HomeMy WebLinkAbout04-1365SUSAN J, BRUBAKER
Plaintiff
TERRY W. BRUBAKER, SR.
Defendant
: 1N THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
No. 4_
CIVIL ACTION - LAW
IN DIVORCE
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 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 in'etrievable breakdown of the marriage,
you may request marriage counseling. A list of marriage counselors is available in the Office of the
Prothonotary, Emporium, 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
TWO LIBERTY AVENUE
CARLISLE PA 17013
(717) 249-3166
SUSAN J. BRUBAKER
Plaintiff
TERRY W. BRUBAKER, SR.
Defendant
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO.
CIVIL ACTION - LAW
IN DIVORCE
COMPLAINT UNDER SECTION 330h'C} OR 3301(D)
OF THE DIVORCE CODE
AND NOW, comes the above-named Plalntift; Susan J. Brubaker, by her attorneys, Knupp,
Kodak & Imblum, P.C., and seeks to obtain a Decree in Divorce from the above-named Defendant
upon the grounds hereinafter more fully set forth:
1. Plaintiffis Susan J. Brubaker, an adult individual who currently resides at 30 Miller
Street, Lemoyne, Cumberland County, Pennsylvania, and has been a life~long resident of
Pem~sylvania.
2. Defendant is Terry W. Brubaker, Sr., an adult individual who currently resides at 220
Reno Street, New Cumberland, Cumberland County, Pennsylvania, and has since 1987.
3. Plaintiff and Defendant have been bona fide residents of the Commonwealth for at
least six (6) months immediately previous to the filing of this Complaint.
4. The Plaintiffand Defendant were married on May 23, 1987, in Cumberland County,
Pennsylvania.
5. There have been no prior actions of divorce or for annulment of marriage between
the Parties in this or any other jurisdiction.
6, The marriage is irretrievably broken.
7. Plaimiffhas been advised that counseling is available and that plaimiffmay have the
right to request that the court require the parties to participate in counseling.
8. Plaintiffrequests the Court to enter a Decree of Divorce.
Respectfully submitted,
KNUPP, K~ IMBLUM, P.C.
Robert D. Kodak
407 North Front Street
Post Office Box 11848
Harrisburg, PA 17108-1848
(717) 238-7151
Attorney I.D. No. 18041
Attorneys for Plaintiff
VERIFICATION
I, Susan J. Brubaker, verify that the facts set forth in the foregoing Amended Complaint
are true and correct to the best of my knowledge, information, and belief. I understand that false
statements herein are subject to the penalties of 18 Pa.C.S. § 4904, relating to tmsworn
falsification to authorities.
SUSAN J. BRUBAKER
Plaintiff
TERRY W. BRUBAKER, SR.
Defendant
: 1N THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-1365 CIVIL
: 1N DIVORCE
PRAECIPE
TO THE PROTHONOTARY:
Please file the attached Certificate of Service along with original postal Return Receipt Card
to the above term and number.
TO Cumberland County
Prothonotary
Dated: April 8, 2004
Robert D. Kodak
Attorney I.D. No. 18041
Attorney for Plaintiff
SUSAN J. BRUBAKER
Plaintiff
TERRY W. BRUBAKER, SR.
Defendant
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-1365 CIVIL
: IN DIVORCE
CERTIFICATE OF SERVICE
I, ROBERT D. KODAK, ESQUIRE, hereby certify that on April 5, 2004, I served a true and correct copy
of the Complaint Under Section 3301 (c) or 3301 (d) of the divorce Code in the above-captioned matter upon the
below listed individual by first class certified mail, restricted delivery, re:Ium receipt requested, as evidenced by the
attached original U.S. Postal Service Certified Mail Receipt and signed,, original Remm Receipt Card.
Dated:
April 8, 2004
£622 EO~E2. 2000 0%0 2002.
Robert D. Kodak Attorney for Plaintiff
Attorney I.D. No. 18041
SUSAN J. BRUBAKER
Plaintiff
TERRY W. BRUBAKER, SR.
Defendant
1N THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-1365 CIVIL
CIVIL DIVISION - LAW
IN DIVORCE
_AFFIDAVIT O17 CONSEN~I~
A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on April 2, 2004.
2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed
from the date of filing and service of the Complaint.
3. ! consent to the entry of a final decree in divorce after service of notice of intention to request entry
of the decree.
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 unsworn falsification to authorities.
Dated:_
Terry ~. Brubak~er, Sr~. '~'-- "-~7
Defendant
SUSAN J. BRUBAKER
Plaintiff
TERRY W. BRUBAKER, SR.
Defendant
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-1365 CIVIL
CIVIL DIVISION -LAW
IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY
OF A DIVORCE DECREE UNDER §3301{c} OF ]['HE DIVORCE CODE
! 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 tmtil 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. §4904 relating to unsworn falsification to
authorities.
Terry ~. BrUbaker, ~r~ :- !
Defendant
SUSAN $. BRUBAKER
Plaintiff
TERRY W. BRUBAKER, SR.
Defendant
: IN THE COURT OF COMMON PLEAS
CUMBERLANT) COUNTY, PENNSYLVANIA
NO. 04-I365 CIVIL
CIVIL DIVISION - LAW
IN DIVORCE
AFFIDAVIT O~ CONSENT
A Complaint in Divorce under Sect/on 3301 (c) of the Divorce Code was filed on April 2, 2004.
2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed
from the date of filing and service of the Complail~t.
of the decree.
I consent to the entry of a final decree in divorce after service of notice of intention to request entry
I verify that the statements made in this affidavit are true and correct. I under~tand that false statements
herein are made subject to the penalties of 1 g Pa. C.S. §4904 relating to unswom falsification to authorities.
/ Susan J. Btllbaker
Plaintiff
AU~ 06 '04 09:lOAM KMUPP ~ KODAK PC
SUSAN 3. BRUBAKER
Plaintiff
TERRY W, BRUBAKER, SR,
Defendant
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-1365 CIVIL
CIVIL DIVISION - LAW
: IN DIVORCE
WAIVER OF NOTICE OF;/NTENTION TO REOUEST ENTRY
OF A DIVORCE DECREE UNDER ~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 righti concerning alimony, division of property, lawyer's fees or
~xpenses !f I do not claim them before a divorce is;' granted.
3. I understand that I will not be divorqed until a divorce decree is entered by the Court and that a copy
of the decree will be sent to me immediately after ~t is filed with the Prothonotary.
I verify that thc statements made ~n th/s affidavit are true and correct. I un&,rsta.nd that false
statements herein are made subject to thc penaliies of Ii Pa, C.S. §4904 relating to unswom falsification to
authorities.
Dated:
Plaintiff
SUSAN J. BRUBAKER
Plaintiff
TERRy W. BRUBAKER, SR.
Defendant
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-1365 CIVIL
CIVIL DIVISION - LAW
IN DIVORCE
?RAECIPE 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) or 3301 (d) of the Divorce Code.
2. Date and manner of service of the Complaint: By Certified Mail, Return Receipt Requested,
Restricted Delivery. Proof of Service filed with the Prothonotary on April 13, 2004.
3. Date of execution of the Affidavit of Consent required by Section 3301(c) of the Divorce Code:
by Plaintiff: August 6, 2004, and filed simultaneously herewith; and
by Defendant: August 4, 2004 and flied August 9, 2004 with Office of the Prothonotary.
4. Related claims pending: none.
5. Date Plaintiff's Waiver of Notice of Intention to Request Entry of a Divorce Decree Under 3301(c)
of the Divorce Code was filed with the Prothonotary: Simultaneously herewith
IN THE COURT OF
SUSAN J.
PLAII~TIFF
COMMON
OF CUMBERLAND COUNTY
STATE OF PENNA.
PLEAS
VERSUS
NO.
_~04-1365 CI~L
DECREE IN
DIVORCE
AND NOW,~
200~, IT IS ORDERED AND
DECREED THAT__
AND ~'l~m~y W. ~.{, S~..
ARE DIVORCED FROM THE BONDS OF MATRIMONY.
PLAINTIFF,
DEFENDANT,
THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE
BEEN RAISED OF RECORD IN THIS ACTION FOR WHIICH A FINAL ORDER HAS NOT
YET BEEN ENTERED;