
115.38
2,903.77
AFTER~TAX
80.00
29.04
35.03
29J14
35.03
"2
HCEA
PERA Coordinated Plan
MTC~
11H.49
45.60
lJil:I<m
De$fript!vp
181.49
45.60
!75.04
35,96
W4.17
90.65
_112
TOTAL.:
lJil:I<m
1% Supplemental Retirement
213.96
7756
15.00
115.38
2;903.71
DEDUCTIONS
Qegrintion
Mru-ri""
619.61
US\)
679.61
1,60
14.20
1420
210,52
21(t52
30040
30.40
29.04
29.04
:
TOTAL:
Current
YTD
643.99
TOTAL GROSS
2.9{lJ.77
2,903.77
648.99
TOTAl,,;
64.(17
64,1}7
"'TAXARLE
TOTAL TAXES
TOTAL DEDUCTIONS
NET PAY
2,254.78
405.82
405.82
713.%
713.(16
1,784.89
1,784.89
Dewjt Am9uut
$1,784.89
2,254.78
AdVIce fIOOooo0000252157
TOTAL:
MESSf\.GE:
$1.784.89
Case 11-40913
Doc 5
Desc Main
Hennepin County
Dare:
Pay End Date:
Pl~
Department:
Allow:mces:
Addt Pet:
AddLAmt:
Location,
lob Title:
Pay R.ate:
000000000259839
Q1I2112011
Adviee#:
Ad"iee Date:
Olf:5l2011
'''-'''i
I
-I!JIl<
pwriutiGn
Lcngcvlty Payment
ReguJarPay
Hollday - Hourly
36.225QOO
TAXES
'iT/)
IIw>
lImiIIu
iIlIIIn
80.00
5.77
2,898.00
0.00
136.00
24.00
D:aWlJ;ikm
lImiIIu
Fed Witbholdng
Fed MEDJE
Fed OASDIIEE
11.54
4,926.60
869.40
MN Withholdng
l:.oJ:wIl
193.52
37.75
109.35
99.33
36856
13.71
21352
189.98
:
~-TOTAL:
2~O3.77
80.00
BEFORE-TAx-DEDUCTIONS
I'h:st:riptinD
l:.oJ:wIl
Medieal No lmpute<! InCOffi
213.96
Deferred C<>mp 457(b) Pl:m
15JiO
Flcxible Spending Aecoun!
11538
AFfER~TAX
160,00
DEDUCTIONS
ne1icdnti9 8
16.00
29.04
0,00
1% Supplementlli Rctirement
AFSCME Prob Officer Local
DmrintiruJ
16.00
58.08
35JH
552
HCEA
PERA Coordinated Plan
Dental with No ]mpufcd Income
MTC Mctropass
181.49
0.00
0,00
362.98
7756
45.60 :
845.77
439.95
l:.oJ:wIl
427.92
30.00
230.76
TOTAL:
5,867.54
l:.oJ:wIl
679'.61
14.20
21051
29.04
0.00
\,359.22
28.40
421.04
5K08
{tOO
30.40
tOO
I
TOTAL:
C~nt
YTD
525.83
TOTAL GROSS
2,903.77
5,807.54
1,174.81
TOTAL:
109.11
45.04
TOTAL TAXES
439.9'5
845.77
*TA.XABLE
TOTAL DEDUCTIONS
570,87
1.283.93
NET PA DISTRIBUTION
Al;rnpnt Type
Al;CQunt Number
Adviee #000000000259839
Checking
XXXXXXXXXX
NETI"AY
l,S92.95
3,6nS4
fumit Amm fBt
$l,892.95
I
TOTAL:
MESSAGE;
$1,892.95
Case 11-40913
Doc 5
Hennepin County
Yay Groop;
Pay Begin Date:
Pay End Date:
Minneapolis. MN 55487
BlISioossUnit:
Advice#;
i Advice Date:
IlNCfY
OOOOOOOODUi7S5I}
02l04/20lJ
TAX DATA:
Marital Status;
Allowances:
Federal
Mruriod
3
! Srott Sargent
Employee ID:
Depmment:
, 16609 77th PI N
, Maple Grove, MN 55311
711840001
285410-Juv PrOO - Genel1li Supervision
Juvooi!e Justiee Center
ProbatlParole Offic-er, Career
$2,89KOO B~weekly
Location".
Job Tltle:
Pay Rate:
B;;k
DmrtpUpU
Longevity l'1Iyment
Holiday ~ Hoody
Regular Pay
VI!Il;tltion - Hourly
36,225000
36.225000
36.22.5000
~
64.00
3U)()
200.00
8.00
289.80
8.00
IlluIn
5.77
289.80
2,318.4Q
8,00
M.;.""( State
MlIrried
3
AddL Pet:
AddL Amt;
HI}
E.8rJIlW
Desc Main
E.8rJIlW
17.31
1,159,20
7,245.00
289,80
!:iImllI
1k:11;[lnrioa
Fed Withholdng
fedMEDiEE
FedOASDUEE
MN Withholdng
llll
195,91
35m
90.65
564.47
109.68
3l7.69
280.63
426.1.
1~12.47
\04.17
TOTAL,
....00
BEroRE~TAX
DEDUCTIONS
De!irdptWn
TOTAL:
"903.77
=m
213.%
AFrER~ T,4.X
641.88
J55.12
77.%
1.5.00
I15.39
346,15
181.49
544.47
45.60
91.20
649.00
1.&23.82
TOTAL GROSS
CI.H1Ctlt
2.903.77
YTD
S.71 \.31
Dey;ripti9l!
llll
1% Supplemental Retirement
AFSCME Prob Officer lAca!
552
PERA Life Ins High
45,00
8,111.31
TOTAL,
DEDUCTlONS
=m
YIl!
29.04
87.12
35JiJ
70.06
J6.00
OJ'"
Drserlptjog
MedicaJ No Imputed lnoome
Basic Life and AD&D
Long-Tenu Disabmty
PER..... Coordinated piaJI
MTC Metropasll 169 Subsidy
1% Supplemental Rtrmllt Mntc.'l
=m
679.61
1.60
)4.20
21052
x:m
2,038.83
3.20
42,60
631.56
30AO
60.80
29,{}4
87,12
TOTAL:
64.07
TO'l'Al,TAXES
426.70
TOTAL DEDUCTIONS
~ETPAY
713.07
1,272.47
1,991.00
J,764.00
.5,441.84
AC;COIIDtTynf
AcCOunt Nllmber
DernWt Amount
Cheddng
XXXXXXXXXX
$1.764.00
113.18
"'TAXABLE
MESSAGE:
Case 11-40913
Doc 5
R07100 2/3l2011
Desc Main
Route:
COUNCIL
SARGENT, LEANN B
Check No:
PO BOX 1180
MAPLF GROVE,
MN 55311
Period Ertd
_ _ _ HOUfS
Regular
80.00
..
a010
480.77
Period Amount
----.~
480.n
29,ao
Tmal Deducbons
Year to Date
... _ - -
12,019.25
745.19
6,97
174.28
MNSIT
8.49
212.25
24.04
601,00
PERA DC
450.77
12/512010
0,00
Gross Pay
87623
Net Pay
411.47
Case 11-40913
Doc 5
R07ie6 213/2011
SARGENT, LEANN
PO BOX 1180
MAPLE GROVE,
H....
80.00
Regular
6..010
Route:
Amount
4S0.77
Period End:
Oe~ri~o~
Year to Date
....
Period Amount
480,77
69.31
Year to Date
12,500.02
0.00
29,81
775_00
6,97
is-US
MNSIT
8A9
2W.74
24.04
625.04
PERADC
Total Deductions
1211912010
------~--
480.n
87965
CheckOate: 12l2412G10
Gross Pay
COUNCIL
Chect<No:
MN 55311
R...
Desc Main
Net Pay
411.46
Case 11-40913
Doc 5
R07186 2/3/2.011
Desc Main
Route:
COUNCIL
SARGEN-r. LEANN B
Check No:
PO BOX 1180
Cbei::k Date:
1f712011
MAPLEGROVEMN 55311-6180
MAPLE GROVE,
Period End:
11212011
Period
Hours
80.00
Regular
MN
Rate
5.010
55311
Amount
480.77
Oescri~on
Yearto Date
480~TI
Gross Wages
......
Period Amount
48'H1
T oCal Deductions
78,68
Yearto Date
--------~
480.77
480.n
Federallncome -rax
15.29
15.29
20,19
20.19
6.97
6Jl7
MNSIT
12.19
12.19
PERADC
24.04
24.04
Gross-Pay
88300
NeiPay
402.09
Case 11-40913
Doc 5
R07186 2i3J2011
Desc Main
Route:
COUNCIL
SARGENT, LEANN B
Check No:
PO BOX 1180
Check Date:
112112011
MAPLE GROVE,
Period End:
1/1612011
_ _ ~'?~&mings
Hours
Regular
:=''=0'''.0"'0--'
MN
Rate
55311
Amount
Year to
Description
_~_~_
~--~---
6.010
480.77
961.54
Gross Wages
480.77
T~al
DeduClions
76.66
Year to Date
480.77
961.54
15.29
30.68
20.19
40.""
6.\fl
1-3.94
MNSIT
12.19
24.38
PERA DC
24.04
48,08
Gross Pay
Period
AmOunt
._--_.
88637
Net Pay
Case 11-40913
Doc 5
R07186 2f312011
Desc Main
Route:
COUNCIL
SARGENT, LEANN B
Check No:
PO BOX 1180
Check
MAPLE GROVE,
MN
Ram
BO.""
Regular
6.010
55311
AmQunt
480.77
Year to Date
1,442.31
21412011
Period End:
113012011
480.77
Tmal Deductions
__
480.77
Oate
...Year to
._
1,442.31
15..29
45.87
20.20
60.58
Period Amount
GrossWages
Gross Pay
89315
Date:
6.97
20.91
MNSIT
12.19
36.57
PERA DC
24.04
7212
Net ?-dY
402.08
BKY
Case 11-40913
Doc 5
Page 1 of 1
Desc Main
Subject: BKY
Hello:
We loaded in the info you gave us and I am sending a revised draft to review. There is still some missing info I
will need:
Schedule A-I need the tax assessed value of the home for 2011
B-1 will need your bank balances effective Wed moming. Email me the balances and print off statements for your
records. I need book values for all vehicles. Again, print off statements for your records. What is currently in the
CDs, and what was paid out from them? I need dates, amounts and recipients. Check each category to make
sure no assets are missing. This is where people often get caught missing something.
D-F-all creditors listed?
GtH-any missing?
I/J-Iloaded in the pay for Scott and have the rent I do have your paystubs from Maple Grove. I understand there
has been no commissions paid since 8/1, and you have nothing in the pipeline, correct? No listings at this time?
Make sure all out of pocket expenses are listed on J, I note that he has money in an HSA. Does that cover the
out of pocket mediCal? If so, we need to remove that entry from J. What about insurances, Let me know if any of
those listed On J are actually deducted from Scott's paystub.
Statement of Financial Affairs-I will load in the number for 201 gross. I did not see any notes on #10, so I will trust
that there have been no applicable transfers of money or property.
I have the forms you signed and returned. I am sending the income form again, because you BOTH need to sign
that. Have Scott sign in middle and you sign on bottom. I will complete. You can scan and email or fax to 952
943-3901.
Let me know if you have any questions. I will look for your info first thing in the moming and make final changes.
I will get back to you with any issues. Although the combined income does exceed the median income for a
family of 5, the mortgages and other deductions allow you to avoid the filing being dubbed an abuse. That does
mean that we can still not be required to verify all the information. Also, as we discussed, the payments from the
CD can be looked at and questioned. There is no getting around that. We will just have to comply with any
documentation requests.
MCM
http://maiLaol.coml33189-1111aol-6/en-usimaillPrintt\1essage.aspx
2/812011