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OF CUMBERLAND
COUNTY
STATE OF
PENNA.
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DECREE IN
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AND NOW, . . . . .l':"~. .~~. . . . " 19 .2EJO'c' it is ordered and
decreed that .. .Christi. Ill... .MigatuJ.s.ki. . . . . . . . . . . . . . . . . . . . " plaintiff,
and. . . .~C?!1!l. .r;:. ~~g~~:u.1,~~~.. . . .. .. " . . .. . . . . . . . . . . .. .. .. ", defendant,
are divorced from the bonds of matrimony.
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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;
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. . .'rp.~. .M:,Hr.i.<Ige. .Settl.ement. .Agre.emen.t .betw.een. :the. par-ties .shaJ..1 ,be ,.~
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CHRISTI G. MIGATULSKl,
Plaintiff
v.
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 00-7575 CIVIL
JOHN C. MIGATULSKl,
Defendant
: CIVIL ACTION - LAW
: 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:
I. Ground for divorce: irretrievable breakdown under Section
(x) 3301 (c) () 3301 (d) ofthe Divorce Code. (Check applicable section.)
2. Date and manner of service of the Complaint: November 8, 2000,
by Certified Mail.
3. Complete either (a) or (b).
(a) Date of execution of the Affidavit of Consent required by
Section 3301(c) of the Divorce Code: January 3, 2002, by Plaintiff; January 22, 2002, by
Defendant.
(b) (1) Date of execution of the Plaintiff's Affidavit required by
Section 3301(d) of the Divorce Code:
(2) Date of service of the Plaintiff's Affidavit upon the
Defendant:
4. Related claims pending: The Divorce and Property Settlement
Agreement between the parties shall be incorporated, but shall not merge with the final
Decree in Divorce.
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5. Complete either (a) or (b).
(a) Date and manner of service of Notice ofIntention to File
Praecipe to Transmit Record, a copy of which is attached:
(b) Date Plaintiffs Waiver of Notice in ~3301(c) Divorce was
filed with the Prothonotary: January 10,2002.
Date Defendant's Waiver of Notice in g3301(c) Divorce was
filed with the Prothonotary: January 22, 2002.
6. Social Security Numbers:
(a) Plaintiff: 170-60-6247
(b) Defendant: 184-54-6614
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DIVORCE AND PROPERTY SETTLEMENT AGREEMENT
MADE THIsJ.~n,,( DAY OF]"" OJ) ~' 200~
BY AND BETWEEN
CHRISTI G. MIGATULSKl, hereinafter referred to as "WIFE",
AND
JOHN C. MIGATULSKI, hereinafter referred to as "HUSBAND".
WITNESSETH:
WHEREAS, the parties are Husband and Wife, having been married on
August 27, 1994; and
WHEREAS, unhappy differences, and disputes have arisen as a result of
which the parties have separated and ilfltend to continue to remain separate and
apart; and
WHEREAS, Wife has instituted an action in divorce and there are
outstanding claims for equitable distribution of marital property, and
WHEREAS, the parties desire to settle all matters currently pending between
them; and
WHEREAS, the parties hereto respectively acknowledge that before signing
this Agreement they fully lUlderstand their rights and obligations, and have carefully
read and lUlderstand the terms of this Agreement, and have freely consented to this
Agreement, believing it to be fair, just and reasonable; and
WHEREAS, the parties have consulted with their attorneys, or with full
knowledge of their right to consult with an attorney, have decided not to consult
with an attorney.
NOW, THEREFORE, in consideration of the foregoing recitals hereinafter
incorporated into and made a part of this Agreement, and for the mutual exchange of
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covenants herein contained and induced and intending to be legally bound hereby,
the parties hereby agree as follows:
1. SEP ARA TION. Husband and Wife may live separate and apart from each
other, each to be free from constraint or control by the other, as fully as if he or she
were unmarried. Neither shall disturb not interfere in any way with the other or with
any persons who are associating with the other.
2. REAL PROPERTY. Husband and Wife own jointly a tract of ground with
a house situated thereon in Franklin Township, York County, Pennsylvania. It is
agreed by Husband and Wife that Wife will convey all of her right, title and interest
in and to the property to Husband. Wife will execute a quit-claim deed conveying
said interest in the property to Husband. Husband agrees that he will be responsible
for the payments associated with the house, including, but not limited to, mortgage
payments, home equity loan, tax payments and insurance payments.
It is further agreed by the parties that Husband will refinance the outstanding
mortgage and home equity loan into his name only. Said refinancing to occur within
one year of execution of this agreement.
It is further agreed that Wife will execute a Quit Claim Deed to be held in
escrow to be tendered at the time Husband is able to refinance the outstanding
mortgage and home equity loan into his name.
3. ALIMONY. Husband and Wife agree that each waives any claim they
have against the other for alimony, support, maintenance, and/or alimony pendente
lite. Both parties acknowledge that they have sufficient sources of income to meet
their present and future needs.
4. CUSTODY. It is agreed by the parties that they shall have joint physical
and legal custody of their son, Christopher Migatulski. However, nothing shall
preclude Wife from claiming Christopher as an income deduction for each year
unless and until the parties agree otherwise or the present custody situation should
change by agreement of the parties or by the tenus of a Court Order.
5. LIFE INSURANCE. Both parties agree that any life insurance policies
that are in effect as of the date of this Agreement will be changed to reflect that the
beneficiary of said policy will be the parties' minor child, Christopher Wade
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Migatulski. Both parties agree that they will provide at the request of either party
written documentation indicating that the beneficiary has been changed to reflect
that of their son.
6. AUTOMOBILES. It is agreed by Husband and Wife that Husband shall
receive the 1995 Chevrolet Blazer that is currently in his possession. Husband will
be responsible for all payments associated with the ownership of said vehicle,
including, but not limited to, car payments, and insurance payments. Wife shall
receive the Chevrolet Malibu that is currently in her possession. Wife shall be
responsible for any loan, obligations or insurance payments that are due on the
vehicle. Both parties agree that they will execute any documents nece.ssary in order
to effectuate the obligations that are set forth herein.
7. LOANS AND OBLIGATIONS. Husband and Wife agree that each shall
be responsible for all loans and obligations which they have incurred since the date
of separation. Additionally, it is agreed by the parties that Husband shall be
responsible for the VISA card that is titled in his name only and Wife shall be
responsible for all credit cards that she incurred since the date of the marriage. Wife
agrees that she will provide to Husband a listing of those credit cards so that
confirmation can be made that those accounts are solely in Wife's name.
8. PERSONAL PROPERTY. It is agreed by Husband and Wife that the
parties have amicably divided the personal property acquired during the course of
the marriage. To that end, the parties shall retain the personal property that is in
their possession.
9. ATTORNEY'S FEES, COSTS AND EXPENSES. Each of the parties
shall be responsible for tlleir own attorney's fees, costs and expenses.
10. PENSION, PROFIT SHARING AND RETIREMENT PLANS. Each of
the parties waives any claims they have against the other party's pension, profit
sharing or retirement plans and/or deferred compensation plans. The parties agree
that they will execute any and all documents necessary in order to effectuate this
provision of the Agreement.
11. MUTUAL RELEASE. Wife and Husband each do hereby mutually
remise, release, quitclaim, and forever discharge the other and the estate of such
other, for all time to come, and for all purposes whatsoever, of and from any and all
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rights, titles and interests, or claims in or against the property (including income and
gain frOllll property hereafter accruing) of the other or against the estate of such
other, of whatever natme and wheresoever situate, which she or he now has or at
any time hereafter may have against such other, the estate of such other, or any part
thereof, whether arising out of any former acts, contracts, engagements, or liabilities
of such other or widow's or widower's rights, family exemption, or similar
allowance, or under the intestate laws, or the right to take against the spouse's will;
or the right to treat a lifetime conveyance by the other as testamentary, or all other
rights of a surviving spouse to participate in a deceased spouse's estate, whether
arising under the laws of ( a) Pennsylvania, (b) any State, Commonwealth or territory
of the United States, or (c) any other country. It is the intention of the. Wife and
Husband to give to each other by the execution of the Agreement a full, complete
and general release with respect to any and all property of any kind or natme, real,
personal, or mixed, which the other now owns or may hereafter acquire, except and
only except all rights and agreements and obligations of whatsoever nature arising
or which may arise under this Agreement or for the breach of any thereof; subject,
however, to the implementation and satisfaction of the conditions precedent as set
forth herein.
12. OTHER DOCUMENT A TION. Wife and Husband covenant and agree
that they will execute any and all written instruments, assignments, releases,
satisfactions, deeds, notes, or such other writings as may be necessary or desirable
for the proper effectuation of this Agreement, and as their respective counsel shall
mutually agree should be so executed in order to carry out fully and effectively the
terms of this Agreement.
13. SUCCESSORS' RIGHTS AND LIABILITIES. This Agreement shall,
except as otherwise provided herein, be binding upon mid inme to the benefit of the
parties hereto, their respective heirs, executors, administrators, successors or
aSSIgns.
14. ENTIRE AGREEMENT. Wife and Husband do hereby covenant and
warrant that this Agreement contains all of the representations, promises, and
agreements made by either of them to the other for the purposes set forth in the
preamble hereinabove; that there are no claims, promises or representations not
herein contained, either oral or written, which shall or may be charged or enforced
or enforceable unless reduced to writing and signed by both of the parties hereto;
and the waiver of any term, condition, clause, or provision of this Agreement shall
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in no way be deemed to be considered a waiver of any other tenu conditions
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clauses, or provisions of this Agreement.
15. SEPARABILITY. If any tenu, condition, clause, or provision of this
Agreement shall be detenuined or declared to be void or invalid in law or otherwise
,
then only that tenu, condition, clause, or provision shall be stricken from this
Agreement and in all other respects this Agreement shall be valid and continue in
full force, effect, and operation.
16. VOLUNTARY EXECUTION. Husband and Wife hereto acknowledge
that each ooderstandsthe respective rig.qts and obligations. herein and they have had
the ability to, and do understand the tenus hereof with full knowledge and
infonuation as to their legal rights, liabilities. and effects; they are satisfied the
Agreement is fair, just and reasonable; they desire and intend to proceed in
accordance with the tenus hereof; they consent hereto of their own volition and
intend to be penuanently and legally bound hereby.
17. ENFORCRJ\1ENT PROVISIONS. Husband and Wife agree that if it
becomes necessary for either party to seek Court action to enforce any of the tenus
of this Agreement, the refusing party shall be responsible for any and all reasonable
attorneys' fees and costs necessary to enforce this Agreement for both parties.
18. AMENDJ\1ENT TO THIS AGREEJ\1ENT. The tenus and conditions of
this Agreement shall not be subject to amendment except by written agreement of
the parties. This Agreement represents the complete and fmal agreement of the
parties and any change in circumstances of the parties shall not give rise to a right in
either party to amend the tenus and conditions of this Agreement.
19. INCORPORATION AND J\1ERGER WITH DECREE OF DIVORCE.
It is agreed by the parties that this Agreement shall be incorporated with the Court's
Decree in Divorce and shall become a part of that Decree settling all claims of
Husband and Wife against each other arising out of said divorce, said merger to
allow this Agreement to be superseded as a contract and take on the attributes of a
court order for purposes of modification and enforcement.
20. NO-FAUl,T DIVORCE. It is agreed by Husband and Wife that they will
execute all papers that are necessary so that the Court of Common Pleas of
Cumberland County, Pennsylvania can enter a no-fault Divorce Decree pursuant to
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Section 3301(c) of the Divorce Code. Both parties agree that they will execute the
Affidavits of Consent and Waivers of Notice forms within 90 days after the service
of the Divorce Complaint.
21. LUMP SUM PA YMRNT. It is agreed by the parties that Husband shall
pay to Wife a lmnp smn cash payment of$7,000.00. Said payment due within thirty
(30) days of the execution of this agreement.
22. BANKRUPTCY. It is acknowledged and agreed by the parties that the
payments called for in this Agreement are not intended to be a debt which is
affected by discharge in banYJuptcy. The parties further specifically intend that
Husband's and Wife's obligations under the terms of this Agreement shall not be
subject to discharge in bankruptcy because such payments of debts and other
liabilities are necessary for Husband and Wife to meet his or her respective financial
obligations and to support and maintain his and her respective standard of living.
Husband and Wife represent that there are no bankruptcy proceedings presently
pending in which he or she is involved. Husband and Wife expressly agree not to
file a bankruptcy action prior to the completion of his or her obligations pUIsuant to
this paragraph. These debts are not intended to be nor shall they be discharged in a
bankruptcy action filed by or on behalf of either Husband or Wife.
Furthermore in the event that, at any time prior to Husband or Wife's
fulfillment of all of the financial obligations set forth in this Agreement, either he or
she declares personal or professional bankruptcy, this Agreement shall constitute
conclusive evidence of the parties' intent that the obligations of this Agreement are
in the nature of maintenance and are not dischargeable under current Bankruptcy
Law or under any amendment thereto. Further, if Husband or Wife institutes any
action in bankruptcy, and the U.S. Bankruptcy COlUt, contrary to the terms of this
Agreement, declares that any or all of the said payments required hereunder are
dischargeable, then in that event the affected portions of the Agreement shall
become null and void. Husband or Wife shall have the absolute right to prosecute
his or her economic claims in the divorce action as they relate to the portions of the
Agreement that are null and void.
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IN WITNESS WHEREOF, the parties hereto have set their hands and seals
the day and date first above written.
(SEAL)
(SEAL)
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CHRISTI G. MIGATULSKI,
Plaintiff
v.
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
o-v - 7S7,r- /1 d" /J
: NO. ::] ~
JOHN C. MIGATULSKI,
Defendant
: CIVIL ACTION - LAW
: IN DIVORCE/CUSTODY
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 in 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
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, Pennsylvania.
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 ANY OF THEM.
YOU SHOULD TAKE TIllS 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, P A 17013
Telephone: (717) 249-3166
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CHRISTI G. MIGATULSKI,
Plaintiff
v.
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
; NO. thJ/ 7)15 ~ -rJU-
JOHN C. MIGATULSKI,
Defendant
CIVIL ACTION - LAW
: IN DIVORCE/CUSTODY
COMPLAINT IN DIVORCE
1. The Plaintiff is Christi G. Migatulski, an adult individual currently
residing at 14 South Point Drive, Mechanicsburg, Cumberland County, Pennsylvania,
17055.
2. The Defendant is Jo1m C. Migatulski, an adult individual residing
at 145 Locust Grove Road, Dillsburg, York County, Pennsylvania. 17019.
3. Plaintiff and Defendant have been bona fide residents in the
Commonwealth of Pennsylvania, for a period in excess of six (6) months immediately
previous to the filing of this Complaint.
4. Plaintiff and Defendant were married on August 25, 1994, in North
Carolina.
5. There have been no prior actions of divorce or annulment between
the parties in this or any other jurisdiction.
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6. This action is not collusive.
7. Plaintiff and Defendant separated on or about July 1,2000.
8. The causes of action and sections of the Divorce Code under which
Plaintiff is proceeding are:
A. Section 3301(c) - The marriage of the parties is irretrievably
broken.
B. Section 3301(d) - The marriage of the parties is irretrievably
broken. The parties separated on or about July 1,2000.
9. Plaintiff and Defendant have one child under the age of eighteen,
namely Christopher Migatulski, born January 7, 1997.
10. Plaintiff has been advised of the availability of marriage
counseling and understands that she may request that her spouse and she participate in
counseling.
II. Plaintiff does not request that the Court require that her spouse and
she participate in counseling prior to a divorce decree being handed down by this Court.
Wherefore, Plaintiff respectfully requests this Honorable Court enter a
final decree in divorce.
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COUNT I
CHILD CUSTODY
12. Paragraphs one through eleven are incorporated herein by
reference.
13. The subject child is Christopher Migatulski, born January 7, 1997.
14. The relationship of the Plaintiff to the subject minor child is that of
natural mother.
15. The relationship of the Defendant to the subject minor child is that
of natural father.
16. The minor child has resided at the following addresses, in the custody
ofthe following individuals:
17. There have been no prior actions for custody of the subject minor
child in this or any other jurisdiction.
18. The Plaintiff is not aware of the existence of any other individuals
who have any type of claim whatsoever regarding the custody of the subject minor child.
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19. The Plaintiff believes and therefore avers that she is much better able
to meet the needs of the subject minor child than the Defendant.
20. The Plaintiff believes and therefore avers that it is in the best interest
of the subject minor child that he be placed in her legal and physical custody.
WHEREFORE, Plaintiff requests this Honorable Court award hirn/her
custody of the subject minor child.
COUNT II
EOUITABLE DISTRIBUTION
21. Paragraphs one through twenty are incorporated herein by
reference.
22. During their marriage, Plaintiff and Defendant have acquired
various items of marital property, both real and personal, which are subject to equitable
distribution under Sections 3501 et.seq. of the Divorce Code of 1980.
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WHEREFORE, Plaintiff respectfully requests this Honorable Court
equitably distribute all marital property, both real and personal, owned by the parties.
Date:
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Mark T. Silliker, Esquire
5922 Linglestown Road
Harrisburg, PA 17112
(717) 671-1500
LD. No. 33671
Attorney for Plaintiff
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I,CJJnJ/.i t$, ~tJl..Jsh: hereby certify that the aforegoing is true
and correct to the best of my knowledge, information and belief. I understand that false
statements herein are made subject to the penalties of 18 Pa. C. S. 4909 relating to
unsworn falsifications to authorities.
Dated: /0/11/00
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CHRISTI G. MIGATULSKI,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 00-7575 CIVIL
JOHN C. MIGATULSKI,
Defendant
CIVIL ACTION - LAW
IN DIVORCE
CERTIFICATE OF SERVICE
The undersigned, Renee Dreisbach, hereby certifies that a copy of a
Complaint in Divorce was served upon John C. Migatulski on November 8, 2000, by
Certified Mail, return receipt requested, addressed as follows:
John Migatulski
145 Locust Grove Road
Dillsburg, PA 17019
I hereby certify that the afore going is true and correct to the best of my
knowledge, information and belief. I understand that false statements herein are made
subject to the penalties of 18 Pa.C.S. g4904 relating to unsworn falsification to
authorities. ~
Date: rel~ruar; 1f).:2OD;;l.., . VJ)i&S!naIL
Renee Dreisbach
c;; SENDER: ~
:!' . Complete items 1 and/or 2 for additional services.
(I) . Complete items 3, 4a, and 4b. .
G) . Print your name and address on the reverse of this form so that we can return this
~ card to you,
!il . Attach this form to the front of the mailpiece, or on the back if space does not
G) permit. _
.. . Write "Return Receipt Requested" on the mailpiece below the article number.
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CHRISTI G. MIGATULSKI,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYL VANIA
v.
: No. 00-7575 Civil
JOHN C. MIGATULSKI,
Defendant
: CIVIL ACTION - LAW
: IN DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301(c) of the Divorce Code
was filed on October 26, 2000.
2. The marriage of the Plaintiff and Defendant is irretrievably broken, and
ninety days have elapsed since the date of filing and service of the Complaint.
3. I consent to the entry of a Final Decree in 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. S
4904, relating to unsworn falsifications to authorities.
Date:
I/S/D.A
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Christi G. Mi atulski
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CHRISTI G. MIGATULSKI,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
: No. 00-7575 Civil
JOHN C. MIGATULSKI,
Defendant
: CIVIL ACTION - LAW
: IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER SECTION 3301 (c)
OF THE DIVORCE CODE
I. I consent to the entry of a final Decree in Divorce without notice.
2. I understand that I may lose rights concerning alimony, division of
property, lawyer's fees or expenses if! 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.
Section 4904 relating to unsworn falsification to authorities.
Date:
/ /J/ D^
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Christi G. Migatulski
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
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PENNSYL VANIA
CHRISTI G. MIGATULSKI,
PLAINTIFF
No. 00-7575
vs.
CIVIL ACTION LAW
IN DIVORCE/CUSTODY
JOHN C. MIGATULSKl,
DEFENDANT
AFFIDA VIT OF CONSENT
1. A Complaint in Divorce under Section 330 1 (c) of the Divorce Code
was filed on October 26,2000.
2. The marriage of the Plaintiff and Defendant is irretrievably broken and
ninety days have elapsed from the date of filing the Complaint.
3. I consent to the entry of a [mal 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. Section 4904 relating to unsworn fa sification to authorities.
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Date: /-;JJ}-O-';
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
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PENNSYL VANIA
CHRISTI G. MIGATULSKI,
PLAINTIFF
No. 00-7575
VS.
CIVIL ACTION LAW
IN DIVORCE/CUSTODY
JOHN C. MIGATULSKI,
DEFENDA...lI,)T
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 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. Section 4904 relating to unsworn falsification to authorities.
;;;/% (! /J1;~/dk
John C. Migatul .
Date: 1-;31,;) -0';;;
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CHRISTI G. MIGATULSKl,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: No. 00-7575 Civil
JOHN C. MIGATULSKI,
Defendant
: CIVIL ACTION - LAW
: IN DIVORCE
AFFIDAVIT OF INTENTION TO RESUME PRIOR NAME
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
Christi G. Migatulski, being duly sworn according to law, deposes and says
that she is the Plaintiff in the above suit in which final decree from the bonds of
matrimony was entered and she elects to resume her prior name of Christi L. Gates, and,
therefore, gives this written notice avowing said intention, in accordance with the
provisions of the Act of May 25,1939, P. 192, as amended July 13, 1953 (23 P.S. 98).
,
to be known as
Sworn and subsc~ to
~:frf~~J-1 ,A
Notary Public
NO'fAl'll4L seAL
RENEE DREISBACH. Notary F'ublic
City of fofmPisbtJ.g Dauphin County
My Commiss101HOx!,,1eS ~v. 3().2002
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