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iN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
STATE OF +w A PENNA.
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CAROL A. MADDALONI
N ()....99...'...4282 CIVIL....... 19
...... Plaintiff.
versus
JOHN F. MADDALONI,
,_.. Defendant _
DECREE IN
DIVORCE
AND NOW, ........ .? . , 10-... , it is ordered and
decreed that . . . . . . . . . . . . Carol A. Maddal . oni . . . . . . . . . . . . . . . . . . . . plaintiff,
................
and . . . . . . . . . . . John F. Maddaloni defendant,
...............................................
?i 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
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The,attached,Property.Settlement.Agreement.is•hereby, incorporated+, but
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not merged,into this Decree in Divorce.
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Attest: ? J.
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Prothonotary
PROPERTY SETTLEMENT AGREEMENT
THIS AGREEMENT, made this ^. ? day of 1999, by and
between JOHN F. MADDALONI, hereinafter called "Husband", and CAROL A. MADDALONI,
hereinafter called "Wife".
WITNESSETH:
WHEREAS, Husband and Wife were legally married on May 25,1996;
WHEREAS, differences have arisen between Husband and Wife in consequence of which
they desire to live separate and apart from each other; and
WHEREAS, Husband and Wife desire to settle and determine their rights and obligations.
NOW THEREFORE, in consideration of the premises and covenants contained herein, it is
agreed by and between the parties hereto that:
1. SEPARATION.
It shall be lawful for each party at all times hereafter to live separate and apart from each
other at such place as he or she from time to time shall choose or deem fit. The foregoing provision
shall not be taken as an admission on the part of either party of the lawfulness or unlawfulness of
the causes leading to their living apart.
2. INTERFERENCES.
Each party shall be free from interference, authority and control by the other, as fully as if
he or she were single and unmarried, except as may be necessary to carry out the provisions of this
Agreement. Neither party shall molest or attempt to endeavor to molest the other, or in any way
harass or malign the other, nor in any other way interfere with the peaceful existence, separate and
apart from the other.
3. DMSION OF REAL PROPERTY.
Husband owned as premarital property his residence located at 1150 Newberry Road,
Middletown, Dauphin County, Pennsylvania. He shall retain the said property free and clear of any
claims by Wife.
4. DMSION OF PERSONAL PROPERTY.
The parties have divided between them to their mutual satisfaction, personal effects,
household goods and furnishings and all other articles of personal property which have heretofore
been used in common by them, and neither party will make any claim to any such items which are
now in the possession or under the control of the other. Should it become necessary, each party
agrees to sign any title or documents necessary to give effect to this paragraph, upon request.
5. MOTOR VEHICLES.
Each party shall retain as their sole and separate property the following vehicles:
Wife: 1996 Honda Accord.
Husband: 1991 BMW 318i.
Should there be any liens of record against the said vehicles, each of the parties shall be
solely responsible for the debt on the vehicle in that party's possession.
6. BANK ACCOUNTS.
Wife shall retain as her sole and separate property, the checking and savings accounts with
the Philadelphia Inquirer and Daily News Employees Federal Credit Union. Husband shall retain
as his sole and separate property, his checking and savings accounts with the EDS Credit Union.
7. PENSIONS/RETIRENWNT BENEFITS.
Wife shall retain as her sole and separate property, her EDS Pension and Deferred
Compensation (401k) plan, Parade Magazine pension and all IRAs with Janney Montgomery -
Scott. Husband shall retain as his sole and separate property, his EDS Pension and Deferred
Compensation (401k) plan.
In addition to the above, each party shall retain any and all pension or retirement type plans
in their individual names and agree to execute any documents necessary to effectuate the terms of
this paragraph.
S. INVESTMENTS.
Each of the parties shall retain as their individual property, the EDS Performance Shares
Plan. Wife shall retain the Janney Montgomery - Scott Mutual Fund and Husband shall retain any
mutual funds or other investments in his name individually. The parties acknowledge that there
were no investments that were held jointly.
9. LIFE INSURANCE.
Wife shall retain ownership of her Cigna and Metropolitan Life Insurance policies including
any cash values. Husband shall retain any insurance policies in his name individually including
any cash values.
10. Eour'ABLE DISTRIBUTION.
Upon execution of this Agreement, Husband shall pay to Wife the sum of $11,000.00
representing equitable distribution of marital property.
11. AFTER ACOUIRED PROPERTY.
Any investments, bank accounts, savings or other monetary assets acquired by either party
after the date of the parties' separation on April 9, 1999, shall remain the property of the individual
parry who owns the asset and said asset shall not be subject to equitable distribution hereunder.
12. TAX ON PROPERTY DIVISION.
Husband hereby agrees to pay all income taxes assessed against him, if any, as a result of
the division of the property of the parties hereunder. Wife hereby agrees to pay all income taxes
assessed against her, if any, as a result of the division of the property of the parties hereunder.
13. BREACH
If either party breaches any provision of this Agreement, the other party shall have the right,
at his or her election, to sue for damages for such breach. The party breaching this contract shall be
responsible for the payment of legal fees and costs incurred by the other in enforcing his or her
rights under this Agreement, or seeking such other remedy or relief as may be available to him or
her.
14, FULL DISCLOSURE.
Husband and Wife each represent and warrant to the other that he or she has made a full and
complete disclosure to the other of all assets of any nature whatsoever in which such party of every
type whatsoever and all other facts relating to the subject matter of this Agreement.
15. ADDITIONAL INSTRUMENT.
Each of the parties shall on demand execute and deliver to the other any deeds, bills of sale,
assignment, consents to change of beneficiary on insurance policies, tax returns and other
documents and do or caused to be done any other act or thing that may be necessary or desirable to
the provisions and purposes of this Agreement. If either patty fails on demand to comply with this
provision, that party shall pay to the other all attorneys' fees, costs and other expenses reasonable
incurred as a result of such failure.
16. WWVS DEBTS.
Wife represents and warrants to Husband that since the parties' separation she has not and in
the future she will not contract or incur any debt or liability for which Husband or his estate might
be responsible and shall indemnify and save Husband harmless from any and all claims or demands
made against him by reason of debts or obligations incurred by her.
17. HUSBAND'S DEBTS.
Husband represents and warrants to Wife that since the parties' separation he has not and in
the future he will not contract or incur any debt or liability for which Wife or her estate might be
responsible and shall indemnify and save Wife harmless from any and all claims or demands made
against her by reason of debts or obligations incurred by him.
18, WAIVERS OF CLAIMS AGAINST ESTATES.
Except as herein otherwise provided, each party may dispose of his or her property in any
way, and each party hereby waives and relinquishes any and all rights he or she may now have or
hereafter acquire, under the present or future laws of any jurisdiction, to share in the property or the
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estate of the other as a result of the marital relationship, including without limitation, dower, curtsy,
statutory allowance, widows allowance, right to take in intestacy, right to take against the Will of
the other, and right to act as administrator or executor of the other's estate, and each will, to the
request of the other, execute, acknowledge, and deliver any and all instruments which may be
necessary or advisable to carry into effect this mutual waiver and relinquishment of all such
interests, rights and claims.
19. REPRESENTATION.
It is recognized by the parties hereto that Carol A. Maddaloni is represented by John J.
Connelly, Jr., Esquire, and John F. Maddaloni is not represented by counsel and has the right to
have this Agreement reviewed by counsel of his choosing. It is fully understood and agreed that by
the signing of this Agreement, each party understands the legal impact of this Agreement and
further acknowledges that the Agreement is fair and reasonable and each party intends to be legally
bound by the terms hereof.
20. VOLUNTARY EXECUTION.
The provisions of this Agreement are fully understood by both parties and each party
acknowledges that this Agreement is fair and equitable, that it is being entered into voluntarily and
that it is not the result of any duress or undue influence.
21. ENTIRE AGREEMENT.
This Agreement contains the entire understanding of the parties and there are no
representations, warranties, covenants or undertakings other than those expressly set forth herein.
22. PRIOR AGREEMENT.
It is understood and agreed that any and all property settlement agreements which may or
have been executed prior to the date and time of this Agreement are null and void and of no effect
23. MODIFICATION AND WAIVER.
Any modification or waiver of any provision of this Agreement shall be effective only if
made m writing and executed with the same formality as this Agreement The failure of either
party to insist upon strict performance of any of the provisions of this Agreement shall not be
construed as a waiver of any subsequent default of the same or similar nature.
24. GOVERNING LAW.
This Agreement shall be governed by and shall be construed in accordance with the laws of
the Commonwealth of Pennsylvania.
25. INDEPENDENT SEPARATE COVENANTS.
It is specifically understood and agreed by and between the parties hereto that each
paragraph hereof shall be deemed to be a separate and independent covenant and agreement
26. VOID CLAUSES.
If any tens, condition, clause, or provision of this Agreement shall be determined or
declared to be void or invalid in law or otherwise, then only that term, 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.
27. ENTRY AS PART OF DECREE.
It is the intention of the parties that this Agreement shall survive any action for divorce
which may be instituted or prosecuted by either party and no order, judgement or decree of divorce,
temporary, final or permanent, shall affect or modify the financial terms of this Agreement This
Agreement shall be made a part of, but shall not merge with, any such judgment or decree of final
divorce.
28. DIVORCE ACTION.
The parties shall, at the time of the execution of the Agreement, mwcute documents
necessary to finalize the divorce action including, but not limited to, the withdrawal of any claims
pending under said action, indexed to number 99-4282, in the Court of Common Pleas,
Cumberland County, Pennsylvania, as well as Affidavits of Consent and Waivers of Counseling
and Waivers of Notice of Intention to Request Entry of a Divorce Decree.
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29. DOMESTIC RELATIONS COD OF rnnanapl?yEAI OF
PENN_ S?NIA
Except as specifically provided in this Agreement, each party waives any claim they may
have against the other under the Domestic Relations Code of the Commonwealth of Pennsylvania
including, but not limited to, alimony, alimony pendente lite, counsel fees, costs and equitable
distribution of marital property.
IN WITNESS WHEREOF, the parties hereto, intending to be legally bound hereby, have
hereunto set their hands and seals the day and year first above written.
WITNESS:
Carol A. Maddalo
J
Tghn F. Maddaloni
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CV#j & (1a (1d 33.
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On this, theme
day of 1999, before me, a Notary Public,
personally appeared Carol A. Maddaloni, (mown to me to be the person whose name is subscribed
to the within Property Settlement Agreement and acknowledged that she executed the same for the
purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notarial Seal
Denise S. Kocob, Notary Public /
East Permsbow Cumberland County
My Commission Expires May 29, 2003
Member, Penn syns w Aesaciatlon of NO;anes NOTARY PUBLIC
COMMONWEALTH OF PENNSYLVANIA
CWP &(11144 : 33.
COUNTY OF
On this, the /f/0 day of ?( /
/ `? O 1999, before me, a Notary Public
personally appeared John F. Maddaloni, known to me to be the person whose name is subscribed to
the within Property Settlement Agreement and acknowledged that he executed the same for the
purposes therein contained
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notarial Seal
Denise S. Kocba, Notary Pubis k1u1J /???p /1 pi
l"eet Penmboie n Crxnbenand County J / tL"L LsLL
My Commission Expires Mey 2 9. 2003
Member, Peratrylrene Asswistion 01 NOW" NOTARY PUBLIC
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CAROL A. MADDALONI,
Plaintiff
V.
JOHN F. MADDALONI,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
NO. 99 - 4282 CIVIL
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:
Ground for divorce: irretrievable breakdown under Section (}IX) 3301(c) ( )
3301(d) of the Divorce Code.
2. Date and manner of service of the Complaint: July 23, 1999 by certified mail no. Z
448 660 607.
Complete either paragraph (a) or (b).
(a) Date of execution of the Affidavit of Consent and Waiver of Counseling
required by Section 3301(c) of the Divorce Code:
by Plaintiff: November 24,1999; by Defendant: November 24, 1999
(b) (1) Date of execution of the Plaintiffs Affidavit required by Section 3301(d) of
the Divorce Code:
(2) Date of service of the Plaintiffs Affidavit upon the Defendant:
4. Related claims pending: All claims of record have been resolved and settled pursuant to
Property Settlement Agreement dated November 19, 1999.
5. Date and manner of service of the notice of intention to file Praecipe to Transmit
Record, a copy of which is attached, if the decree is to be entered under Section 3301(d) of the
Divorce Code:
6. Date and manner of service of Notice of Intention to file Praecipe to
Transmit Record, a copy of which is attached, if the decree is to be entered under Section 3301(c)
of the Divorce Code:
or, date of execution of Waiver of Notice of Intention to Request Entry of a Divorce Decree
under Section 3301(c) of the Divorce Code:
by Plaintiff: November 24, 1999; by Defendant: November 24, 1999.
and, date of filing of the Waiver of Notice of Intention to Request Entry of a Divorce
Decree: Both Waivers are being filed simultaneously with this Praecipe.
P
Date: n-A -w
(717) 533-3280
PA I.D. No. 15615
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CAROL A. MADDALONI,
PLAINTIFF
V.
JOHN F. MADDALONI,
DEFENDANT
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 9I - ./O 9.a 4?
: CIVIL ACTION -LAW
: IN DIVORCE
NOTICE
You have been sued in Court. If you wish to defend against the claims set forth in the
following papers, 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 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 at the Cumberland County Court House, 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 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, Pennsylvania 17013
Phone: (717) 249-3166
onn y, Jr.,
for Pl ' tiff
CAROL A. MADDALONI,
PLAINTIFF
V.
JOHN F. MADDALONI,
DEFENDANT
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
: NO.
CIVIL ACTION - LAW
IN DIVORCE
NOTICE OF AVAILABILITY OF COUNSELING
To the Within Named Defendant:
You have been named as the Defendant in a divorce proceeding filed in the Court of
Common Pleas of Cumberland County. This notice is to advise you that in accordance with Section
3302(d) of the Divorce Code, you may request that the Court require you and your spouse to attend
marriage counseling prior to a divorce decree being handed down by the Court. A list of
professional marriage counselors is available at the Office of the Prothonotary, One Courthouse
Square, Carlisle, Pennsylvania. You are advised that this list is kept as a convenience to you and
you are not bound to choose a counselor from this list. All necessary arrangements and the cost of
counseling sessions are to be bome by you and your spouse.
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. Failure to do so will constitute a
waiver of your right to request counseling.
Prothonotary
CAROL A. MADDALONI, : IN THE COURT OF COMMON PLEAS
PLAINTIFF : CUMBERLAND COUNTY, PENNSYLVANIA
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V. : NO.
JOHN F. MADDALONI, : CIVIL ACTION -LAW
DEFENDANT : IN DIVORCE
COMPLAINT UNDER SECTION 3301
OF THE. DIVORCE CODE
1. Plaintiff is Carol A. Maddaloni, social security no. 138-56-6542, who currently
resides at 4181 Elk Court #117, Mechanicsburg, Cumberland County, Pennsylvania 17055.
2. Defendant is John F. Maddaloni, social security no. 19048-3773, who currently
resides at 1150 Newberry Road, Middletown, Dauphin County, Pennsylvania 17057.
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 May 25, 1996, in Woodbury Heights, New
Jersey.
5. There have been no prior actions for divorce or annulment between the parties.
6. The Plaintiff is a citizen of the United States of America.
7. The Defendant is not a member of the Armed Services of the United States of
America or its Allies.
8. The marriage is irretrievably broken.
9. The Plaintiff has been advised of the availability of counseling and that the Plaintiff
may have the right to request that the Court require the parties to participate in counseling.
The parties to this action have been separated since April 9, 1999.
10. Plaintiff requests the Court to enter a Decree in Divorce.
WHEREFORE, the Plaintiff requests the Court to enter a Decree in divorce dissolving the
marriage between the Plaintiff and Defendant.
JAMES, SMITH, DURKIN & CONNELLY
Date: 1I'50l By:
Hershey, PA 17033
(717) 533-3280
PA I.D. No. 15615
VERIFICATION
I verify that the statements made in this Pleading 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 unworn
falsification to authorities.
Date:lj99 _ ( f L?,?,G??l ?.
Carol A. Maddaloni, Plaintiff
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CAROL A. MADDALONI, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 994282
JOHN F. MADDALONI, : CIVIL ACTION -LAW
Defendant : IN DIVORCE
AFFIDAVIT OF SERVICE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
ss.
AND NOW, this day of 1999, personally appeared before
me, a Notary Public in and for the State and County aforementioned, John J. Connelly, Jr., Esquire,
who, being duly sworn according to law, deposes and says that a copy of the Complaint in Divorce
was served on the Defendant, John F. Maddaloni, on July 23, 1999 by certified mail number
Z 448 660 607, addressee only, return receipt requested, as evidenced by the return receipt card
attached hereto and made a part hereof.
Date: g-I7-qq
Swom to and subscribed
before me this
day of 1999.
J
NotaryPublic
NOTAPogL SEAL I
J°AN L. KOSIER. Nor4 p
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CAROL A. MADDALONI, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO.99-4282 CIVIL
JOHN F. MADDALONI, : CIVIL ACTION - LAW
Defendant : IN DIVORCE
PLAINTIFF'S AFFIDAVIT OF CONSENT
AND WAIVER OF COUNSELING
1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on
July 14, 1999, and served on July 23, 1999.
2. The marriage of the Plaintiff and Defendant is irretrievably broken, and ninety days have
elapsed from the date of both the 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.
4. 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. I further
understand that the Court maintains a list of marriage counselors in the Prothonotary's Office,
which list is available to me upon request. 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 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.A. Section 4904, relating to
unswom falsification to authorities.
Date: IJ-1 4-99 A, s,f -e d-:
azolL l A. Maddaloni, PI 'miff
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CAROL A. MADDALONI,
Plaintiff
V.
JOHN F. MADDALONI,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
NO. 99 - 4282 CIVIL
: CIVIL ACTION - LAW
: IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE
DECREE UNDER 63301(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.A. Section 4904, relating to
unswom falsification to authorities.
Date:
-Clarol A. Maddaloni, aintiff
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CAROL A. MADDALONI,
Plaintiff
V.
JOHN F. MADDALONI,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
NO. 99 - 4282 CIVIL
CIVIL ACTION - LAW
IN DIVORCE
DEFENDANT'S AFFIDAVIT OF CONSENT
AND WAIVER OF COUNSELING
1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on
July 14, 1999, and served on July 23, 1999.
2. The marriage of the Plaintiff and Defendant is irretrievably broken, and ninety days have
elapsed from the date of both the 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.
4. 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. I further
understand that the Court maintains a list of marriage counselors in the Prothonotary's Office,
which list is available to me upon request. 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 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.A. Section 4904, relating to
unworn falsification to authorities.
Date: 11-1?N-99 `?+?? ?' tint a C
Jo F. Maddaloni, Defendant's
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CAROL A. MADDALONI,
Plaintiff
V.
JOHN F. MADDALONI,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
NO. 99 - 4282 CIVIL
: CIVIL ACTION - LAW
: IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE
DECREE UNDER 43301(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.A. Section 4904, relating to
unswom falsification to authorities.
Date: 11-1?4-99 U'
Jo ' F. Maddaloni, Defendant
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CAROL A. MADDALONI,
Plaintiff
V.
JOHN F. MADDALONI,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 99 - 4282 CIVIL
: CIVIL ACTION - LAW
: IN DIVORCE
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 1IL day of 1999, and
hereby elects to retake and hereafter use her maiden name of Carol A. Pasley and gives this written
notice avowing her intention in accordance with the provisions of the Act of May 25, 1939, P. L.
192, as amended.
DATED: 1A -'? /- y9
Sworn to and subscri L
bef re me this ay
1 ,19%1.
Carol A. Maddal ni
TO BE KNOWN AS
21
Carol A. Pasley
Noterlel Seal
ARY PUBLIC StepfuWe L. Gafby, Nota?ryry Pjale
h4mneleW?m Boro, DKOM County
My Con nlon MOM Sept. 26, 2002
M~. PNNayNenla Aeeocrtbn ot NeteMa
nag
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