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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND
COUNTY
STATE OF
PENNA.
.
Donna M. Rizzilli
nnuUUnUUUU' I
mUUmUUU II
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No. "..2,QQ.0,::9.,5.6."
Plaintiff
Versus
RilY1'1011'1..},U Rizzilli
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DECREE IN
D I V 0 R C E .::r ,:f 7 Q,.JtI/.
AND NOW, .......~.l~.......J.@...., it is ordered and
decreed that ............ Donna. M.. Rizzilli. . . . . . . . . . . . . . . . . . . " plaintiff,
and. . . . . . . . . . . . . . . . . . . . . .~':~~r:~ .~". .~~~~~~~~. . . . . . . . . . . . . . . " defendant,
are divorced from the bonds of matrimony.
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;
The parties Marriage settlement agreement dated May 11, 2000 is incorporated
.......................................... ............ ....................,
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DONNA M. RIZZILLI,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,PENNSYLV ANIA
vs.
CIVIL ACTION - LAW
RAYMOND J. RIZZILLI,
Defendant
: NO. 2000- 956 CIVIL TERM
: IN DIVORCE
MARITAL PROPERTY AND SETTLEMENT AGREEMENT
This Agreement, made and entered into this 11ft-. day of ~ ' 2000,
between Donna M. Rizzilli, toO W. Green Street, Shiremanstown, Cumberland County,
Pennsylvania, hereinafter referred to as "Wife," and Raymond J. Rizzilli, 3 Longstreet Drive,
Carlisle, Cumberland County, Pennsylvania, hereinafter referred to as "Husband."
WHEREAS, the parties hereto are now Wife and Husband, having been lawfully married to
each other on December 28, 1996 in Shiremanstown, Crnnberland County, Pennsylvania; and,
WHEREAS, certain differences have arisen by and between the parties as a result of which
they have now separated and the parties hereto are desirous of settling fully and fmally their
respective fmancial and property rights and obligation as between each other including, without
limitation by specification: the settling of all matters between them relating to the ownership and
equitable distribution of real and personal property; the settling of all matters between them
relating to the past, present and future support, alimony and/or maintenance of Wife by Husband or
of Husband of Wife; and in general, the settling of any and all claims and possible claims by one
against the other or against their respective estates; and,
WHEREAS, both and each of the parties hereto have been advised of their legal rights and
the implications of this Agreement and the legal consequences that may and will ensue from the
execution hereof, and each has had the opportunity to consult with his or her oWn competent legal
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counsel independent of each other; and,
WHEREAS, each party warrants, as part of the consideration of this Agreement, that each
has fully and completely disclosed all information of a financial nature requested by the other, and
that no information of such nature has been subject to distortion or in any marmer being
misrepresented; and
WHEREAS, other than as set forth herein, Wife desires fmally and forever to relinquish all
of her right of dower, rights as heir or surviving spouse or otherwise, actual, currently existing, or
inchoate, in and to the real and personal property of the Husband, now owned by him or which in
the future may be owned by him, and all rights to counsel fees, or expenses and other than as set
forth herein, Husband likewise wishes to relinquish all his rights of curtesy, rights as heir or
surviving spouse or otherwise, actual and currently existing or inchoate in and to the real and
personal estate of the Wife, currently owned by her or which she may own in the future;
NOW, THEREFORE, the parties hereto intending to be legally bound hereby do hereby
mutually agree as follows:
1. Advice of Counsel. Husband and Wife acknowledge that they have been given the
opportunity to obtain the advice of counsel regarding the provisions of this Agreement and their
legal effect in advance of the date set forth above to permit such independent review. Each party
acknowledges that he or she has had the opportunity to receive independent legal advice from
counsel of his or her selection, and that each fully understands the facts and has been fully informed
as to his or her legal rights and obligation, and each party acknowledges and accepts that this
Agreement is, and under the circlUllstances, fair and equitable, after having the opportunity to
receive such advice and with such knowledge, and that execution of this Agreement is not the result
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of any improper or illegal agreement or agreements. In addition, each party hereto acknowledges
that he or she has had the opportunity to be fully advised by his or her respective attorney of the
impact of the Pennsylvania Divorce Code, whereby the court has the right and duty to determine all
marital rights of the parties including divorce, alimony, alimony pendente lite, equitable distribution
of all marital property or property owned or possessed individually by the other, counsel fees and
costs of litigation and, fully knowing the same and having the opportunity to be fully advised of his
or her rights thereunder, each party hereto still desires to execute this Agreement, acknowledging
that the terms and conditions set forth herein are fair, just and equitable to each of the parties, and
waives his or her respective right to have the Court of Common Pleas of Cumberland County, or
any other court of competent jurisdiction, make any determination or order effecting the respective
parties' rights to a divorce, alimony, alimony pendente lite, equitable distribution of all marital
property, counsel fees and costs of litigation.
2. Separation. Husband and Wife do hereby mutually agree and consent to live
separate and apart and do further agree that it shall be lawful for the Husband and Wife at all times
hereafter to live separate and apart from each other, and to reside, from time to time, at such place
or places as they respectfully shall deem fit, free from any control or restraint or interference, direct
or indirect, by each other.
3. No Molestation, Harassment or Interference. Neither party shall molest, harass
or interfere with the other or compel or endeavor to compel the other to cohabit or dwell with him
or her by any means whatsoever.
4. Mutual Property and Estate Waiver. Except as otherwise expressly set forth
herein, in which event such express provision shall take precedence over this paragraph, the parties
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hereto intend that from and after the date of this Agreement, neither shall have any spouse's rights
in the property or estate of the other, and to that end both parties waive, relinquish, and forbear the
rights of dower or curtesy, rights to inherit, rights to claim or take the Husband or Wife's or family
exemption or allowance, to be vested with letters of administration or letters testamentary, or to
take against any will of the other, and each agrees with the other if either should die intestate, his or
her share shall descend to vest in his or her heirs at law, personal representatives, and next of kin,
excluding the other as though he or she had died a widow or widower. And each further agrees that
should the other die testate, his or her property shall descend to and vest in those persons set forth in
the other's Last Will and Testament as though the spouse so designated as beneficiary had
predeceased the testator. The parties further agree that they may and can hereafter, as though
unmarried, without any joinder by him or her, sell, convey, transfer or encumber any and all real
estate and personal property which either of them now or hereafter own or possess and further agree
that the recording of this Agreement shall be conclusive evidence to all of his or her right to do so.
The said Husband and Wife do hereby irrevocably grant, each to the other, should the exercise of
this power hereby given be necessary, the right and the power to appoint one or more times any
person or persons whom the Husband or Wife shall designate to be the attorney-in-fact for the
other, in their name and in their stead, to execute and acknowledge any deed or deeds, releases, quit
claims, or satisfactions, under seal or otherwise, to enable either party hereto to alienate his or her
real or personal property, but without any power to impose personal liability for breach of warranty
or otherwise. Each of the parties hereto further waives any right of election contained in Chapter 22
of the Pennsylvania Probate Estates and Fiduciaries Code, and any right to seek or have an
equitable distribution of married property ordered by the Court pursuant to Section 3502 of the
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Divorce Code. Each of the parties hereto further agrees that neither shall hereafter be under any
legal obligations to support the other, pay any expenses for maintenances, funeral, burial, or
otherwise for the other, and to that end each of the parties hereto does hereby waive any right to
receive support, alimony, alimony pendente lite, counsel fees, expenses, or any type of fmancial
assistance whatsoever from the other, except as otherwise expressly provided for herein.
5. Division of Personal Property.
The parties agree that they have divided their personal property including all household
items, to their mutual satisfaction.
AUTOMOBILES: Further, the parties have agreed to retain the vehicles that they presently
drive and that each will assume the respective payments for their vehicles if any. In this regard,
Husband shall retain the 1999 Dodge Durango and the 1991 Pontiac Grand Prix; Wife shall retain
the 1996 Chevrolet Blazer. The parties agree to execute any and all documents necessary to
effectuate the change of title on said vehicles, if necessary.
BANK ACCOUNTS: The parties hereby agree that all bank accounts have been divided to
the parties' mutual satisfaction
From and after the date of the signing of this Agreement both parties shall have complete
freedom of disposition as to their separate property which is in their possession or control pursuant
to this Agreement and may mortgage, sell, grant, conveyor otherwise encumber or dispose of such
property, whether real or personal, whether such property was acquired before, during or after
marriage, and neither Husband nor Wife need join in, consent to, or acknowledge any deed,
mortgage, or other instrument of the other pertaining to such disposition of property.
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6. Debts. The parties agree to assume their respective credit card debt and car loans if
applicable. The parties further acknowledge that they jointly owe Wife's father, Gary Gardner, an
estimated $3,000.00. The parties agree to use all of the proceeds of their income tax refund to repay
Gary Gardner and agree to be responsible for 50% of any remaining amount which will be paid at
the rate of $1 00.00 per month by each of them until completely paid.
The parties agree to be responsible for any other individual debts which are presently in
their individual names and to indemnifY and hold harmless the other for the aforementioned debts..
7. Future Debts. The parties further agree that neither will incur any more future
debts for which the other may be held liable, and if either party incurs a debt for which the other
will be liable, that party incurring such debt will indemnifY and hold the other harmless from any
and all liability thereof.
8. Real Property. It is hereby acknowledged by both parties that they are the co-
owners of real property located at 3 Longstreet Drive, Carlisle, Cumberland County,
Pennsylvania, which has a mortgage thereon in both parties' names. Wife agrees to transfer her
interest in the real property in the event that Husband refinances the mortgage on the marital
residence. Wife shall execute a deed of conveyance which will be held in escrow with Wife's
attorney pending settlement on said refinance, with the deed of conveyance to be released to
Husband at the refinancing settlement. Husband shall make application to proceed with the
refinance as soon as practicable. In the event Husband is unable to refinance said mortgage
within one (I) year of the final divorce decree, then the deed held in escrow shall be turned over
to Husband for recording. Husband agrees to indemnifY and hold harmless Wife for any and all
payments due under the mortgage. Wife agrees to pay to Husband $600.00 per month for the
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months of January, February, March and April, 2000. Husband agrees to pay to wife, $1,750.00
within six months of the date of the final divorce decree.
Wife agrees to cooperate and to sign any and all documents necessary to accomplish the
transfer and refinance, as aforesaid. Pending the refinance as provided for herein, Husband
agrees to pay any and all expenses in connection with the marital residence, including but not
limited to mortgage payment, taxes, utilities, and assessments. Husband shall further indemnifY
Wife and hold her harmless from the aforesaid obligations.
9. Slllpport, Alimony and Alimony Pendente Lite. Both parties waive any and all
rights they may have regarding support, alimony or alimony pendente lite.
10. Pension. Each party agrees to waive any right they may have in the others' pension
or retirement plan or IRA.
13. Taxes. The parties agree that all 1999 income taxes shall be filed jointly and any
proceeds received therefrom shall be paid to Gary Gardner toward the repayment of the parties'
personal loan.
14. Counsel fees. Each party agrees that they shall pay their respective counsel fees.
15. Divorce. The parties acknowledge their intention and agreement to proceed in an
action in divorce to obtain a fmal decree in divorce by mutual consent on the grounds that their
marriage is irretrievably broken, and to settle amicably and fully hereby all claims raised by either
party in any divorce action. The parties agree to execute any and all documents necessary for the
entry of a final divorce decree.
16. Breach. In the event that either party breaches any provision of this Marital
Property and Settlement Agreement, he or she shall be responsible for any and all costs incurred to
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enforce the terms hereof, including, but not limited to, court costs and reasonable counsel fees of
the other party. In the event of breach, the other party shall have the right, at his or her election, to
sue for damages for such breach or to seek such other and additional remedies as may be available
to him or her.
17. ElIlforcement. The parties agree that this marital settlement agreement or any part
or parts hereof may be enforced in any court of competent jurisdiction.
18. Applicable Law and Execution. The parties hereto agree that this marital
settlement agreement shall be construed under the laws ofthe Commonwealth of Pennsylvania and
shall bind the parties hereto and their respective heirs, executors and assigns. This document shall
be executed as original and multiple copies.
19. The Entire Agreement. The parties acknowledge and agree that this marital
settlement agreement contains the entire understanding of the parties and supersedes any prior
agreement between them. There are no other representations, warranties, promises, covenants or
understandings between the parties other than those expressly set forth herein.
20. Incorporation and Judgment for Divorce. In the event that either Husband or
Wife at any time hereafter obtain a divorce in the action for divorce presently pending between
them, or otherwise, this agreement and all of its provisions shall be incorporated into any such
judgment for divorce, either directly or by reference. The Court, on entry of judgment for divorce,
shall retain the right to enforce the provisions and terms of this marital settlement agreement.
21. Additional Instruments. Each of the parties shall on demand or within a
reasonable period thereafter, execute and deliver any and all other documents and do or cause to be
done any other act or thing that may be necessary or desirable to effectuate the provisions and
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done any other act or thing that may be necessary or desirable to effectuate the provisions and
purposes of this Agreement. If either party fails on demand to comply with this provision, that
party shall pay to the other all attorney's fees, costs, and other expenses reasonably incurred as a
result of such failure.
IN WITNESS WHEREOF, the parties have set. their hands and seals the day and year first
written above.
WITNESS:
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Jacqueline M. Verney
LAW OFFICE OF
445, HANOVER ST, . CARLISLE, PA 17013 . (717) 243.9190 . FAX (717) 243.3518
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: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY,PENNSYLV ANIA
: CIVIL ACTION
: NO. 2000-956 CIVIL TERM
DONNA M. RIZZILLI,
Plaintiff
RAYMOND J. RIZZILLI,
Defendant
: IN DIVORCE
PRAECIPE TO TRANSMIT RECORD
To the Prothonotary:
Transmit the record, together with the following information to the court
for entry of a divorce decree:
1. Grounds for divorce: irretrievable breakdown under Section 3301 (c), ~
~) of the Divorce Code. (Strike out inapplicable section).
2. Date and manner of service of the Complaint: Certified Mail Return Receipt
Requested, Restricted Delivery on February 19, 2000.
3. Complete either paragraph (a) or (b).
W Date of execution of the affidavit of consent required by sec. 3301 (c) of
the Divorce Code: by plaintiff May 20, 2000; by defendant August 3,
2000.
(b) (1) Date of execution of the affidavit required by sec. 3301 (d) of the
Divorce Code:
; (2) Date of filing and service
of the plaintiff's affidavit upon the defendant
4. Related claims pending: None
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5. Complete either (a) or (b).
(a) Date and manner of service of the Notice of Intention to file Praecipe to
h'ansrnit record, a copy of which is attached
ili) Date plaintiff's Waiver of Notice in sec. 3301 (c) Divorce was filed with
the Prothonotary: May 22. 2000.
Date defendant's Waiver of Notice in sec. 3301 (c) Divorce was filed with
the Prothonotary: August 4. 2000.
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Jacqueline M. Verney, Esquire
44 South Hanover Street
Carlisle, P A 17013
(717) 243-9190
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LAW OFFICE OF
Jacqueline M. Verney
44 S. HANOVER 51. . CARLISLE, PA 17013 . (717) 243-9190 . FAX (717) 243-351 8
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DONNA M. RIZZILLI,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, ENNSYLV ANIA
vs.
: CIVIL ACTION - LAW
: NO. 2000- QSIo CIVIL TERM
RAYMOND J. RIZZILLI,
Defendant
: IN DIVORCE
NOTICE TO DEFEND AND CLAIM RIGHTS
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
will proceed without you and a decree in divorce or annulment may 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 or your children.
When the ground for the divorce is indignities or irretrievable breakdown of the marriage,
you may request marriage counseling. A list of marriage counselors is available in the Office of
the Prothonotary at the First Floor, Cumberland County Courthouse, South Hanover Street,
Carlisle, Pennsylvania 17013.
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF MARITAL
PROPERTY, LAWYER'S FEES, OR EXPENSES BEFORE A DIVORCE 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
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DONNA M. RIZZILLI,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
CIVIL ACTION - LAW
NO. 2000- 95'& CIVIL TERM
RAYMOND J. RIZZILLI,
Defendant
IN DIVORCE
COMPLAINT IN DIVORCE UNDER SECTION 3301 (C) OR 3301 (D) OF THE
DIVORCE CODE
AND NOW comes Donna M. Rizzilli, plaintiff herein, by and through her attorney,
Jacqueline M. Verney, Esquire, and represents the following:
1. Plaintiff is Donna M. Rizzilli, an adult individual, currently residing at 100 W. Green Street,
Shiremanstown, Cumberland County, Pennsylvania 17011.
2. Defendant is Raymond 1. Rizzilli, an adult individual, currently residing at 3 Longstreet
Drive, Carlisle, Cumberland County, Pennsylvania 17013.
3. Plaintiff and Defendant are bona fide residents of the Commonwealth of Pennsylvania and
have been so for at least six months immediately previous to the filing of this complaint.
4. Plaintiff and Defendant were married on December 28, 1996 in Shiremanstown, Cumberland
County, Pennsylvania.
5. There have been no prior actions for divorce or annulment between the parties.
6. The Plaintiff has been advised of the availability of marriage counseling and the Plaintiff may
have the right to request that the Court require the parties to participate in counseling.
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Having been so advised Plaintiff does not desire the Court to order counseling.
7. This marriage is irretrievably broken.
WHEREFORE, Plaintiff prays Your Honorable Court enter a decree in divorce.
Respectfully submitted,
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.u.cq line M. Verney, Esquire 0
Supreme Ct. ill. 23167
44 South Hanover Street
Carlisle, P A 17013
(717) 243-9190
Attorney for Plaintiff
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VERIFICATION
I verify that the statements made in the within Complaint are true and correct to
the best of my knowledge and belief. I understand that false statements herein are made
subject to the penalties of 18 Pa. C. SA. S 4904 relating to unsworn falsification to
authorities.
Dated: d- - 1 Go -ov
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DONNA M. RIZZILLI,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
CIVIL ACTION - LAW
: NO. 2000-956 CIVIL TERM
RAYMOND J. RIZZILLI,
Defendant
: IN DIVORCE
AFFIDAVIT OF SERVICE BY MAIL PURSUANT TO Pa. R.C.P.1930.4 (c)
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
I, Jacqueline M. Verney, Esquire, being duly sworn according to law, deposes and
says that she is the attorney for plaintiff, Donna M. Rizzilli, and that she did serve a true and
correct copy of the divorce Complaint that was filed in the above matter, by U.S. mail,
postage prepaid, certified with restricted delivery, return receipt requested, unto the
defendant, Raymond J. Rizzilli, on February 19, 2000. The receipt form is attached hereto as
EXHIBIT "A".
1hi
ac eline M. Verney, Esquir 23167
44 S. Hanover Street
Carlisle, P A 17013
(717) 243-9190
Attorney for Plaintiff
Sworn to and subscribed before me this
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day of mMet.. , 2000.
o ary Public
NOTARIAL SEAL
DENISE "'INAMONTI, NotarY Public
Car/jsltf Borough. Cumberland County
M Commission Ex ires Nov. 20, 2000 _
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... SENDER: ' I
:I -Complete Items 1 andlor2 foraddltionaJ senaam:m
.. -Complete items 3. 48, and 4b. D :
. -Print your name and address on the revft ' - _ ' ~um this
i "$ .t'!."ionn to the front of the mal,plece,ft2Ltf#(8011)Ot
t! -Write"Return Recsipt Rsqusstsci" en the mal.ce below the article number.
.. -The Return Receipt will show to whom the article was deUvered and the date
Ii delivered.
13. Article Addressed to: ~,
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I also wish to receive the
following services (for an
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EXHIBIT A
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Jacqueline M. Verney
LAW OFFICE OF
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DONNA M. RIZZILLI,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,PENNSYLV ANIA
v.
CIVIL ACTION - LAW
RAYMOND J. RIZZILLI,
Defendant
: NO. 2000-956 CIVIL TERM
: IN DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301 (c) of the Divorce Code was
filed on February 18, 2000.
2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety
(90) days have elapsed from the date of filing and service of the Complaint.
3. I consent to the entry of a final decree of divorce after service of notice of
intention to request entry of the decree.
I verify that the statements made in this Affidavit are true and correct. I
understand that false statements herein are made subject to the penalties of 18 Pa.C.S.
94904, relating to unsworn falsification to authorities.
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LAW OFFICE OF
. Jacqueline M. Verney
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DONNA M. RIZZILLI,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,PENNSYLV ANIA
V.
CIVIL ACTION - LAW
: NO. 2000-956 CIVIL TERM
RAYMOND J. RIZZILLI,
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 irninediately 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 are made subject to the penalties of 18 Pa.C.S. 94904 relating
to unsworn falsification to authorities.
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DONNA M. RIZZILLI
Plaintiff
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IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNA.
NO. 2000 956 CIVIL TERM
RAYMOND J. RIZZILLI
Defendant
CIVIL ACTION - LAW
DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301(c) of the
Divorce Code was filed on February 18, 2000.
2. The marriage of Plaintiff and Defendant is
irretrievably broken and ninety (90) days have elapsed from the
date of service and filing of the Complaint.
3. I consent to the entry of a Final Decree of Divorce
after service of notice of intention to request entry o;E'- the
Decree.
I verify that the statements made in the Affidavit are
true and correct. I understand that false statements herein are
made subject to the penalties of 18 Pa.C.S.A. Section 49 4,
relating to unsworn falsification to authorit'eSQ
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DATE:
RAYMO J. RIZZI I
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DONNA M. RIZZILLI
Plaintiff
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IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNA.
NO. 2000 956 CIVIL TERM
RAYMOND J. RIZZILLI
Defendant
CIVIL ACTION - LAW
DIVORCE
WAIVER OF NOTIC~ OF INTENTION TO REQUEST
ENTRY OF A DIVORCB DBCREB UNDBR SBCTION
3301(c) OF THE DIVORCE CODB
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 ARE
MADE SUBJECT TO THE PENALTIES OF 18 Pa.C.S.A SECTION 4904 RELATING
TO UNSWORN FALSIFICATION TO AUTHORITIES.
DATE:
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