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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
STATE OF PENNA.
JO ELLEN KEISER
N 099-5893 CIVIL
VERSUS
DAVID K. KEISER
DECREE IN
DIVORCE
AND NOW, m2lldl !A 2000 , IT IS ORDERED AND
DECREED THAT .70 ELLEN KEISSER PLAINTIFF,
AND DAVID K. KEISER
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;
None. The terms of the Marital Settlement Agreement dated
22, 2000 are incorporated but
AW,
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IN THE COURT OF COMMONPLEAS
CUMBERLAND COUNTY
JO ELLEN KEISER V DAVID K. KEISER
DOCKET NO. 99-5893 CIVIL LAW- IN DIVORCE
MARITAL SETTLEMENT AGREEMENT
THIS AGREEMENT made this j 2 day of , 2000, by and between
JO ELLENKEISER, hereinafter called "WIFE",
AND
DAVID K. KEISER, hereinafter called "HUSBAND".
WITNESSETH.
WHEREAS, Husband and Wife were married on March 27, 1998 in Cumberland County,
Pennsylvania, and
WHEREAS, no children were born of this marriage; and
WHEREAS, certain differences have arisen between the parties as a result of which they
separated in July of 1999 and are desirous, therefore, of entering into an Agreement which will
distribute their marital property in a manner which is considered to be an equitable division of all
joint property, and will provide for the mutual responsibilities and rights growing out of the marriage
relationship; and
WHEREAS, there has been a complete disclosure of the earnings and property of each party,
and each understands his\her rights under the Divorce Code of the Commonwealth of Pennsylvania;
and
WHEREAS, the parties hereto, Wife having been properly advised by her attorney, Lawrence
J. Rosen, Esquire and Husband, having been properly advised by his attorney, Edward J Weintraub,
Esquire have come to this Agreement. The parties heretofore, intending to be legally bound,
covenant, promise and agree as follows:
1. CONSIDERATION. The consideration for this Agreement is the mutual promise,
covenants and agreements herein contained.
2. SEPARATION. It shall be lawful for each party at all times hereafter to live separate
and apart from the other parry at such place or places as he or she may from time to time choose or
deem fit. The foregoing provision shall not be taken as an admission on the part of either party of
the lawfulness of the causes leading to their living apart. The parties agree that their date of final
separation was July 23, 1999.
3. NO INTERFERENCE. Each party shall be free from interference, authority and
control, direct or indirect, by the other, as fully as if he or she were single and unmarried.
4. COUNSEL FEES.
A. The parties agree to assume responsibility for their own legal fees, if any.
5. SUPPORT. The parties agree to waive any rights to support which one may have for
or against the other.
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6. ALIMONY. The parties agree to waive any rights to alimony which one may have
for or against the other.
7. WAIVER OF PENSION BENEFITS. Husband and Wife agree that each shall
execute any documents necessary to release and waive forever any right, title or interest each party
may have in the other party's retirement plan (which is defined to mean pension, profit-sharing, or
any other plan or account or retirement or deferred income). Each party agrees to execute whatever
documents are required to effectuate the purpose of this paragraph. Each party appoints the other
as attorney-in-fact for the purpose of consenting to any election under any plan under Section 417
of the Internal Revenue Code or Section 205 of the Employee Income Security Act of 1974. It is
specifically agreed that each party's rights under their respective retirement plans constitute their own
separate property.
8. WIFE'SDEBTS. Wife represents and warrants to Husband that since the separation
she has not and in the future 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.
9. HUSBAND'S DEBTS. Husband represents and warrants to Wife that since the
separation he has not and in the future 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.
10. OUTSTANDING DEBTS. The parties affirm that there are no existing marital
debts.
11. REAL ESTATE The parties agree that Husband waives any claims to the marital
residence located at 1217 Gross Drive, Mechanicsburg, Cumberland County, Pennsylvania as the
property constitutes pre-marital property of Wife. Wife acknowledges that any expenses related to
the ownership and/or maintenance of said property are her sole responsibility. Wife will indemnify
and save husband harmless for any costs, claims or liability asserted against him regarding the
property.
12. DISTRIBUTION OFPERSONAL PROPERTY.
A. Household Property.
The parties hereto mutually agree that they have effected a satisfactory division of the
furniture, household furnishings, appliances, and other household personal property between them.
The parties hereto have divided between themselves, to their mutual satisfaction, all items of
tangible and intangible marital property. Neither party shall make any claim to any such items of
marital property, or of the separate personal property of either party, which are now in the possession
and/or under the control of the other. Should it become necessary, the parties will agree to sign, r
upon request, any title or documents necessary to give effect to this paragraph. Property shall be ,
deemed to being the possession or under the control of either party if, in the case of tangible personal
property, the item is physically in the possession or control of the party at the time of the signing of
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the Agreement and, in the case of intangible personal property, if any physical or written evidence
of ownership, such as passbook, checkbook, policy or certificate of insurance or other similar writing
is in the possession or control of the party. Husband and Wife shall each be deemed to be in the
possession and control of their own individual pension or other employee benefit plans or retirement
benefits of any nature to which wither party may have a vested or contingent right or interest at the
time of the signing of this Agreement, and neither will make any claim against the other for any
interest in such benefits during the period of separation, except as stated herein or subsequently
agreed upon in writing.
B. Wife agrees to execute any and all documents necessary for the transfer of title
to a 1998 Chevy Blazer which is jointly titled. Husband shall hold Wife harmless for any
expenses related to said vehicle including but not limited to the monthly purchase payments of
$561.00. Wife shall remain responsible and shall hold Husband harmless for any and all
payments/expenses related to a 1997 Chevy Cavalier currently titled in her name only.
13. MEDICAL INSURANCE. Both parties agree to continue to assume responsibility
for their own medical insurance.
14. TAX RETURNS. Both parties agree that they shall file separate federal tax return
for tax year 1999 and shall pay any deficiencies or receive any refunds attributable thereto.
15. MUTUAL CONSENT DIVORCE. This Agreement shall operate as a full and final
Settlement Agreement concerning all marital rights of both parties in accordance with the terms
herein. The Parties hereto agree that each shall contemporaneously herewith sign an Affidavit of
5
Consent to a divorce pursuant to Section 3301 (c) of the Divorce Code. Counsel for Wife shall
prepare and promptly file the parties' respective Affidavit's of Consent, a praecipe to transmit record,
Waiver of Notice of Intention to Request Entry of a Divorce Decree Under Section 3301(c) of the
Divorce Code and a vital statistics form, all for the purpose of obtaining an immediate Decree in
Divorce. Counsel for Wife shall obtain and provide counsel for Husband a duplicate original
divorce decree and a certified copy of their Marital Settlement Agreement incorporated therein.
16. TIME OFDISTRIBUTION. The assets and interests to be transferred under and
pursuant to this Agreement shall be conveyed and transferred to the respective parties prior to
Husband's counsel filing the necessary papers to obtain a final Decree in Divorce. The parties shall
cooperate by executing whatever documents are necessary to effectuate a divorce under 3301(c) or
3301(d) of the Pennsylvania Divorce Code, and this Agreement to cooperate shall be enforceable
by an assumpsit action for specific performance. However, upon refusal to consent, all distributed
property shall be returned to the party originally in possession, until the time of final decree.
17. RELEASE. Subject to the provisions of this Agreement, each party has released
and discharged, and by this Agreement does for himself or herself, and his or her heirs, legal
representatives, executors, administrators and assigns, release, indemnify (including actual legal
fees) and discharge the other of and from all causes of action, claims, rights, or demands, whatsoever
in law or equity, including equitable distribution, spousal support, alimony, counsel fees, alimony
pendente lite, and expenses which either of the parties against the other ever had, now has, or may
have in the future under the Pennsylvania Divorce Code, as amended, or under any other statutory
or common law, except any and all causes of action for divorce and all causes of action for breach
of any provisions of this Agreement. Each party also waives his or her right to request marital
counseling, pursuant to 3302 of the Divorce Code.
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 have or hereafter acquire under the present or future
laws of any jurisdiction, to share in the property or the estate of the other as a result of the marital
relationship, including without limitation, dower, courtesy, statutory allowance, widow's 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 any right existing now or in the future under the Pennsylvania
Divorce Code, as amended from time to time, and each will, at 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. RIGHTS ON EXECUTION. Immediately upon the execution of this Agreement,
the rights of each party against the other, despite their continuing marital status, shall terminate and
be as if they were never married.
20. BREACH. In the event of breach of any of the terms of this Agreement, the non-
breaching party shall be paid, as part of any award or judgment against the breaching party, all costs,
including actual counsel fees paid to his or her attorney.
21. INCORPORA TION INTO FINAL DIVORCE DECREE. The terms of this
Agreement shall be incorporated but shall not merge into the final divorce decree between the
parties. The parties intend that this Agreement shall be enforceable under the Divorce Code of 1980,
as amended, and, in addition, shall retain any remedies in law or in equity under this Agreement as
an independent contract. Such remedies in law or equity are specifically not waived or released.
22. ADDITIONAL INSTRUMENTS. Each of the parties shall from time to time, at
the request of the other, execute, acknowledge and deliver to the other party, any and all further
instruments that may be reasonably required to give full force and effect to the provisions of this
Agreement.
23. SEPARABILITY. In case any provision of this Agreement should be held to be
contrary to, or invalid under, the law of any country, state or other jurisdiction, such illegality and
invalidity shall not in any way affect the other provisions hereof, all of which shall continue,
nevertheless, in full force and effect, and each paragraph herein shall be deemed to be a separate and
undisputed covenant and agreement.
24. ENTIREAGREEMENT. This Agreement contains the entire understanding of
the parties and there are no representations, warranties, covenants and undertakings other than those
expressly set forth herein. Husband and Wife acknowledge and agree that the provisions of this
Agreement with respect to the distribution and division of marital and separate property are fair,
equitable and satisfactory to them, based on the length of their marriage and other relevant factors
which have been taken into consideration by the parties. Both parties hereby accept the provisions
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of this Agreement with respect to the division of property in lieu of and in full and final settlement
and satisfaction of all claims and demands that they may now have or hereafter have against the other
for equitable distribution of their property by any court of competent jurisdiction pursuant to Section
3502 of the Divorce Code or any other laws. Husband and Wife each voluntarily and intelligently
waive and relinquish any right to seek a court ordered determination and distribution of marital
property, but nothing herein contained shall constitute a waiver by either party of any rights to seek
the relief of any court for the purpose of enforcing the provisions of this Agreement.
25. MODIFICATION AND WAIVER. A modification or waiver of any of the
provisions of this Agreement shall be effective only if made in writing and executed with the same
formality as this Agreement. The failure of either party to insist upon strict performance of the
provisions of this Agreement shall not be construed as a waiver of any subsequent default of the
same or similar nature.
26. INTENT. it is the intent of the parties by this Agreement to fully and finally
foreclose any resort to the courts for relief on the basis of any statute or case law presently existing
or which may exist at some time in the future within the Commonwealth of Pennsylvania, including
but not limited to equitable distribution, alimony and other relief under the Pennsylvania Divorce
Code, as amended. This Agreement has been drafted and accepted on the basis that such resort
would constitute a breach under this Agreement, entitling the non-breaching party to reimbursement
for actual counsel fees. Other than as provided by the terms of this instrument, it is intended that the
court shall treat the parties as if they had never entered into a marital relationship. This Agreement
shall be interpreted and governed by the laws of the Commonwealth of Pennsylvania and, where
such law is inconsistent, the terns of this instrument shall govern.
27. VOLUNTARY EXECUTION. The provisions of this Agreement and their legal
effect have been fully explained to Wife by her counsel, Lawrence J. Rosen, Esquire, Husband by
his attorney, Edward J. Weintraub, Esquire. The parties agree that the instant Agreement is equitable,
that it is being entered into voluntarily, with full knowledge of the assets of both parties, and that it
is not the result of any duress or undue influence. The parties acknowledge that they have been
furnished with all information relating to the financial affairs of the other which has been requested
by each of them and/or by their respective counsel.
28. DESCRIPTIVE HEADINGS. The descriptive headings used herein are for
convenience only. They shall have no effect whatsoever in determining the rights or obligations of
the parties.
29. AGREEMENT BINDING ON HEIRS. This Agreement shall be binding and shall
inure to the benefit of the parties hereto, and their respective heirs, executors, administrators,
successors and assigns.
30. RECONCILIATION. Notwithstanding a reconciliation between the parties, this
Agreement shall continue to remain in full force and effect absent a writing signed by the parties
stating that this Agreement is null and void.
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IN WITNESS WHEREOF, The parties hereto have hereunto set their hands and seals
the day and year first above written.
WITNESS.
EDWARD J. WEINTRAUB, ESQUIRE
2650 NORTH THIRD STREET
HARRISBURG, PA 17110
(717) 238-2200
L
A, W2 I WNt S N ESQUIRE
KREVSKY & ROSEN, PC
1101 NORTH FRONT STREET
HARRISBURG, PA 17102
(717) 234-4583
DAVID K. KEISER, Husband
?-' ELLEN KEISER, Wife
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JO ELLEN KEISER : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO. 99 58-93 CIVIL
DAVID K. KEISER : CIVIL ACTION - LAW
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 Section W 3301 (c) 3( ) 301 (d)
of the Divorce Code. (Check applicable section.)
2. Date and manner of service of the Complaint: September 30. 1999 - Certified Mail.
3. (Complete either paragraph (a) or (b)).
(a) Date of execution of the affidavit of consent & waiver of required by Section 3301
(c) of the Divorce Code: by the Plaintiff on March 6, 2000; by the Defendant on February
22, 2000.
(b)(1) Date of execution of the Plaintiffs affidavit required by Section 3301 (d) of the
Divorce Code: N/A.
(2) date of service of the Plaintiffs affidavit upon the Defendant:
4. Related claims pending: Request that terms of Settlement Agreement dated February
22, 2000 and executed by the parties be incorporated and not merged into the Divorce.
5. Date and manner of service of the notice of intention to file praecipe to transmit
record, a copy of which is attached.
La ene J. Ros , Esquire
Attorney for Plaintiff
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JO ELLEN KEISER,
Plaintiff
V9.
DAVID K. KEISER,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
No. 9t? 13,V3 C'?AL
: CIVIL ACTION - LAW
: IN DIVORCE
NOTICE TO DEFEND AND CLAIM RIGHTS
You have been sued in Court. !f 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 maybe
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, First Floor, Cumberland County
Courthouse, 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, PA 17013-3387
(717) 249-3166
1-800-990-9108
JO ELLEN KEISER,
Plaintiff
VS.
DAVID K. KEISER,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
NO. 9 ,9. SSA
: CIVIL ACTION - LAW
: IN DIVORCE
COMPLAINT IN DIVORCE
AND NOW, comes the Plaintiff, JO ELLEN KEISER, by her attorney, Lawrence J.
Rosen, and seeks a Decree in Divorce and related relief from the Defendant, and in support
thereof, sets for the following:
1. The Plaintiff is Jo Ellen Keiser, an adult individual who currently resides at,
1217 Gross Drive, Mechanicsburg, Cumberland County, Pennsylvania 17055.
2. The Defendant is, David K. Keiser, an adult individual who resides at 6311
Bayshore Road, Mechanicsburg, Cumberland County, Pennsylvania 17055.
3. The Plaintiff and Defendant have been a bona fide resident in the Commonwealth
for at least six months immediately previous to the filing of the Complaint.
4. The Plaintiff and Defendant were married on March 27, 1998, in Mechanicsburg,
Cumberland County, Pennsylvania.
5. There has been no prior action for divorce or annulment between the parties.
6. The marriage is irretrievably broken.
7. 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.
8. Plaintiff requests the court to enter a decree of divorce.
WHEREFORE, Plaintiff prays this Honorable Court issue a Decree in Divorce
divorcing her from the bonds of matrimony pursuant to Section 3301 (c) or Section 3301 (d) of
the Divorce Code.
COUNT I - IRRETRIEVABLE BREAKDOWN and INDIGNITIES
9. Paragraph Nos. 1 through 8 incorporated by reference as if fully set forth herein.
10. The grounds upon which this action is based are irretrievable breakdown or, in the
alternative, indignities to the person of Plaintiff, the innocent and injured spouse, so as to render
her condition intolerable and life burdensome and a divorce pursuant to Section 3301 (c) or 3301
(a) (6) of the Divorce Code is sought,
WHEREFORE, Plaintiff prays this Honorable Court issue a Decree in Divorce,
divorcing her bonds of matrimony, pursuant to Section 3301 (c) or 3301 (a) (6) if the Divorce
Code.
COUNT II - EQUITABLE DISTRIBUTION
11. Paragraph Nos. 1 through 10 are incorporated herein by reference as if fully set
forth herein.
12. Plaintiff and Defendant have acquired certain real and personal property during
the course of the marriage and pursuant to the Divorce Code of 1994, Plaintiff desires that the
Court equitably distribute said assets.
WHEREFORE, Plaintiff request that the Court equitably divide the parties' real and
personal property, tangible and intangible, acquired during the course of the marriage, pursuant
to the Divorce Code of 1994.
COUNT III - ALIMONY PENDENTE LITE
SUPPORT, COUNSEL FEES AND EXPENSES
13. Paragraph Nos. I through 12 are incorporated herein by reference as if fully set
forth herein.
14. By reason of this action, Plaintiff will be put to considerable expense in the
preparation of her case, employment of counsel and payment of costs.
15. Plaintiff is without sufficient funds to support herself and to meet the costs and
expenses of this litigation and is unable to appropriately maintain herself during the pendency of
this action.
16. Plaintiffs income is not sufficient to provide for her reasonable needs and pay her
attorney's fees and the costs of this litigation.
17. Defendant has adequate earnings and would be able to provide support and
alimony pendente lite for Plaintiff and to pay her counsel fees, costs and expenses.
WHEREFORE, Plaintiff respectfully requests this Honorable Court compel Defendant
to pay Plaintiff alimony pendente lite, support, counsel fees, costs and expenses of this action.
COUNT IV-ALIMONY
18. Paragraph Nos. I through 17 are incorporated herein by reference as if fully set
forth herein.
19. Plaintiff lacks sufficient property to provide for her reasonable needs.
20. Plaintiff is unable to sufficiently support herself through appropriate employment.
21. Defendant has sufficient income and assets to provide continuing support for
WHEREFORE, Plaintiff respectfully requests this Honorable Court compel Defendant
to pay alimony to Plaintiff.
DATE: //-7 7
Respectfully submitted,
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eL4Wenbe J. Rose , Esquire
Attorney for Plaintiff
1101 North Front Street
Harrisburg, PA 17102
(717) 234-4583
Atty. I.D. No. 10625
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JO ELLEN KEISER,
Plaintiff
VS.
DAVID K. KEISER,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
NO.
: CIVIL ACTION - LAW
: IN DIVORCE
VERIFICATION
I, JO ELLEN KEISER, hereby verify that the information contained in the foregoing
Complaint is true and correct to the best of my knowledge, information and belief. I also
understand that false statements made herein are subject to the penalties of 18 Pa. C.S. § 4904,
relating to unworn falsification to authorities.
DATE: 9 9
O ELLEN KEISER
JO ELLEN KEISER,
Plaintiff
V9.
DAVID K. KEISER,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
NO.
CIVIL ACTION - LAW
IN DIVORCE
CERTIFICATE OF SERVICE
AND NOW, this day of September, 1999, 1, Lawrence J. Rosen, Esquire, attorney
for Plaintiff, JO ELLEN KEISER, hereby certify that I have this day served a copy of the
Complaint in the above-captioned matter, by First Class U.S. Mail, Certified Mail on the
following:
David K. Keiser
6311 Bayshore Road
Mechanicsburg, PA 17055
Lawrence J. Rosen, Esquire
1101 North Front Street
Harrisburg, PA 17102
(717) 234-4583
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JO ELLEN KEISER,
Plaintiff
VS.
DAVID K. KEISER,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
:NO. 99-5893 CIVIL
: CIVIL ACTION - LAW
: IN DIVORCE
AFFIDAVIT OF CONSENT UNDER SECTION 3301 (cl
OF THE DIVORCE CODE
1. A complaint in Divorce under Section 3301 (c) of the Divorce Code was filed on
Sentember 24. 1999.
2. The marriage of plaintiff and defendant is irretrievably broken and ninety days
have elapsed from the date of filing the Complaint.
3. I consent to the entry of final decree of divorce.
4. I understand that I may lose rights concerning alimony, division of property,
lawyers 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 unswom
falsification to authorities.
DATE:3 D 94 6?1141-1
ELLEN KEISER
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JO ELLEN KEISER,
Plaintiff
Vs.
DAVID K. KEISER,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
:NO. 99-5893 CIVIL
: CIVIL ACTION - LAW
: IN DIVORCE
AFFIDAVIT OF CONSENT UNDER SECTION 3301 (c)
OF THE DIVORCE CODE
1. A complaint in Divorce under Section 3301 (c) of the Divorce Code was filed on
September 24. 1999
2. The marriage of plaintiff and defendant is irretrievably broken and ninety days
have elapsed from the date of filing the Complaint.
3. I consent to the entry of final decree of divorce.
4. I understand that I may lose rights concerning alimony, division of property,
lawyers 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 unswom
falsification to authorities.
DATE:Z"Ze -DO
DAVID K. KEISER
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JO ELLEN KEISER,
Plaintiff
VS.
DAVID K. KEISER,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
:NO. 99-5893 CIVIL
: CIVIL ACTION - LAW
: IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER SECTION 3301 (C)
OF THE DIVORCE CODE
I . I consent to the entry of a final decree in divorce without notice.
2. I understand that I may lose rights concerning alimony, division of property,
lawyer's fees or expenses if 1 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.
4. 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 unswom falsification to authorities.
DATE: -(p
LJO ELLEN KEISER
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JO ELLEN KEISER,
Plaintiff
Vs.
DAVID K. KEISER,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
:NO. 99-5893 CIVIL
: CIVIL ACTION - LAW
: IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER SECTION 3301 (C)
OF THE DIVORCE CODE
I consent to the entry of a final decree in 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.
4. 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 unswom falsification to authorities.
DATE: L--7 -"' -Ov
DAVID K. KEISER
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JO ELLEN KEISER,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
VS. : NO. 99- 5893 Civil
DAVID K. KEISER, : CIVIL ACTION - LAW
Defendant : IN DIVORCE
AFFIDAVIT OF SERVICE
I, LAWRENCE J. ROSEN, attorney for the Plaintiff, JO ELLEN KEISER, hereby certify
that a copy of the Complaint for a Divorce was served by Certified Mail, Return Receipt Requested
on September 30, 1999, on the following:
DAVID K. KEISER
6311 BAYSHORE ROAD
MECHANICSBURG, PA 17055
DATE: lo-l.75
Lawrence J. R en, Esquire
Attorney for Plaintiff
1101 North Front Street
Harrisburg, PA 17102
(717) 234-4583
Atty. I.D. NO. 10625
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1. Date V
Ned By: (P t ) B. Add
end lee
a P3 Form 3811. December 1094
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
Plaintiff
/ vs.
Defendant
File No. 9Y ,J p p '3
IN DIVORCE
NOTICE TO RESUME PRIOR SURNAME
Notice is hereby given that the Plaintiff/Defendant in the
above matter, having been granted a Final Decree in Divorce on the
-? day of MYRCA , 1-9 Gb0 , hereby elects to resume the
prior surname of p [Zen zkAlol , and gives
this written notice pursuant to the provisions of 54 P.S. S 704.
DATE: 94i?06 gz v?OOU ? 9
Signature
S ature of name being resumed
COMMONWEALTH OF PENNSYLVANIA:
. SS.
COUNTY OF CUMBERLAND
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On the Q, day of ?Cl? C X9 , before me, a
Notary Public, personally appeared the above affiant known to me to
be the person whose name is subscribed to the within document and
acknowledged that he/she executed the foregoing for the purpose
therein contained.
In Witness Whereof, I have hereunto set my hand and official
seal.
Notary Public
Notarial Seal
Micheal T. KaHer, Notary Public
LOW
ConaNadar Exq°rsa Mey `8',°2062
Member, Penrz*Uaa neeoota M 01 Notarial
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