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HomeMy WebLinkAbout00-08627 " " '-~', "~ok , ,':', ~,!. , , , , " , , , , , , , , , , , , , , , Of. ;F.;t;:f. '" it; :f. if. ,.,;F.:f.:f. , , , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY STATE OF PENNA. MARY E. OIT. No. 7.000 Rnn rnm, PLAINTIFF VERSUS TERRY E. OIT, T1F.1i'Fl\l11l\N'T' DECREE IN DIVORCE , , , , , , , , , AND NOW, t'Yln LL, ~b , 200 ( , iT is ORDERED AND MARY E. OIT , PLAiNTIFF, DECREED THAT , AND TERRY E. OIT , 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 , , ;Ii ;t;:f.;Ii :f.:f.;f.;Ii ;Ii , , PROTHONOTARY By THE WjURT: , , , , , AT , , - ",Po , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , J. , , , , J " . " _ < L...,~ -.~ . . Mary E. Ott, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY , PENNSYLVANIA : CIVIL ACTION - LAW : IN DNORCE v. Terry E. Ott, Defendant : NO. 2000- 8627 CIVIL TERM 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 S 3301 (d) of the Divorce Code. 2. Date and manner of service of the complaint: On December 20, 2000, the defendant signed an acceptance of service, which was filed with the court on January 4, 2001. 3. Date of execution of the affidavit required by S 3301(d) of the Divorce Code: December 12, 2000. Date of filing and service of the plaintiff's affidavit upon the respondent: Filed on December 14, 2000. Re-filed on January 19,2001. Served on January 19,2001, by frrst class U.S. mail. 4. Related claims pending: NONE. 5. Date and manner of service of the notice of intention to file praecipe to transmit record, a copy of which is attached: February 15,2001 by frrst class U.S, Mail. 'l( U J/tL R Brad Balaban Certified tern for Plaintiff L4- R T E. RAINS THOMAS M. PLACE TERl L. HENNING Supervising Attorneys FAMILY LAW CLINIC 45 North Pitt Street Carlisle, PA 17013 (717) 243-2968 ",~~,'.I ,-j 'I ::~I i-j ['J " 'i ii ii " H :1 , i , I 'i II 'I 'I " 'I 'I il 'J [! ~I II :1 'I ~ n :1 J """'jlii' _~>!l;_ ,[ -,-f _I ~ ~~ f ~l!t~lliJg~"~ti:i!i'~~'9libM'ii).aH!Ho;~',,,,~i4~~~iffic.r&"4l'- ~- ~.~ijjU'i!lif~", a- ~Dll"'~~'-" ,-, " ,".".~ "~~~ ,.-~ ~,"'-,'-, __J .~- -~- ..", ,,' - "...... .~"" () 0 0 C ., ~ Jt ....~ -atT' ,.". mn- ;00 ;~~:iFJ Zx ZC --;")j"'l'j C/J"'~' ."- ";7)0 -(L:: tfi~ \<0 -0 ~o :rJ:: .=-.--\..~ >,0 '1: -orn c :s N :;;! -< 0> :rJ -< ,C",,'d'o"o",'J, ._._..,.._<.",_"0 <'_ ,'_'-_.: - ',n ",'_", ~~". . Mary E, Ott, Plaintiff v, : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW : IN DNORCE : NO. 2000 -.1',,(7 CIVIL TERM NOTICE TO DEFEND AND CLAIM RIGHTS Terry E, Ott, Defendant You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take prornpt 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 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, Cumberland County Courthouse, Carlisle, Pennsylvania. , i 'I ':-j :1 J I , ~ ".j :-1 'I ',I I ! , IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DNORCE 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 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 (717) 249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of Cumberland County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact our office. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled conference or hearing, d"'" _, _ "',_' _""J - ' - - -< ' -, - .0' ,_ - -.", - "', ~_"" ,J~" _, n._ . I ~. ,I' " Mary E. Ott Plaintiff v. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW : DIVORCE Terry E. Ott Defendant : NO. 2000- Sf,:2 7 CIVIL TERM COMPLAINT UNDER THE DIVORCE CODE 23 Pa.C.S. ~~ 3301(c). 3301(a)(6). and 3301(d) The plaintiff, Mary E. Ott, by and through her attorneys, the Family Law Clinic, avers the following: 1. Plaintiff is Mary E. Ott, who currently resides at 37 Earl Street, Shippensburg, Cumberland County, Pennsylvania 17257 since November, 2000. 2. Defendant is Terry E. Ott, who currently resides at 60 West Main Street, Apartment 1, Walnut Bottom, Cumberland County, Pennsylvania 17260 since October 15, 1997. 3. Plaintiff and defendant have been bona fide residents in the Commonwealth for at least six months immediately previous to the filing of this Complaint. 4. Plaintiff and defendant were married on July 11, 1996, in Shippensburg, Pennsylvania. 5. Plaintiff and defendant have lived separate and apart since October 15, 1997. 6. There have been no prior actions of divorce or for annulment between the parties. 7. The marriage is irretrievably broken. 8. Plaintiff avers that defendant, in violation of his marriage vows under the laws of the Commonwealth of Pennsylvania, has offered such indignities to the person of the plaintiff, his injured and innocent spouse, as to render the condition of the plaintiff intolerable, and life burdensome. 9. Plaintiff has been advised that counseling is available and that plaintiff may have the right to request that the court require the parties to participate in counseling. . , ~ ~ ,- c ~., --I~-,;---- , ,:-:",_":,'-'-; M' _ -!- ,-" ,,--C, ",., --, '" _ .Co' ,. _ _'_'_ ~__" ,0 jo " WHEREFORE, plaintiff requests the court to enter a decree in divorce dissolving the marrIage. Date_II, IS - 0 (5 ?Bf~ ROBERT E. RAINS Supervising Attorneys TERI HENNING Staff Attorney FAMILY LAW CLINIC 45 North Pitt Street Carlisle, PA 17013 717/240-5204 ,-j .,;- -~:."j !I '" ': n :.,j u 'I !:I [': ~ j ::i " :"1 1:1 j I I I I II "1 " I~i !I 1': Ii 1'.1 ij ,..! J! I~! I:J :1 i:i II :1 1;) I , i I 1 I i I -"'" . -~ ,,' . -.~' ,,-"- - '. : il!!l ~L VERIFICATION I verify that the statements made in the foregoing Complaint are true and correct, to the best of my knowledge, information and belief. I understand making any false staternent would subject me to the penalties of 18 Pa.C.S. 94904, relating to unsworn falsification to authorities. Date: /1- 15 ~ ()C) ~if7~ ~ Mary E. t <",oJ -. ~"" ." "".~, ,~'"~~ ~. . . ~ ""ji ,',,- ~~~~<il~>-:: .'\-.--..-,-'. ~lliiiiJt'^"'.~;. ~"_. I, " >,~ MliiilfiidjH' \ ~ -;;:" -\. Q 6 _".,,;.i,; ~ ~..~ ~ '\-' .. Ll":;:" ,...,-,\,._' qt'n z:-:-, GS.~~: ~t::=; 5> .~ --;7(-' =c) P' C ~ '^'-- ,~-,u:_ o c- .,~- " "",. ~w' ;, . ... '~, ,- __..1 C:J C::J ;""'q C) ,-, ~j :i j ~.~,-~ ~? f,:i~~ 1'5<i ;;:>>C) urn 'i>! 5:1 -< .C:". ,:1 ry Ul ..,.. . " -;>"~, Mary E. Ott, Plaintiff v. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION-LAW DNORCE Terry E. Ott, Defendant NO. 2000 - J' P 7 CIVIL TERM PRAECIPE TO PROCEED IN FORMA PAUPERIS To the Prothonotary: Kindly allow Mary E. Ott, Plaintiff, to proceed in forma pauperis. I, Kimberly A. Sebring, of the Family Law Clinic, Certified Legal Intern for the party proceeding in forma pauperis, certify that I believe the party is unable to pay the costs and that I am providing free legal service to the party. The party' s affidavit showing inability to pay the costs of litigation is attached hereto. Date: Ii I'S'I JOOD Krm~ t1.~~ Kimberly . Sebring - ""tift'" Leg. Jnrem ~ _ R~S THOMAS M. PLACE Supervising Attorney TERI HENNING Staff Attorney THE FAMILY LAW CLINIC 45 North Pitt Street Carlisle, PA 17013 (717) 243-2968 ,~,~_,,"i ;;_.j~";,;";,, '->' ~~iiijilf''''^ '-iiit'-<~-" ,- ~~~~"';');'""~~l!IS__l-t -':\t--~ -~"'- ,~-~ .,~ ~ , , ., . - - ,.~ ""' -)'.;0.',. " .'ie' ., -~,.~" ll. 0 0 0 C 0 uS: -r, OJ Cl .~; nlr-~ Pl Z" n i-;--,:D "r, ze r- eo ~". ~. ;2;8 -<"7' r:: {=, ~-~1~~ 5:: .- -n PC' 3~ g~ Z ' >0 ~':' c z '-1 =< U'1 ?i5 en -< r: Mary E. Ott, Plaintiff v. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CNIL ACTION - LAW : DNORCE Terry E. Ott, Defendant : NO. 2000- CIVIL TERM AFFIDAVIT SUPPORTING PRAECIPE FOR LEAVE TO PROCEED IN FORMA PAUPERIS 1. I am the plaintiff in the above matter and because of my fmancial condition am unable to pay the fees and costs of prosecuting or defending the action or proceeding. 2. I am unable to obtain funds from anyone, including my family and associates, to pay the costs of litigation. 3, I represent that the information below relating to my ability to pay the fees and costs is true and correct. (a) Name: Mary E. Ott Address: Mailing: P.O. Box 124, Newburg, PA 17240 Living: 37 Earl Street, Shippensburg, PA Social Security No.: 197-54-2992 (b) Employment: Currently Unemployed If you are presently employed, state Ernployer: Address: Salary or wages per month: Type of work: If you are presently unemployed, state Date of last employment: October, 2000 Salary or wages per month: $1,008. Type of work: Nursing Assistant (c) Other income within the past twelve months Business or profession: Other self-employment: None Interest: None Dividends: None Pension and annuities: None Social security benefits: None Support payments: None Disability payments: None Unemployment compensation and supplemental benefits: None Workman's cornpensation: Mid May through June ($256/week) Public Assistance: None Other: None (d) Other contributions to household support (Wife)(Husband) Name: None If your (wife)(husband) is ernployed, state Employer: Salary or wages per month: Type of work: Contributions from children: Contributions from parents: Other contributions: Property owned Cash: Checking account: Savings account: Certificates of deposit: Real estate (including home): None Motor vehicle: Make , Year Cost, Amount Owed $ Stocks; bonds: Other: Debts and obligations Mortgage: None Rent: $150/Mo Loans: $1,408. for Student Loan (quit school for bad back) Other: *(itemize all other relevant monthly expenses such as heat, electric, food, medical expenses, transportation expenses, food not covered by food stamps when client receives food stamps, etc..) . Covered by rent: heat, water, gas, electric are covered by rent Not Covered by rent: Food $100/mo medical expenses: owes $734.00 (not currently making payments) Phone: owes $253.00 (not currently making payments Transportation None Persons dependent upon you for support (Wife)(Husband) Name: None Children, if any: Name: Age: Micheal A. Kreamer,Jr. 11 Jeffery L. Kreamer, 9 Plaintiff owes child support payments of l19.50/two weeks Other persons: None Name: Relationship: . (e) (1) (g) '-"--"".., ;_'-1,.: - '. ~ ~ . - ~- ~ , - " .~_ c- -_~-, -_.-,' , 0"_"" ,;!. ," $0 $0 $0 None None None 4. I understand that I have a continuing obligation to inform the court of improvement in my fmancial circumstances which would permit me to pay the costs incurred herein. 5. 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] 1-1 /p-OO ~1Y1~mY Mary E. , etitioner !--;:--.-.:.JC;';, ~i~,~:"'" ~-~O -illll~~llw;Il~~l"-o' .'-""" ;. ~' ,,<~ ,~,O ,_ -~ ." . .'"" ~~--, .' ~~R~-(V-" - ~ ~Ul;il1lI -,-, ^ _.. ~" I_,~ .,~~,~ '" ..;~,;:,. "' .,' '-... , 0 a ~, ',-,' c 0 ''1 ::;:;,. 0 .---~ -oeG :-11 .':~ :n n"ln: c') Z:I~\ ::'gfIj ~3~ .~ 0"")1. .::.,C) ~Cj ~:'l ---;--'l, >'-" ::1<:: ~~ 20 ~ om :Pc -l :z :.n ;?: :< U1 ~ ~ "'- "d- -. " -,:~_ , _ L; - '. ""," :.~:,-~ ". c.,. ','.--" "-'--,~,'-,'"wi.-.c-"", ::- ':':~~"-_" '<.;v.._'. I. -'if:"! Mary E. Ott, Plaintiff v. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CML ACTION - LAW : IN DNORCE Terry E. Ott, Defendant : NO. 2000- <l(,;n CIVIL TERM NOTICE TO DEFENDANT If you wish to deny any of the allegations set forth in this affidavit, you must file a counter affidavit within twenty days after this affidavit has been served on you or the statements will be admitted. PLAINTIFF'S AFFIDAVIT UNDER SECTION 330Hd) OF THE DIVORCE CODE 1. The parties to this action separated October 15, 1997, 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, lawyer's fees or expenses if I do not claim them before a divorce is granted. 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 n-Iz-oo 'JfJ e. fJiJr M ~, Plaintiff ~,;".;;.,.,y_ ",-1,-;:.: ~"'.'C .. ~, . I I .~. liIiilliiri\&" ,='"~-- ~" - ~~i"'^*~'"'-:::'" -,'~~ L .y;;;. "idiili:ililiiti'-- ~. C>.~:;,k."~-__ ,. (") C :2"" -005 flIrT: Z....,.-- 25' ~L~: kC:: )>~ ZC 0::;:;(:) ....c ~ (:) CJ c::J [''1'' ';J -1 -0 .,-::::-.. (J ~'il i_'l ;-hfIl d,8 ':::::i(~, ::-:5;0 .".."'\..) ~'-::::rn d -I ~ ~ ct? o <::> , ~ I ~ , . J ' 'c- , ~ ' """;~ .." MARY E. OTT, Plaintiff :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYL VANIA v. : CIVIL ACTION - LAW :DNORCE TERRYE.OTT, Defendant :NO. 2000-8627 CIVIL TERM NOTICE OF INTENTION TO REQUEST ENTRY OF ~ 3301(d) DIVORCE DECREE TO: DEFENDANT: You have been sued in an action for divorce. You have failed to answer the complaint or file a counter-affidavit to the S 3301 (d) affidavit Therefore, on or after March 10, 2001, the other party can request the court to enter a final decree in divorce. If you do not file with the prothonotaty 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 rnay file with the prothonotary ofthe 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 fonn counter-affidavit alone does not protect your economic claims. 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 FlND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 (717) 249-3166 AMERICANS WITH DISABIUTIES ACT OF 1990 The Court of Cumberland County is required by law to comply with the Americans with Disabilities Act of 1990. For infonnation about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact our office. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled conference or hearing. 1. () () () 2. , ' ; ,- " llli:;;. .{)EFENDANT'S COUN'J.'ER-AFFIDA VIT UNDER 1i3301td) OF 1'BE DIVORCE CODE Check either (a) or (b): () (a) I do not oppose the entry of a 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 years. (ii) The marriage is not irretrievably broken. 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 if I 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 understand that in addition to checking (b) above, I must also file all of my economic claims with the prothonotary in writing and serve them on the other party. If I fail to do so before the date set forth O,ll the Notice of Intention to Request Divorce Decree, the divorce decree may be entered without further delay. () () 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. ~4904 relating to unsworn falsification to authorities. Date NOTICE: If you do not wish to oppose the entry of a divorce decree and you do not wish to make any claim for economic relief, you should not file this counter-affidavit. j-' >',';;6"-J":-~-'~,,,;',i .~tlWl~~~!~M~~--"l~i&-ai;ll~it~~!k,~m-?.&;MilillJ!>:1%'~~-t~~i>iiI.Ji~~~~ia! ",~_1~~",,""_ ~ I. ~. ~". .'_.B" ""_"~ '0 0 <:::> 0 c '1"1 s: ::It .! -otG ):);: 52fT' :::0 "n,\,:_' :I) zr'" ;~ 'ffi cJj :?; .{:..-- ~~ :<:: \..~; -0 ~8 ~. IJ--"'" ~ ~'7t;;) :J>c 'i! ;:5111 -.... ~ N ~'" (Jl ~ c. - . fil1l '::J.: , Mary E. Ott, Plaintiff v. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW : IN DNORCE Terry E. Ott, Defendant : NO. 2000-8627 CIVIL TERM CERTIFICATE OF SERVICE I, R, Brad Balaban, Certified Legal Intem, Family Law Clinic, hereby certifY that I am serving a true and correct copy of the Praecipe to Transmit Record and Vital Statistics form on Terry R Ott, residing at 61 W. Main St. , Walnut Bottom, Pennsylvania, 17257 by depositing a copy of the same in the United States mail, First Class, this 14th day of March 2001. .1!: ;;;L j(fL R, Brad Balaban Certified Legal Intern FAMILY LAW CLINIC 45 N. Pitt St. Carlisle, PA 17013 717-243-2968 ,~";;,,,'" ii';;;"';" L, ~",.~..'~,,,- ~jlill'~'-'-'> d,', lloI.'kgj;:Jlh'!i"lik";'..m,i;ijt";,R!{~~~~ltiilmLW~J1it;t~~~, ~ ~ .-. """",-,,_.~ , - ,,,. ..1,"...., -~ I' '.' , () 0 0 ~ "'1'1 ;:Reo :l!: '. ~~ ri: Do 2:I', ;;.0 ;-d~ W~c 1'"- .,'il ~;Z' .~ ")0 .--0 2;3~~ ::;> ""\:1 20 ...., ~~~" )>0 '::J C 2 --; =< i'-J P c.n ::tl -< III ," Mary E. Ott, Plaintiff v. Terry E. Ott, Defendant ,'. , . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION-LAW DIVORCE NO. 2000 - 8627 CIVIL TERM ACCEPTANCE OF SERVICE I accept service of the Divorce Complaint in the above captioned matter, J:2 Nu /GLJ Date ~~ O/~ Terry E. , Defendant 60 West Main Street, Apartment 1 Walnut Bottom, P A 17260 L >'~ii' k~ I "_'0< - Mary E. Ott, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLV ANlA v. : CNIL ACTION - LAW : IN DIVORCE Terry E. Ott, Defendant : NO, 2000-8627 CIVIL TERM CERTIFICATE OF SERVICE I, Brad Balaban, hereby certify that I am serving a true and correct copy of the Plaintiff's Affidavit Under Section 330l(d) of the Divorce Code on Terry E. Ott, residing at 61 West Main Street, Walnut Bottom, Pennsylvania, 17261, by placing the same in the U.S. mail, first class, postage prepaid on this date. Date 1- 1"1-01 ti.UaL R. Brad Balaban Certified Legal Intern F AMIL Y LAW CLINIC 45 N. Pitt St. Carlisle, PA 17013 717-243-2968 , i. '."''''~'''; iI"" C ,;..;,,-. ,-,;c'__ ~~;;,~~l:MMi-t'..i21!_~M~'~'"iti,Jt-;.j~~Jli!;i;;;i'I!'il'il'Mli@~~~-liAJ@liiIIlimIil'.i!llfW.-'i!lt~-I'I-$~".4-._=".. 1;Jf""k. ',,,,,"_ ".,~~_ l~,~. ^_~~<=_"~", ~" ,. "".", .n . >.. ___,~_"_~'.~,_"_~"o' ,~' ~..J__" ~., .. .., ~ '~'~.LJ.Il!D.. -''''''''''~~LIi!l , () c::. ,I - 0 Eo ...., ::;:I :;;Je m:D - ;-. :)~ , \0 .'. 0 :i' ~ :tii .00 I\) ;;::, " om - ~ 0\ ~ ~.-~ . " ,"-, ,_I" '. " . ,~ ',,' -'''____~~_.;;-__- ,," - ~~ ; , -~'~-~'; MARY E. on, Plaintiff :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA v. :CIVIL ACTION - LAW :DIVORCE TERRYE.OTT, Defendant :NO. 2000-8627 CNIL TERM NOTICE OF ELECTION TO RETAKE FORMER NAME Notice is hereby given that the Plaintiff in the above matter, having been granted a Final Decree in divorce from the bonds of matrimony on the 20th day of March, 2001, hereby elects to retake and hereafter use her previous name of Samler, and gives this written notice avowing her intention in accordance with the provisions of 54 Pa.C.S. ~ 704. .~ r;~ Maiy ittt Wishes To Be Known As: <7i7aJ~ ,~/J11lt~ Mary E. ler COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS, On the tfiIG day of ~ ,2001, before me, a Notary Public, personally appeared Mary E. Ott, known to me to be the person whose name is subscribed to the within document, and acknowledged that she executed the foregoing for the purpose therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal. NOTARiAL SEAL Janel L. Wenger, NoWy Public Carlisle, Cumhe'>nd ['"illy My Commission Ex,' '.C i"''1ember' 3, 2003 ~iii'll ff0 '- t "- g t; --1IIiiIll!i~~I1!!l~"illI~~M,~~~~~~~' -~~.illilllif~ ,~, ,_., J -'j o c: Z -of)::' n"'\I":-' ~~c ,?-C ~8i ? '- ~! --<. " C' ,'~ ~~3 , ,0 ....0 r::- .:J (:;:J ~I ~ & ~ ~ :N e-