HomeMy WebLinkAbout05-3305BRANDUN M BOZICH,
Plaintiff
V.
KIMBERLY K. BOZICH,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
NO. 05- 3305 ?iv?C??fiL
: CIVIL ACTION -LAW
: IN DIVORCE AND 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 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, Carlisle, 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 LAWYER REFERRAL SERVICE
32 SOUTH BEDFORD STREET
CARLISLE PA 17013
(717) 249-3166
Le ban demandado a usted en la corte. Si usted quiere defenderse de estas demandas expuestas
en las paginas siguientes, usted tiene veinte (20) dins de plazo al partir de la fecha de la demanda
y la notificacion. Usted debe presentar una apariencia escrita o en persona o por abogado y
archivar en la corte en forma escrita sus defensas o sus objeciones a las demandas en contra de su
persona. Sea avisado que si usted no se defiende, la corte tomara medidas y pueda entrar una
orden contra usted sin previo aviso o notificacion y por cualquier queja o alivio que es pedido en
la peticion de demanda. Usted puede perder dinero o sus propiedades o otros derechos
importantes para usted.
LLEVE ESTA DEMANDA A UN ABOGADO 1MMEDIATAMENTE. SI NO TIENE
ABOGADO O SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO VAYA
EN PERSONA O LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE
ENCUENTRA ESCRITA ABAJO PARA AVER GUAR DONDE SE PUEDE CONSEGUIR
ASISTENCIA LEGAL
CUMBERLAND COUNTY LAWYER REFERRAL SERVICE
32 SOUTH BEDFORD STREET
CARLISLE PA 17013
(717) 249-3166
BRANDUN M BOZICH,
Plaintiff
V.
KIMBERLY K. BOZICH,
Defendant
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
NO. C)S-- .3305 ?l vc l
CIVIL ACTION -LAW
IN DIVORCE AND CUSTODY
COMPLAINT FOR DIVORCE UNDER SECTION
3301(C)OR (D) OF THE DIVORCE CODE AND FOR
AND NOW, comes the above-named Plaintiff, Brandun M. Bozich, by his attorney,
Mark A. Mateya, Esquire, and seeks to obtain a Decree in Divorce from the above-named
Defendant upon the grounds hereinafter more fully set forth.
COUNTI
DIVORCE UNDER SECTION 3301(C)
OF THE DIVORCE CODE
1. Plaintiff is BRANDUN M. BOZICH, hereinafter "Husband," an adult individual
who currently resides at 619 Alexander Spring Road, Carlisle, Cumberland County, Pennsylvania
17013.
2. All legal papers may be served on Plaintiff by service on him to Attorney, Mark A.
Mateya, Esquire with a mailing address of P.O. Box 127, Boiling Springs, Pennsylvania 17007.
Defendant is KIMBERLY K. BOZICH, hereinafter "Wife," an adult individual who
currently resides at 619 Alexander Spring Road, Carlisle, Cumberland County, Pennsylvania
17013.
4. Plaintiff and Defendant are bona fide residents of the Commonwealth for at least
six (6) months immediately previous to the filing of this Complaint.
The Plaintiff and Defendant were married on May 24, 1997 in Corning, New
York.
6. There have been no prior actions of divorce or for annulment of marriage between
the Parties in this or any other jurisdiction.
The marriage is irretrievably broken.
8. Neither the Plaintiff nor the Defendant are members of the armed services of the
United States or any of its allies.
9. Plaintiff has been advised that counseling is available and that plaintiff may have
the right to request that the court require the parties to participate in counseling.
10. Plaintiff requests the Court to enter a Decree of Divorce.
COUNT II
COMPLAINT FOR EQUITABLE DISTRIBUTION OF
MARITAL PROPERTY UNDER THE DIVORCE CODE
11. Paragraphs I through 10 above are incorporated herein by reference as if set forth
completely herein.
12. Plaintiff and Defendant are the owners of various items of real property, personal
property, furniture and household furnishings that may be subject to equitable distribution by this
Court.
13. Plaintiff and Defendant are the owners of various motor vehicles, bank accounts,
investments, insurance policies and retirement benefits which may be subject to equitable
distribution by this Court.
WHEREFORE, Plaintiff requests the Court to enter a Decree:
a. Dissolving the marriage between Plaintiff and Defendant;
b. Equitably distributing all property owned by the parties hereto;
C. In the event that a written Separation Agreement is reached between the parties
hereto prior to the time of hearing on this Complaint, Plaintiff respectfully
requests that pursuant to §304(a)(1) and (4) and §401(b) of the Divorce Code the
Court approve and incorporate, but not merge such Agreement in the Final
Divorce Decree;
d. For such further relief as the Court may determine equitable and just.
Respectfully submitted,
V w "` k'6t-
Mark A. Mateya
Attorney I.D. No. 78931
P.O. Box 127
Boiling Springs, PA 17007
(717) 241-6500
Z3 6 ; Attorney for Plaintiff
Dated:
VERIFICATION
I, BRANDUN M. BOZICH, verify that the facts set forth in the foregoing Complaint for
Divorce, Custody and Equitable Distribution 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 unworn falsification to authorities.
DATED: Z--/O
BRANDUN M. BOZICH
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BRANDUN M BOZICH, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO. 05-3305 CIVIL TERM
KIMBERLY K. BOZICH, CIVIL ACTION -LAW
Defendant IN DIVORCE AND CUSTODY
AFFIDAVIT OF SERVICE
AND NOW, this 6th day of July. 2005, comes Mark A. Mateya, Esquire, Attorney for
Plaintiff, who, being duly sworn according to law, deposes and stays that:
1. A Complaint for Divorce was filed to the above term and number on June 28, 2005.
2. On June 30, 2005, a certified copy of the Complaint in Divorce was sent to the
Defendant via certified mail, restricted delivery, return receipt requested pursuant to Pa. R.C.P.
1920.4.
3. On June 30, 2005, a certified copy of the Complaint was set to the Defendant via first
class mail, postage prepaid. A copy of the Certificate of Mailing is attached hereto as Exhibit `A'
and is incorporated herein by reference.
4. On or about July 5, 2005, undersigned counsel for Plaintiff received the return receipt
card signed by the Defendant on July 1, 2005. Said receipt is attached hereto as Exhibit "B" and is
incorporated herein by reference.
Respectfully submitted,
i
Mark A. Mateya, Esquird)
Attorney I.D. No. 78931
P.O. Box 127
Boiling Springs, PA 17007
(717) 241-6500
(717) 241-3099 Fax
Attorney for Plaintiff
PROVIDE FOR INSURANCE - POSTMASTER
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BRANDON M. BOZICH,
Plaintiff
V.
KIMBERLY K. BOZICH,
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
: NO. 2005 - 3305 CIVIL TERM
IN DIVORCE
AFFIDAVIT OF CONSENT
1. A complaint in divorce under Section 3301(c) of the Divorce Code was filed in
this matter on or about June 28, 2005. Service of the complaint was made by certified
mail.
2. The marriage of plaintiff and defendant is irretrievably broken and ninety days
have elapsed from the date of the service of the complaint.
3. 1 consent to the entry of a final decree in divorce after service of notice of
intention to request entry of the divorce.
I verify that the statements made in this affidavit are true and correct. I understand that
false statements herein made are subject to the penalties of 18 Pa.C.S. Section 4904
relating to unsworn falsification to authorities.
October 3 , 2005/
KIMBERLY . BOZICH
I
BRANDON M. BOZICH,
Plaintiff
V.
KIMBERLY K. BOZICH,
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
: NO. 2005 - 3305 CIVIL TERM
: IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE
UNDER SECTION 3301(Cl OF THE DIVORCE CODE
1. I consent to the entry of a final decree of divorce without notice.
2. 1 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. 1 understand that 1 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.
October-?, 2005 lle ` Ala ?
KIMBERLY K. BOZICH
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BRANDON M. BOZICH,
Plaintiff
V.
KIMBERLY K. BOZICH,
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
: NO. 2005 - 3305 CIVIL TERM
: IN DIVORCE
AFFIDAVIT OF CONSENT
1. A complaint in divorce under Section 3301(c) of the Divorce Code was filed in
this matter on or about June 28, 2005. Service of the complaint was made by certified
mail.
2. The marriage of plaintiff and defendant is irretrievably broken and ninety days
have elapsed from the date of the service of the amended complaint.
3. 1 consent to the entry of a final decree in divorce after service of notice of
intention to request entry of the divorce.
I verify that the statements made in this affidavit are true and correct. I understand that
false statements herein made are subject to the penalties of 18 Pa. C. S. Section 4904
relating to unsworn falsification to authorities.
October 0 z, 2005 %? ? /?
BRANDUN M. BOZICH
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BRANDON M. BOZICH,
Plaintiff
V.
KIMBERLY K. SOZICH,
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
: NO. 2005 - 3305 CIVIL TERM
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. 1 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. 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 herein are made subject to the penalties of 18 Pa.C.S. Section 4904
relating to unsworn falsification to authorities.
October (N-1-, 2005 lC1;?-17?
BRANDUN M. BOZICH
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MARRIAGE SETTLEMENT AGREEMENT
THIS AGREEMENT made this 31" day of August, 2005, by and between BRANDUN
M. BOZICH, hereinafter referred to as "HUSBAND") and KIMBERLY K. BOZICH
(hereinafter referred to as "WIFE").
WITNESSETH: WHEREAS, HUSBAND and WIFE were lawfully married on May 24,
1997; and
WHEREAS, diverse, unhappy differences, disputes and difficulties have arisen between
the parties and it is the intention of HUSBAND and WIFE to live separate and apart for
the rest of their natural lives, and the parties hereto are desirous of settling fully and
finally their respective financial and property rights and obligations as between each
other, including, without limitation by specification; the settling of all matters between
them relating to the ownership and equitable distribution of real and personal property;
the settling of all claims and possible claims by one against the other or against their
respective estates and equitable distribution of property and alimony for each party.
NOW, THEREFORE, in consideration of the promises and the mutual promises,
covenants and undertakings hereinafter set forth and for other good and valuable
consideration, receipt of which is hereby acknowledged by each of the parties hereto,
HUSBAND and WIFE, each intending to be legally bound, hereby covenant and agree
as follows:
it is the purpose and intent of this agreement to settle forever and completely the
interest and obligations of the parties in all property that they own separately and all
property that would qualify as marital property under the Pennsylvania Divorce Code,
Title 23, Section 401(e), and that is referred to in this agreement as "Marital Property",
as between themselves, their heirs and assigns. It is the further purpose of this
agreement to settle forever and completely any obligation under the Pennsylvania
Divorce Code relating to spousal support or alimony.
2. The parties intend to maintain separate and permanent domiciles and to live
apart from each other. It is the intention and purpose of this agreement to set forth the
respective rights and duties of the parties while they continue to live apart from each
other.
3. The parties have attempted to divide their matrimonial property in a manner that
conforms to a just and right standard, with due regard to the rights of each party. It is
the intention of the parties that such division shall be final and shall forever determine
their respective rights. The division of existing marital property is not intended by the
parties to constitute in any way a sale or exchange of assets.
4. Further, the parties agree to continue living separately and apart from each other
at any place or places that he or she may select. Neither party shall molest, harass,
annoy, injure, threaten or interfere with the other party in any manner whatsoever.
Each party may carry on and engage in any employment, profession, business or other
activity as he or she may deem advisable for his or her solle use and benefit. Neither
party shall interfere with the uses, ownership, enjoyment or disposition of any property
now owned and not specified herein or property hereafter acquired by the other.
5. The consideration for this contract and agreement its the mutual benefits to be
obtained by both of the parties hereto and the covenants and agreements of each of
the parties to the other. The adequacy of the consideration for all agreements herein
contained is stipulated, confessed, and admitted by the parties, and the parties intend
to be legally bound hereby.
6. Each party to this agreement acknowledges and declares that he or she,
respectively:
A. Enters into this agreement voluntarily after receiving the advice of counsel
of his or her own choosing or has voluntarily elected not to obtain counsel;
B. Is fully and completely informed of the facts relating to the subject matter
of this agreement and of the rights and obligations of the parties;
C. Has given careful and serious thought to the making of this agreement;
D. Has carefully read each provision of this agreement; and
E. Fully and completely understands each provision of this agreement, both
as to the subject matter and legal effect.
7. Each party represents and warrants that he or she has made a full and fair
disclosure to the other of all of his or her property interests of any nature, including any
mortgage, pledge, lien, charge, security interest, encumbrance, or restriction to which
any property is subject. Each party further represents that he or she has made a full
and fair disclosure of all debts and obligations of any nature for which he or she is
currently liable or may become liable. Each further represents and warrants that he or
she has not made any gifts or transfers of Marital Property for inadequate consideration
without the prior consent of the other. Each party acknowledges that, to the extent
desired, he or she has had access to all joint and separate: state and federal tax returns
filed by or on behalf of both parties during the marriage.
8. DEBTS: It is further mutually agreed by and between the parties that the debts
be paid as follows:
A. The HUSBAND shall assume all liability for and pay and indemnify the
WIFE against any of his individual debts and on-half of the following debts
that are in WIFE's name alone: Members Fiirst FCU (approx. $4,800
balance), school loan (approx. $7,000 balance) and credit cards
(combined balance of approx. $18,000). HUSBAND shall undertake to
obtain a loan for one-half of the total balance of these debts and such
amount shall be paid directly on the debts. 'Upon such payment WIFE
shall release HUSBAND from further responsibility and shall indemnify
and hold HUSBAND harmless therefrom. Until HUSBAND obtains such a
loan, or if HUSBAND is unable to obtain the loan, each party shall apply
$50.00 per week to the payment of these debts until all of them are paid in
full. WIFE agrees not to use these accounts in the future to obtain
additional credit.
B. The WIFE shall assume all liability for and pay and indemnify the
'HUSBAND against any of her individual debts except with regard to
HUSBAND's share of the loans in WIFE's name alone as provided above.
C. The parties agree that they have no other joint debts except the mortgage
which the parties shall continue to share jointly until the sale of the marital
home.
9. Except as herein provided, the parties agree that they have previously divided
their personal property to their mutual satisfaction. No payment shall be made by either
party to the other as a result of the division of property contained herein. The parties
agree that this division is fair and equitable, and is voluntary and made without duress
by or upon either party. The parties further agree that henceforth, each of the parties
shall own, have and enjoy independently of any claim or right of the other party, all
items of personal property of every kind, nature and descriiption and wherever situated,
which are now owned or held by or which may hereafter belong to the HUSBAND or
WIFE, with full power to the HUSBAND or the WIFE to dispose of same as fully and
effectually, in all respects and for all purposes as if he or she were unmarried. The
following division of specific items of personal and real property will be equitably
distributed as follows:
A. REAL ESTATE: The parties shall list the marital home for sale with a
realtor and upon the sale thereof shall apply any net proceeds to the
payment of the debts listed in paragraph 8.A. Any remaining proceeds
shall be divided equally.
B. PERSONAL PROPERTY:
1.) Motor Vehicles - The HUSBAND hereby releases to WIFE the
2003 Honda CRV and WIFE hereby releases to HUSBAND the
1997 Honda Civic.
2.) Bank Accounts:
A. HUSBAND shall retain the proceeds of his Members 1St
savings account free of any claim by WIFE.
B. WIFE shall retain all finds in her individual accounts and the
parties' Members 1st joint account free of any claim by HUSBAND.
3.) Employee Benefit and Retirement Plans - Each party shall retain
all of their own employee benefit, 401(k), savings and/or retirement
plans' proceeds free of any claim by the other party.
4.) Other personal property - The parties agree that they will divide
all of their remaining personal property, including, but not limited to
furniture, household goods, appliances and personal belongings to
their mutual satisfaction and each release to the other all such
personal property as then divided.
10. INCOME TAX RETURNS: All future income tax returns will be filed separately
and the parties will each retain any refund due to them.
11. SUPPORT AND ALIMONY: Both parties hereby waive and forego all financial
and material spousal support from each other and agree not to request or seek to
obtain alimony or spousal support before or after any divorce which may be granted.
12. DIVORCE: The parties both agree to cooperate with each other in obtaining a
final divorce of the marriage. It is agreed that the marriage is irretrievably broken and
that upon the expiration of ninety days from the date of service of the divorce complaint,
the parties will execute and file the consents and waivers necessary to obtain the
divorce.
13. BREACH: In the event of the breach of this agreement by either party, the
nonbreaching party shall have the right to seek monetary damages for such breach,
where such damages are ascertainable, and/or to seek specific performance of the
terms of this agreement, where such damages are not ascertainable. All costs,
expenses and reasonable attorney fees incurred by the successful party in any litigation
to obtain monetary damages and/or specific performance; of this agreement shall be
recoverable as part of the judgment entered by the court.
14. ADDITIONAL INSTRUMENTS: Each of the parties shall from time to time, at
the request of the other, execute, acknowledge and deliver to the other party any and
all further instruments that may be reasonably required to give full force and effect to
the provisions of this agreement.
15. VOLUNTARY EXECUTION: The provisions of this agreement and their legal
effect have been fully explained to the parties and its provisions are fully understood.
Both parties agree that they are executing this agreement freely and voluntarily.
WIFE's legal counsel is Harold S. Irwin, III, Esquire and HUSBAND's legal counsel is
Mark Metaya, Esquire.
16. ENTIRE AGREEMENT: This agreement contains the entire understanding of
the parties and there are no representations, warranties, covenants or undertakings
other than those expressly set forth herein.
17. APPLICABLE LAW: This agreement shall be construed under the laws of the
Commonwealth of Pennsylvania.
18. PRIOR AGREEMENTS: It is understood and agreed that any and all property
settlement agreements which may or have been executed or verbally discussed prior to
the date and time of this agreement are null and void and of no effect.
19. WAIVER OF CLAIMS AGAINST THE ESTATES: Except as otherwise provided
herein, each party may dispose of his or her property in any way, and each party
hereby waives and relinquishes any and all rights he or she may now have or hereafter
acquire, under the present or future laws of any jurisdiction, to share in the property or
the estate of the other as a result of the marital relationship, including without limitation,
dower, curtesy, statutory allowance, widow's allowance, right to take in intestacy, right
to take against the Will of the other, and right to act as administrator or executor of the
other's estate, and each will, at the request of the other, execute, acknowledge and
deliver any and all instruments which may be necessary or advisable to carry into effect
this mutual waiver and relinquishment of all such interests, rights and claims.
20. Unless otherwise stated herein, this agreement shall become effective
immediately upon its execution by both parties.
IN WITNESS WHEREOF, the parties have hereunto set their hands and seals the day
and year first above written.
ee,?/ (SEAL)
BRANDUN M. BOZICH
(SEAL)
KIMBERLY K. BOZICH
COMMONWEALTH OF PENNSYLVANIA
:SS:
COUNTY OF CUMBERLAND
PERSONALLY APPEARED BEFORE ME, a notary public for Cumberland County,
Pennsylvania, this 31St day of August, 2005, BRANDUN M. BOZICH, known to me (or
satisfactorily proven) to be the person whose name is subscribed to the within
agreement, and acknowledge that he executed the same for the purposes therein
contained.
IN WITNESS WHEREOF, I have hereunto set m hand and official seal.
NOTARIAL SEAL
HAROLD S. IRWIN, III, NOTARY PU6NG Notary Public
CARLISLE BOROUGH, COUNTY Of CUMRERLANO
MY COMMISSION D(PIRES OCTOBER 22 2006
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
:SS:
PERSONALLY APPEARED BEFORE ME, a notary public for Cumberland County,
Pennsylvania, this 31St day of August, 2005, KIMBERLY K. BOZICH, known to me (or
satisfactorily proven) to be the person whose name is subscribed to the within
agreement, and acknowledge that she executed the same for the purposes therein
contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
NOTARIAL SEAL
HAROLD S. IRWIN, III, NOTARY PU"'tC
CARLISLE BOROUGH COU OFCUMBERiANO Notary Public
M'N?y Y COMMISS;pN EXPIRES OCT09F(729 2006
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HAROLD E. IRWIN, 111, ESQUIRE
ATTORNEY ID NO. 29920
84 SOUTH PITT STREET
CARLISLE PA 17013
(717) 243-8090
ATTORNEY FOR DEFENDANT
BRANDON M. BOZICH,
Plaintiff
V.
KIMBERLY K. SOZICH,
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
: NO. 2005 - 3305 CIVIL TERM
: IN DIVORCE
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. Ground for divorce: Irretrievable breakdown under Section 3301(c) of the Divorce Code.
2. Date and manner of service of the complaint: On or about .July 1, 2005, defendant was served
with a copy of the divorce complaint by certified mail.
1 Complete either paragraph (a) or (b)
(a) Date of execution of consent required by Section 3301(c) of the Divorce Code:
By the plaintiff: October L, 2005
By the defendant: October _,,7 , 2005
(b)(1) Date of execution of the affidavit required by Section 3301(d) of the Divorce Code:
NIA.
(b)(2) Date of filing and service of the plaintiffs affidavit upon the defendant: NIA.
4. Related claims pending: None
5. Complete either (a) or (b):
(a) Date and manner of service of the notice of intention to file praecipe to transmit record, a
copy of which is attached: N/A.
(b) Date plaintiffs Waiver of Notice in Section 3301(c) divorce was filed with the
Prothonotary: On or about October 'L , 2005
Date defendant's Waiver of Notice in Section 3301(c) Divorce was filed with the
Prothonotary: On or about Oct*er 1 2005
October 7 2005
HAROLD S. IRWIN, III
Attorney for Defendant.
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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
STATE OF PENNA.
BRANDUN M BOZICH
Plaintiff
NO. 2005 - 3305 CIVIL TERM
VERSUS
Defendant
DECREE IN
DIVORCE
AND NOW, OOtober <_.C7 ,29Q. ___,, IT IS ORDERED AND
DECREED THAT BRANDUN M. BOZICH PLAINTIFF,
AND KTMRF.RT.y K An9T[`j4 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; NONE
All equitable distribution claims have been settledby the
attached aureementy the terms of which are incorporated
into this decree 7<,7.
BY TH E,AC'OU RT:
ATTEST:
J.
ONOTARY
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... ?.
BRANDUN M. BOZICH,
Plaintiff
V.
KIMBERLY K. BOZICH,
Defendant
: IN THE COURT OF COMMON PLEAS OF
: ADAMS COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
: NO. 2005 - 3305
: IN DIVORCE
NOTICE OF INTENTION TO
RESUME PRIOR SURNAME
Notice is hereby given that the DEFENDANT in the above matter:
prior to the entry of a Final Decree in Divorce, or
x after the entry of a Final Decree in Divorce,
dated October 26, 2005, hereby elects to resume the prior surname of KIMBERLY K.
CANTER, and gives this written notice avowing her intention pursuant to the provisions of 54
P.S. Section 704.
C -(SEAL)
Signature - KIMBERLY K. BOZICH
/? A4W (SEAL)
Signature f Name Being Resumed
KIMBERLY K. CANTER
COMMONWEALTH OF PENNSYLVANIA :
:SS:
COUNTY OF CUMBERLAND
On the day of April 2008, before me, a notary public, personally appeared the above
affiant, known to me to be the person whose name is subscribed to the within document and
acknowledged that she executed the foregoing for the purpose therein contained.
In witness whereof, I have hereunto set me hand and oOicial seal.
Notary Public
UMMUNWEALTH MUNNSYIAN1
NOTARIAL SEAL
Harold S. Irwin Iii, Esq, Notary Public
Carlisle, Cumberland County
MY commission expires February 06, 2011
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