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JOHN J. HEGARTY,
plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
No. 96-1022 CIVIL TERM
CIVIL ACTION - LAW
KAREN D. HEGARTY.
Defendant
IN DIVORCE
PEli'ENDANT' S CQUNTE:R....:llff.I12A.'llI_UN(J~~CTIO~ ))01 Id)
9E-IHE DIVORCE COD~
1. Ch"c!~ e!ither (i1), (0) or (c):
L
(a) I do not oppose the entry of a divorce decree.
(b) I oppose the entry of a divorce decree on a
bifurcated basis, but do not oppose the entry
of a divorce decree once the economic issues
have been resolved.
(c) I oppose the entry of a divorce decree because
(Check (i), (Hi or both) :
(1) The parties to this action have not lived
separate and apart for a period of at least
two years.
/
,
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(ii) The marriage is not irretrievably broken.
2.
Check either (a) or (b):
;f,
,
(a) I do not wish to make any claims for economic
relief. 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.
(b) I wish to claim economic relief which illay
include alimony, division of property, lawyer's
fees or expenses or other important rights.
I verify that the statements made in this counter-affidavit are
true and correct. I understand that false statements herein are
made subject to the penalties of 18 Pa.C.S. Section 4904 relating
to unsworn falsification to authorities.
Date: ~,IV \,
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111\'" eel._
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,
Karen D. Hegarty
NOTICE: If you do not wish to oppose the entry of a divorce decree
and you do not wish to make any claim for economic relief, you need
not file this counteraffidavit.
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ASSETS OF PARTIES
plaintiff marks on the list below those items
applicable to the case at bar and itemizes the assets on the
following pages. If an item has been appraised. a copy of the
appraisal report is attached.
(X) l.
(X) 2.
3 .
4.
S.
6.
7.
8.
9.
10.
11.
l2.
13.
14.
15.
Real property
Motor vehicles
Stocks, bonds, securities and options
Certificates of deposit
Checking accounts. cash
Savings accounts, money market and savings
certif icates
Contents of safe deposit boxes
Trusts
Life Insurance policies (indicate face value, cash
surrender value and current beneficiaries)
Annuities
Gifts
Inheritances
Patents, copyrights, inventions, royalties
Personal property outside the home
Businesses (list all owners, including percentage
of ownership, and officer/director positions held
by a party with company)
16. Employment termination benefits - severance pay,
workmafi's compensation claim/award
( )
17. Profit sharing plans
(Xl
18. Pension plans (indicate employee contribution and
date plan vests)
19. Retirement plans, Individual Retirement Accounts
20. Disability payments
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LIABILITIES OF' PARTIES
Plalntiff marks on the list below those items
appllcable to the case at bar and itemlzes the liabilities on the
followlng pages.
Secured
(Xl
1. Mortgages
2. Judgments
3. Liens
4. Other secured liabilities
Unsecured
(Xl 5. Credit card balances
( ) 6 . Purchases
(X) 7. Loan payments
8. Notes payable
9. Other unsecured liabilities
ContinGent or Deferred
10. Contracts or Agreements
11. Promissory notes
12. Lawsuits
13 . Opt ions
14. Taxes
15. Ocher contingent or deferred liabilities
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EXPENSES
Weekly Monthly Yearly
(Pi 11 in Appropriate Column)
Home
Mortgage I rent $ $ 554.00 $
Maintenance 50.00
Utilities
Electric 75.00
Gas
Oil
Telephone 45.~
Water 30.00
Sewer
Employment
Public Transporta t ion $ $ $
Lunch 100.00
Taxes
.Real Estate $ $ $
Personal
Income
Insurance
.Homeowners
Automobile 80.00
.Included in mortgage payment.
Weekly M<Jnthty Yeady
("' Lit i.n Appr-o>,r- l.~te Column)
Li fe $ $ 18.00. $
Accident
Health
Other-
Automob 11e
Payments $ $ 335.00. $
",uel 80.00
Repairs 25.00
Medical
Doctor $ $ $
Dent ist
Orthodontist
Hospital
Medicine
Special needs (glasses.
braces. orthopedic
devices) 12.50 150.00
Education
Private school $ $ $
Parochial school
College
Religious
"Deducted from payroll
Weekly Monthly Yearly
(Fill in Appropriate Column)
Personal
Clothing $-- $ 41.66 $ 500.00
Food 100.00
Barber/hairdresser 32.00
Credit payments
Credit card 100.00
Charge account
Memberships 25.00
Loans
Credie Union $ $ $
~Iiscellaneous
Household help
$
$
Pet Care
800.00
Papers/books/magazines
Entertainment
Pay TV
Vacation
1000.00
1000.00
Gifts
INSURANCE
Company
Policy
No.
Coverage.
H W C
Hospital
Blue Cross
Other USAF X X
Medical
Blue Shield
Other USAF X X
Health/Accident
Cisabi lity Income
Dental USAF X X
Other
H=Husband; W=Wife; C=Child
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