HomeMy WebLinkAbout04-1221IN THE COURT OF COMMON PLEAS OF THE JUDICIAL DISTRICT
OF PENNSYLVANIA COUNTY CUMBERLAND
Michele Hoffman, Plaintiff
5 Sunset Circle
Mechanicsburg, Pennsylvania 17050
170-62-1800
Jason Randolph Hoffman, Defendant
5 Sunset Circle
Mechanicsburg, Pennsylvania17050
197-52-3718
CIVIL ACTION - LAW
TERM
CASE NO. (3 ~11 -I ,~,.-~. I
IN DIVORCE
NOTICE TO DEFEND AND CLAIM RIGHTS
You have been sued in Court for divorce. If you wish to defend against the
claims set forth on the other side of this page, 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 this paper by the Plaintiff.
You may lose money or property or other rights important to you, including custody or
visitation of you child or 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 at the CUMBERLAND County Courthouse,
in Mechanicsburg, PA.
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY,
LAWYER'S FEES OR EXPENSES BEFORE DIVORCE OF 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.
IN THE COURT OF COMMON PLEAS OF THE JUDICIAL DISTRICT
OF PENNSYLVANIA COUNTY CUMBERLAND
Michele Hoffman, Plaintiff
5 Sunset Circle
Mechanicsburg, Pennsylvania 17050
170-62-1800
Jason Randolph Hoffman, Defendant
5 Sunset Circle
Mechanicsburg, Pennsylvania 17050
197-52-3718
CIVIL ACTION - LAW
CASE NO.
IN DIVORCE
TERM
COMPLAINT UNDER SECTION 330t(c) OR 3301(d) OF THE DIVORCE CODE
1. Plaintiff is Michele Hoffman who resides at; 5 Sunset Circle; Mechanicsburg,
Pennsylvania 17050.
2. Defendant is Jason Randolph Hoffman who resides at: 5 Sunset Cimle;
Mechanicsburg, Pennsylvania 17050.
3. ~ Plaintiff and/or [] Defendant have been a bona fide resident(s) of the
Commonwealth of Pennsylvania for at least six months immediately prior to
commencement of this action.
4. Plaintiff married Defendant on February 25, 1999 at East Berlin, Adams
County, Pennsylvania. Attached hereto and marked as Exhibit "A" is the certificate of
marriage evidencing said marriage.
5. Neither plaintiff nor defendant is in the military or naval service of the United
States or its allies within the previsions of the Soldier's and Sailor's Civil Relief Act of
Congress 1940 and its amendments.
6. There has been no pdor action of divorce or for annulment between the
parties.
Complaint for Divorce; Page
7.The marriage is irretrievably broken.
8. After 90 days have elapsed from the date of filing of this Complaint, Plainl~ff
intends to file an affidavit consenting to a divorce, Plaintiff believes that Defendant may
also file such an affidavit.
9. Plaintiff has been advised that marriage counseling is available and that
Plaintiff may have the dght to request that the Court require the parties to participate in
marriage counseling,
10. There are no children born to or adopted by the parties to this marriage and
none are expected.
WHEREFORE, if both parties file affidavits consenting to a divorce after 90 days
have elapsed form the date of filing of this Complaint, Plaintiff respectfully requests that
a decree of divorce be entered pursuant to Section 3301(c) of the Divorce Code
dissolving the marriage between the Plaintiff and Defendant.
I vedfy that the statements made in this Complaint are tree and correct. I
understand that false statements herein are made subject to penalties of the 18
Pa.C.S. Section 4094 relating to unsworn falsific_ati..,o~:) authorities.
Date: c~-
i ele~rl~an, Pro Per
IN THE COURT OF COMMON PLEAS OF THE JUDICIAL DISTRICT
OF PENNSYLVANIA COUNTY CUMBERLAND
Michele Hoffman, Plaintiff
5 Sunset Circle
Mechanicsbu~g, Pennsylvania 17050
170-62-1800
Jason Randolph Hoffman, Defendant
5 Sunset Circle
Mechanicsburg, Pennsylvania17050
197-52-3718
CIVIL ACTION - LAW
CASE NO.
IN DIVORCE
TERM
COUNSELING NOTICE
RULE 1920.45(a)*(1)
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 (al(6) Indignities
Section 3301 (c) Irretrievable breakdown Mutual Consent
Section 3301 (d) Irretrievable breakdown Two/Three year separation
A list of qualified professions is available for inspection in the
Office of the Prothonotary
CUMBERLAND County Courthouse
Carlisle, PA.
Telephone(. )
IN THE COURT OF COMMON PLEAS OF THE
OF PENNSYLVANIA COUNTY CUMBERLAND
Michele Hoffman, Plaintiff
5 Sunset Circle
Mechanicsburg, Pennsylvania 17050
170-62-1800
Jason Randolph Hoffman, Defendant
5 Sunset Circle
Mechanicsburg, Pennsylvania17050
197-52-3718
JUDICIAL DISTRICT
CIVIL ACTION - LAW
CASE NO.
IN DIVORCE
TERM
AFFIDAVIT OF NON-MILITARY SERVICE
Michele Hoffman, being duly sworn according to Law, deposes and says that
Plaintiff knows by Plaintiff's own personal knowledge and therefore avers that the
defendant, Jason Randolph Hoffman, is 29 years of age and that Defendant is not in
the military service of the United States or its allies, or olherwise within lhe provision of
the Soldier's and Sailor's Civil Relief Act of Congress 1940 and its amendments and
that the defendant is employed by Holy Spidt Hospital.
Sworn to and subscribed before me this the ~ day of
Michele Hoffman, Plaintiff
Notarial Seal
Kenr~eth L. Schlegel, Notary Public
Hampden Twp., Cumberland County
My Commission Expires Apr. 4, 2005
IN THE COURT OF COMMON PLEAS OF THE __ JUDICIAL DISTRICT
OF PENNSYLVANIA COUNTY CUMBERLAND
Michele Hoffman, Plaintiff
5 Sunset Circle
Mechanicsburg, Pennsylvania 17050
Jason Randolph Hoffman, Defendant
5 Sunset Circle
Mechanicsburg, Pennsylvania17050
197-52-3718
CIVIL ACTION - LAW
CASE NO. Oq-Ic~g~, I
IN DIVORCE
AFFIDAVIT AS TO SIGNATURE
Michele Hoffman, being duly sworn according to law, deposes and says that
Michele Hoffman is the Plaintiff in the above-captioned divorce action; that Michele
Hoffman is familiar with the signature of the Defendant; and that the signature on the
Acceptance of Service attached hereto as Exhibit "A" is the signature of the Defendant,
Jason Randolph Hoffman.
Sworn to and subscribed before me this the ~ day of
Michele Hoffman, Plaintiff
Notarial Seal
Kenneth L. Schlegei, Notary Public
Hampden Twp., Cumberland County
My Commission Expires Apr, 4, 2005
M~mbar. penns,~'~ez~a Association of Notaries
IN THE COURT OF COMMON PLEAS OF THE JUDICIAL DISTRICT
OF PENNSYLVANIA COUNTY CUMBERLAND
Michele Hoffman, Plaintiff
5 Sunset Circle
Mechanicsburg, Pennsylvania 17050
170-62-1800
Jason Randolph Hoffman, Defendant
5 Sunset Circle
Mechanicsburg, Pennsylvania17050
197-52-3718
CIVIL ACTION - LAW
CASE NO.
IN DIVORCE
TERM
ACCEPTANCE OF SERVICE
I, Jason Randolph Hoffman, am the Defendant in the above entitled case and I
do hereby accept service of the Complaint in Divorce filed in the above-captioned
matter.
Date
IN THE COURT OF COMMON PLEAS OF THE JUDICIAL DISTRICT
OF PENNSYLVANIA COUNTY CUMI:~ERLAND
Michele Hoffman, Plaintiff
5 Sunset Cimle
Mechanicsburg, Pennsylvania 17050
170-62-1800
Jason Randolph Hoffman, Defendant
5 Sunset Cimle
Mechanicsburg, Pennsylvania17050
197-52-3718
§ CIVIL ACTION - LAW
§
§ CASE NO.
§ IN DIVORCE
TERM
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301 (c) ol~ the Divorce Code was filed
on the .~.~ day of ~o,~C.l~ . , ~O<3~./ _.
2. The marriage between the parties hereto is irretrievably broken. Ninety days
have elapsed since the filing of the Complaint.
3. I am aware that marriage counseling is available and do not desire said
counseling.
4. I state that I have read copies of the Complaint for Divorce Under Section
3301(c) of the Divorce Code, and I understand said Complaint. I waive any pleading
periods and notices there may be.
5. I hereby enter my consent to the entry of a final decree of divorce.
6. I understand that I may lose dghts concerning alimony, division of property,
lawyer's fees or expenses if I do not claim them before a divorce is granted.
7. 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.
Dated: ~- ~" U/~ ~//~/~/./.~j j~J~ ~
'7' Michele Hofh-~, Plain'tiff'
IN THE COURT OF COMMON PLEAS OF THE
OF PENNSYLVANIA COUNTY CUMBERLAND
Michele Hoffman, Plaintiff
5 Sunset Cimle
Mechanicsburg, Pennsylvania 17050
170-62-1800
Jason Randolph Hoffman, Defendant
5 Sunset Circle
Mechanicsburg, Pennsylvania 17050
197-52-3718
__ JUDICIAL DISTRICT
CIVIL ACTION - LAW
CASE NO.
DIVORCE
TERM
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301 (c) of the Divorce Code was filed
on the ~L day of /V~c.~4 , ,~0o~ _.
2. The marriage between the parties hereto is irretrievably broken. Ninety days
have elapsed since the filing of the Complaint.
3. I am aware that marriage counseling is available and do not desire said
counseling.
4. I state that I have read copies of the Complaint for Divorce Under Section
3301(c) of the Divorce Code, and I understand said Complaint. I waive any pleading
pedods and notices there may be.
5. I hereby enter my consent to the entry of a final decree of divorce.
6. I understand that I may lose rights concerning alimony, division of property,
lawyefs fees or expenses if I do not claim them before a diivorce is granted.
7. I verify that the statements made in this affidavit are ~'ue and correct. I
understand that false statements herein are made subject 1:o the penalties of 18 Pa.
C.S. Section 4904 relating to unswom falsification to authorities.
Dated:..
Ja~n Randolph Hoffman, Defendant
IN THE COURT OF COMMON PLEAS OF THE __ JUDICIAL DISTRICT
OF PENNSYLVANIA COUNTY CUMBERLAND
Michele Hoffman, Plaintiff
5 Sunset Circle
Mechanicsburg, Pennsylvania 17050
170-62-1800
Jason Randolph Hoffman, Defendant
5 Sunset Circle
Mechanicsburg, Pennsylvania 17050
197-52-3718
CIVIL ACTION - LAW
GI'V','/ TERM
~ASE NO, ~
IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST
THE ENTRY OF A DIVORCE DECREE
UNDER SECTION 3301(c) OF THE DIVORCE CODE
I. I consent to the entry of a final decree in divome without notice.
2. I undemtand 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 t 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 THE FOREGOING 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.
^TE 7-
IN THE COURT OF COMMON PLEAS OF THE _~ JUDICIAL DISTRICT
OF PENNSYLVANIA COUNTY CUMBERLAND
Michele Hoffman, Plaintiff
5 Sunset Circle
Mechanicsburg, Pennsylvania 17050
170-62-1800
Jason Randolph Hoffman, Defendant
5 Sunset Circle
Mechanicsburg, Pennsylvania 17050
197-52-3718
ClIVIL ACTION - LAW
CASE NO. (~ q- l a,~ l
IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST
THE 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.
I undemtand 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.
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 THE FOREGOING AFFIDAVIT
ARE TRUE AND CORRECT. I UNDERSTAND THAT FALSF=' STATEMENTS HEREIN
ARE MADE SUBJECT TO THE PENALTIES OF 18 Pa.C.S. SECTION 4904 RELATING
TO UNSWORN FALSIFICATION TO AUTHORITIES.
DATE:____'7
IN THE COURT OF COMMON PLEAS OF THE ___ JUDICIAL DISTRICT
OF PENNSYLVANIA COUNTY CUIVlBERLAND
Michele Hoffman, Plaintiff §
5 Sunset Circle §
Mechanicsburg, Pennsylvania 17050 §
170-62-1800
Jason Randolph Hoffman, Defendant
5 Sunset Circle
Mechanicsburg, Pennsylvania17050
197-52-3718
CIVIL ACTION - LAW
~ASE NO.
IN DIVORCE
TERM
PRAECIPE TO TRANSMIT RECORD
To the Pmthonotary:
Transmit thc record, together with thc following information, thc Cour~ 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: the _,5' dayof tC'e~cuacy
2004 by Acceptance of Service '
3. Complete either paragraph (a) or (b)
(a) Date of execution of the Affidavit of Consant required by Section 3301(c)
of the Divorce Code;
By Plaintiff Michele Hoffman; by Defendant Jason Randolph
ttoffman.
(b)(1) Date of execution of the affidavit requi~:d by Section §3301(d) of the
Divorce Code:
(b)(2)Date of filing and service of the lamlaffs affidavit upon the respondent:
4. Related claims pending:
5. (Complete either (a) (b).)
(a) date and manner of service of the notice of intention to file to transmit record, a copy
ofwhichis attached: ~,-1~"(3q by ka~v~ ntel[,~ecv.
Co) (1) Date Plaintiffs waiver of notice in §3301(c) Diw>ree was filed with the
prothonotary:
(b) (2) Date Defendant's waiver of notice in §3301(c) Divoree was filed with the
prothonotary:
6. Attached hereto are:
(a) ^ copy of the docket entries, certified by counsel ( or by clerk of courts - civil) to be a
tree and correct copy of the original docket entries;
Co) The original proposed divome decree (including a copy of the pre-nuptial agreement,
which is requested to be incorporated by reference in said decree);
(c) The completed form required by the commonwealth of Pennsylvania, Department of
Health, Bureau of Vital Statistics;
(d) The completed affidavit of non-military service muder the Soldiers and Sailors Civil
Relief Act of 1940, 50 U.S.C.A. App. Sec. 520, if required bymle 1920.46.
Mic e~e Hoffman, Pe~e~
IN THE COURT OF COlVlrvIoN PLEAS
OF CUMBERLAND COUNTY
STATE Of .~~~ PENNA.
MT{-~IRLR
P~JN~'I'F~
VERSUS
NO. _n4 - ll'~l
AND NOW,
DECREED THAT
DECREE lin
DIVORCE
MICHELE HOFFMAN
AND JASON RANDOLPH HOFFMAN
--~% IT IS ORDERED AND
, PLAINTIFF,
, DEFENDANT,
ARE DIVORCED FROM THE BONDS OF MATRIMONY.
THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE
BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT
YET BEEN ENTERED;