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IN THE COURT OF COMMON PLEAS
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OF CUMBERLAND COUNTY
PENNA.
STATE OF
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.
BETHANY ~ ADKTNS
Plaintiff
VERSUS
.
DONALD LEE ADKINS. JR.
.
.
Defendant
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AND NOW,
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No.
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DECREE IN
DIVORCE
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RODI , IT IS ORDERED AND
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DECREED THAT
BETHANY M. ADKINS
, PLAINTIFF,
AND
Donald Lee Adkins, ir.
, 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;
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By THE COURT: /
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PROTHONOTARY
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SOCIAL SECURITY INFORMATION SHEET
PURSUANT TO 23 Pa.C.S.A. ~4304.1(a)(3) All. DIVORCES MUST
INCLUDE THE PARTIES SOCIAL SECURITY NUMBERS
PLEASE FILL IN THE APPROPRIATE INFORMATION AND RETURN
TO THE PROTHONOTARY'S OFFICE
DATE: August 23, 2001
DOCKET NUMBER: 01-2189
PLAINTIFF/PETITIONER SS # 194-56-0581
NAME: Bethany M. Burkholder Adkins
DEFENDANT/RESPONDENT SS # 173-56-3726
NAME: Donald Lee Adkins, Jr.
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vs.
IN TIIE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 01- :J..IP'i' C;Dl"(T~
BETHANY ADKINS,
Plaintiff
DONALD LEE ADKINS,
Defendant.
CIVIL ACTION -LAW
NOTICE TO DEFEND AND CLAIM RIGHTS
YOU HA VB 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, P A.
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 HA VB A LAWYER OR CONNOT AFFORD ONE, GO TO OR
1ELEPHONE TIIE 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
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BETHANY ADKINS,
Plaintiff
: IN THE COURT OF COMMON PLEAS
vs.
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO: ()/- .:2/?'? (!.;,;J /~
DONALD LEE ADKINS, JR.
Defendant
CIVIL ACTION-LAW
COMPLAINT
1 . Plaintiff is Bethany Adkins, who currently resides at 236 North
Baltimore Avenue, Apartment 7, Mount Holly Springs, Pennsylvania, 17065.
2. Defendant is Donald Lee Adkins, Jr., is an adult individual. who
currently resides at 9348 Otterbein Church Road, Newburg, Pennsylvania 17240.
3. The Plaintiff has been a bona fide resident(s) in the Commonwealth
for at least six (6) months immediately previous to the filing of this Complaint.
4. The Plaintiff and Defendant were married on September 18, 1999, In
Shippensburg, Franklin County, Pennsylvania.
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. Plaintiff and Defendant are both citizens of the United States.
8. Plaintiff has been advised of the availability of marriage counseling
and that he may have the right to request the court to require the parties to
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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.
9. The Plaintiff is irretrievably broken.
WHEREFORE: The Plaintiff requests the Court to enter a decree of Divorce.
Respectfully submitted,
Abom & Kutulakis
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Jason P. Kutulakis, Esquire
Attorney for Plaintiff
ID80411
8 South Hanover Street
Suite 204
Carlisle, PA 17013
(117) 249-0900
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BETHANY ADKINS,
Plaintiff
IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO:
DONALD LEE ADKINS, JR.,
Defendant
: CIVIL ACTION-LAW
VERIFICATION
I verify that the statements made in the foregoing complaint and
divorce are true and correct. I understand that false statements herein
are made subject to the penalties 18pa. c. s. ~4904, relating to unsworn
falsifications to authorities.
DATE:~~OUD-OI
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BETHANY ADKINS,
Plaintiff,
IN TIlE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 01-2189 CIVIL TERM
DONAlD LEE ADKINS,
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 receipt card.
Respectfully submitted,
ABOM & KUTULAKIS, LLP
Date: April 24. 2001
\:'
Jas n P. Kutulakis, Esquire
Att mey LD. No: 80411
Suite 204
8 South Hanover Street
Carlisle, P A 17013
(717) 249-0900
Attornry for P faintiff
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Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mail piece,
or on the front if space permits.
1. Article Addressed to:
A. Received by (please Print Clearly)
J1~~IJ i.. t:Jdk:.. ~ ..
c. Signature
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D. Is delivery address different from item 1?
If YES. enter deliverY address below:
J:::;o(IA.\ cI N K\ (\5) J.r.
C)34-~ Dt+cd:~i VI c.hurch 'RJ.
Ne\.0Wr5 PA 17JJtD
D Agent
o Addressee
DYes
o No
3. Service Type
~ertifjed Mail 0 Express Mail
/0 Registered 0 Return Receipt for Merchandise
o lnsured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
2. Article Number (Copy from service JabeQ
PS Form 3811, July 1999
Domestic Return Receipt
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Certlfied Fee
IEn Return Receipt Fee
dorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees $
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102595.{)O.M.0952
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BETHANY ADKINS,
Plaintiff,
IN THE COURT OF COMMON pLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 01-2189 CIVIL TERM
DONALD LEE ADKINS,
Defendant
CIVIL ACTION - LAW
AFFIDAVIT OF CONSENT
1. A Complaint in divorce under ~3301(c) of the Divorce Code was ftied
on April 12, 2001,
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 fmal 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.
CS. ~4904 relating to unsworn falsification to authorities.
Date: ~/ID/ol
i~~
Bethan dkins
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BETHANY ADKINS,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO: 01-0189 CIVIL TERM
DONAlD LEE ADKINS,]R.
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 ~(3301(c)) of the
Divorce Code.
2. Date and manner of service of the complaint April 24, 2001 by first
class mail return receipt requested.
3. Date of execution of the affidavit of consent required by 93301 (c)
of the Divorce Code: by plaintiff August 10, 2001; by defendant August 16, 2001 .
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4, Date and manner of service of the notice of intention to file
Praecipe to transmit record, a copy of which is attached: August 23,2001,
Respectfully submitted,
& KUTULAKIS, L.L.P.
6
Date: August 23. 2001
Jaso P. Kutulakis, Esquire
Att rney ID No. 77961
8 So th Hanover Street
Suite 204
Carlisle, P A 17013
Attorney for Bethany Adkins
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BETHANY ADKINS,
Plaintiff,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 01-2189 CIVIL TERM
DONALD LEE ADKINS,
Defendant
CIVIL ACTION - LAW
Wf\IVER 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: ~ ID, ~()(j\
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Bethan dkins
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:' ,L":~:CUMBERLAND COUNTY, PENNSYLVANIA
NO. 01-2189 CIVIL TERM
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BETHANY AD~~S,"
'.ipiaintiff '
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DONALD LEE ADKINS,
Defendant
CIVIL ACTION -LAW
AFFIDAVIT OF CONSENT
1. A Complaint in divorce under ~3301(c) of the Divorce Code was fued
on April 12, 2001.
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.
CS. ~4904 relating to unsworn falsification to authorities.
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Donald Lee Adkins f
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BETHANY ADKINS,
Plaintiff,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 01-2189 CIVIL TERM
DONALD LEE ADKINS,
Defendant
CIVIL ACTION -LAW
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 ifI 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: ~ -I(, '01
9--d. j ~ 1.
Donald Lee Adkins '
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