HomeMy WebLinkAbout99-05152
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
STATE OF PENNA.
a
Tracey Ann Ash
9400 Highland Road No. 99-5152
Pittsburgh, PA 15237
VERSUS
Clifford Edward Ash
113 West Locust Street, C-17
Mechanicsburg, PA 17055
DECREE IN
DIVORCE
AND NOW, gnnl.23-e 1-2OVI , IT IS ORDERED AND
DECREED THAT Tracey Ann Ash , PLAINTIFF,
AND Clifford Edward Ash
ARE DIVORCED FROM THE BONDS OF MATRIMONY.
,DEFENDANT,
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;
Personal Agreement signed September 30, 1999 and Clarification
of Agreement signed April 20, 2001
BY THE COURT:
ATTEJ.
PROTHONOTARY
?a??oi ?• ceps ?
s?•a?•oi ?la?iee ??? ate.
11
d. f
PRAECIPE TO TRANSMIT RECORD
Tracey Ann Ash IN THE COURT OF COMMON PLEAS OF
9400 Highland Road Cumberland County, Pennsylvania
McCandless Township
Pittsburgh, PA 15237
(412) 366-2106
V - CIVIL TERM
Clifford Edward Ash
113 West Locust Street No: 99-5152
Apartment C-17
Mechanicsburg, PA 17055
(717) 697-9012
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 Section
3301(c) of the Divorce Code.
2. Date and manner of service of Complaint: A Complaint in
Divorce under Section 330(c) of the Divorce Code was filed
on August 26, 1999.
3. Complete either paragraph (a) or (b):
(a) Date of executed Affidavit of Consent required by
Section 3301(c) of the Divorce Code:
By Plaintiff: January 5, 2000 By Defendant: January 5, 2000
(b) (1)Date of execution of Plaintiff's affidavit required by
Section 201(d) of the Divorce Code:
4. Related claims pending: Incorporation of attached Agreement
and Clarification of Agreement Items
? l
Plaintiff
April 20, 2001 &2?
De dant
?l
TRACEY ANN ASH,
Plaintiff
' IN THE COURT OF COMMON PLEAS
' CUMBERLAND COUNTY, PENNSYLVANIA
' NO. 99
' CIVIL ACTION - LAW
' IN DIVORCE
VS.
CLIFFORD EDWARD ASH,
Defendant
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 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.
CUMBERLAND COUNTY:
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 Court House, 1
Court House Square, Carlisle, Pennsylvania, 17013-3387.
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 LAWYER REFERRAL SERVICE
2 LIBERTY AVENUE
CARLISLE, PA 17013
(717) 249-3166
1
TRACEY ANN ASH,
Vs.
Plaintiff
• IN THE COURT OF COMMON PLEAS
• CUMBERLAND COUNTY, PENNSYLVANIA
f
« NO. 9q- 5 /S,Z dl-?
CLIFFORD EDWARD ASH,
Defendant
` CIVIL ACTION - LAW
' IN DIVORCE
AFFIDAVIT
I, Tracey Ann Ash, being duly sworn according to law, depose and say:
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. 1 understand that the Court maintains a list of marriage counselors in
the Prothonotary's 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 the counseling prior to a divorce decree being handed down
by the Court.
4. 1 understand that false statements herein are made subject to the
penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities.
\ U 4 Ebb /_
Plaintiff
TRACEY ANN ASH,
Vs.
Plaintiff
CLIFFORD EDWARD ASH,
Defendant
' IN THE COURT OF COMMON PLEAS
" CUMBERLAND COUNTY, PENNSYLVANIA
` NO. qq- _s/sy -1; .-
• CIVIL ACTION - LAW
' IN DIVORCE
COMPLAINT UNDER §3301
OF THE DIVORCE CODE
1. Plaintiff is Tracey Ann Ash, who currently resides at 700 Allenview
Drive, Mechanicsburg, Cumberland County, Pennsylvania.
2. Defendant is Clifford Edward Ash, who currently resides at 700
Allenview Drive, Mechanicsburg, Cumberland County, Pennsylvania.
3. Plaintiff has been a bona fide resident of the Commonwealth of
Pennsylvania for a period of more than six (6) months immediately preceding the filing
of this Complaint.
4. The Parties were married on February 3, 1990.
5. Neither Plaintiff nor Defendant is in the military or naval service of
the United States or its allies within the provisions of the Soldiers' and Sailors' Civil
Relief Act of the Congress of 1940 and its amendments.
6. There has been no prior action for divorce or annulment instituted
by either of the parties in this or any other jurisdiction.
2
7. The 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.
COUNT I.
REQUEST FOR A NO-FAULT DIVORCE
UNDER §3301(c) OF THE DIVORCE CODE
8. The prior paragraphs of this Complaint are incorporated herein by
reference thereto.
9. The marriage of the parties is irretrievably broken.
10. After ninety (90) days have elapsed from the date of the filing of
this Complaint, Plaintiff intends to file an affidavit consenting to a divorce. Plaintiff
believes that Defendant may also file such an affidavit.
WHEREFORE, if both Parties file affidavits consenting to a divorce after
ninety (90) days have elapsed from the date of the filing of this Complaint, Plaintiff
respectfully requests the Court to enter a Decree of Divorce pursuant to Section
3301(c) of the Divorce Code.
COUNT 11.
REQUEST FOR A NO-FAULT DIVORCE
UNDER §3301(d) OF THE DIVORCE CODE
11. The prior paragraphs of this Complaint are incorporated herein by
reference thereto.
3
12. The marriage of the Parties is irretrievably broken.
13. The parties are living separate and apart and at the appropriate
time, Plaintiff will submit an affidavit alleging that the Parties have lived separate and
apart for at least two years as specified in Section 3301(d) of the Divorce Code.
WHEREFORE, Plaintiff respectfully requests the Court to enter a Decree
of Divorce pursuant to Section 3301(d) of the Divorce Code.
COUNT III.
REQUEST FOR EQUITABLE DISTRIBUTION OF MARITAL PROPERTY
UNDER §3323, §3501, §3502 and §3503
OF THE DIVORCE CODE
14. The prior paragraphs of this Complaint are incorporated herein by
reference thereto.
15. Plaintiff requests the Court to equitably divide, distribute or assign
the martial property between the parties without regard to marital misconduct in such
proportion as the Court deems just after consideration of all relevant factors.
WHEREFORE, Plaintiff respectfully requests the Court to enter an order
of equitable distribution of marital property pursuant to Sections 3323, 3501, 3502
and 3503 of the Divorce Code.
4
COUNT IV.
REQUEST FOR CONTINUED MAINTENANCE AND BENEFICIARY
DESIGNATIONS OF EXISTING POLICIES INSURING
LIFE AND HEALTH OF BOTH PARTIES
UNDER §3502(d) OF THE DIVORCE CODE
16. The prior paragraphs of this Complaint are incorporated herein by
reference thereto.
17. During the course of the marriage, Defendant has maintained
certain health, life and death insurance policies for the benefit of Plaintiff and
Defendant.
18. Pursuant to Section 3502(d), Plaintiff requests Defendant be
directed to continue maintenance of said policies.
WHEREFORE, Plaintiff respectfully requests that, pursuant to Section
3502(d) of the Divorce Code, the Court enter an order directing Defendant to continue
to maintain certain life and health insurance policies for the benefit of Plaintiff and
Defendant.
COUNT V.
REQUEST FOR SPOUSAL SUPPORT AND/OR ALIMONY
PENDENTE LITE AND ALIMONY
UNDER §3701, §3702 and §3704 OF THE DIVORCE CODE
19. The prior paragraphs of this Complaint are incorporated herein by
reference thereto.
20. Plaintiff is unable to sustain himself\herself during the course of
litigation.
5
21. Plaintiff lacks sufficient property to provide for his\her reasonable
needs and is unable to sustain himself\herself through appropriate employment.
22. Plaintiff requests the Court to enter an award of spousal support
and/or alimony pendente lite until final hearing and thereupon to enter an order of
alimony in his\her favor pursuant to Sections 3704 of the Divorce Code.
WHEREFORE, Plaintiff respectfully requests the Court to enter an award
of spousal support and/or alimony pendente lite until final hearing and thereupon to
enter an order of alimony in his\her favor pursuant to Sections 3701, 3702 and 3704
of the Divorce code.
COUNT VI.
REQUEST FOR COUNSEL FEES, COSTS AND EXPENSES
UNDER §3702 OF THE DIVORCE CODE
23. The prior paragraphs of this Complaint are incorporated herein by
reference thereto.
24. Plaintiff has employed Edward J. Weintraub, Esquire, to represent
him\her in this matrimonial cause.
25. Plaintiff is unable to pay his\her counsel fees, costs and expenses
and Defendant is more than able to pay them.
26. Defendant is employed and has the ability to pay Plaintiff's counsel
fees, costs and expenses.
27. Reserving the right to apply to the Court for temporary counsel
fees, costs and expenses prior to final hearing, Plaintiff requests that, after final
6
hearing, the Court order Defendant to pay Plaintiff's reasonable counsel fees, costs
and expenses.
WHEREFORE, Plaintiff respectfully requests that, pursuant to Sections
3702 of the Divorce Code, the Court enter an order directing Defendant to pay
Plaintiff's reasonable counsel fees, costs and expenses.
COUNT VIII.
REQUEST FOR APPROVAL OF ANY SETTLEMENT AGREEMENT
AND INCORPORATION THEREOF IN DIVORCE DECREE
UNDER SECTION 3104
OF THE DIVORCE CODE
28. The prior paragraphs of this Complaint are incorporated herein by
reference thereto.
29. The public policy of the Commonwealth of Pennsylvania
encourages parties to a marital dispute to negotiate a settlement of their differences.
30. While no settlement has been reached as of the date of the filing
of this Complaint, Plaintiff is and has always been willing to negotiate a fair and
reasonable settlement of all matters with Defendant.
31. To the extent that a written settlement agreement might be entered
into between the parties prior to the time of hearing on this Complaint, Plaintiff desires
that such written agreement be approved by the Court and incorporated in any divorce
decree which may be entered dissolving the marriage between the parties.
7
WHEREFORE, if a written settlement agreement is reached between the
Parties prior to the time of hearing on this Complaint, Plaintiff respectfully requests
that, pursuant to Section 3104 of the Divorce code, the Court approve and incorporate
such agreement in the final divorce decree.
Date: 1 Z 6
EDWARD J. WEINTRAUB, ESQUIRE
2650 North Third Street
Harrisburg, PA 17110
(717) 238-2200
ID #17441
ATTORNEY FOR PLAINTIFF
8
VERIFICATION
I, Tracey Ann Ash, hereby swear and affirm that the facts contained in
the foregoing Complaint for Divorce are true and correct and are made subject to the
penalties of 18 Pa. C.S. Sec. 4904 relating to unsworn falsification to authorities.
Date: 8 'a3 - /I l -!
9
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Tracey Ann Ash
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Tracey Ann Ash
528 Market Street
1s` Floor
New Cumberland, PA 17070
(717) 770-1968
V.
Clifford Edward Ash
700 Allenview Drive
Mechanicsburg, PA 177055
(717) 697-9012
IN THE COURT OF COMMON PLEAS OF
Cumberland County, Pennsylvania
CIVIL TERM
NO: 99-5152
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 330 (c) of the Divorce Code was filed on
August 26, 1999.
2. The marriage of the Plaintiff and the Defendant is irretrievably broken. Ninety
days have lapsed since the filing of the Complaint.
3. I consent to the entry of a final decree of divorce.
4. 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.
PLEASE SEE ATTACHED AGREEMENT SIGNED BY BOTH PARTIES ON
SEPTEMBER 30, 1999.
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. Section 4904 relating to unsworn falsification to authorities.
(Plaintiff) N (Defendant)
-?5,4 (/A6 y .S 2000
Form 30
1
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( .'
Tracey Ann Ash
528 Market Street
1st Floor
New Cumberland, PA 17070
(717) 770-1968
V.
Clifford Edward Ash
700 Allenview Drive
Mechanicsburg, PA 177055
(717) 697-9012
IN THE COURT OF COMMON PLEAS OF
Cumberland County, Pennsylvania
CIVIL TERM
NO: 99-5152
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 330 (c) of the Divorce Code was filed on
August 26. 1999.
2. The marriage of the Plaintiff and the Defendant is irretrievably broken. Ninety
days have lapsed since the filing of the Complaint.
3. I consent to the entry of a final decree of divorce.
4. 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.
PLEASE SEE ATTACHED AGREEMENT SIGNED BY BOTH PARTIES ON
SEPTEMBER 30, 1999.
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. Section 4904 relating to unsworn falsification to authorities.
(Plaintiff) (De en ant)
-3'4VV4c-7- S .2000
Form 30
(1 ?
lid; ?._
Tracey Ann Ash
9400 Highland Road
McCandless Township
Pittsburgh, PA 15237
(412) 366-2106
-V-
Clifford Edward Ash
113 West Locust Street
Apartment C-17
Mechanicsburg, PA 17055
(717) 697-9012
IN THE COURT OF COMMON PLEAS
OF Cumberland County,
Pennsylvania
CIVIL TERM
No: 99-5152
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER
SECTION 3301(c) OF THE DIVORCE CODE
1. A compliant in Divorce under Section 3301(c) of the Divorce
Code was filed on August 26, 1999
2. The marriage of Plaintiff and Defendant is irretrievably
broken and ninety days have elapsed from the date of filing
of the Complaint.
3. 1 consent to the entry of a final Decree of Divorce without
notice.
4. I understand that I may lase rights concerning alimony, division
of property, lawyer's fees or expenses if I do not claim
them before a divorce is granted.
5. 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. I verify that the statements made in this affidavit are true
and correct. I understand that false statements herein made
are subject to the penalties of 1BPa. C.S. Section 4904 relating
to unsworn falsification to authorities.
Date: April 20, 2001
Tracey Ann Ash
Plaintiff
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Tracey Ann Ash '.N THE COURT OF COMMON PLEAS
9400 Highland Road OF Cumberland County,
McCandless Township Pennsylvania
Pittsburgh, PA 15237
(412) 366-2106
_V_
CIVIL TERM
Clifford Edward Ash
113 West Locust Street
Apartment C-17 No: 99-5152
Mechanicsburg, PA 17055
(717) 697-9012
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER
SECTION 3301(c) OF THE DIVORCE CODE
1. A compliant in Divorce under Section 3301(c) of the Divorce
Code was filed on August 26, 1999
2. The marriage of Plaintiff and Defendant is irretrievably
broken and ninety days have elapsed from the date of filing
of the Complaint.
3. i consent to the entry of a final Decree of Divorce without
notice.
4. I understand that I may lose rights concerning alimon?,., division
of property, lawyer's fees or expenses if I do not claim
them before a divorce is granted.
5. 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. I verify that the statements made in this affidavit are true
and correct. I understand that false statements herein made
are subject to the penalties of ISPa. C.S. Section 4904 relating
to unsworn falsification to authorities.
Date: April 20, 2001 L%RL ?°?` " GJ?
Cc/Ffo2a Eowwrz.n f(ry
DEF ?oANT
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AFFIDAVIT OF NON-MILITARY SZRVICS
Tracey Ann Ash IN THE COURT OF COMMON PLEAS OF
9900 Highland Road Cumberland County, Pennsylvania
McCandless Township
Pittsburgh, PA 15237
(912) 366-2106
- V - CIVIL TERM
Clifford Edward Ash
113 West Locust Street No: 99-5152
Apartment C-17
Mechanicsburg, PA 17055
(717) 697-9012
AFFIDAVIT OF NON-MILITARY SERVICE
Tracey Ann Ash, being duly sworn according to Law, deposes and
says that she knows by her own personal knowledge and therefore
avers that Defendant, Clifford Edward Ash, is 38 years of age;
that he is employed by the Giant Food Stores, Inc., 1199
Harrisburg Pike, Carlisle, Pennsylvania 17013; and he is not in
the military service of the United States or its allies, or
otherwise within the provision of the Soldier's and Sailors'
Civil Relief Act of Congress of 1990 and its amendments.
oAliq
Plaint ff
Sworn and subscribed
before me this 20th day
of April, 2001
otary Public
NOTARIAL SEAL
MICHAEL R. CARANCI, Notary Public
Camp Hill Boro. Cumberland County
My Commission Expires June 15, 2002
,. -,
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TRACEY ANN ASH, . IN THE COURT OF COMMON PLEAS
Plaintiff . CUMBERLAND COUNTY, PENNSYLVANIA
Vs. ' NO. 99-5152
CLIFFORD EDWARD ASH, ' CIVIL ACTION - LAW
Defendant * IN DIVORCE
/AFFIDAVIT OF SERVICE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
: ss.
AND NOW, this 30th day of August , 1999 personally appeared before me,
a Notary Public in and for the aforesaid Commonwealth and County, Renee K. Betsko,
who being duly sworn according to law, deposes and says that on August 4 ,
1999, she mailed a certified copy of a Divorce Complaint by certified mail,
restricted delivery, return receipt requested, to -Clifford Edward Ash and the
same was received by him on August 6 , 1999 as indicated by the return receipt
card which is attached hereto.
LUX
Renee K. Betsko
Sworn to and subscribed before me
on this day of C(I70 ,
1999. -
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CLARIFICATION OF AQ EEMMiT ITn9S
Tracey Ann Ash IN THE COURT OF COMMON PLEAS OF
9400 Highland Road Cumberland County, Pennsylvania
McCandless Township
Pittsburgh, PA 15237
(412) 366-2106
V - CIVIL TERM
Clifford Edward Ash
113 West Locust Street No: 99-5152
Apartment C-17
Mechanicsburg, PA 17055
(717) 697-9012
CLARIFICATION OF AGREEMENT ITEMS
The following represents clarification of outstanding items
that have been agreed upon on the signed Agreement between
Clifford Edward Ash and Tracey Ann Ash dated September 30, 1999.
Paragraph II. EFFECT OF DIVORCE DECREE
Divorce is contingent upon the selling and settlement of the
home at 700 Allenview Drive, Mechanicsburg, Cumberland County,
Pennsylvania.
Home at 700 Allenview Drive, Mechanicsburg, Cumberland
County, Pennsylvania, has been sold and settlement is to be held
on Friday, April 20, 2001, 2:00 PM, at RE/MAX Realty Associates,
3425 Market Street, Camp Hill, Cumberland County, Pennsylvania.
Page I of 7
Therefore, the necessary documentation (Praecipe To Transmit
Record, Counseling Notice, Affidavit of Non-Military Service,
Affidavit of Signature, Divorce Decree and any other necessary
paperwork) will be provided to the Cumberland County Courthouse,
Prothonetary's Office on Friday, April 20, 2001 for processing.
Paragraph VI. TERMINATION OF THIS AGREEMENT
Please see Paragraph II of Agreement signed on September 30,
1999 by both parties. Husband requested that the Decree of
Divorce not be entered until the home at 700 Allenview Drive,
Mechanicsburg, Cumberland County, Pennsylvania has been sold and
settlement has been made.
Paragraph X. ALIMONY
Alimony is to start, per Husband's request, May 4, 2001 in
the amount of Two Hundred Seventeen and 50/100 Dollars ($217.50)
per week; with a total monthly amount of Eight Hundred Seventy
and NO1100 Dollars ($870.00).
Should a fifth week occur in a month's time period, Husband
to forward One Hundred Eight and 75/100 Dollars ($108.75) to Wife
on that payday period.
Page 2 of 7
Husband pay period is every Friday; therefore, Alimony check
is to be post-marked and mailed no later than that pay date in
order for Wife to receive the designated check no later than
Tuesday of the following week. Since Husband's personal check is
considered "but of Town" the bank will "hold" the monies for five
(5) days to clear the amount from Husband's account.
Should the personal alimony check be returned non-sufficient
funds, (NSF), Husband is to promptly re-issue the alimony check
along with any bank charges that have occurred on Wife's account
and a letter to Wife's bank clearing Wife's credit history.
Alimony is for the period of four (4) years beginning May 4,
2001 and ending may 4, 2005. PLEASE NOTE PARAGRAPH XXIV -
HUSBAND'S LOSS OF ZMXWYNENT ON AGREEMENT DATED SEPTEMBER 30,
1999.
PARAGRAPH XII. HEALTH AND MEDICAL INSURANCE
Upon finalization of the Divorce Decree, Husband is to
notify Benefit's Department so that Wife can obtain the same
health, medical, dental, eye and prescription insurance through
Husband's employer's COBRA program. Wife to contact Husband's
Benefit's Department once the Divorce Decree is received to
confirm that the COBRA information will be forwarded to Wife's
Page 3 of 7
correct address.
Husband notified his Benefit's Department and was advised
that once the finalization of the Divorce Decree is received and
Husband has removed Wife from his current health and medical
insurance, the COBRA benefits will be between the Wife and
Husband's Benefit's Department.
PARAGRAPH XIV. MOTOR VEHICLES
Item B
Husband to provide Wife with the Highland Lease Corporation
coupon book for the 1999 Honda CRV, VIN JHLRD1868XC038677, on
Friday, April 20, 2001 so that Wife can start payment of the
lease beginning May 2001.
Husband agrees to have his name removed from the encumbrance
and title of the motor vehicle once the divorce is final.
PARAGRAPH XIX: DEBTS, LIABILITIES AND OTHER OBLIGATIONS
"Both parties agree that all joint credit accounts will be
terminated immediately and no charges shall be made on any
jointly held credit account."
Husband has not terminated the MasterCard account 5499-4532-
0037-8691 through Household Finance (Steelworkers) and upgraded
it to account number 5407070005391371 in March of 2000. Wife
recently became aware of this not being completed when her credit
report was run in March 2001. A RELINQUISH FORM CHANGE OF
Page 4 of 7
RESPONSIBILITY was completed by Wife on April 9, 2001 and sent
along with ASSUMPTION FORM CHANGE OF RESPONSIBILITY that Husband
completed on April 1, 2001. Copies of documentation enclosed.
Should Household Credit Services, Inc. deny these CHANGES OF
RESPONSIBILITY, Husband is to immediately transfer any and all
balances on these accounts to an individual credit card. Husband
is to notify Wife that this has been completed and forward a Wife
notification from Household Credit Services, Inc. that Wife is
not liable or responsible for any charges past, present or future
on the joint accounts that where to be closed originally per
Husband and Wife Agreement dated and signed September 30, 1999.
PARAGRAPH XXV. METHOD OF PAYMENT
Husband notified Wife that direct deposit of alimony is not
possible through his employer; therefore, weekly alimony checks
are to be mailed via the U.S. Postal Service. Please see
Paragraph X of this Clarification of Agreement Items, dated April
20, 2001 for further description of payment terms and conditions.
PARAGRAPH XXVI CONSOLIDATION
This Clarification of Agreement Items is to be incorporated
along with the original Agreement signed and dated on September
30, 1999 (and if the Agreement of September 30, 1999 needs to be
re-submitted to the Court; therefore that second date the
Page 5 of 7
Agreement is signed and sealed.
IN WITNESS THEREOF, intending to be legally bound hereby,
the parties have set their hands and seal this day and year first
written above.
WITNESS
WITNESS
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
\ ` & / (SEAL)
WIFE
? (SEAL)
HUSBAND
On this, the day of Ae14- 2001,
before me, a Notary Public of the Commonwealth of Pennsylvania,
residing in the City of (ilQ7rtPjvicL and County of
wwfPLs&J? , personally appeared TRACEY ANN ASH, known
to me to be the person whose name is subscribed to the within
Clarification of Agreement Items and acknowledge that she
executed the same for the purposes herein contained.
Page 6 of 7 NOTARIAL SEAL
MICHAEL R. CARANCI, Notary Public
Camp Hill Boro. Cumberland County
My pommission Expires June 15, 2002
On this, the , -)V day of Z PI*G 2001,
before me, a Notary Public of the Commonwealth of Pennsylvania,
residing in the City of and County of
(?vncffE?c-t!e) , personally appeared CLIFFORD EDWARD ASH,
known to me to be the person whose name is subscribed to the
within Clarification of Agreement Items and acknowledge that he
executed the same for the purposes herein contained.
IN WITNESS THEREOF, I have hereunto set my hand and official
seal.
NOTARY PUBLIC
My commission
NOTARIAL SEAL
MICHAEL R. CARANCI, Notary Public
17, Hill Boro. Cumberland County
MmmissionExpiresJune15,2002I
Page 7 of 7
Household Credit Services, Inc. P.O. Box 98741
A Household Intemallonal Les Vegas, NV 891938741
Company
March 19, ?001
Cliff Ash
700 Allenview Dr
Mechanicsburg PA 17055
RE: 1371
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Dear Cliff Ash :
Thank you for your request to change account responsibility on the above listed account.
Unfortunately, we are unable to process your request at this time because we have not
received the following:
• Accountholder assuming responsibility for the account should complete the:
"Assumption Form-Change of Responsibility" form, and
• Accountholder who is to be removed from the account should complete the:
"Relinquish Form-Change of Account Responsibility" form.
Please return the above listed documents in the enclosed postage paid envelope. Upon
receipt, we will process your request promptly. If the information requested is not
received within 30 days of the above date, we will be unable to give further consideration
to your request.
We look forward to serving your future credit needs.
Sincerely,
Credit Department
Enclosures
261(R,w iL B)
UP•ST139 (1g0)
Household Credit Services, Inc. P.O. Box 98741
A Household International Las Vegas, HV 89193-8741
Company
ASSUMPTION FORM
CHANGE OF RESPONSIBILITY \Wow
Please supply the following information and return in the envelope provided:
Account Number: S407 / 07Ct-> / G15 3q / 1371
Name: CL/fF A#
Home Address: 7oo ?fuevview L NWV4=
AE ,4'y1CSBUiZ6. Pro- 170s?
Social Security #:_ 171f /? 60 / 7z S3 Date of Birth: /o / to / 6'3
Mother's Maiden Name 6&n ?
Home Phone #: (7r7 ) 6q7 _ o/Z- Work Phone #: (7o; ) -76x:
Place of Employment: (SI,4.y7- _< ;VM-ES LL.C
Position: ./"/ fA/46F-CL Gross Annual Income $ Nx ?O
Additional Income $ `-6' - Source -V/lf-
(Alimony, child support and separate maintenance income need not be disclosed if you do not wish to have
them considered as a basis for repaying this obligation.)
We the undersigned accountholder(s), confirm that I/we are hereby willing to assume responsibility
for all fees, charges and balances, previous and future, of the above referenced account. I/We
further state that all of the information furnished here, to the best of my/our knowledge, is complete
and accurate. You may check any of the information from whatever source(s) you choose, and can
obtain a current credit bureau report on me/us. 1/We understand that from time to time you may
receive credit information concerning me/us from others, such as stores, other lenders, and credit
reporting agencies. You may also furnish on a regular basis, credit and experience information
regarding my/our account and my/our account number(s) to others seeking such information. By
signing, using, or permitting another to use the credit card or cashing a credit card check, I/we agree
to be bound by the terms and conditions of the Cardmember Agreements and Disclosure Statement,
including any amendments.
4- l f l of ___1:???/t?
Date Applicant Signature
Date
26101 r, d 1} 6)
Co-Applicant Signature
UP•ST139 (7100)
Household Credit Services, Inc. P.O. Box 98741
A Household International Las Vegas, NV 89193-8741
Company
RELINQUISH FORM
CHANGE OF RESPONSIBILITY
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By signing below, I r ',?-)H i rptc?6't
(Last) with the social security number of ?
l l0? o? / (? confirm that
I am hereby willing to relinquish all rights on the account(s) with the number(s):
Account Number: 5407070005391371 4- 5L+gat46 3 A00E5 10 (oq
PLEASE CHECK ONE OF THE BOXES BELOW:
( ) I am enclosing my credit card(s)/checks, cut in half.
( My credit card(s)/ checks have been destroyed and properly disposed of.
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AFFIDAVIT OF SIGNATURE
Tracey Ann Ash
9400 Highland Road
McCandless Township
Pittsburgh, PA 15237
(412) 366-2106
V
IN THE COURT OF COMMON PLEAS OF
Cumberland County, Pennsylvania
Clifford Edward Ash
113 West Locust Street
Apartment C-17
Mechanicsburg, PA 17055 :
(717) 697-9012
CIVIL TERM
No: 99-5152
AFFIDAVIT AS TO SIGNATURE
Tracey Ann Ash, being duly sworn according to law, deposes and
says that she is the Plaintiff in the above-captioned divorce
action; that she is familiar with the signature of the Defendant;
and that the signature on the return receipt attached hereto as
Exhibit "A" is the signature of the Defendant.
Plaintiff
Sworn and subscribed
before me this 20th day
of April, 2001
Notary Public
NOTARIAL SEAL
MICHAEL R. CARANCI, Notary Public
Came Hill Boro. Cumberland County
My pommisslon Expires June 15, 2002
EXHIBIT "A"
Signature of Defendant:
April 20, 2001
. . . I
COUNSELING NOTICE
Tracey Ann Ash
9400 Highland Road
McCandless Township
Pittsburgh, PA 15237
(412) 366-2106
IN THE COURT OF COMMON PLEAS OF
Cumberland County, Pennsylvania
V
Clifford Edward Ash
113 West Locust Street
Apartment C-17
Mechanicsburg, PA 17055
(717) 697-9012
CIVIL TERM
No: 99-5152
The Divorce Code of Pennsylvania requires that you be
notified of the availability of counseling where a divorce is
sought under any of the following grounds:
Section 3301 (a) (6) - Indignities
Section 3301 (c) - Irretrievable breakdown -
Mutual Consent
Section 3301 (d) - Irretrievable breakdown -
Two/Three year separation
A list of qualified professionals is available for inspection in
Cumberland County Courthouse
Prothonotary's Office
S. Hanover Street
Carlisle, PA 17013
(717) 240-6195