HomeMy WebLinkAbout04-1206
VIRGINIA MARIE BELLMAN,
PLAINTIFF
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY,
PENNSYL VANIA
VS.
: NO.OII ~ I~(" CIVIL TERM
JAY DENNIS BELLMAN,
DEFENDANT
: CIVIL ACTION - LAW
: ACTION FOR DIVORCE I CUSTODY
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.
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 Courthouse, One Courthouse Square, Carlisle, P A 17013-3387.
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DMSION OF PROPERTY, LAWYER'S
FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE
THE RIGlIT TO CLAIM ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU 00 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
32 South Bedford Street
Carlisle PA 17013
(717) 249-3166
1-800-990-9108
VIRGINIA MARIE HELLMAN,
PLAINTIFF
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY,
PENNSYLVANIA
vs.
: NO.~-I2Cb CIVILTERM
: CIVIL ACTION - LAW
: ACTION FOR DIVORCE / CUSTODY
JAY DENNIS HELLMAN,
DEFENDANT
COMPLAINT FOR NO-FAULT DIVORCE
UNDER SECTION 3301(c) OF THE DIVORCE CODE
AND NOW, comes the Plaintiff, VIRGINIA MARIE HELLMAN, by and through her
counsel, Susan Kay Candiello, Esquire, of the Law Firm of Susan Kay Candiello, P.e., and makes
the following consolidated complaint in divorce for divorce and custody.
1. Plaintiff is VIRGINIA MARIE HELLMAN, an adult individual, who resides at
5014 Muirfield Place, Mechanicsburg, Cumberland County, Pennsylvania, 17050. The Plaintiff
has resided in Cumberland County for over three (3) years.
2. Defendant is JAY DENNIS HELLMAN, an adult individual, who resides at
5014 Muirfield Place, Mechanicsburg, Cumberland County, Pennsylvania, 17050.
3. Plaintiff and Defendant have been bona fide residents in the Commonwealth for at
least six (6) months immediately previous to the filing of this Complaint.
4. The Plaintiff and Defendant were lawfully married on February 14, 1992.
5. There have been no prior actions of divorce or for annulment between the parties
except this Complaint filed for divorce.
6. The marriage is irretrievably broken.
7. Plaintiff has been advised of the availability of counseling and of the right to
request that the court require the parties to participate in counseling. Plaintiff has chosen not to
engage in, or to request any counseling.
8. Neither Plaintiff nor Defendant has ever been a member of the United States
Military Services.
9. Plaintiff and Defendant have two (2) children from their marriage, ALISON
MARIE HELLMAN, born November 1, 1993, and KRISTIN NICOLE HELLMAN, born
September 4, 1995.
COUNT I - REOUEST FOR NO-FAULT DIVORCE
UNDER SECTION 330I(c) OF THE DIVORCE CODE
10. Paragraphs 1 through 9 of this Complaint are incorporated herein by reference
thereto.
1 I. After ninety (90) days have elapsed from the date of filing of this Complaint,
Plaintiff intends to file an Affidavit consenting to the divorce. Plaintiffbe!ieves 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 filing of this Complaint, Plaintiff, VIRGINIA MARIE
HELLMAN, respectfully requests the court to enter a Decree of Divorce pursuant to section
330l(c) of the Divorce Code.
COUNT n. REOUEST FOR EOUITABLE DISTRIBUTION OF
MARITAL PROPERTY UNDER SECTION 3502(a) OF THE DIVORCE CODE
12. Paragraphs 1 through 11 of this Complaint are incorporated herein by reference
thereto.
13. The Plaintiff requests the Court to equitably divide, distribute or assign the marital
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, VIRGINIA MARIE HELLMAN, respectfully requests the
Court to enter an order of equitable distribution of marital property pursuant to Section 3502(a)
of the Divorce Code.
COUNT m - REOUEST FOR CONFIRMATION OF CUSTODY
UNDER SECTIONS 3I04(a)(2) and 3323(b) OF THE DIVORCE CODE
14. Paragraphs 1 through 13 of this Complaint are incorporated herein by reference
thereto.
15. The parties are the parents of the following minor children who reside with the
Defendant at this time:
NAME
AGE
SEX
DATE OF BIRTH
ALISON MARIE HELLMAN
10 years
Female
November 1,1993
KRISTIN NICOLE HELLMAN
8 years
Female
September 4, 1995
16. During the past five (5) years the children have resided with the parties and at the
addresses herein indicated:
WITH WHOM
ADDRESS
FROM/ TO
Plaintiff and Defendant
5014 Muirfield Place
Mechanicsburg P A
1998 to Present
17. Plaintiff has not participated in any other litigation concerning the children in this
or any other state.
18. There are no other proceedings pending involving custody of the children in this
or any other state.
19. Plaintiff knows of no person not a party to these proceedings who has physical
custody of the children or who claims to have custody, partial custody or visitation rights with
respect to the children.
20. The best interests of the children will be served if Plaintiff and Defendant have
Shared Legal Custody and Shared Physical Custody oftheir children.
WHEREFORE, Plaintiff, VIRGINIA MARIE HELLMAN, requests this Honorable
Court grant Plaintiff, VIRGINIA MARIE HELLMAN, and Defendant, JAY DENNIS
HELLMAN. Shared Legal Custody and Shared Physical Custody of the minor children,
ALISON MARIE HELLMAN and KRISTIN NICOLE HELLMAN.
Respectfully submitted,
LAW FIRM OF SUSAN KAY CANDIELLO, P.e.
Dated: Marcha, 2004
C=:su~~ .
Counsel for lainti
PAI.D. #64
5021 East Trindle Road
Suite 100
Mechanicsburg P A 17050
(717) 796--1930
~~
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quire
VERIFICATION
The undersigned hereby verifies that the facts averred in the foregoing document are true
and correct to the best of her knowledge, information, and belief This verification is made
subject to the penalties of 18 Pa. C.S.A. ~4904 relating to unsworn falsification to authorities.
DATED~ . ~l{)' ot
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VIRGINIA MARIE HELLMAN
PLAINTIFF
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
04-1206 CIVIL ACTION LAW
JAY DENNIS HELLMAN
DEFENDANT
IN CUSTODY
ORDER OF COURT
AND NOW,
Monday, March 29, 2004
, upon consideration ofthe attached Complaint,
it is hereby directed that parties and their respective counsel appear before Dawn S. Sunday, Esq.
at 39 West Main Street, Mechanicsburg, PA 17055 on Thursday, April 22, 2004
, the conciliator,
at 10,30 AM
for a Pre-Hearing Cuslody Conference. At such conference, an effort will be made to resolve the issues in dispute; or
if this cannot be accomplished, to define and narrow the issues to be heard by the court, and to enter into a temporary
order. All children age five or older may also be present at the conference. Failure to appear at the conference may
provide grounds for entry of a temporary or permanent order.
The court hereby directs the parties to furnish any and aU existing Protection from Abuse orders,
Special Relief orders, and Custody orders to the conciliator 48 hours prior to scheduled hearing.
FOR THE COURT,
By: Isl
Dawn S. Sunday. F.sq.
Custody Conciliator
mhc
The Court of Common Pleas of Cumberland County is required by law to comply with the
Americans with Disabilites Act of 1990. For information about accessible facilities and reasonable
accommodations available to disabled individuals having business before the court, please contact our office.
All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must
attend the scheduled conference or hearing.
YOU SHOULD TAKE THIS PAPER TO YOUR ATTORNEY AT ONCE. IF YOU DO NOT
HAVE AN A'lTORNEY OR CANNOT AFFORD ONE, GO TO OR TELEPHONE TIlE OFFICE SET
FORTIl BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
Cumberland County Bar Association
32 South Bedford Street
Carlisle, Pennsylvania 17013
Telephone (717) 249-3] 66
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VIRGINIA MARIE HELLMAN,
PLAINTIFF
: IN THE COURT OF COMMON PLEAS
: OF CUMBERLAND COUNTY,
: PENNSYLVANIA
vs.
: NO. 04-1206 CIVIL TERM
JAY DENNIS HELLMAN,
DEFENDANT
: CIVIL ACTION - LAW
: ACTION FOR DIVORCE I CUSTODY
ACCEPTANCE OF SERVICE
TO THE PROTHONOTARY:
I hereby accept service of the Complaint for No-Fault Divorce Under Section 3301(c) of
the Divorce Code, in the above matter.
Respectfully submitted,
Dated: ~ 2004
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VIRGINIA MARIE HELLMAN,
PLAINTIFF
IN THE COURT OF COMMON PLEAS
OF CUMBERll,AND COUNTY,
PENNSYL VANIA
vs.
NO. 04-1206 CIVIL TERM
JAY DENNIS HELLMAN,
DEFENDANT
IN CUSTODY
STIPULATION FOR AGREED ORD]~R OF CUSTODY
The Plaintiff (hereinafter sometimes referred to as "Mother") is VIRGINIA MARIE
HELLMAN, who currently resides at 5014 Muirfield Place, Mechanicsburg, Cumberland
County, Pennsylvania, 17050.
The Defendant (hereinafter sometimes referred to as "Father") is JAY DENNIS
HELLMAN, who currently resides at 5014 Muirfield Place, Mechanicsburg, Cumberland
County, Pennsylvania, 17050.
ALISON MARIE HELLMAN (hereinafter sometimes referred to as "Alison"), born on
November I, 1993, and KRISTIN NICOLE HELLMAN (hereinafter sometimes referred to as
"Nicole"), born on September 4, 1995, are the subjects of this Stipulation for Agreed Order of
Custody and are the natural children of the Plaintiff and Defendlmt.
It is Plaintiff and Defendant's belief that it is in the best interests of their minor children
to have a meaningful ongoing relationship with both her natural Mother and natural Father,
provided the children are in a safe environment.
WHEREFORE, Plaintiff, VIRGINIA MARIE HELLMAN, and Defendant, JAY
DENNIS HELLMAN, have entered into a mutual agreement regarding the custody of their
children and respectfully request this Honorable Court to enter the following Order:
I.Plaintiff and Defendant shall share Legal Custody (as defined in 23 Pa.C.S.A. Section
5302) of their minor children, ALISON MARIE HELLMAN and KRISTIN NICOLE
HELLMAN.
2. All decisions affecting their daughters' growth and development including, but not
limited to: choice of camp, if any; choice of day care provider; medical and dental treatment;
psychotherapy, psychoanalysis, or like treatment; decisions relating to actual or potential
litigation involving their daughter, directly or as beneficiary, other than custody litigation;
education, both secular and religious; scholastic athletic pursuits and other extracurricular
activities shall be considered major decisions and shall be made by Father and Mother, jointly,
after discussion and consultation with each other and with a view towards obtaining and
following a harmonious policy in their daughters' best interest.
3. Mother and Father agree to keep the other informed of the progress of their
daughters' education and social adjustments. Mother and Father agree not to impair the other's
right to shared legal or physical custody of their daughters. Mother and Father agree to give
support to the other in the role as parent and to take into account the consensus of the other for
the physical and emotional well-being of their daughters.
4. While in the presence of their daughters, neither Mother nor Father shall make or
permit any other person to make, any remarks or do anything which could in any way be
construed as derogatory or uncomplimentary to the other parent. It shall be the express duty of
each parent to uphold the other parent as one whom their daughters should respect and love.
5. It shall be the obligation of each parent to make their daughters available to the other
in accordance with the physical custody schedule and to encourage their daughters to participate
hi the plan hereby agreed and ordered.
6. Each parent shall have the duty to notifY the other ofany event or activity that could
reasonably be expected to be of significant concern to the other parent.
7. With regard to any emergency decisions which must be made, the parent with whom
their daughters are physically residing at the time shall bl: permitted to make the decision
necessitated by the emergency without consulting the other parent in advance. However, that
parent shall inform the other of the emergency and consult with him or her as soon as possible.
Day-to-day decisions of a routine nature shall be the responsibility of the parent having physical
custody at the time.
8. Mother and Father shall be entitled to complete and full information from any doctor,
dentist, teacher or authority and have copies of any reports given to them as a parent. Such
documents include, but are not limited to, medical reports, academic and school report cards,
birth certificates, etc. Both parents may and are encouraged to attend school conferences and
activities. Both Mother and Father's name shall be listed with the school as the alternative
parent to be contacted in the event of an emergency and to be notified regarding school events.
However, it will be the parent who initially information of and concerning the children to
provide the other parent with copies of such information in a timely manner.
9. Neither Mother nor Father shall schedule activities or appointments for their daughters
which would require their attendance or participation at said activity or appointment during a
time when their daughters are scheduled to be in the physical cllstody of the other parent without
that parelJ.t's express prior approval.
10. Plaintiff and Defendant shall Share Physical Custodly of their minor children, Alison
Marie HeUman and Kristin Nicole Hellman, according to the following schedule:
A. Father shall have the children beginning Monday morning, when there
is no school or Monday after school through Wednesday morning. Mother shall
have the children Wednesday morning, when there is 110 school or Wednesday
after school through Friday after school or Friday afternoon, when there is no
school;
B. Father and Mother shall alternate weekend.s, which shall begin Friday
after school through Monday mornings;
C. Father and Mother may each request onl: to two (1-2) consecutive
weeks of vacation with their children. Father and Mother shall make their
vacation requests to each other in writing prior to the time they are requesting
their vacation. Should the parties each request the sanle time for their vacations,
the party who made the first request shall receive that time requested;
D. The parties shall alternate the following holidays. Father shall have
the even numbered holidays and Mother the odd numbered holidays in the even
numbered years. To alternate annually thereafter:
1) New Year's Eve and Day, (this holiday shall be determined by the
year in which the New Year's Eve occurs);
2) Easter;
3) Memorial Day;
4) Labor Day;
5) Independence Day;
6) Thanksgiving Day.
E. Christmas. Mother and Father shall alternate Christmas with Mother
getting Schedule B in the even numbered years and schedule A in the odd
numbered years. Father shall have Schedule B in the odd numbered years and
schedule A in the even numbered years, to alternate annually thereafter.
A. To begin Christmas Day at 2:00 p.m. through
December 26 at 9:00 p.m.
B. To begin Christmas Eve Day at 9:00 a.m. through
Christmas Day at 2:00 p.m.
F. Father shall have his daughters on Father's Day and Mother shall have
her daughters on Mother's Day;
G. During all holidays and other special times of custody, visitation shall
extend from 5:00 p.m. the evening before the special custody period through the
morning after the last day of the special custody period or until such times as
Mother and Father can agree upon;
H. Mother and Father shall share their daughters' vacation time during
school equally (50/50);
J. The parties are encouraged to discuss and cooperate with each other
when sharing and making requests for changes in periods of visitation. All
permanent changes in periods of custody from those contained in this custody
agreement shall be made in writing and signed by both parties;
K. All holidays, vacations, and specially designated times for visitation
with their daughters shall supersede the regularly scheduled visitation.
11. Mother and Father agree to contact each other in a timely manner to give each other
"Right of First Refusal" for any time when they will not be with their daughter for more than
four (4) hours. Such times shall include, but not be limited to, days their daughters are ill and
unable to attend school, any days their daughters are not scheduled to be in school, snow days,
any time a parent is scheduled to be out of town, any time a parent will be attending another
event and/or activity, etc.
12. Mother and Father agree to share transportation equally, with the party beginning
their period of visitation being responsible to get their daughters.
14. Mother and Father agree to be responsible for any ordinary everyday expenses which
occur during their individual custody periods with their daughters:.
15. The parent with the best and most affordable medical, dental and vision insurance
shall provide insurance for their daughter. At this time Mother shall provide medical, dental and
vision insurance for the children. Mother and Father agree to equally (50/50) be responsible for
their children's uncovered medical, psychological, dental, orthodontia and vision expenses.
16. The parent who incurs a child care expense, wh,~n the children are in their custody
shall be responsible for the payment of that child care expense.
17. Mother and Father agree to equally (50/50) share the responsibility for all of the
children's clothing, activities and special events, and all otht:r extraordinary expenses beyond
ordinary everyday expenses.
18. Mother and Father agree to alternate annually the income tax exemption for their
daughters, with Mother having the benefit of the income tax '~xemption in the even numbered
years, beginning in 2004, and Father to have the benefit of the: exemption in the odd numbered
years. For the purpose of implementing this paragraph, both parties agree they will sign and
deliver to the other party the IRS Form No. 8332 on or before January 3 I in the year following
the year for which the tax deduction is requested.
19. The parent with physical custody of their daughters agrees to keep the other parent
fully aware..andinformed of any successes, difficulties, activities, emergencies, etc., in which
their daughters have become involved.
20. Mother and Father agree to provide each other with current information regarding
the day care provider and any other individuals and/or activities in which their daughters are in
the care of an adult other than an activity within their daughters' school. Mother and Father also
agree to have each other listed as an emergency contact with that adult and/or agency.
21. Mother and Father shall be free to mutually agree to alter and/or change the terms of
this agreement. If the alteration and/or agreement is permanent and/or a change which will occur
on numerous occasions, the parties agree the alteration and/or change shall be in writing and
signed by both parents.
DATED: J-{a.rcL 25 )
,2004
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DATED:
44rrt- zs:
,2004
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
SS:
On this, the 25-1"-- day of /Jt (( r-cJ- , 2004 before me, a Notary
Public for the Commonwealth of Pennsylvania, the undersigned officer, personally appeared
VIRGINIA MARIE HELLMAN, known to me (or satisfac:torily proven) to be the person
whose name is subscribed to the within Stipulation for Agreed Order of Custody, and
acknowledged that she executed the same for the purpose therein contained.
IN WITNESS WHEREOF, I have set my hand and notarial seal.
N_e~'p ~
My Commission Expires:
1 Notarial Sear
G~I P. Minnich, Notal)' Public
Mechanlcsburg.6oro, Cumberland County
M}' CommIssIon Expires Dec. 9, 2006
Member, PennSylvania ^s:::.:claticn Of Notari6ls
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
S~,.
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On this, the zs-.)'t-- day of --M<< rei- _ , 2004, before me, a Notary
Public for the Commonwealth of Pennsylvania, the undersigned officer, personally appeared
JAY DENNIS HELLMAN known to me (or satisfactorily proven) to be the person whose name
is subscribed to the within Stipulation for Agreed Order of Custody, and acknowledged that he
executed the same for the purpose therein contained.
IN WITNESS WHEREOF, I have set my hand and notarial seal.
t~i P (7rU
Notary P~)liC .
My Commission . :
Notarial Seal
Gall P. Minnich, Notary Public
Mechamcsburg 6oro, Cumberl.3nd County
M~.I ComJr,;ssicn EXj:!n:s Doc. 9, 2006
M€mber, Penns\ll\i,~:~:'j/:;::~ "'"2W- Of N ta
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VIRGINIA MARIE HELLMAN,
PLAINTIFF
: IN THE COURT OF COMMON PLEAS
: OF CUMBERLAND COUNTY,
: PENNSYLVANIA
vs.
: NO. 04-1206 CfVIL TERM
JAY DENNIS HELLMAN,
DEFENDANT
: IN CUSTODY
ORDER OF COURT
AND NOW, this L day of +,..,'1 ,2004, upon consideration of the
attached Stipulation for Agreed Order of Custody, Plaintiff, VlltGINIA MARIE HELLMAN,
and Defendant, JAY DENNIS HELLMAN, shall SHARE LEGAL CUSTODY and Plaintiff,
VIRGINIA MARIE HELLMAN, and Defendant, JAY DENNIS HELLMAN, shall SHARE
PHYSICAL CUSTODY of the minor children, ALISON MARIE HELLMAN and KRISTIN
NICOLE HELLMAN, in accordance with the language contained in the within Stipulation.
BY THE COURT,
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VIRGINIA MARIE HELLMAN
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
vs.
04-1206
CNIL ACTION LAW
JAY DENNIS HELLMAN
Defendant
IN CUSTODY
ORDER
AND NOW, this 5TH day of April, 2004 , the conciliator, being advised by
plaintiff's counsel that all custody issues have been resolved by agreement of the parties, hereby
relinquishes jurisdiction. The Custody Conciliation Conference scheduled for April 22, 2004, is
cancelled.
FOR THE COURT,
~~
Dawn S. Sunday, Esquire
Custody Conciliator
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VIRGINIA MARIE HELLMAN,
PLAINTIFF
: IN THE COURT OF COMMON PLEAS
: OF CUMBERLAND COUNTY,
PENNSYLVANIA
VS.
NO. 04-1206
CIVIL TERM
JAY DENNIS HELLMAN,
DEFENDANT
: CIVIL ACTION - LAW
: ACTION FOR DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301 (c) of the Divorce Code was filed on
or about March 23, 2004. A true copy of the Complaint for Divorce was served upon the
Defendant, on March 31, 2004.
2. The marriage between the Plaintiff and Defendant is irretrievably broken and ninety
(90) days have elapsed from the date of filing and service oftht: Complaint.
3. I consent to the entry of a final Decree in Divorce, after the service of notice of
intention to request entry of the decree.
4. I understand that if a claim for alimony, alimony pendente lite, equitable distribution
of marital property, counsel fees or expenses has not been filed with the Court before the entry of
a final Decree in Divorce, the right to claim any of them will be lost.
5. 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 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.
f}h/~J()05
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VIR IA MARIE LLMAN
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VIRGINIA MARIE HELLMAN,
PLAINTIFF
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY,
: PENNSYLVANIA
vs.
NO. 04-1206
CIVIL TERM
JAY DENNIS HELLMAN,
DEFENDANT
: CIVIL ACTION - LAW
: ACTION FOR DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A
DIVORCE DECREE UNDER SECTION 330l(c) OF 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. Section 4904 relating to
unsworn falsification to authorities.
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VIRGINIA MARIE HELLMAN,
PLAINTIFF
: IN THE COURT OF COMMON PLEAS
: OF CUMBERl"AND COUNTY,
: PENNSYLVANIA
vs.
: NO. 04-1206 CIVIL TERM
:
JAY DENNIS HELLMAN,
DEFENDANT
: CIVIL ACTION - LAW
: ACTION FOR DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301 (c) of the Divorce Code was filed on
or about March 23, 2004. A true copy of the Complaint for Divorce was served upon the
Defendant, on March 31, 2004.
2. The marriage between the Plaintiff and Defendant is irretrievably broken and ninety
(90) days have elapsed from the date of filing and service ofth~: Complaint.
3. I consent to the entry of a final Decree in Divorce, after the service of notice of
intention to request entry of the decree.
4. I understand that ifa claim for alimony, alimony pendente lite, equitable distribution
of marital property, counsel fees or expenses has not been filed with the Court before the entry of
a final Decree in Divorce, the right to claim any of them will be lost.
5. 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 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.
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VIRGINIA MARIE HELLMAN,
PLAINTIFF
: IN THE COURT OF COMMON PLEAS
: OF CUMBERlAND COUNTY,
: PENNSYLVANIA
vs.
: NO. 04-1206 CIVIL TERM
JAY DENNIS HELLMAN,
DEFENDANT
: CIVIL ACTION - LAW
: ACTION FOR DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A
DIVORCE DECREE UNDER SECTION 3301(c) OF 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 divor,ee decree is entered by the Court
and that a copy of the decree will be sent to me immediately aft'~r 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.
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D NNIS HELLMAN
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VIRGINIA MARIE HELLMAN,
PLAINTIFF
: IN THE COURT OF COMMON PLEAS
: OF CUMBERl"AND COUNTY,
: PENNSYLVANIA
vs.
: NO. 04-1206
CIVIL TERM
JAY DENNIS HELLMAN,
DEFENDANT
: CIVIL ACTION - LAW
: ACTION FOR DIVORCE
PRAECIPE TO TRANSMIT RECORD
To the Prothonotary:
Please 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: Service upon the Defendant via
Defendant's personal Acceptance of Service was on March 31, 2004.
3 Date of execution of the Affidavit of Consent required by Section 3301(c) of the
Divorce Code by:
Plaintiff: February 16, 2005
Defendant: February 04, 2005
(a) Related claims pending: None
(b) Claims withdrawn: None
(c) Claims settled by agreement of the parties: All daims
(c) Please see the Marital Property Settlement Agreement which is being filed
simultaneously with this Praecipe to Transmit Record and is to be incorporated
but not merged into the Divorce Decree.
3. I certify that the Waiver of Notice of Intention to Request Entry of a Divorce Decree
Under Section 3301(c) of Divorce Code, as required by Rule 1920.42(e)(1), was
executed on February 16, 2005 by the Plaintiff and on February 04, 2005 by the
Defendant, and that these documents are being filed simultaneously wilh this Praecipe
to Transmit Record. 1 further certify that all other documents required by Rule
1920.42 are enclosed herewith.
Respectfully submitted,
LAW FIRM OF SUSAN KAY CANDIELLO, P.e.
Dated: March 4, 2005
Susan Kay Cillo, Esquire
Counsel for lain'
PA1.D.#64 8
5021 East Trindle Road
Suite 100
Mechanicsburg P A 17050
(717)796-1930
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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
STATE OF
PEN NA.
VIRgINIA ~ARIE HELL~AN
PLAIN7ITT
No.
04-1206
VERSUS
JAij DENNIS HELL~AN
DUENDAN7
DECREE IN
DIVORCE
AND NOW,
/J~
2005 , IT IS ORDERED AND
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DECREED THAT
Vi~ginia ~a~ie Hellman
, PLAI NTI FF,
AND
Jay Denni~ Hellman
, 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 BE:EN ENTERED;
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