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Home My WebLink About05-0918 form l~ rl s-t-ct L 4-ahrl PLAINTIFF, ( IN THE COURT OF COMMON PLEAS OF ( ( C.umber-Ian d ( ( CIVIL DlV1SI0N ( (NO OS - crt? COUNTY, PENNSYLVANIA v. Rj ch wet W HoJ1,n (!IU~L ~ 'VLf DEFENDANT NOTICE TO DEFEND AND CLAIM RIGHTS YOU HAVE BEEN SUED IN COURT. IF YOU WISH TO DEFEND AGAINST THE CLAIM 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 REI.IEF 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 CHILD(REN). WHEN THE GROUND FOR THE DIVORCE ARE 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 , PENNSYLVANIA. IF YOU DO NOT FILE A CLAIM FOR AI.IMONY, DIVISION OF PROPERTY, LAWYERS 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. LA~RSREFERRALSERV1CE 32. Sout41 1&d.forct ..s+ree..-+ C,o.r-1ISle} Pit- l7DI3 Telephone: tr") JLfE - 31 (q(p . -J{\;\bJ:tL -L ~l~ For Petitioner Address: L-fal &cvclerL.PflV.e.... Te]ePhOn~i~~~_~~(p~Pr 11055 179 , \U'~ ;s ~O'( ~\i'- \''''\'. ;'{","\l~ ~O'<A \,\'...;...;.s COV' .tI~'{' 0'( OD 0~~ J. C ~x\\'. CO \oJ)\l'; \\~ #-'Q~ 'V ~ S" ' 0",,'0 0,.0 \ ,,'" ,\\'; ""' ,e " ~,.. I {\'t:.) \. O' .,~e . ',,,'10 ~\. . ~ (.v eS'''. \. ,- \'...f\ 0"" { ~c: \.1\.'{\\ \ c.'~' <e,,~1 \.6 ,~ ~O~, ~~ .d ,~ ~~" ,"', ,<<'" ~ V.,. 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'" .",,,,. ,0" '1<"",<'-" · J,(\.? 1A~\ ().!\\ ~. ,"", 0' ~ , y- A" '$>'" e{, ,,\;, '$>e. se;. ~V\ 'CoO ,.""' fJ"'\' ~. ,I>>" 1 ' .""" ,0' ,(P ,~, ~ \ .ob: Cft''' .~' , ,,,, ,,," '" p >"" ><' <<'" ' ,& ,.' '" ~e :Q\"" 1'. co'$> C::,. . ""~ \.,., \,,,,. oe'S' 0' '$>'" ~",eS '" &'" '$>e" ,,0 'Q 5"e .-c\. s~'" 10\"" \;e s" :'l:. '\,: '3,'(e '^.. ." .k' ,",' e{e' e.'(\\.')...- \\' \" - .~~"'t :\\~, 1'\"" V'" ~. i)l\0v\ ~ \;eS' ,,, ~ \. 1- :,. <,. 1>,. $. 1. .,.,. .;p\e ~ '.0,0 ~ ~ ~ ~,e ~ .;s.a'- \"~O~ ,,~ 'S\\\ca ",-a \a' o{~ "" Krista ~ Hahn PLAINTIFF , ( IN THE COURT OF COMMON PLEAS OF ( (. Cumberlaflof ( COUNTY, PENNSYLVANIA v. 12-1 d1o.rJ W Hahn ( CIVIL DIVISION ( (NO: DEFENDANT. AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) ) ss: ) COUNTY OF: Cumberla(\d Before me, the subscriber, a Notary Public in and for said Commonwealth and County, personally appeared -.KR 1",4-A l",.. j-l... h,J , who being duly sworn according to law, deposes and says that the facts contained within the foregoing Complaint in Divorce are true and correct to the best of his/her knowledge, information, and belief, and that he/she is authorized to make this Affidavit. I{ , ,j) J.-.J.. r _\ A^~?7- ~0L---- Name Sworn to and subscribed before me this \l day of Fe b , 200C- . 'i:J~C-~ 8IABY:iP,yJ?,~t<;:'YLVN!!A .";';~",..W_""~'__.'._"_" Nr\t~rial Seal A. Ka!1~(liJ::\uB!', Notary Public 'dictan l\'ip., Cumberland County -nissio:l Expires Dec. 24, 2005 105yl1,;'001<:1 Association of No~ries 181 tv r-nl _J1yl s-(-4 L 4ahr1 ( IN THE COURT OF COMMON PLEAS OF ( ( c.l.trY\ bey ill!'t d ( ( CIVIL DIVISION ( (NO OS - q,p COUNTY, PENNSYLVANIA PLAINTIFF, v. R i ell wet W ttoJ1,n CULL ~DLI DEFENDANT NOTICE TO DEFEND AND CLAIM RIGHTS YOU HAVE BEEN SUED IN COURT IF YOU WISH TO DEFEND AGAINST THE CLAIM 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 CHILD(REN). WHEN THE GROUND FOR THE DIVORCE ARE 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 , PENNSYLVANIA. IF YOU DO NOT FlLE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYERS 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. LAWYERS REFERRAL SERVICE 3 2... SOlA~ l&d+ord. .s+reL+ CJ).rl.ISIe., PI\- 11013 Telephone: -Q I,) J 4-.9 - 31 (q ~_ -J{'v~ -X 1tctl~ For Petitioner Address: I.-fal (7~t)(\v'~ Telephon~ i~~~_~~(p ~A- 11055 179 form 4 r<fiS~ L- H-t1nf\ PLAINTIFF, ( IN THE COURT OF COMMON PLEAS OF ( ( ( c'lAM bedOJ1o( COUNTY, PENNSYLVANIA v. r,tl cA1wcA W, ij-a,h t\ ( CIVIL DIVISION ( (NO: DEFENDANT COMPlAINT IN DIVORCE AND NOW COMES, the Petitioner, ___HY"iS~ [... l-fo-hn ,by FILING PRO SE, who mes this Complaint in Divorce a statement of which is as follow: I. The Petitioner is Y) ri ~ tq Ir ~ (l , an adult individual currently residing at t./~I &ctrt.i~ Of I,,!.. , m(Cn(J.o1;C~i?IA.~!?R 11o!5S 2 The Defendant is ~i cYiarol IN. Htl" (\ , an adult indlVldual currently resldmg at. 101 I-hl}sicl.e ~(iv/_, JA\-. rt"i'11t/ Spri(\~~ PA llohCJ 3. The Petitioner has been a bona fide resident of the Commonwealth of Pennsylvania for at least six (6) months previous to the filing of this Complaint. 4. The Petitioner and Respondent were married on date:~ al I q t:t 7 in the State of Penn-sylvan i a ' S. There (is) are l2- child(ren) born ofthis marriage. Name(s) Birthdate(s): 7. 8. Neither party IS a member of any branch of military. The marriage is irretrievably broken. The Petitioner, 11 V'f s-h:l I- l+a..hn , respectfully requests this Honorable Court to a grant this Divorce pursuant to Section 3301 (c), or in the alternative, Section 3301 (d) of the Divorce Code. 6. Respectfully submitted, .J/ J. I _ J . \.c~ d-- ~ Name J-<rt'~+a I- ft-.anr, Full Address 4/)./ (};.4a:1a? {)nYe- -.1Jj afI Wi i c.s fJ W!1 P J4.- /10 SE Telephone [(11) I'll, -()<J~I I verify that the statements made in the Complaint are true and correct. ] understand that false statements made herein are subject to penalties of 18 Pa. CS.A. Section 4904, relating to unsworn falsilkation to authorities. fa r m ~ _J1yl si-C( L 4ah(\ ( IN THE COURT OF COMMON PLEAS OF ( ( CLtrY\berl&Ld ( ( CIV[L DiVISION COUNTY. PENNSYLVANIA PLAINTIFF, v. Rj ch wet W HoJ1n ( (NO OS - q IP (!,ulL Ly-DLf DEFENDANT NOTICE TO DEFEND AND CLAIM RIGHTS YOU HAVE BEEN SUED IN COURT IF YOU WISH TO DEFEND AGAINST THE CLAIM 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 BYTHE PLAINTIFF. YOU MAY LOSE MONEY OR PROPERTY OR OTHER RIGHTS IMPORTANT TO YOU, INCLUDING CUSTODY OR VISITATION OF YOUR CHIl.D(REN) WHEN THE GROUND FOR THE DIVORCE ARE 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 , PENNSYLVANIA IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DlVISION OF PROPERTY, LAWYERS 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. LAWYERS REFERRAL SERVICE 3 2.. SOU~ 1&d.+ord. .s{r.e~+ C',o.r11SIe./ PA-_l10/3 . Telephone -Q I,) d43 - 31 ~~_ _t-<-rvwJ:tL -;f ~lV-.--- For Petitioner Address: yal &woteYL1)(\V'L- TelePhon~j~;~-~~ 11055 179 . , Vtrisw l.- !-+ann PLAINTIFF, ( IN THE COURT OF COMMON PLEAS OF ~. Cumberl at'101 ( COUNTY, PENNSYLVANIA v. l2-i cVlMd. w ~nn ( CIVIL DIVISION ( (NO: DEFENDANT AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF: Cumberland. ) ss: ) Before me, the subscriber, a Notary Public in and for said Commonwealth and County, personally appeared _Kil. 1"'~1'\ lee )-f... h tl , who being duly sworn according to law, deposes and says that the facts contained within the foregoing Complaint in Divorce are true and correct to the best of his/her knowledge, information, and belief, and that he/she is authorized to make this Affidavit. _k~.uAJev ~ ~ Name Sworn to and subscribed before me this \1 day of Feb ,2006. c.:::: ,(",;s::??;:~~y, ,PYI}(;J:<;YLVA~nA ";::,;;"".~.:,..;._..___,.,..~__..,,."_.o._ Not:\rial. Seal Jackie A. Kalte;l'tCiugh, -Notmy P\\blic South Middlctun l\,llJ., O..imherlNfld County My Commission EXlJi~'es Dec. 24, 2005 Mernbel', Pennsylvania Association of Notaries l81 lorm f' COUNTY COURT OF COMMON PLEAS INl'AKF THIS FORM MUST BE FILLED OUT IF YOU ARE FlUNG A DIVORCE OR CUSTODY ACTION IN THE PROTHONOTARY'S OFFICE TODAY'S DATE _ Fe~ nA o..(y 11 2.-005 ) CASE NUMBER PLEASE CHECK ONE ~ DIVORCE FILING - NO CHILDREN DIVORCE FILING -~ W/CHILDREN UNDER 18 CUSTODY FILING - W /CHILDREN UNDER ] 8 o o PLAINTIFF/PETITIONER NAME AND ADDRESS: Kr Ls-tR- l \--I-a.h l'1 4?.l C;,-a.(den 0t'1 Ve:.. me.ch(),n,c~ W-r0 I Pit- 170'55 DEFENDANT/RESPONDENT NAME AND ADDRESS RiChad W t+ahtl \ 0 \ \-\-1 \1 ~ i de OrNe..- M*-l-\o\t'1 ~'(lYi<<3S, 'P~ n o(Pq- 182 form 7 REQUIRED INFORMATION TODAY'S DATE Plaintiff /Defendant C-lAIVIWIQnd County Domestic Relations Department Income and Expense Statement Kb(ULV~ \ ~ J 2()()G Name ~ \ C' "'~('cQ l.J t\a Y\V' ~:::~~~ess ~/lll-~ ~ tP1rYS~~'1 ;;;'11-:;' -:np:~.;:~' Drivers License # 20C;O'-f2 6f?,.., Employer -1; ~ ~~ ~rC- Position ~LAUL Address 1\ ~ I d~r2J) ~f,1-<c\I~le 'PJ4- J701 ~ Phone 11'7 2-40 -0"" 0 S Date Employed 01 - 1 <D - 0 " Other Employment Health Insurance Company Name -ft.#-l\. \fI Policy # Address.J70 f)o IIG~ PJI~A- /Cft..jZ2- Group# L.. 3/'72'7Lj I. Check Method of Payment and List Gross Income: Paid: 0 Every Z weeks 0 Twice Monthly 0 Monthly ~eekly $ lcI>o o~ Gross Income Z. Subtract tax deductions: Federal Income Tax $ Social Security State Income Tax Local Income Tax t.l1.JZ~ ~~ 'i Health Insurance Union Dues Pension Contributions Credit Union Other Deductions Total Deductions 1J~~ Subtract Totals from Gross Income -$ 11~.109 48J1li.. NET INCOME ALL OTHER INCOME List any interest al\d dividends, pensions and annuity, Social Security, net income from property, Unemployment Compensation, Workmen's Compensation or other, such as royalties, expense accounts, gifts, etc. (if no other income check none) NONE I<t" $ Total Other Income Deduct Estimated Income Taxes on such Other Income Final Net Income Per Week 4-11/ ~ $ 183 TODAY'S DATE PlaintiffIDefendant CMm.bf,f ! an d County Domestic Relations Department Income and Expense Statement Name (IS L-.- t-hAhti Date of Birth &/W/,q,,'1 SS# 1...!r1-{py.-1f5DO Phone# 11'1 Home Address Lta I ('.,arde.1'\ ~rlllf> ~l.U\iC.S~A- Drivers License # ~ I B~ 3SQ .. ..l Employer . ~hf\l\f.l _C. ~ P,t.neftj- ~-r.;y Address iD I Phone.{;111J .30;" - ~12. ~ Date Employed I /5 5 Other Employment HealthInsuranceCompanyNameB.lue UoS5 ~\L1f' ~hield>olicy# ~I /IIIIQ.QJ5{PO(MQ I Address 'PO ~)( 5'350/~/Peh PA- IS~53 Group # _J:}IM.'3&3 REQUIRED INFORMATION for", 7 r:e-~UOI.9 H} WOf? '" 1. Check Method of Payment and List Gross Income: Paid: taEvery Z weeks 0 Twice Monthly 0 Monthly 0 Weekly Z. Subtract tax deductions: Federal Income Tax $ Social Security State Income Tax Local Income Tax Health Insurance Union Dues Pension Contributions Credit Union Other Deductions Total Deductions $ I, S~5 .(2... Gross Income "<31 . \ If- 'l4 .~ 4 .z.~ ,r,?SI ~h'L-\:..9 31.10 ';l.So 54-If.03 Subtract Totals from Gross Income _$ 54Y..03 I,Olfl.09 . NET INCOME AI I OTHER INCOME List any interest al\d dividends, pensions and annuity, Social Security, net income from property, Unemployment Compensation, Workmen's Compensation or other, such as royalties, expense accounts, gifts, etc. (if no other income check none) NONE ISJ $ Total Other Income Deduct Estimated Income Taxes on such Other Income Final Net Income Per Week I, 04..L..1L'f $ 183 'form 23 NOTICE TO FR.F. SOC-IAI. SECURI1Y NUMBERS PURSUANT TO THE 23 P.S. SECTION 4304.1 (a)(3) PARTIES TO A DIVORCE ARE REQUIRED TO PROVIDE THEIR SOCIAL SECURITY NUMBERS TO THE COURT. PLEASE SUBMIT THE SOCIAL SECURITY NUMBERS OF THE PARTIES TO YOUR DIVORCE TO THE PROTHONOTARY. PLEASE FILL IN THE APPROPRIATE INFORMATION AND RETURN TO THE PROTHONOTARY OFFICE-THESE INFORMATION SHEETS WILL BE KEPT IN A SEPARATE FILE. DATE: t="cbruary \1 1.00 S } DOCKET NUMBER: .:1.01- (P'-t - 45DO NAME:~ri~+a.. I- H-Qhn PLAINTIFFIPETITIONER ss#: DEFENDANTIRESPONDENT ss#: l/Q~-5e>-O~51 QicnCifo\ W ooho NAME: Office of Clerk of Records Prothonotary Division County Courthouse 104 () 0\4- t - '- ~ \) f--:: (") C':;~ i ,'" "",j "'I "...'1 --1'~ ~ - \r~\ ~ .J::: () ;,).i 0 ~ - ~ ,- 1../ ,J ~ -0 {"." ..i~- -0 ~ (..I 'I ..c:. ~'F \~ri ~ L..- l-tMn In the Court of Common Pleas or Cumberland County, Pennsylvania No. OS /"'q 10 Civil. 19 vs. ~ wet vJ l-kthn ..:r ( k{\s~ ~ \-hYI(\ J se(v~d (ZicJJC\fd ~'\J ~h() I ~~fSQt)GI~br~ [1, J,-iVS \ tDI~$2lf1IVl-t-- Ill- JJ l vt)(Ct:., [\;-r -iA'\e C.~~'V\tlef tLtnd [o\LV}~ (' owr-+-hoUSt \ Yl COif li- s1i'/ l~ I- ~ 8/1//05 To ~~*t ~.~huk-. 19 8/t{ /65 Attorney for Plaintiff No. Term, 19 - vs. PRAECIPE Filed 19_ Atty. 1 ...... l C';\,_\~,~-:~.\1 ,1"1('\ ~\\'~0f\,:r~':.' >-,\_:c,r,:~:',.!'{\ ,oJ ~\\\i:;. , .' . \ \ 'j~~ 1i~\i1. ll~ ~\ \~.6 D ,," -;)",\ ~ ,--,1\\'l...r"0. ;).'f.'\>' ,.,.\'<j\..O~\V~,C v'\1\.\1 "~ -.;!J\:$ r-> form 10 ( IN THE COURT OF COMMON PLEAS OF PLAINTIFF, ~ e~tl1W1Oild ( ( CIVIL DIVISION ( ~NO: ()~~ q I ~ C:lvd Term COUNTY, PENNSYLVANIA v. R\chard W HaVvJ_ DEFENDANT. ACKNOWUlDGEMENT A complaint in Divorce under Section 3301 (c) of the Divorce Code was filed on O~ / 17 /200fj I agree that the marriage of the Plaintiff and Defendant is irretrievably broken and ninety days have elapsed from the date of filing the Complaint. All information contained within the attached documentation is true and correct to the best of my knowledge, information, and belief It is my desire to file with the WrYI~ Q.flL:t County Court of Common Pleas the attached Marital Property Settlement Agreement and to be bound fully and completely by the terms and conditions as set forth within said Marital Property Settl~ment Agreement documentation. 1tt'1 IN WITNESS WHEREOF, I set my hand and seal this I day of ~gt , zoo5-. ~~~ NAME: On this ~ day of 1tu~. , zoo S ,before me, a Notary Public, the undersigned officer, personally appeared NAME r< f"iSffi L- ..\+a.hA . known to me to be the person whose name is subscribed to the written instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~~~ ~~:C~.~L: ":'_(":_P.'2~.SYLVAN[A 1'"'<:'" 1 ::',:,':11 Ja,,:ki~ A. K':>' i\ -'~rv Public South L1;.dl';:-~-_-:~,1, T ;;"ri~~)d Coun My CommLil::'n I.:'.::: 24, 2005 Member, F\;';'ln:;;'j,,,snL1 A=:>':~""J.n ci Notari6l$ 189 , 0 ...., ~~ = ~ = <.n ~r. ",. s:!:n c= :;7F G') ~r;; <II ,-00. :'J,? ',,-~ DU , .-1 -0 '":'tl'. ;;.-'- (J :rl -r;,c: ....;:;.. -;".0 - Orn ;::.~ .. -~ ::! w ?E N -< fo r m 10 ~(\ s. tR \,- H-a.M ( IN THE COURT OF COMMON PLEAS OF v. PLAINTIFF, ( ( ( ( CML DMSION ( (NO: D~~ql~ C'tVl \ l.e'rrY/ COUNTY, PENNSYLVANIA ~\CXl~ \tJ ~ DEFENDANT. ACKNOWLEDGEMENT A complaint in Divorce under Section 3301 (c) of the Divorce Code was filed on 0 ~ I B-1 JtXJ.5 I agree that the marriage of the Plaintiff and Defendant is irretrievably broken and ninety days have elapsed from the date of filing the Complaint. All information contained within the attached documentation is true and correct to the best of my knowledge, information, and belief. It is my desire to file with the e.AA.fl.t~r lClil d County Court of Common Pleas the attached Marital Property Settlement Agreement and to be bound fully and completely by the terms and conditions as set forth within said Marital Property Settlement Agreement documentation. IN WITNESS WHEREOF, I set my hand and seal this -l \ ~ day of~, zOO...5::... -flu (, Jk1i: , NAME: On this ~ day of ~ <..t w ZOO.;:s::.., before me, a Notary Public, the undersigned officer, personally appeared N . clIard Ha V\() . known to me to be the person whose name is subscribed to the written instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. '. \ Noj Public ,..., 1__U!'.', "" A. c _j~'~91L~.2!:.lJl..!,_()r:..F.~:N~~.CI' _L~ ,~ J Nf{';\f\;:\l ;oe::!" .." ic . r>>"'~";:!/ oJ"~ I'-.('I((,ry publ h\:'tr? A. '-'.,_,", - {',.., ~\'~lft1i.d County ~~1 8~;~~~i~;,~;~n 'd:>)'~;~.~' '!.'~~. 24, 200~ ----:-:-~~;:."x''J~;;::pjl c; N:)~nes tJ\ernbe:', p;:;nr.~:;yi,..""ni<. i""""~ ... \'.~c- 189 ~ ~ ",. c:: c>> ~ :(,-n rt"~ .- :Bq _ <?\b ::""c.~ ~;:>;6 ;Qfi1 :::.\ "0 v:> ".:< r-:> ..., '% f.__ c;. :::-. -< - form 16 K(\~h ~ ~nr) PLAINTIFF, ( IN THE COURT OF COMMON PLEAS OF ( ( ( ( CNIL DNISION e~lancl COUNTY, PENNSYLVANIA v. _~,J eX\ &cd. vJ ttAVi() ( '1 (NO: 05-'1(0 C1V1 1..enr1 DEFENDANT. I. AFFIDAVIT OF CONSENT A complaint in Divorce under Section 3301 (c) of the Divorce Code was filed on (date:) 0;).1 n 1 2o(J5 2. The marriage of the Plaintiff and Defendant is irretrievably broken and ninety days have elapsed from the date of filing and Complaint. 3 I consent to the entry of a final decree of Divorce after service of notice of intention to request entry of the decree. WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DNORCE DECREE UNDER SECTION 3301 (c) OF THE DNORCE CODE I. I consent to the entry of a final decree of Divorce without notice. 2. I understand that I may lose rights conceming 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 here- in are made subject to the penalties of 18 Pa C.S. Section 4904 relating to unsworn falsification to authorities. Date/lliIJLW _~f--~~/,- Plaintiff 197 L -"""i(~:' ((Hi," -;/ ..", ..',:.c' c. '~h;.- :< (,~ '~'c: ;~ 9c c.:::'" ....' .g, "-" ~ ,,- G'" -- -- ~ ~~ ~Q qq~ ..-(~~ --<? '9~ -:.~" '9, 'J; :;<:. -- .- ~ ~ form 17 ~ ri SM. l.- H-tt h () ( IN THE COURT OF COMMON PLEAS OF ~i thard VV ~ht'1 ~~bef1ard ( ( CIVIL DIVISION ( j (NO: 05-~/B Gi VII lefty{ COUNTY, PENNSYLVANIA PLAINTIFF, v. DEFENDANT. AFFIDAVIT OF CONSENT 1. A complaint in Divorce under Section 3301 (c) of the Divorce Code was filed on (date:) ~ 111.-1 tIX.JS Z. The marriage of the Plaintiff and Defendant is irretrievably broken and ninety days have elapsed from the date of filing and Complaint. 3 I consent to the entry of a final decree of Divorce after service of notice of intention to request entry of the decree. W~ROFNOTICEOF~ONTO~Q~T ENTRY OF A DNORCE DECREE UNDER SECI10N 3301 0;) OF THE DNORCE CODE 1. I consent to the entry of a final decree of Divorce without notice. Z. 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. 1 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 here- in are made subject to the penalties of 18 Pa C.S. Section 4904 relating to unsworn falsification to authorities. Date: O<OI--1.L! 05 )2i>L'A-O tJ IlL- Defendant 198 o S -"~~1 d'"li'.~'-: ~:f:C" ." V) 2 <- i-::c /~'c; 'P-c ~ -<. :;!: = en ",. c:: G? ~ ~:n -o1Ti :u9 06 ::~::n (",)5 2m 9, ~ -v :lC W ('.:\ ------- 05- 9/1 MARITAL SETTLEMENT AGREEMENT This agreement is made on the ~ t) 2007 between _Krista L Hahn 421 Garden Drive day of ,:] ~il\Jtf I the Wife, who lives at , in the __city_____ of _____Mechanicsburg _county of Cumberland State of __Pennsylvania and Richard W Hahn the Husband, who lives at 101 Hillside Drive , in the _city_ of Mt Holly Springs _county_ of Cumberland , State of _____Pennsylvania We were married on the _21st____ day of , 1997, March in the city of _Mechanicsburg _county_ of , State of ___Pennsylvania Cumberland The following children were born or adopted into our marriage: Child's name Child's birth date Child's sex Child's name Child's birth date Child's sex Child's name Child's birth date Child's sex Child's name Child's birth date Child's sex Child's birth date Child's name Child's sex Not Applicable Page 1 of 6 pages We both desire to settle by agreement all of our marital affairs, including the division of all of our property and bills. THEREFORE, in consideration of our mutual promises, and other good and valuable considerations, we agree as follows: 1. We both desire and agree to permanently live separate and apart from each other, as if we were single, according to the terms of this agreement. We both agree not to annoy, harass, or interfere with the other in any manner. 2. We both agree that the following issues have been resolved as follows: REAL ESTATE: The deed for the home at 101 Hillside Drive, Mt Holly Springs, PA, 17065, will be transferred to the husband, who re- sides at the home and will be responsible for the mortgage, all insurance, taxes, utilities and expenses associated with the property. VEHICLES: The wife will receive free and clear title to the 1999 Toyota Camry free and clear of any claim by the husband. The wife agrees to assume and pay the debt owed for the automobile and holds the husband harmless from any and all claims arising from such debt. The husband will receive the following vehicles: 1995 Toyota SR5 Truck 1991 Jeep Cherokee HOUSEHOLD GOODS: The husband and wife have agreed on and divided all household items. Page 2 of 6 pages PERSONAL PROPERTY: All personal property has been divided to the satisfaction of the husband and wife. DEBTS: The wife keeps the computer and pays the credit card on which the computer was charged. The wife keeps the Toyota Camry and pays the monthly loan payment. BANK ACCOUNTS: All monies in savings account have been divided to the mutual satisfaction of both parties. The checking account has been divided to the satisfaction of both parties. LIFE INSURANCE FOR SPOUSES: There are no life insurance policies. INCOME TAXES: The tax return has been divided to the agreement of the husband and wife prior to the creation of this Marital Settlement Agreement. ALIMONY: Not Applicable CUSTODY: We have no minor children. VISITATION: We have no minor children. CHILD SUPPORT: We have no minor children. MEDICAL COVERAGE & NON-COVERED MEDICAL EXPENSES: The wife will continue to pay husband's medical coverage through her employer until divorce has been finalized. We have no minor children. Page 3 of 6 pages LIFE INSURANCE FOR CHILDREN: We have no minor children. TAX EXEMPTIONS: We have no minor children. 3. We both agree that, in the event of divorce or dissolution of marriage, the Wife may desire to and shall have the right to be known by the name of Krista L. Paruso former name. I her maiden or 4. We both desire that, in the event of our divorce or dissolution of marriage, this marital settlement agreement be approved and merged and incorporated into any subsequent decree or judgement for divorce or dissolution of marriage and that, by the terms of the judgment or decree, we both be ordered to comply with the terms of this agreement, but that this agreement shall survive. We have prepared this agreement cooperatively and each of us has fully and honestly disclosed to the other the extent of our assets, income, and financial situation. We have each completed Financial Statements which are attached and incorporated by reference. Page 4 of 6 pages We both understand that we have the right to representation by independent council. We each fully understand our rights and we each consider the terms of this agreement to be fair and reasonable. Both of us agree to execute and deliver any documents, to make any endorsements, and do any and all acts that may be necessary or convenient to carry out all of the terms of this agreement. We agree that this document is intended to be the full and entire settlement and agreement between us regarding our marital rights and obligations and that this agreement should be interpreted and governed by the laws of the State of Pennsylvania We also agree that every provision of this agreement is expressly made binding upon the heirs, assigns, executors, administrators, successors in interest, and representatives of each of us. Signed and dated this \ ~+?-) day of ~+ {J-t~JL(d wM,-,,- , 2003. _k~K~ Witness for Wife Witness for Wife Witness for Husband Witness for Husband Page 5 of 6 pages State of ___Pennsylvania 55. ~county_____ of Cumberland On this day, before me, the undersigned authority, in and for and residing in the above county and state, personally appeared Krista L. Hahn , who is personally known to me to be the same person whose name is subscribed to the foregoing document, and, being duly sworn, she verified that the information contained in the foregoing document is true and correct on personal knowledge and acknowledged that said document was signed as a free and voluntary act for the purposes stated. Subscribed and sworn to this .- , 200~. 55. CO\1~:'Q::'=~LLTl:LQ: rSh'NSYLVANiA --~' l..JotrJ"i,,1 3eal . Jackie A. K"lti,~n~:i'L'gl~! Npt~ry Pu~hC ty outh rd'id;Ji~';;m T'';]'... (\n~J~rlit 20g~ My Cnmmi::;,~ion '[.:q)~;:es Dec. . Member, Pann::;'j~~3n;a Assodsjon c:J NotarieB ~ My commission expires: \). , ^ '\ - 00. State of ____Pennsylvania _county of Cumberland On this day, before me, the undersigned authority, in and for and residing in the above __county and state, personally appeared Richard W. Hahn who is personally known to me to be the same person whose name is subscribed to the foregoing document, and, being duly sworn, he verified that the information contained in the foregoing document is true and correct on personal knowledge and acknowledged that said document was signed as a free and voluntary act \ \ +\... day of for the purposes stated. Subscribed and sworn to this ~, 200J: ~~~~ Na and signature -- My commission expires: IJ.-;l-'l - 0:> cr-Of" . , I v;~c:~.~' tr..: '.iC'.,J Public "joutll Mi(hHc~',',n y.<.)., Cotmty My Commi'.Osion Expires Dcc_ 24. 2005 Member. Panr.::;ylvzmb A::'SOC'i::lo.:on 0; Notdr\es Page 6 of 6 pages o C -c. \~>, \:L~ ~':: ::':-;'r-' ?)~?,-" -(, -:~, g "" :t"" c:: G' - ("~c' C. ~ "'" -"~ -,..... ~ .~ ff,~ ~~, :c.....~ qB /...rI1 o -~ -,~ "".n ::< <.J N IN THE COORT OF CCMMON PLEAS OF CUMBERLAND COONTY. PENNSYLVANIA K n Stt\ l- ~h() NO.D&-'lIB CIVIL 19 VB. R\QV)Oi'&\ IN tW..V1(1 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. Grounds for divorce: irretrievable breakdown under Section 3301 (c) 3301 (d)(l) of the Divorce Code. (Strike out inapplicable section) 2. Date and manner of service of the canplaint: F-ebru.Ofl/ /7,1 UOS IN P~IJ. 3. Canplete either Paragraph A. or B. A. Date of execution of the affidavit of consent required by Section 3301 (c) of the Divorce Code: by the plaintiff by the defendant ~t- H, 2-UOG. B. (1) Date of execution of the plaintiff's affidavit required by Aue-uf:+ U} ~D06 Section 3301 (d) of the Divorce Code: _t\-V~t Date of service of the plaintiff's u ~OOS I affidavit upon the defendant: ( 2) ~s~ \1/ ~o5 4. Related claims pending: 5. Indicate date and manner of service of the notice of intention to file praecipe to transmit record, and attach a copy of said 3301 (d)(l)(i) of the Divorce Code ~Si' II, n~oes under, ~ctp~J I ~ i-- J+al~ Attorney for Plaintiff/Defendant Oe ~ ;t_.., ;J ...q,.,\ \;:; ':,; 4fj~L~ '~~'(':e ',", (;s,1 .'- d Q- ~ ~~ ~ 1~~, /:<_~ /' 'a~ A:>, "~ -:> -~ ...-: :z.. .~ ;.p -- form 24 -Kri6f1t ~ f-to.hD- ( IN THE COURT OF COMMON PLEAS OF PLAINTIFF, ( ( ( (CML DMSION ~alldcoUNTY, PENNSYLVANIA v. R \ vh OId- W ttO,VVl ~NO: 05 -q II(? CAV,\ -rant DEFENDANT. NOTICE OF INTENTION TO RETAKE PRIOR NAME Notice is hereby given that the PlaintifflDl!fllll..k..L 1n the above matter, having been granted a Final Decree in Divorce, on the day of , 200-, hereby elects to retake and hereafter use her previous name of yri sto.. I- ~arlA SO . and gives this written notice avowing her intention in accordance with the provisions of 54 Pa. C.S.A. S 704. . ~~~ Signature TO BE KNOWN AS: ~riS+a. 1- 'ParuSD l i-h ~1 On the [ day of Sl, 2005 , before me, a Notary Public, personally appeared J< R. IS./." . 1-/ A- h,J . 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 THEREOF, I have her to set my hand and seal. COW,101<,f'"\vr.\rT'1 o~- ./;.~-.;.;;:~~",~,~-,",:~" J'ENNSYLVA1\TfA . Nrtr:o:,.l Seal Jackie A K'llf"IJ.._""..,-r N ~ outh Mid,;i";"n ":,..,;.':",,;)-..o;;ery Public My CoT':~-;:';" ":"""'. ~!I:!';h:;rhmd County ."..t;",,'.lOn LhP':\\, !.};~c. 24 2005 I MembGf 0.,_,.",_, "'~-:-:--:----'-~ ' .I 205 . r.........yj,,-'.'1!.C( /\:;;:':G'--I<":""-l ".' N .. J . "<"~."';I o....r.. " ", r;::lZ .c ~::j':-' -- ~"j /:~~~ ~ / (1 ,.., ~ = c ~ c;:~ -:;:,t";, ~ ~i rill ..~.. -. G'> 9'-' (J,F - 6 - ifl, -0 ~~~i ():1) ~f;~ ::;;: :zg - 9 z ~ _4 c..n .-<: c..n ,,' . . . . . . . . . . . . . . . . " . . . . . " . . . . . . ... . 'f'f.:';<+::+; Of. ~ :to 'f. Of. 'f.:f. 'f 'f. 'f. 'f. 'f. Of. 'f. 'f. 'f. Of 'f.:of Of. if if:+ . . . . IN THE COURT OF COMMON PLEAS OFCUMBERLANDCOUNTY STATE OF PENNA. Y\ n s.-fR 1,- \-fQhfI 05-QJ<6 CAv{ { No. VERSUS ~l CV1 (1(0. vi tbV1rl . " . . . . . DECREE IN DIVORCE AND NOW, ~~l' DECREED THAT ~~ fi S-ltA L .fiahn W liQ hD , DEFENDANT, . . . . . . . ~ ,-- , IT IS ORDERED AND . . . . . . . . . . . . . . . . . . . . . . . . . . . , PLAINTIFF, R( 0'\0.(0{ AND 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; . " . . " . " . . . . . . . . . . . . . . . . . . . . . :'1'+='1':+:+= Of 'f.'f.'f'f.'f.'f. 'l':'f'f.'+''f.'f.:f.'f.'f '+'1' :++.:.t:'f.'f.'f.'f. Of . . . . . . . . . . . . . . . , . , . " . . . , . , , ~+.+. 'f'f+.:+ :++.+.:+ :+'f:+:+ ? / . /' BY/THE COURT:/ , . , , ' Am'f~~~ ~ PROTHONOTARY '1':+:'::+ :+:+ ;f.'f.'f.'f.'f.'f'f'f " , . , . . . . , . , . . . , . . . . , . . . . . . . . . . . . . . . . . . . . . . . . , . , . . , . , , . . . . , . . , " J. . ~ !l ~ ryJ?1h .9J fJ )J'i ~/'fT-:'.I#~ rv JO. .Ie' ~ .), ;.~' " ---- --