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Home My WebLink About00-01257 <1!P',j);, :;,,:,j',~~~"\i:;: :..._ . ;+;;/;:+;;Ii:+;;Ii;/;'" '" " ;/;"'''''''ili''' "';Ii "';Ii "'''' '" '" ili"'''''''''' ;ti"'''''''''' "''''''''''''' . .. . . . . IN THE COURT OF COMMON PLEAS . . . OF CUMBERLAND COUNTY PENNA. . . STATE OF . . . . ROBYN L. GILSDORF. . VERSUS . . . Herbert W. Gilsdorf, . . . . . . . . . . . AND NOW, . . . . . . DECREED THAT No. 2000 1257 civil Plaintiff. Defendant. DECREE IN DIVORCE it '+ ~ ~7 fM, 1.- ~ , IT IS ORDERED AND . Gilsdorf , PLAINTIFF, . . AND Herbert W. Gilsdorf, Jr. , 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; . . . . None pendinq. . . . . . . . . . . . j",,, ,..,,~ ~ "", ,-,,~, " "-:--" , . . . . . . . . . " J. '" . . . . . . PROTHONOTARY · . . . '" '" ;/;;Ii ;ti;ti;ti"'''''''''''''''''''''' '" ;Ii;/; "'ff. ff.;ti'" ;ti '" '" "';liff. ff. ;tiff. ;ti;ti;ti;ti ~ '" j', 'I' "'ff.ff.~'f. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1iIiIIII1Ii_...._.I,lliit~...,-'"= ",.._--",~ ~~"-<'~~~'Iiil'lli- ,', " ~ ,~' .. -: . . 7'P-aJa/~~/~~~ ~ )-/)a:;J >t~~~~ . "Ji'if'~4~i:1:t~~1L I<!< 1 < . , _.- ROBYN L. GilSDORF, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA vs. NO: 2000 -1257 Civil HERBERT W. GilSDORF, JR., Defendant CIVil ACTION-lAW PRAECIPE TO TRANSMIT THE RECORD To the Prothonotary: Transmit the record, together with the following information, to the court for entry of a divorce decree: 1. Ground for divorce: irretrievable breakdown under 93301 (c) of the Divorce Code. 2. Date and manner of service of the complaint: On March 9, 2000 by Certified Mail, Return Receipt Requested. 3. (Complete either paragraph (a) or (b): (a) Date of execution of the affidavit of consent required by 93301 (c) of the Divorce Code: by Plaintiff June 2, 2000 by Defendant June 24, 2000 4. Related claims pending: None are pending. , , I~ -'''~' '''-'-''',' ~, P'>;"" ." -.''',' - ",-,. .' " .) . '~ - . -0 .' , , .. , - 5. (Complete either paragraph (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 Plaintiff's Waiver of Notice in 93301 (c) Divorce was filed with the Prothonotary: June 29,2000 Date Defendant's Waiver of Notice in 93301 (c) Divorce was filed with the Prothonotary: June 29, 2000 Respectfully submitted, MARSHALL & HADDlCK, P. C. Date: June 29, 2000 , ',: '~" ,";'~- , """,-':::""-"1'': " ",~, \ ~ 0 0 0 c::. C? " :;:'" '- -urT) ~ g)W ", ~~ I -t: ~-:j~~ 0" ~2 ?;~ r:;c -J ~l'B ;?::o ~ ;1;;0 ~ Cion >c c-l ~ "" ;p f'" '< ROBYN L. GILSDORF, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. NO: JlJOO- IdS? ~ HERBERT W. GILSDORF, JR., Defendant CIVIL ACTION-LAW 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 may proceed without you and a decree of 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, One Courthouse Square, Carlisle, PA. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYERS'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 CONNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Lawyer Referral Service 2 liberty Street Carlisle, Pennsylvania 17013 (717) 249-3166 , ~ "', ',' ,~'C','" .w"" ,,""', >, ,~,'D>,'"""""",,_^~ ,,"~,',' -~""" ^ ,<, -, 0-""" NOTICIA Le han demandado a usted en la corte. Si usted quiere defenderse de estas demandas expuestas en las paginas sigiuentes, usted tiene veinte (20) dias de plazo al partir de la fecha de la demanda y la notificacion. Usted de be presentar una apariencia escrita 0 en persona 0 par abogado y archivar en la corte en forma escrita sus defensas 0 sus objeciones alas demandas en contra de su persona. Sea avisado que si usted no se defiende, la corte tomara medidas y puede entrar una orden contra usted sin previa aviso 0 notificacion y por cualquier queja 0 alivio que es pedido en la peticion de demanda. Usted puede perder dinero 0 sus propiedades 0 otros derechos importantes para usted. LLEVE E5TA DEMANDA A UN ABOGADO INMEDIATEMENTE. 51 NO TIENE ABOGADO 0 51 NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA 0 LLAME POR TELEFONO A LA OFIClNA CUYA DIRECClON SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. Cumberland County Lawyer Referral Service 2 Liberty Street Street Carlisle, Pennsylvania 17013 (717) 249-3166 " ~'" --' ,~ "'- vs. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO: 2uv-v J /.2 61 e. Ii ROBYN L. GILSDORF, Plaintiff HERBERT W. GILSDORF, JR., Defendant CIVIL ACTION-LAW COMPLAINT UNDER SECTION 3301(c) OF THE DIVORCE CODE 1. Plaintiff is Robyn L. Gilsdorf, an adult individual, who currently resides at 9 Briarwood Court, Camp Hill, Cumberland County, Pennsylvania, 17011. 2. Defendant is Herbert W. Gilsdorf, Jr., an adult individual, who currently resides in Cumberland County Prison, 1101 Claremont Drive, Carlisle, Cumberland County, Pennsylvania 17013. 3. The Plaintiff and Defendant have been bona fide residents in the Commonwealth of Pennsylvania for at least six (6) months immediately previous to the filing of this Complaint. 4. The Plaintiff and Defendant were married on December 9, 1987 in Virginia Beach, Virginia. 5. There have been no prior actions of divorce or for annulment between the parties. 6. The Plaintiff in this action is not a member of the Armed Forces. 7. The Plaintiff and Defendant are both citizens of the United States. 8. The marriage is irretrievably broken. '",'".. '-" "".., ,,' "'" ,."." ". 9. The Plaintiff has been advised of the availability of marriage counseling and that she may have the right to request the Court to require the parties to participate in such counseling. Being so advised, Plaintiff does not request that the Court require the parties to participate in counseling prior to the divorce decree being handed down by the Court. WHEREFORE, the Plaintiff requests the Court to enter a Decree of Divorce. Respectfully submitted, MARSHALL & HADDlCK, P.c. Date: March 1, 2000 Ja n P. u lakis, Esquire At I.D. No: 80411 20 South 36th Street Camp Hill, PA 17011 717-731-4800 Attorney for Plaintiff ";~ '" ,""~ ,,[?',~,,-" ,~~' ~ W" VERIFICATION I hereby verify that the statements of fact made in the foregoing Divorce Complaint are true and correct to the best of my knowledge, information and belief. I understand that any false statements therein are subject to the criminal penalties contained in 18 Pa.C.S. 94904, relating to unsworn falsification to authorities. Date: March 1, 2000 0) . ~ j./"{:. l Y/;1~-'6 Ro yn L. Gilsdorf ^~, '~'"'"" "",' ~.'" ~ ". -' " ; ,- ~,~~ ~- L',\(::..-2 ~,':,' "J ~b -'" C'-:.' ?= _.;;.~ c. \_'.:) 1 r::: " " '~l~ c::< C:l (5 . - ,'0 ~ ~ .::s /) ~ ~ ~.~ ~,~~ ~ V1\ $ . . .if). .3,e; .f'- ~ if (J- 6\ . :.:: u 5 o <r: >-r< ,....-< ~ gj..... .>'/ ~ 0 QQ E-~ :r: ~ P': f-< ~ _ \0 >.j '" "'..J ~ :r;- ,...:r; ....J.... ;::J p., ...J o::E <r: Ul <<: :r: fl U ~ ~ ROBYN L. GILSDORF, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA vs. NO: 2000 - 1257 Civil HERBERT W. GILSDORF, JR., Defendant CIVIL ACTION-LAW AFFIDAVIT OF SERVICE I, Jason P. Kutulakis, hereby certify that I served a true and correct copy of the Complaint Under Section 3301 (c) of the Divorce Code, upon the Defendant, receipt of which is acknowledged on the attached return receipt card on March 9, 2000. Respectfully submitted, 1\1ARSHALL, SMITH & HADDICK, P.c. ( '\... Date: May 21, 2000 P. utulakis, Esquire Atto ey I.D. No: 80411 20 South 36th Street Camp Hill, PA 17011 (717)731-4800 Attorney for Plaintiff " " " ",.. :"3" '~!C """;,,,0 .> '-,~," " ", '":.',. "~",,, " , , '"'"fe, ~ ,,!' r ,.-__,__ ' 0__ , HC~,",_ , __ ,,",ry, '"' l 4 8 3 8 9 6 '! 11 US P05-t31 SeJV!ce Receipt for Certified Mail Ne, \nsuranct~ Govmage Prol,'kj(.lQ, Do nCJ! USG for International Mail (Set} rel/eme,1 _..__._...._.._~_...._.._..__..."_.._..__.....J. l1{BJeCi_~Qr::LJC:. Street,~ NIJI~pi .J. f..,_ , 'I', \ uQP<>VV\OY\1 J,X. ~-------~!.~-_.__.__...__._._- PIO;,\ Ciiti:T' S1' ,~, &. ZIP _ ~j~ ,-;;;' I PO~~I;i\g~l $ 5~ ~,-_._._-----_._._._- '---'--'-'-._.._-~_.- .~.:::.tjeJ ::~_._,__. ._JAQ~_,~. .:::~~::~ Di.\\W:lY F:::""_t__._._.__.~,___,_ ~ ;;~,~i~~:~~~~~f'~+-"i~-~5' - -,_.- E. rl~~;;";"He.:~;,+-;'s~ri.} t,:> ~~--". - .-.-,-'---- "'I.: '!.1,jtr2., & t(ld(e''>':;'I'/~ M,te:;:~rJIJI':)'l g. ' TOTALPU""'''''hX''~Dl' M Pn~tmaik ')f Dale E ". , ,1: .-, 0.0') ''} ....... - C. 1....... "-I VI I "'-i,~,",~~ ..;~~~~~::, ~~ ~'~'.;..OjiUiiS Idie;;iij;i wm"if' oS Iiiijiii. 'o{n"X~UH'lJ. 'g 1;5 .. " ii " .. ~ :0" :i ~ ~,' i ~ 01: ;i~ll'l ~ ~':':''':':''~' Ii.. .. ~ o OJ ":"0' 0 .~ ilf:>;..1", ....-g .~ 21 -. '5li,":'. 0.", fj ~ " .. -- .Y~t)o1:i:~ e ~ c Ii <:r J: ll' .. ~ <i 2 ~ h ,r--- ~~a:- (,J ~ ~ . ~ i1"..'::t.. 0 ,. i ,. )!i'. '\" ~l" 't \)~ A '''.{OP ,(]) t " ,..}g. :::> i ~ ,..4'<\1;,. '. il'Ki 0 ' j~ .. · '.~. 8'-J ,.\;.; t. hl]}r r~Z 1 ~ ~!~~;l~ !<b.. ~ ..~ l!H~J,d. ~..4- Ssm iii.oi.l.i.'t;j.'~..':.'.".J. i r~.'~.~ t ttl~~,~l~l~~i ... ~ a ::: C:J ld .,;.... l8P1$",~''''ll "0 PGIOjdWO<l SS3i!tfOV Rl:IfU311 "'?~ 8; n '\U'" ".~ .." 0:" E Oil\! 8 E!:s 000 ,~. '" ,. c 9 " e ~- ..;:'2 ,~ 8" $," ~* -6; :i~ ox; Ii: ill " l:2! 2: II: :::l tu II: " ti w :!i o Q ~ ~ ~ ".v" C '" ,; <'l '" {, ....,', CERTIFICATE OF SERVICE AND NOW, this 22nd day of May, 2000, I, Jason P. Kutulakis, Esquire, hereby certify that I did serve a true and correct copy of the foregoing Affidavit of Service upon all counsel of record and unrepresented parties by depositing, or causing to be deposited, same in the U.s. mail, postage prepaid, at Camp Hill, Pennsylvania, addressed as follows: VIA FIRST-CLASS MAIL Herbert Gilsdorf, Jr. Cumberland County Prison 1101 Claremont Drive Carlisle, PA 17013 Jason . Kutulakis, Esquire '" - n , _ '>"'''''.,'~-"v",.. ",',,, "''',0/, '; Y ;<<-,-",'"., ." . ,__e >- m ~ ~ wQ -= 6:S: 0""'::' :'C o:~ u....~2, 0... 01:] '..L. ....~ Gf:3 -7;:- ~.-7 (f) 2:,(0: (") dZ W"- I...l-Z U:\}d >- LULU < ala.. ;:::: x: 3 lL 0 0 0 \ , . ::<: u ~ Q Q -< :r: ~ :r: E-< ~ en f-,... "'M "'R O::M In<( " 0.. to..J "'~ J:- f-J: ;::00.. 0::;: (J)<( i'lU , ...l :< :r: cfl 0:: -< ::E ROBYN L. GilSDORF, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA vs. NO: 2000 - 1257 Civil HERBERT W. GilSDORF, JR., Defendant CIVIL ACTION-lAW AFFIDAVIT OF CONSENT 1. A Complaint in divorce under 93301 (c) of the Divorce Code was filed on March 6, 2000. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety I 1 ~ , I i 1 I t ! ~ J 1 1 I I 1 ~ I ~ i ~ " (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. ~ ' L Y/d- i 00 ~Ori ~ Date: (p- ().:1- ere) ~1' 1 i; .1 n Ii i .1 tj 11 , . ," , ~,' " ~ ilIlI ..,c. 1;""-"'" ".0' ""'1 '''''. ., .00 .,~" r',~",,'o/' .".",.M~..' ~~, ,--"""""'""",, .,..'.,," , ,,"'~",-,"~b'{_ 'TDl'irU.~nI1r'T<c'],.ril 0 C> 0 ~ 0 -n <- .- -00:: c:: "r !;pfT; :-e: '::'jill :r; c.o ;~~J(~;' z\;. CD.,. C. -<.,,:::. <-'C, " '"J', ~, ~ ;-'~~:n 20 :r "">'C) 5>0 ~O:3in C -.; :z '" :< w os7 Uj =< ~;JJi~~v ,~ " ~~~'iJ1'IIIIl "" 11'1111",; Tj i [I ;] [ 'I '! i ;/ '1 ROBYN L. GILSDORF, Plaintiff IN THE COURT OF COMMON PLEAS..", :~M::::A_N'::70~:~' PE ',~ ' :U" U B '-l ~J " ,."'''''~"T\''J . CIVIL ACTION-LAW UbP~151::Q2_,,!.::0,f:~ ~~,..,'i<,i;':~..;;"\':>"':""'''''''''r' vs. HERBERT W. GILSDORF, JR., Defendant WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER ~ 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 are made subject to the penalties of 18 Pa.C.S. ~ 4904 relating to unsworn falsification to authorities. Date: ~ - o;l- /R) ,~ ">~ " '~ ",-- " illf- ,';;"'" ,,,,~," ..,0,,""'''/1;- .";cZ::"'>;": ",'""""', ",.'0' 0< C ,,' ,'Lc:,( (::'j~Ii'Y~Jr(>''rrrnrl''1l't'i~l',~':J-:'{; 0 0 ,Q ~ 0 n '-- i':! '"001 c: 29'3 z :';1'~~ z-- W '--I ~~. <::> Jo (('cl <'0 ;2.:::;' ,,:~), -0 ::;;":8 ~(~ ::f'; ":_)~ ):>0 t~M c ~ --l ~" >- :a CJl -< d .J'!)i1l1l:il ~, ,....,..,~R'm ~~, \lIlMIIIi1lilll~r. ~'~l~'~~~" . ROBYN L. GILSDORF, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA vs. NO: 2000 - 1257 Civil HERBERT W. GILSDORF, JR., Defendant CIVIL ACTION-LAW AffiDAVIT OF CONSENT 1. A Complaint in divorce under 93301 (c) of the Divorce Code was filed on March 6, 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. Date: "'1'2.y-loo ~w.~~ Herbert W. Gilsdorf, Jr. i, ~ ^ Vv '__'" ,~. <,",~,O ,,~ , ~ ~,~. -"'- .. l>\l ~,,", . ~~,~ .' ,-,,' ~, < ".. -."'". ,...<~....." "'-",' ',>>, .. JL run!I'!" ,', . 0 c G' c: <::> ~l-f s:: L.. ::-.:.1 "U'm c:: ,,1_ ""'". 01.rn -- :,',~ Z:::r! ~ :z:C;" t..o ,.,',:..:..,; Cfj;,>..:: 0 ,."~:;):; :-<: ,. ~D -0 .. ,,[, ,-~:i:j ~Q :3l: jI~~~ 5'>0 c:: --::~ ~ ~ $ (JJ -< c~"~ Il."",~" ,..t,.!!'IItN, -- J~=~ ~",."..,.".r ,j i I 1 1 j 'I ~~ " " , ~ ;11 jl "j ;j 'jl ;i! J,f /1 cl ',1 , il II :,) ;;; c ,.[ ~'i i! 'J ; . . ROBYN L. GILSDORF, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA vs. NO: 2000 - 1257 Civil HERBERT W. GILSDORF, JR., Defendant CIVIL ACTION-LAW WA1VER Of NO'fICE'OFINTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER ~ 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 are madesubjecttothe.penaltiesof18-cPa.c.S. 94904 relating to unsworn falsification to authorities. Date: (,11.4-/ DO 0~W,~ ~ Herbert W. Gilsdorf, Jr. "-,' -<..-<" " , " 'I, .,,,.. ,,-' ,~,' " " <, " illil .. . .... .e. ..," . .,," (a'~ ".,",~", "."<,' ___d -'~" <"~ . ',h' ,,~ ' , ,;<,N.,,,",,, <.. '," ,,~~!'l~!l'PllI"'~~~IM'J'IlreI!m , 2 ~ ""'Oc,o mr'fJ Z':1") zt;,: (fJ *::; -<;:'-1 k'-" >0 :Zc. :Pc ~ <:) C) '- ,- ~ - ..-- ~,- -~"nr"<[:(","""" -" JL~'tlJI-" "'c'>;!f-i'~:'1 \' o -n -~,..I, ',-,," (j.) o -0 :z "J'- _____.;T\ _;,'.i"'\ '~~ ~~ ~~~ 35' '< c.:> (.J1 """"""""","",h;J~~"._,...1!l 1- vs. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO: (}(X;O-/;)S7 du-# g <::f, ROBYN L. GILSDORF, Plaintiff HERBERT W. GILSDORF, JR., Defendant CIVIL ACTION-LAW I c-'~ '"""::J ~-'. ~".. ';.1 .. .' :....) :'lJ -4 -< (''"'' ~c " NOTICE OF AVAILABILITY OF COUNSELING TO THE WITHIN NAMED DEFENDANT You have been named as a Defendant in a divorce proceeding filed in the Court of Common Pleas of Cumberland County. This notice is to advise you that in accordance with 93302 (c) or (d) of the Divorce Code, you may request that the court require you and your spouse to attend marriage counseling prior to a divorce decree being handed down by the Court. A list of professional marriage counselors is available at the Cumberland County Courthouse, Cumberland County, Pennsylvania. You're advised that this list is kept as a convenience to you and you're not bound to choose a counselor from the list. All necessary arrangements and the cost of counsel ing sessions are to be borne by you and your spouse. If you desire to pursue counseling, you rnust rnake your request for ',' counseling within (20) days twenty of the date on which you receive this notice. ,~, " Ii i ," Failure to do so with constitute a waiver of your right to request counseling. -" Ii :~j ,I ,I 3: " J: ~l DATE: <.-'i-(p-()C) " )'1 ,I 'I ;1 ,1 H , "I 'l j :l 11 , ,,~~ ,'", ,'<, ,_ ',', ..'1"''1''"'" "7~ O' , , -~ , I' l!iI ~,""', ~'..-'" >- "J >- 9? -, S-: (0- L<.J ',;:,J ,:': -,: CO-- -,,- (~) t....:) ~1 I C",~ G:: .~", ...;.- (~.i -- 0 Ci (.3 .'."~ .' ".,~..'-' L ,~ '.' ""',' ".,' .., r ",-- Jilll'T -': Hfil111T"f'H1HI " n,'1i1'I'l~~~.\I!i'~~!IIII~. ",ij[I'l1.r , SOCIAL SECURITY INFORMATION SHEET PURSUANT TO 23 Pa.C.SA SECTION 4304.1 (a) (3) ALL DIVORCES MUST INCLUDE THE PARTIES SOCIAL SECURITY NUMBER PLEASE FILL IN THE APPROPRIATE INFORMATION AND RETURN TO THE PROTHONOTARY'S OFFICE DATE: 6/29/00 DOCKET NUMBER: 1257 - 2000 PLAINTIFF/PETITIONER SS# 267-57-1810 NAME: Robyn L. Gilsdorf DEFENDANT/RESPONDENT SS # 578-98-9475 NAME: Herbert W. Gilsdorf, Jr. 'i1 - 'I'