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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
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PENNA.
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STATE OF
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Rnf:n. 'R b n. v P()T. T(
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NO.2000-3061 Civil Tem
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Plaintiff
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VERSUS
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DEBRAH KAY POLK
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Defendant
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DECREE IN
DIVORCE
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AND NOW,
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, IT IS ORDERED AND
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DECREED THAT
EDGAR RAY POLK
, PLAINTIFF,
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DEBRAH KAY POLK
AND
, DEFENDANT,
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ARE DIVORCED FROM THE BONDS OF MATRIMONY,
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THE: COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE
BEEN I'<AISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT
YET BEEN ENTERED;
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EDGAR RAY POLK,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
vs
CIVIL ACTION - LAW
NUMBER: 2000 - 3061 CIVIL TERM
DEBRAH KAY POLK,
IN DIVORCE
PRAECIPE TO TRANSMIT RECORD
TO THE PROTHONOTARY:
Transmit the record, together with the following information, to the Court for entry ofa
divorce decree:
1. Ground for divorce: irretrievable breakdown under S3301(d) of the Divorce Code,
2. Date and manner of service of the Complaint, Notice to Defendant, and
Counter-Affidavit Under Section 3301(d) of the Divorce Code: U. S, Mail, Addressee Only
Certified, Return Receipt Requested, delivered and signed for by Defendant on June 7, 2000.
3. Date of mailing of the Notice ofIntention to Request Entry of Section 3301(d)
Divorce Decree August 1,2000 mailed to Defendant's address at 8142 Anthony Highway,
Waynesboro, Pennsylvania a copy of which is attached hereto, No response being filed ofrecolrd
with the court by way of Counter-Affidavit or claim for relief.
4. Related claims pending: Nlme..
5. Date Plaintiffs Waiver of Notice in S3301(c) Divorce was filed with the Prothonotary:
Not applicable.
Date Defendant's Waiver of Notice in S3301(d) Divorce was filed with the
Prothonotary: 10/17/00,
inder, Esquire
701 Eas ing Street, Shippensburg PA 17257
(717) 532 - 9476
Attorney for Plaintiff
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EDGAR RAY POLK,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
vs
CIVIL ACTION - LAW
NUMBER: fro - 3D ~ I
CIVIL n:RM
DEBRAH KAY POLK,
IN DIVORCE
Defendant
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 for any
other claim or relief requested in these papers by the plaintiff, You may lose money or propllrty
or other rights important to you including custody or visitation of 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 Cumberland County Courthouse, One South Hanover Street, 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.
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YOU SHOULD TAKE TmS 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 LmERTY AVENUE
CARLISLE PA 17013
(717) 249 - 3166
JUJ;L
Sally J. inder, Esquire
Attorney for Plaintiff, EDGAR RAY POLK
701 East King Street
Shippensburg PA 17257
(717) 532 - 9476
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EDGAR RAY POLK,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
vs
CIVIL ACTION - LAW
NUMBER: (J-o . 36 f../
CIVIL TI:RM
DEBRAH KAY POLK,
IN DIVORCE
Defendant
COMPLAINT IN DIVORCE
COMES NOW, the Plaintiff, EDGAR RAY POLK, by and through his counsel, S~llIy J.
Winder, Esquire, and represents as follows:
1, Plaintiff is EDGAR RAY POLK, who currently resides at, and whose mailing address
is, 17 East King Street, Shippensburg, Cumberland County, Pennsylvania, since May 1995,
2, Defendant is DEBRAH KAY POLK, who currently resides at, and whose mailing
address is, 8142 Anthony Highway, Waynesboro, Franklin County, Pennsylvania, since 1998,
3. Both Plaintiff and Defendant have been bona fide residents of the Commonwealth of
Pennsylvania for at least six months immediately previous to the ruing of this Complaint.
4, The Plaintiff and Defendant were married on September 02, 1978 at Chambersbmg,
Franklin County, Pennsylvania,
5, There have been no prior actions of divorce or for annulment between the parties,
6, The marriage is irretrievably broken,
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7, Plaintiff avers that he has been advised of the availability of counseling sessions for
both parties upon request of either party or by order of court, and that a list of qualified
professionals who provide such counseling service is available at the Domestic Relations OffIce
upon request. By the filing of this Complaint, the Plaintiff acknowledges having been advised by
his attorney of record of the availability of counseling sessions and of a list of qualified
professionals. Plaintiff further avers that he/she has been advised that the choice of a qualified
professional shall be at the option of the Plaintiff and Defendant and need not be selected from the
list available upon request and, further, that arrangements for and the payment of the services of
the qualified professional shall be the responsibility of the parties and will not be included in the
docket costs ofthis proceeding,
8, Plaintiff requests the Court to enter a decree of divorce,
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Attorney for Plaintiff, EDGAR RAY POLK
701 East King Street
Shippensburg PA 17257
(717) 532 - 9476
Date:
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VERIFICATION
I verifY that the statements made in this complaint are true and correct to the best of my
personal knowledge and belief, 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: ~ In} 0 0
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ED RAY POLK
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EDGAR RAY POLK,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
vs
CIVIL ACTION - LAW
NUMBER: tJ-o - 30 (" (
CIVIL n:RM
DEBRAH KAY POLK,
IN DIVORCE
Defendant
NOTICE TO DEFENDANT
If you wish to deny any of the statements set forth in this affidavit, you must file a
counter-affidavit with twenty days after this affidavit has been served on you or the statements
will be admitted.
PLAINTIFF'S AFFIDAVIT UNDER
SECTION 3301(d) OF THE DIVORCE CODE
1. The parties to this action separated on June 01, 1989 and have continued to live
separate and apart for a period of at least two years.
2, The marriage is irretrievably broken,
3, I understand that I may lose rights concerning alimony, division of property, laWYI~r's
fees or expenses ifl do not claim them before a divorce is granted.
I verilY 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, section 4904 relating to
unsworn falsifications to authorities.
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EDGAR RAY POLK,
IN THE COURT OF COMMON PLEAS: OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
vs
CIVIL ACTION - LAW
NUMBER: (XJ. a6-(' I
CIVIL TI:RM
DEBRAH KAY POLK,
IN DIVORCE
Defendant
,
COUNTER-AFFIDAVIT UNDER SECTION
3301(d) OF THE DIVORCE CODE
1. Check either (a) or (b):
_ a) I do not oppose the entry ofa divorce decree.
_ b) I oppose the entry of a divorce decree because (Check (i), (ii),
or both):
(i) The parties to this action have not lived separate and apart for a
period of at least two/three years,
(ii) The marriage is not irretrievably broken,
2, Check either (a) or (b):
_ (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 ifI do not claim them before a divorce is
granted.
_ (b) I wish to claim economic relief which may 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:
DEBRAH KAY POLK
NOTICE:
IT you do not wish to oppose the eutry of a divorce decree and you do uot
wish to make any claim for economic relief, you ueed uot fde this CountE,r-
Affidavit.
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EDGAR RAY POLK,
IN mE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
vs
CIVIL ACTION - LAW
NUMBER: .:Hznr- ~I
CIVIL TERM
DEBRAH KAY POLK,
IN DIVORCE
Defendant
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER Section 3301(d) OF THE llJVQ!lCE~ODE
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1, I consent to the entry of a final decree of divorce without notice~ ~D . .',~J
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2, I understand that I may lose rights concerning alimony, division !'iPfop~y, lamr's
fees, or expenses ifI do not claim them before a divorce is granted, )> C: I',) ('y.",
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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 prothonollary,
I verify that the statements made in this affidavit are true and correct I understand thi!t
false statements herein are made subject to the penalties of 18 Pa, C,S, section 4904 relating to
unsworn falsification to authorities,
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EDGAR RAY POLK,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
vs
CIVIL ACTION - LAW
NUMBER:~ 36':"1
CIVIL Tl~RM
DEBRAH KAY POLK,
IN DIVORCE
Defendant
AFFIDAVIT OF SERVICE
I, Sally J. Winder, being first dilly sworn according to law do depose and say that I
served a Complaint in Divorce, Notice to Defendant Under 3301(d) of the Divorce Code, and
Counter-Affidavit Under 3301(d) of the Divorce Code in the above action to the Defendant,
Debrah Kay Polk at Waynesboro, Pennsylvania by certified mail, restricted delivery, return
receipt requested, on June 7, 2000, at the Shippensburg Post Office, Shippensburg, Pennsylvania,
which Complaint in Divorce was received by the Defendant as evidenced by her signature Oil. the
attached receipt.
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, section 4904 relating to
unsworn falsification to authorities,
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Sally J. . der, Attorney for Plaintiff
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8, Addressee's Address (Only if requested
and fee Is paid) .c:-'
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PS Form 3811, December 1994
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pomestic Return Receipt
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EDGAR RAY POLK,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
vs
CNIL ACTION - LAW
NUMBER: 2000-3061 CNIL TERM
DEBRAH KAY POLK,
IN DIVORCE
Defendant
AFFIDAVIT OF SERVICE
I, Sally J. Winder, being first duly sworn according to law do depose and say that I
served a Notice ofIntention to Request Entry of Section 3301(d) Divorce Decree and a
Counter-Affidavit Under Section 3301(d) of the Dixorce Code in the above action to the
Defendant, Debrah Kay Polk at 8142 Anthony Highway, Waynesboro, Pennsylvania 17268 by
regular U. S mail, postage prepaid on August I, 2000, at the Shippensburg Post Office,
Shippensburg, Pennsylvania, which Notice ofIntention to Request Entry of Section 3301(d)
Divorce Decree was received by the Defendant and not returned to the sender.
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. section 4904 relating to
unsworn falsification to authorities.
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EDGAR RAY POLK,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
vs
CNIL ACTION - LAW
NUMBER: 2000-3061 CNIL TERM
DEBRAH KAY POLK,
IN DIVORCE
Defendant
AFFIDAVIT OF SERVICE
I, Sally J. Winder, being first duly sworn according to law do depose and say that I
served a Notice of Intention to Request Entry of Section 3301(d) Divorce Decree and a
Counter-Affidavit Under Section 3301(d) of the Dixorce Code in the above action to the
Defendant, Debrah Kay Polk at 8142 Anthony Highway, Waynesboro, Pennsylvania 17268 by
regular U. S mail, postage prepaid on August 1,2000, at the Shippensburg Post Office,
Shippensburg, Pennsylvania, which Notice ofIntention to Request Entry of Section 330 I (d)
Divorce Decree was received by the Defendant and not returned to the sender.
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. section 4904 relating to
unsworn falsification to authorities.
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EDGAR RAY POLK,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
vs
CIVIL ACTION - LAW
NUMBER: 2000 - 3061 CIVJL TERM
DEBRAH KAY POLK,
IN DIVORCE
Defendant
NOTICE OF INTENTION TO REQUEST
ENTRY OF Section 3301(d) DIVORCE DECREE
You have been sued in an action for divorce. You have failed to answer the Complaint or
file II counter-affidavit to the 3301(d) affidavit. Therefore, on or after August 25, 2000, the olther
party can request the Court to enter a final decree in divorce.
If you do not file with the Prothonotary of the Court an answer with your signature
notarized or verified or a counter-affidavit by the above date, the Court can enter a final decree in
divorce. A counter-affidavit which you may file with the Prothonotary of the Court is attached to
this Notice.
Unless you have already filed with the Court a written claim for economic relief, you must
do SO by the above date or the Court may grant the divorce and you will lose forever, the righlt to
ask for economic relief. The filing of the form counter-affidavit alone does not protect your
economic claims.
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.
Pennsylvania Bar Assoeiation
Lawyer Referral Service
100 South Street
POBox 186
Harrisburg PA 17108
Telephone: 1-800-692-7375 or (717) 238-6715
By ~;.b-
Sully J. illder
Attorney for Plaintiff
701 E. King Street
Sbippensburg, PA 17257
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EDGAR RAY POLK,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CNIL ACTION - LAW
NUMBER: ;)000 - 3~ ICNIL TERM
vs
DEBRAH KAY POLK,
IN DIVORCE
Defendant
COUNTER-AFFIDAVIT UNDER SECTION
3301(d) OF THE DIVORCE CODE
1. Check either (a) or (b):
_ a) I do not oppose the entry ofa divorce decree.
_ b) I oppose the entry of a divorce decree because (Check (i), (ii),
or both):
(i) The parties to this action have not lived separate and apart for a
period of at least two/three years.
,
i':
(ii) The marriage is not irretrievably broken.
2. Check either (a) or (b):
(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 ifI do not claim them before a divorce is
granted.
_ (b) I wish to claim economic relief which may 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:
DEBRAH KAY POLK
NOTiCE: lfyou do not wish to oppose the entry of It divorce decr.ce Itlld you do 1101
wish to make any claim for economic relief, you need not me this Counter-
Affidavit.
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EDGAR RAY POLK,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
vs
CNIL ACTION - LAW
DEBRAH KAY POLK,
NUMBER: _2000-3061_ CNIL TERM
IN DIVORCE
Defendant
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. Ground for divorce: irretrievable breakdown under S3301(d of the Divorce Code.
2. Date and manner of service of the Complaint, Notice to Defendant, and
Counter-Affidavit Under 3301(d) of the Divorce Code: U. S. Mail, Certified, Return Receipt
Requested, delivered and signed for by Defendant on June 7,2000.
3. Date of mailing of the Notice ofIntention to Request Entry of Section 3301(d)
Divorce Decree and Counter-Affidavit copies of which are attached hereto, August 1, 2000,
mailed to Defendant's address at 8142 Anthony Highway, Waynesboro, Pennsylvania. No
response being filed of record with the court by way of Counter-Affidavit or claim for relief.
4. Related claims pending: None..
5. Date Plaintiffs Waiver of Notice in S3301(c) Divorce was filed with the Prothonotary:
10/1700.
Date Defendant's Waiver of Notice in S3301(c) Divorce was filed with the
Prothonotary: not applicable.
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Sally J. W der, Esquire
701 East King Street, Shippensbnrg PA 17257
(717) 532 - 9476
Attorney for Plaintiff
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EDGAR RAY POLK,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CNIL ACTION - LAW
Plaintiff
vs
: NUMBER: 2000 - 3061 CIVJL TERM
DEBRAH KAY POLK,
IN DIVORCE
Defendant
NOTICE OF INTENTION TO REQUEST
ENTRY OF Section 3301(d) DIVORCE DECREE
You have been sued in an action for divorce. You have failed to answer the Complaint or
file a counter-affidavit to the 3301(d) affidavit. Therefore, on or after August 25,2000, the other
party can request the Court to enter a final decree in divorce.
If you do not file with the Prothonotary of the Court an answer with your signature
notarized or verified or a counter-affidavit by the above date, the Court can enter a final decre<: in
divorce. A counter.affidavit which you may file with the Prothonotary of the Court is attached to
this Notice.
Unless you have already filed with the Court a written claim for economic relief, you must
do so by the above date or the Court may grant the divorce and you will lose forever, the right to
ask for economic relief. The filing of the form counter-affidavit alone does not protect your
economic claims.
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.
Pennsylvania Bar Association
Lawyer Referral Service
100 South Street
P 0 BO:l186
Harrisburg PA 17108
Telephone: 1-800-692-7375 or (717) 238-6715
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Sully J. illder
Attorney for Plaintiff
701 E. King Street
Sbippensburg, PA 17257
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EDGAR RAY POLK,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
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Plaintiff
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CNIL ACTION - LAW
NUMBER: Jooo -3~ICNILTEIRM
DEBRAH KAY POLK,
: IN DIVORCE
Defendant
COUNTER-AFFIDAVIT UNDER SECTION
3301(d) OF THE DIVORCE CODE
1. Check either (a) or (b):
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_ a) I do not oppose the entry of a divorce decree.
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_ b) I oppose the entry of a divorce decree because (Check (i), (ii),
or both):
(i) The parties to this action have not lived separate and apart for a
period of at least two/three years.
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(ii) The marriage is not irretrievably broken.
2. Check either (a) or (b):
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(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 ifI do not claim them before a divorce is
granted.
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_ (b) I wish to claim economic relief which may 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:
DEBRAH KAY POLK
NOTICE: lfyou do not wish to oppose the entry of II divorce decree lIJ1d you do 11011
wish to make any claim for economic relief, you need not me this Connter-
Affidavit.
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EDGAR RAY POLK,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
v.
CIVIL ACTION - LAW
DEBRAH KAY POLK,
Defendant
NO. 00-3061 CIVIL TERM
ORDER OF COURT
AND NOW, this 1st day of November, 2000, upon consideration of
Plaintiff s praecipe to transmit record, and it appearing that the notice of intention
to request entry of divorce decree mailed to defendant was not accompanied by a
form counter-affidavit as required by Pa. R.C.P. 1920.42(d)(2), that a copy of the
notice of intention is not attached to the praecipe to transmit as required by Pa.
R.C.P. 1920.42(d)(1), and that the praecipe to transmit erroneously indicates that
Defendant filed a waiver of notice of intention, a divorce decree will not be
entered at this time, without prejudice to the parties' rights to correct the
deficiencies and file a new praecipe to transmit.
BY THE COURT,
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J. esley 0Ier,., J.
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Sally J. Winder, Esq.
701 East King Street
Shippensburg, P A 17257
Attorney for Plaintiff
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