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HomeMy WebLinkAbout01-7236 FX . . . . . . . . . . . . . . . . . . - . .. ,'.c,_,_,'",r_-" ',"_',' ";-",:'-'. ,~ . OJ>.<.'-',",,, :$'~-""H" ~_: . .'>, .. ~~~~~~~ ~~~~~~~~~~ "':f.:f.:f. . . . . . . . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY STATE OF PENNA. KARRN .TONR CVPRRRT VERSUS No. 01-7236 JllSTTN RRRD CVPRRRT AND NOW, DECREED THAT AND DECREE IN DIVORCE ~lh . . . . . ...A 3 ';.r.2-~ ~ jUJ ~ tJY.. ~ , IT IS ORDERED AND . KARRN .TONR CVPRF.RT , PLAINTIFF, JUSTIN REED CYPHERT , 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; . tJo~ J. . :f.:f. "':f. :f.:f. '" . .. . . . . . . . . . ':-'--~~:, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .' ~ , ,_L~~~~J~ti.*j;A;l1rl,~tii~;wili'I,",&';'-~i~'~~iri"__t",:;",goi:!'I<,-,,,~*;.:&~d'''':-,.; ",h'IIWIll!i!itr.......-' ' '''''~illt!- ;" 'hr /fTJ?7W ~ /~? ~;z /t7~:~-n f -. . .' C5 q:.?- ~~"-~.h J;i~,-';t~_L.-~':: _lL~,:' _l~,.r ~,"',.'*"".l!R.LUJ.,l,,,~.J.,,,~-",'"""",,,'" ,""~"'J"'-"m"8'^"''',.,,".'''''o"'' '''''+O'i'. _" __ '.O,,,,",~~ ['(/ ,7:{'- tf fY . ce',p 4....l ",<_-,~_. ,', d~, --"~'''''<'''Ilf' C'-~."'.." -,"0-- ." ..;.:'-; ;;~.'. ;" {i,-"iI '" ^ _~<o_~" ._~~"_~. ~ ", ...;.,.<~, - ',' KAREN JUNE CYPHERT, Plaintiff : IN THE COURT OF COMMON PLAS : CUMBERLAND COUNTY, PENNSYLVANIA . . v. : No. 01-7236 JUSTIN REED CYPHERT, Defendant : 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: 1. Ground for divorce: Irretrievable breakdown under (X) Section 3301 (c) ( ) Section 3301 (d) of the Divorce Code. 2. Date and manner of service of the complaint: January 30, 2002 - Acceptance of Service by Defendant 3. Complete either paragraph (a) or (b): (a) Date of execution of the affidavit of consent required by Section 3301 (c) of the Divorce Code: by plaintiff, July 16, 2003 (b)(l) Date of execution of plaintiff's affidavit required by Section 3301 (d) of the Divorce Code: (b)(2) Date of service of plaintiff's affidavit upon defendant: . Date: ~~~ Richard C. Rupp, .. ire Rupp and Meikle A"orney I.D. #34832 355 North 21st Street, Suite 205 Camp Hill, PA 17011 (717) 761-3459- Counsel for Plaintiff 4. Related claims pending: ;,J"WJ~>l;:l;""m'"i'"Aili~jli*l\!Jl!~~~~'Wl~~~~ii~llil\-?J&>J-,:jil"cii":/i,1-:'~M,,,''4<-;'.,"'''''''''b""lc&e,ftti.!/tlj.~&~~_filiHi- 'ill",~;~~~_~","",,~,'-'"'_~~~~n """Ii: (") C::J C) c: t~,) '''1'''! S: UJ "0 t"f' ,.." --,"1 !il{. . -'0 ""?'-"- r:~ &-..', rT') ~5~ CJ .'J i ~;'-:i ! I~ '-rJ '; -n ...i' (~) )> ~~-~ :"J _ "-, m ~~~ ~,{ (:J ':':D -< E5 Lt:C ~,;~,-l,-i'!'~?(J1-,~"",~_4]I;f.U:1 "L WJ~J[~[~,Uf'~1,1I!U,,,,1_o,_,,tY~.J)JI!t'N"";f'<<>1'P.~7"~'_F,~'_,~', ~~. A!-,"' -' ;~_" ,.,_._,~. ',-h!_, ~'" '" _" ~ ~ ,.~~ - -"" ^ ~. ~ .. ~ ~ =~ L, .~ ~ ~." ,",-0 .~;~=, t ,""'1I'1~i:" l(:' , ' KAREN JUNE CYPHERT, Plaintiff v. : IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA ~NO. 01- 72?/.P C';,/ JUSTIN REED CYPHERT Defendant : IN DIVORCE NOTICE You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this Complaint and Notice are served, by entering a written appearance personally or by attorney and f1.ling in writing with the Court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the Court without further notice for any money claimed in the Complaint or for any other claim or relief requested by the Plaintiff. You may lose money or property or other rights important to you. 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 WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 717-249-3166 , ~ _.. I, >, "". I~ 'm ';, ,"'~ J-l~~f' KAREN JUNE CYPHERT, Plaintiff : IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 01-19.3 ~ JUSTIN REED CYPHERT Defendant : IN DIVORCE COMPLAINT IN DIVORCE - 3301(c) AND NOW, comes Plaintiff, by her attorney, Richard C. Rupp, and files this Complaint in Divorce, based upon the following: 1. Plaintiff, Karen June Cyphert, is an adult individual residing at 910 Allen Street, New Cumberland, Pennsylvania 17070. 2. Defendant, Justin Reed Cyphert, is an adult individual residing at 54A Doane Loop, Fort Benning, GA. 3. Plaintiff has been bona fide resident in the Commonwealth of Pennsylvania for at lease six (6) months previous to the filing of this Complaint. 1 ,. L .0 ~~~ " .: -- I, ~~ ,.:~~-, .oJ. '-,. ~';--,,.,, '"''--=-imM'~,"_ 4. Plaintiff and Defendant were married on December 30, 1996 in Camp Hill, Pennsylvania. 5. There have been no prior actions for divorce or annuhnent between the Parties. 6. Plaintiff and Defendant are both citizens of the United States of America. 7. Defendant is a member of the Armed Services of the United States. COUNT 1 - DIVORCE 8. Plaintiff avers as the grounds on which this action is based are that the marriage is irretrievably broken. 9. Plaintiff avers that there are no children born to the Parties. 10. Plaintiff has been advised that connse1ing is available and the Plaintiff may have the right to request that the Court require the Parties participate in counseling. 11. Plaintiff and Defendant separated on December 14, 2001. 12. Plaintiff asks the Court to enter a Decree in Divorce. 2 ~ " ~,' -- , ~J " ~ ". '",1iIlf~,' WHEREFORE, Plaintiff requests Your Honorable Court to enter a Decree in Divorce dissolving the marriage between Plaintiff and Defendant and such further relief as the Court may determine equitable and just. COUNT 2 - EOUITABLE DISTRIBUTION 13. Paragraphs I through 12 of this Complaint are incorporated herein by reference. 14. During their marriage the Plaintiff and the Defendant have acquired various items of marital property which are subject to equitable distribution under Chapter 35 of the Pennsylvania Divorce Code. 15. The Plaintiff requests this Honorable Court to equitably divide, distribute or assign the marital property and/or marital debt between the parties without regard to marital misconduct in such proportion as the Court deems just after consideration of all relevant factors. "1. -' ._-, I......J ,,~ ,-'v' " ~,'~-..,.2~" -' "'"''-'ifllIilli.,~'" WHEREFORE, Plaintiff respectfully requests this Honorable Court to equitably divide all marital property and debt pursuant to Section 3502(a) of the Pennsylvania Divorce Code. Richard C. Rupp Sup. CourtI.D. No.: 34832 355 North 21st Street, Suite 205 Camp HilI, PA 17011 (717) 761-3459 Attorney for Plaintiff W; ="",-",~ - ~ , Lt ,I. , , ",d-.JJ:ii~~;", VERIFICATION I, KAREN JUNE CYPHERT, verify that the statements in the foregoing Complaint in Divorce are true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to penalties of 18 Pa. C.S. ~ 4904 relating to unsworn falsification to authorities. ~M'I~orl7eAr KA N JUNE PHERT Date: /c2 -cQ/ - (J I J -"";_',h;" .;-,,'_b ::n -1iDIlI.1&;i!i~!liilll!:i'18!1-~,,*'!W':' .~l@~,>)\;iil'l'~te~;gi\1I!! {.,,"-:;o..:,:',Y.(lc-!-ii~~""',i,""'_~~,~V."Gf~iW,..~!Y<Uili-'.JGj"';,",--""""",>~"i,],',,~~"'<; " ~-~i:: () C) '~ c: tt \!i ......... "'- -:..... ::J ~ "Vet "I ~ ~ rnr,,;'-; ~-) T, <<..It 2:~, '-- ~~ ~ 2:c: ".) -'>n Co.' -- 0:; "l f:$ :'i': , "- ~ 0 , l~) ~ ~~ () cl "c v ~~2 ~ -.c: ;';;;0 ~".c-, Z:c \;;' t~ 0:> 5'> c: .r:- (,~tT1 ~ 3 ~) .2~ "'i ~ ,,, :;:::,.: '"'-l) ~':t::, -I ,- :;:) "<l ~ ""<. ." -< 0;):: ~ ~ ~ ~ :Jf Ill~Q 1 ,~_~, ""_"""~".",,,,,,"'.~'"~,~h,." . ... c.. ~ 1 ''',' "",e",.... , ". 'Uj!I.l!i.,"""NC'"" ~~,~$:,~,Mlf;1i,"",k,w-,,~.,I~ 0" m " ''''f__,~,_~ . , ,;"",,~,,~ ,C<_ ." _'''C " .,^' ~. - .._~. .,j -{ ,-,,-"~, '\;"'(nm~,t~~liMi'fc KAREN JUNE CYPHERT, Plaintiff : IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA v. . : NO. 0 1-/,;2'3~ JUSTIN REED CYPHERT Defendant : IN DIVORCE ACCEPTANCE OF SERVICE I, JUSTIN REED CYPHERT, the Defendant in the above referenced Divorce Action, do hereby accept service of the Complaint in Divorce filed by my wife. Date: 30 - JA tIJ-O J.- ~ . IN E C . RT <; , "i~:iM!il-Afi"-0!"i'U,M<t<itl;"j~~&M_,,,r!'<-i':H.#:fbjoMJio;\i~'i:^'~'_'!'k:&-,t,;,; :,~.-~h,_;i,.;,-;t>.g~i"; ';i'i,-'NilPiHii?tf;!tN1-~j.%~1\1~~;;~!!.~~~~~,,"1_!i'_~;'_~,~~~i>ilh'Ut:M:~~;M~ , _"," ;., 'J '''~'~~ 0 CO (J C (.~ T1 ;~ ~~ ~~f l,,~_ , .~ -:a Z c ! " ;.~ (f) .,,,,J S):: -c ~ C -!~ <: '""'t} )> :J' " " ~j~ ... f') :"-J ill ~~ :'..'1 :ro.. ....01 ::0 , f..) ", .< B f!-p 1!'I\!-I'J'",Nj~,UJ.l.!Jj~'II!~J".tL_,~"MJ. ,,,' "P"""".~d""'"""",..,, """I.. ", "'" ',.. ,.. ~ ,~ ~,= ~~"~ - ~ .Iii-!! '1[- ~.~:!lJ!lll ..rL~..~2h.~,_-~~,L..:,,~,U~..~~H:-:,'. . -,"':: ,- KAREN JUNE CYPHERT, Plaintiff v. : IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA : NO. 01-7236 JUSTIN REED CYPHERT Defendant : IN DIVORCE AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301 (cl .of the Divorce Code was filed on December 28, 2001. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date offiling 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 tr,:,e 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. II ! i Date: 7 - JiJ; - 0 -:s K~ c:-1(.(.N ~NA J- KAREN JUNE'CYPHER, laintiff ". ~:~~LLi!l'~';-'~~_olr"'~-^-' . . '"wii~Il~~;':' ''''~'!d~~O!ili~.I~~iW1l'i;:~'-'~~llW~~~J-#t''''i@kMj!~$j&~.~~~ ';;""'-."'--"" 0' #t ~lt8_>~"",:~,,_JLt.,L -,t1 rruJ)lU~;,_~~" L_,.lJ,;,~";.-lt<:"N,i!].!JJ",, ..,<_.p, ,',,",,'_~"A',"c;,-,,<,,,,'~~.,,.,,,",. _"::--.,;.,~ I; = .I~'" -'~ ,;, .~. ~ L'.' ".';' " "!I!\\ 0 0 0 c (..,,) ;;:: ." -Ou, "" mn, ,-- Z:T: (;') iJ] z ", S2:';~ ~...J d , ~i. () )> . 'T, L;,l_ -n :to: ;~~. c) ;:y "~ll1 -.' ~~ .-' :J1 --<: f'0 ::0 '< ~ ,',^,' ".,~--,.. ~ > =.~~-^ " ~, I IUl .-. l: :,~ ..iuL L""LI~'.._.,.".~ , ~"'-"',;- .~ _.w.,.,.....;~,~ ... ,..c. ,'. .n. ',I', . ._. . KAREN JUNE CYPHERT, Plaintiff : IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 01-7236 JUSTIN REED CYPHERT Defendant : IN DIVORCE WAIVER OF NOTICE OF INTENTIO~ 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 Divor~e without notice. , i! 2. I understand that I may lose rights concerning aUmony, division of I; 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 I : ' / i: immediately after if it is filed with the Prothonotqry. I verify that the statements made in this affidavit are ttue and corred. understand that false statements herein are made subjed to: the penalties of 18 Pa. '. I; I: ' C.S. Sedion 4904 relating to unsworn falsification to authorities. I: I I', .. , . , , Date: 7 - f{.fJ - 0 '3 ~CVIffiJ ~un/ ~hu J- REN JUN CYPHERT, aintiff ." .--..'-""--~'"~-- ,I ...... i,W~li!I~!r~_o/.~m&iM,~1!/i,!(""",0tE-''''-lfl!ill~~''-i!'i!lrlffiJ:(_R-'f''''k1,~';,b'l'''~;,~rr"",i"",,,,,- J;""~~:__,-"."'f10;"'4*.I1l~I.H&4l/;l$i;,-,.J,jj"'W~~i.~iIlli~~~1$!~r-""',,",,3~",,,,;;'li"Si1i&(~~$Ji';<_~~~l\rrrMlil1l!l!SII~I:ti:~1~*"liI!;.lJ (') c: :;?"' -0"" mrY -:;"-T' ~r' [,"~i'~ ):;; ~~:. =t1 /;:;5 fiZJt'-~' ~tl!lP;;~,~,JJ!J ~., ,J lL :~KJ Dl~l':~~]",'Jl=~dJJl"~'~'_':~,J.".". ,._'P"' ,~"' ,,~L,,"~.~_"L"'"~ ''''d H' ~. ",!, '" '. .~_ c , '._' """''''w, C:) ~.) ~. c= Ci') Cf -n -,., r= -'"1,<t -::"CJ ~, J -~f~ ~~~ ~,~ ":0 -< -, --I_J -----J,~ !"\,,) :.n f,) -~'tf"*1!':t%.'J'2~WglEK~ , I. '" =, . .."~"..J,_~ L"~.. N~""~-~-o,~"""""".c~'_''''''''''''''''''"'''''~~''''_';'''''d';.;j",, KAREN JUNE CYPHERT, Plaintiff : IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 01-7236 JUSTIN REED CYPHERT Defendant (') C:1 C GJ <:~-- -1"] ~~rc.~ <_ c e-o)'- r~f- l-?(~) ~r-' ..Jc~ ~e \:~ ,jiTl A Complaint in Divorce under Section 3301 (c) of the Divorc~ode w~ --... 1..0 -----<: : IN DIVORCE AFFIDAVIT OF CONSENT 1. filed on December 28, 2001. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of filing the Complaint. 3. I consent to the entry of a final decree of divorce after service of notice of intention to request entry of the decree. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn falsification to authorities. Date: ?J - 0 ! ' -- ,: Jf~~~~lL~~;&$~~'-"'_'U:l""",,,,_~~,,,q<r~~,,,,,,,,:;:..~",,;,!i'li,,",,~.;~1ilii~~$~O!!~1f'illll1!\J!;,;;,,"M"m~~~~~_~illlliilil. '~" ''''' (') C~ (') c: $: ,-,U "-T~ p-c1r-- " rri.T"- 2~7 2~: ,- " " (I)> ~. -<=0: r::C ~:~.: ~ >;~ ~';) -, =<! (;:) S:J -< 19 ~ ,.,ll,t:~l!(~!U.,IlI!!mJII, . .., ~.~"..ll,^.".~~.,."..,. ., ~..."I, .. <_~= ,,^ _,~'c..,,_,~. "'_~_"_ ~ " "' ",' i.J_~.." "h,"""I~~';;"1""~~-,,"",,,,",""-,"':'fr',,,,,^- KAREN JUNE CYPHERT, Plaintiff : IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA v. :NO. 01-7236 JUSTIN REED CYPHERT Defendant : IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 3301 (C) OF THE DIVORCE CODE property, lawyer's fees or expenses if I do not claim them before a 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 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 if 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: 'JG )Aru - 03 .. d~,jw~-- --:iii~:'~oli!~~~~_"i>;il!&l"""!,"--0~w,,__J.Jiiitok;.J~W~"'1i5l1!!lF~liiiJll"'" ^ ~iJ!i.~~"~~m~w,i'J't'Y"";';""""""" ~~~- ~L_.~'.- :Iii! ~I,I LLL'~s,,=,~m^_.,.,~_ ~{j "~ ~" 00 ,,',_~',", ~_,,,,~ _,~,,~_, (') ~ l}'....y rri';''-< ~~~~ ~';~- ~:..... .~> ;2: :.s: - '~'_'~o'_' ~~l;;:,..~,~ ~_~ _ M~ :)? :'::) (,D """"'"""""!?;jf.'-''-~~' "'ifili~"::''-'b'' C) C...., ." ,~ cd 0..) .. ':' '" :h -< "<~~ ~ -' ' .'" _'I~':~~ _.~, -' '''_~,,_....~...':,.~:~,~::~,:: :' :::. . '~,'1 v. , , , I : IN THE COURT OF c:OMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA ) : I' , : NO. 01.7236' , KAREN JUNE CYPHERT, Plaintiff JUSTIN REED CYPHERT Defendant : IN DIVORCE COUNSELING AFFIDAVIT 1 . I have been advised of the availability of marriage counseling and understand that I may request that the Court require that my spouse and I participate in counseling. 2. I understand that the Caurt maintains a list of marriage counselors in the Domestic Relations office, which list is available to me upon request. ) :. 3. Being so advised, I do not request that the Court require that my spouse and I participate in counseling prior to a divorce decree being handed down by the Court. I understand that false statements herein are made subject tothe penalties of 18 Pa.C.S. Section 4904 relating to unsworn falslficction tocuthorities. Date: ;-1 i.p - 03 ~' KAREN JUNE ~T, ~J.- 'l#J~~b[ilW,~~,ai~~,J,,,ijtQ.ill:',i.A,"-_;s,,,,),,,,,,,"__ ';,"--~M,l-''iiW.L<&,'_'~,'=,\-d;0'!Ob:d",-1.!iill:!ci.iMik;~)'"''';,(~''_,ec.'''-^-4'~8l'''tm~~iI1i~!iiili'-Jl:_I~~~~k () C) 0 C c....~ $~ " '1:) .., "'" ril;~j ;:;=) , -I: 2:7 :2"" , F~ ~~s -" ... ~~~,=- ~'D ' ":I~) --- .' 6i-,- .,..~ ~~} ;~ )>l:~' i'~) ?5 in Z :Jl ~ =< :b fv -< ~1k~-"I,pb,::, Jl,,~, .lJL""""<"~'~'N'~ ,~.[~.Jm~tKJlw;.L~ ,,", ,~~!11 ,_'>.,to' ""'_ '_"~"_"""",,,,,,,,.,,,"~I"'i"!$'>_~l> _~,,, 7"'h'C" -..>",._ ~~,.'" <_",~. _, "f,_,",,"_ ~~, -~, ~,~" ,- ,,-~~ ~, KAREN JUNE CYPHERT, Plaintiff v. JUSTIN REED CYPHERT Defendant ..-.JI, 1-..... "~--~, 'i"l'="--'~'~:.Jooi 1."'A<.ill,"""',,-,i"~.kl,i : IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA :NO. 01-7236 : IN DIVORCE C' 10..._' ~.~.:.~ ..A ~ ---~j ~~~: COUNSELING AFFIDAVIT mL,- - ~~--,- Z"'~_ 5>c~ ~,., 1. I have been advised of the availability of marriage counseli~ a~ 2i: understand that I may request that the Court require that my spouse and I participate in counseling. 2. I understand that the Court maintains a list of marriage counselors in the Domestic Relations office, which list is available to me upon request. 3. Being so advised, I do not request that the Court require that my spouse and I participate in counseling prior to a divorce decree being handed down by the Court. 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: db - 3 ~tJ' O~ '.~~~'lil\ii~l'~JWl~1;;i~!!ll;,~f.t_,v,j'e'::;,,'}j"-"'i.,,;\ g; J)J ,,'1 ~,'",j'.-> ,,,,:, ':""~',~;'~;$~:;d;;"lt*}"'_;;':;k!,,~,-mw-\!I*,-~I;~'B1I'~~~fA~~~~~~""",,,1!:"""""'""""'.' ~ ~1",1,m,LJ~J.U,JJJU", c~.,_"=. _ ~~ ___" =,~,"''4','_ "~.,,^~4,,~"~'~_ "".,<""I>;~_ _~." ~__ .~~,~ _" ,'~., ,L ->~ ~' '-""'""~~-~ C) i::;"" C) C j- ., -n ..' ''""'ll ~~ l....' -"!j Z [::J,J -7 f: ~.< ....- , 'J (j" -< <, ~~ C i,,: )> C Z ,- )> ~, r--~ ~ .-~.. ~ .-::;J -< (~ -< il' , ,~ ~ . ~. .' ,--,~ io;;oj' ,=>,'c~",' SOCIAL SECURITY INFORMATION SHEET PURSUANT TO 23 Pa.C.S.A. SECTION 4304.1 (a)(3) ALL DIVORCES MUST INCLUDE THE PARTIES SOCIAL SECURITY NUMBER PLEASE FILL IN THE APPROPRIATE INFORMATION AND RETURN TO THE PROTHONOTARY'S OFFICE DATE: September 11. 2003 DOCKET NUMBER: 2001-7236 PLAINTIFF/PETITIONER SS# 194-62-441 0 NAME: KAREN JUNE CYPHERT DEFENDANT/PETITIONER SS# 209-48-1131 NAME: JUSTIN REED CYPHERT Respectfully submi"ed, R hard C. Ru p Sup. Court I.D. No.: 34832 355 North 21 st Street, Suite 205 Camp Hill, PA 17011 (717) 761-3459 Attorney for Plaintiff - -- I'.. , i.jjli[-,"~_",:",,,,,,,,,",,,,,,, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA ~o.{(SV) oJ. ~rher\- I Plaintiff Vs FileNo. deDI - 01;).30 IN DIVORCE JoS-ti () i2.. C. her+- fP Defendant NOTICE TO RESUME PRIOR SURNAME Notice is hereby given that the Plaintiff I defendant in the above matter, [select one 6y marking "x"] _ prior to the entry of a Final Decree in Divorce, or -X- after the entry of a Final Decree in Divorce dated -9 ' \ to ' 0 ~, hereby elects to resum~,the prior surname of Or 0.., ..\-'2.\<..e , and gives this written notice avowing.his / her intention pursuant to the provisions of 54 P.S. 704. Date: 3 - 30 -DL-\ ~n.fl..Q.N"\ ~ ~~ ' Si ture 0 ~ ~APH1 ~ ~ ignature of aIDe. eing sumed COMMONWE}.LTH OF PENN~YL VANIA) COUNTY OF~ 10 D..-!,.,k/ On the 3 OK-daY of \.fV} t1J) &-. ,200:1.., before me, the Prothonotary or the notary public, personally appeared the above affiant lmown to me to be the person whose name is subscribed to the within document and aclmowledged that he I she executed the foregoing for the purpose therein contained. In Witness Whereof, I have hereunto set my hand hereunto set my hand and official seal. Cf&Iorl.i.JQ. &UIYo/ Notary Public NOTARIAL SEAL CLAUDIA A, BREWBAKER. NOTARY PUBLIC Carlisle Bora, Cumberland County My Commission ExJiiles Aprii 4, 2005 ,)'<i~~ni ;a~jri.~~;w'~clli-liiii:~;e"~'i,;;ti);i,~~i"-~),;',\:I",-H ,-;,,"';--,'H''i' ' ~':L ;;'h'~:,i'"",",ihhib,;w~iifi'H;;rh~~~;Q'''\!:"(-.FLg"iJ',d,,,';)';!'-''Il~ff~"'~~~- 1!ll!L'-;Mj~!il'~'tf-'--T!lt,1JiW!'~j~~.i c> ....., 0 = = .n ~~ ""'- "'IQ. -:~- --l N ~~t] :x -I: -;-.l :>>> rn ::n tL ;;0 .- ~"" - (..v ~~ D ~~:~:f 0 p D ~_C':': v -1: ~ ~~~:. o"n '- 3: -70 ~ -U )>.;::::: (3m ;:;;;:;; :;! ...:::" ~ p:: -I " '"" :.0 W ." r" .,< r- ~ ~ 1B ~.I\ . ~\'f ~,~.~ w_" L~"UI, ,~, _~Jl~X~~~J!(,e)"JL.~~~1,.\I~';<N,<,gg~'Jc,Jl't""'JJ~,.L"WA~fL',<1,I"t4""~'t(~",,"",",_~^,'~ ._,.~ "-. -