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Page 2 of NOlice 10 Defend and Claim Righls
If you desire to pursue counseling, you must make your request for counseling within
twenty (20) days of the date on which you receive this notice. This request must be made
upon proper motion filed with the Coun, Failure to do so will constitute a waiver of your
right to request marriage counseling,
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 LOOSE 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
OFFICES SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
Name: Lawyer's Referal service, Court Administrator
Add~s: 4th Floor Cumberland County Courthouse
Carlisle, PA 17013
Tel~ne: (717) 210-6200
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION DIVORCE
BRIAN JAMES BARGER,
No. tj1. '1;1.3 C~ T p-
Plaintiff
vs.
TRISHA JANE BARGER,
Defendant
DIVORCE
NOTICE TO DEFENDANT
If you wish to deny any of the statements set forth in this Affidavit you must file a
counter-affidavit within twenty (20) days after this Affidavit has been served on you or the
statements will be admitted.
PLAINTIFF'S AFFIDAVIT
UNDER SECTION 330l(d) OF THE DIVORCE CODE
In support of a Complaint in Divorce between the above-captioned parties, Plaintiff
declares the following:
1. 1be parties to this action separated on December 28, 1993
and have contim1ed to live separate and apan for a period of at least two years.
2. 1be marriage is irretrievably broken.
3. I understand that I may loose rights concerning alimony. division of property, lawyer's
fees or expenses if I do not claim them before a divorce is granted.
I hereby verify that the statements made in this Affidavit are trUe and correct to the best
of my knowledge, infotmation and belief. I understand that any false statements herein are
subject to the penalties of 18 Pa.C.S. 14904. relating to unsworn falsification to authorities.
Date: August 2. 1997
7tw1-lJ..
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION DIVORCE
BRIAN JAMES BARGER, No. q?- Cf ~?3
Plaintiff
vs.
TRISHA JANE BARGER,
Defendant DIVORCE
COUNTER-AFFIDAVIT UNDER SECTION 330l(d) OF THE DIVORCE CODE
I. Check either (a) or (b):
(a) I do not oppose entry of a divorce decree.
(b) I oppose entry of a divorce decree because (Check (i) or (ii) or both):
(i) The parties to this action have not lived separately and apan for a period of at
least two 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 propeny. lawyer's fees or expenses if I do not
claim them before a divorce is granted.
(b) I wish to claim economic relief which may include alimony. division of
propeny, lawyer's fees or expenses or other imponant rights.
I hereby verify that the statements made in this Affidavit are lnIe and correct to the best
of my knowledge, information and helief. I understand that any false statements herein are
subject to the penalties of 18 Pa.C.S. f 4904, relating to unsworn falsifICation to authorities,
Date:
fl'lai1tIlJlfoq",.""
NOTICE: 1f)'Oll do not wish to oppose the entry of a divorce decree and you do not wish to
~ any claim for economic relief, you need not file this counter-affldavil.
.'_."........_._'.......,......1...
Page 2 of I.F.P. Petition
(b) Within the past twelve months, 1 have not received any income from a business,
profession or other form of self-employment, or in the form of rent payments, interest,
dividends, pensions, annuities, social security benefits, support payments or other sources.
(c) Apart from $ o.~ in my inmate account at this institution, 1 do not own
any cash or checking or savings accounts.
(d) I do not own any real estate, stocks, bonds, notes, automobiles, or other valuable
property (except ordinary household furnishings and clothing).
(e) I have no dependents.
(0 I have no debts and obligations.
3. I understand that a false statement or answer to any question in this verified statement
will subject me to the penalties provided by law (misdemeanor of the second degree).
Wherefore, for the foregoing reasons, petitioner respectfully requests that this
Honorable Court grant him leave to proceed in forma pauperis.
Date: July 31, 1997
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Signature Appr .
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