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KARINE S. LEWIS, :IN THE COURT OF COMMON PLEAS OF
Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA
v. :CIVIL ACTION -LAW
:IN DIVORCE
JEFFREY LEWIS, -
Defendant :NO. ~J S' ~l ~~ C i vi ~
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 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 maniage counselors is
available in the Office of the Prothonotary at:
Office of the Prothonotary
Cumberland County Court House
1 Courthouse Square
Cazlisle, Pennsylvania 17013
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 Baz Association
32 S. Bedford Street
Cazlisle, PA 17013
(717) 249-3166
(800)990-9108
KARINE S. LEWIS,
Plaintiff
v.
JEFFREY LEWIS,
Defendant
:IN THE COURT OF COMMON PLEAS OF
:CUMBERLAND COUNTY, PENNSYLVANIA
:CIVIL ACTION -LAW
:IN DIVORCE
COMPLAINT
AND NOW comes the Plaintiff, Karine S. Lewis, who, by and through her
attorneys, Thomas A. Beckley, Esquire, Elizabeth S. Beckley, Esquire, and Beckley &
Madden, of Counsel, files this Complaint, in which she avers that:
1. Plaintiff, Karine S. Lewis, is an adult individual residing at 205 Winding
Way, Camp Hill, Cumberland County, Pennsylvania 17011.
2. Defendant, Jeffrey Lewis, is an adult individual residing at 50 Oak Hill
Drive, Etters, York County, Pennsylvania 17319.
3. Both parties were bona fide residents of the Commonwealth of
Pennsylvania for at least six months immediately prior to the filing of the original
Complaint.
4. Plaintiff and Defendant were married on July 17, 1998.
5. There have been no prior actions in divorce or for annulment between the
parties in this or any other jurisdiction.
6. The marriage is irretrievably broken.
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7. Plaintiff has been advised of the availability of counseling and that
Plaintiff or Defendant has the right to request the Court to require the parties to
participate in such counseling.
COUNTI
REQUEST FOR A NO-FAULT DIVORCE
UNDER SECTIONS 3301(c) OR (d) OF THE DIVORCE CODE
8. The averments contained in Paragraphs 1 through 7 of this Complaint are
incorporated herein by reference as though set forth in full.
9. Plaintiff s marriage to Defendant is irretrievably broken.
10. Plaintiff has been advised that counseling is available and that she may
have the right to request that the Cour[ require the parties to participate in counseling.
WHEREFORE, pursuant to 23 Pa.C.S.A. §§3301(c) or (d), Plaintiff, Karine S.
Lewis, respectfully requests the Court to enter a Decree of Divorce.
DATED: ~j / ~ ~ Respectfully submitted,
of Counsel
BECKLEY & MADDEN
212 North Third Street
P.O. Box 11998
Harrisburg, PA 17108
(717)233-7691
omas A. Beckley
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VERIFICATION
I, Kazine S. Lewis, hereby verify that the statements made in the foregoing
document aze true and correct to the best of my knowledge, information and belief. I
understand that false statements herein are made subject to the penalties 18 Pa. C. S.
Section 4904, relating to unsworn falsification to authorities.
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DATED:
Kazine S. Lewis
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KARINE S. LEWIS, : IN THE COURT OF COMMON PLEAS OF
:CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
CIVIL ACTION -LAW
vs. : IN DIVORCE
JEFFREY LEWIS, : No. OS-3110 Civil
Defendant
ACCEPTANCE OF SERVICE
I, Jeffrey Lewis, hereby accept service of the Divorce Complaint filed in the
above-captioned action.
DATED: (~~~3/05f
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KARINE S. LEWIS, IN THE COURT OF COMMON PLEAS OF
Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO.OS-3110 CIVIL
JEFFREY LEWIS, :CIVIL ACTION -LAW
Defendant IN DIVORCE
AFFIDAVIT OF CONSENT
1. A complaint in divorce under Section 3301(c) of the Divorce Code was filed on
April 18, 2002.
2. The marriage of plaintiff and defendant is irretrievably broken and ninety days
have elapsed from the date of filing and service of the Complaint.
3. I consent to the entry of a final decree of divorce after service of notice of inten-
tion 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: ~--~~-(~
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arine S. Lewis
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KARINE S. LEWIS, IN THE COURT OF COMMON PLEAS OF
Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO.OS-3110 CNIL
JEFFREY LEWIS, :CIVIL ACTION -LAW
Defendant IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE
DECREE UNDER SECTION 3301(C) OF THE 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, law-
yer'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. § 4904 relating to unsworn
falsification to authorities.
Dated: ~G 2 ~ `
T arine S. Le 's
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KARINE S. LEWIS, IN THE COURT OF COMMON PLEAS OF
Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 05-3110 CIVIL
JEFFREY LEWIS, :CIVIL ACTION -LAW
Defendant IN DIVORCE
AFFIDAVIT OF CONSENT
1. A complaint in divorce under Section 3301(c) of the Divorce Code was filed on
April 18, 2002.
2. The marriage of plaintiff and defendant is irretrievably broken and ninety days
have elapsed from the date of filing and service of the Complaint.
3. I consent to the entry of a final decree of divorce after service of notice of inten-
tion 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: 3 _~ ~~
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KARINE S. LEWIS, IN THE COURT OF COMMON PLEAS OF
Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO.OS-3110 CIVIL
JEFFREY LEWIS, :CIVIL ACTION -LAW
Defendant 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 of divorce without notice.
2. I understand that I may lose rights concerning alimony, division of property, law-
yer'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. § 4904 relating to unsworn
falsification to authorities.
Dated: ~ --~ ~ ~-7
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KARINE S. LEWIS, : IN THE COURT OF COMMON PLEAS OF
Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA
v. :CIVIL ACTION -LAW
IN DIVORCE
JEFFREY LEWIS,
Defendant : NO.OS-3110
PRAECIPE TO TRANSMIT RECORD
TO THE PROTHONOTARY:
Please transmit the record, together with the following information, to the Court
for the entry of a Decree of Divorce.
1. Ground for divorce: irretrievable breakdown of the marriage under Section
3301(c) of the Divorce Code.
2. Date and manner of service of the Complaint: the complaint was served on
Jeffrey Lewis, on June 23, 2005, by him accepting service of the same.
3. Date of execution of the affidavit of consent required by Section 3301(c) of the
Divorce Code: by plaintiff on March 26, 2007; by defendant on March 26, 2007.
4. Related claims pending: No economic claims raised.
5. (a) Date plaintiff s Waiver of Notice March 26, 2007, and it was filed
on March 26, 2007.
(b) Date defendant's Waiver of Notice March 26, 2007, and it was
filed on March 26, 2007.
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DATED: ~~'d~
of Counsel
Respectfully submitted,
BECKLEY & MADDEN
212 North Third Street
P.O. Box 11998
Harrisburg, PA 17108
(717)233-7691
for Plaintiff
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I N THE COURT OF COMMON PLEAS
x~NE s. LEWIS,
OF CUMBERLAND COUNTY
STATE OF PENNA.
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Plaintiff
VERSUS
Jeffrey Lewis
N O . 05-3110
DECREE IN
DIVORCE
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AND NOW, IT IS ORDERED AND
DECREED THAT KARII~TE S• LEWIS
AND
JF~FREY L~nT25
ARE DIVORCED FROM THE BONDS OF MATRIMONY.
PLAT NTI FF,
DEFENDANT,
THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE
BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A F{NAL ORDER HAS NOT
YET BEEN ENTERED; None.
BY THE COURT:
ATTEST: ~ ,J.
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PROTHONOTARY
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