HomeMy WebLinkAbout01-4169
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IN THE COURT OF COMMON PLEAS
OFCUMBERLANDCOUNTY
STATE OF
PENNA.
Roni Van Selow
Plantiff
NO.2001
4169
VERSUS
Roqer Charles Van Selow
Defendant
DECREE IN
DIVORCE
AND
Now,}.JL'1-l1
DECREED THAT Roni Van Selow
, P LA I NT IFF,
AND Roqer Charles Van Selow
, 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;
This order incorporates the terms of marriaqe
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RON I VAN SELOW,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2001-4169
v.
ROGER CHARLES VAN SELOW,
Defendant
CIVIL ACTION - 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 (x) 3301 C ( ) 3301 D of the Divorce
Code. (Check applicable code)
2. Date and manner of service of the complaint:
Certified Mail on Julv 27.2001. Certificate of Service and areen card were filed.
3. (Complete either paragraph (A) or (B).)
(A) Date of execution of the affidavit of consent required by Section 3301 (C) of the divorce
code: By plaintiff 03-18-03; by defendant 03-14-03.
(B) (1) Date of execution of the plaintiffs affidavit required by Section 3301 (D) of the
Divorce Code: N/A;
(2) Date of filing and service of the plaintiffs affidavit upon the respondent N/A.
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:
(B) Date plaintiffs Waiver of Notice in ~ 3301 (c) Divorce was filed with the Prothonotary:
04-02-03
Date defendant's Waiver of Notice in ~ 3301 (c) Divorce filed with the Prothonotary:
04-02-03
Michael J. Pyk
Attorney Identi tion No. 58851
3805 Market Street
Camp Hill, PA 17011
(717) 975-9446
Attorney for Plaintiff
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RONILYNNVAN SELOW,
PlaintitT
: IN THE COURT OF COMMON
: PLEAS, CUMBERLAND COUNTY,
: PENNSYL VANIA
v.
NO. 01-4169 CIVIL TERM
ROGER CHARLES VAN SELOW,
Defendant
CIVIL ACTION - LAW
DIVORCE ACTION
MARRIAGE SETTLEMENT AGREEMENT
mIS AGREEMENT is made and entered into between RON! L. VAN
SELOW and ROGER C. VAN SELOW, hereinafter referred to as Husband and Wife.
The parties were married on September 1, 1992.
As a consequence of disputes and unhappy differences, the parties have separated.
The parties desire to confirm their separation and make arrangements in connection
therewith, including the settlement of their property rights, and all other rights and
obligations arising out of the marriage relationship.
It is therefore agreed:
1. CONSIDERATION
The consideration for this Agreement is the mutual promises and agreements
herein contained.
2. SEPARATION AND NONINTERFERENCE
A. It will be lawful for each party at all times hereafter to live separate and
apart from the other party at such place or places as he or she may from time to time
choose or deem fit.
B. Each party shall be free from interference, authority and control, direct or
indirect, by the other, as fully as ifhe or she were single and unmarried. Neither shall
bother the other or compel or endeavor to compel the other to cohabit or dwell with him
or her.
3. MUTUAL RELEASE
Subject to the provisions of this Agreement, each party has released and
discharged, and by this Agreement does for himself or herself, and his or her heirs, legal
representatives, executors, administrators, and assigns, release and discharge the other of
and from all causes of action, claims, rights, or demands whatsoever, in law or equity,
which either of the parties ever had or now has against the other, except any or all cause
or causes of action for divorce.
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4. FULL DISCLOSURE
The provisions of this Agreement and their legal effect are fully understood by
each party to this agreement, and each party acknowledges that the Agreement is fair and
equitable, that it is being entered into voluntarily, and that it is not the result of any duress
or undue influence. Husband and wife each represent and warrant to the other that he or
she has made a full and complete disclosure to the other of all assets of any nature
whatsoever and ofall other facts relating to the subject matter of this Agreement. Both
parties represent that the terms of this Agreement have been fully explained to them by
their respective counselor that both parties have had the opportunity to have legal counsel
review and fully explain the terms of this Agreement. Wife is represented by Michael J.
Pykosh, Esquire of the Law Office of Darrell C. DetWefs. Husband is understands that
Law Office of Darrell C. Dethlefs represents his wife solely.
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5. EOUITABLE DIVISION
By this Agreement, the parties have intended to effect an equitable division of their
marital property. This division is not intended by the parties to constitute in any way a
sale or exchange of assets.
6. SUBSEOUENTDIVORCE
A. AGREEMENT NOT PREDICATED ON DIVORCE - It is specifically
understood and agreed by and between the parties hereto and each of the said parties does
hereby warrant and represent to the other that the execution and delivery of this
Agreement is not predicated upon nor made subject to any agreement for institution,
prosecution, defense, or for the non-prosecution or non-defense of any action for divorce;
provided, however, that nothing contained in this Agreement shall prevent or preclude
either of the parties hereto from commencing, instituting or prosecuting any action or
actions for divorce upon just, legal and proper grounds; nor to prevent either party from
defending any such action which has been, may, or shall be instituted by the other party, or
from making any just or proper defense thereto. It is warranted, covenanted and
represented by Husband and Wife, each to the other, that this Agreement is lawful and
enforceable and this warranty, covenant and representation is made for the specific
purpose of inducing Husband and Wife to execute the Agreement. Husband and Wife
each knowingly and understandingly hereby waive any and all possible claims that this
Agreement is, for any reason, illegal or for any reason whatsoever, unenforceable in whole
or in part. Husband and WIfe each do hereby warrant, covenant and agree that, in any
possible event, he and she are and shall forever by stopped from asserting any illegality or
unenforceability as to all or any part of this Agreement. . . ,t) ,,\ t If.'/
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B. ENTRY AS PART OF DECREE - It is the intention of the parties that
the Agreement shall survive any action for divorce which may be instituted or prosecuted
by either party and no order, judgment or decree of divorce, temporary, final or
permanent, shall affect or modify the financial terms of this Agreement. This Agreement
shall be incorporated in but shall not merge into any such judgment or decree of final
divorce, but shall be incorporated for the purpose of enforcement only.
C. MUTUAL CONSENT DIVORCE - The parties agree and acknowledge
that their marriage is irretrievably broken, that they do not desire marital counseling, and
that they both consent to the entry ofa decree in divorce pursuant to 23 Pa.C.S.A. Section
3301(c). Accordingly, both parties agree to forthwith execute such consents, affidavits, or
other documents as may be necessary to promptly proceed to obtain a divorce pursuant to
said 23 Pa.C.S.A. Section 3301(c). Upon request, to the extent permitted by law and the
applicable Rules of Civil Procedure, the named Defendant in such divorce action shall
execute any waivers of notice or other waivers necessary to expedite such divorce.
7. DIVISION OF PERSONAL PROPERTY
Wife agrees that all of the property in the possession of Husband as of October 1,
2001, shall be the sole and separate property of Husband and Husband agrees that all of
the property in the possession of Wife as of October 1,2001, shall be the sole and
separate property of Wife. The parties do hereby specifically waive, release, renounce and
forever abandon whatever claims, if any, he or she may have with respect to the above
items which shall become the sole and separate property of the other.
8. VEmCLES
Husband and wife agree that each shall retain the automobile currently titled in
their name. Wife agrees that she will take the necessary steps to remove her name from
the 1990 Ford Ranger, which shall be the sole property of husband.
9. LIABILITIES
Husband and Wife agree that Husband shall be responsible for one half of the
following marital debt.
a. A $3,000 orthodontist bill owed to Dr. Joseph A. Gensbigler for Hope M.
Thomas, born 5/1/85.
10. AFTER-ACOUlRED PERSONAL PROPERTY
Each of the parties shall hereafter own and enjoy, independently of any claim or
right of the other, all items of personal property, tangible or intangible, acquired by him or
her after June 27,2001, with full power in him or her to dispose of the same as fully and
effectively, in all respects and for all purposes, as though he or she wj:fe ~arried/
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11. DISPOSITION OF PROPERTY
From and after the date of the signing of this Agreement, both parities shall have
complete freedom of disposition as to his/her separate property and any property which is
in their possession or control pursuant to this Agreement and may mortgage, sell, grant,
conveyor otherwise encumber or dispose of such property, whether real or personal,
whether such property was acquired before, during or after marriage, and neither Husband
nor Wife need join in, consent to, or acknowledge any deed, mortgage, or other
instrument of the other pertaining to such disposition of property.
12. PAYMENT OF SPECIFIED OBLIGATIONS
The parties agree that the following constitute joint marital obligations which shall
be paid by the following person:
A. Wife - 1. All debts incurred by wife since the parties separation.
2, Any loan on the automobile titled solely in wife's name.
B. Husband - 1. All debts incurred by Husband since the parties separation.
2. Any loan on the automobile title solely in husband's name.
13. LEGAL FEES
Each party is responsible for their own legal fees with respect to this matter.
14. ALIMONY
Both parties acknowledge and agree that the provisions of this Agreement
providing for equitable distribution of marital property are fair, adequate and satisfactory
to them and are accepted by them in lieu of and in full and final settlement and satisfaction
of any claims or demands that either may now or hereafter have against the other for
support, maintenance, alimony pendente lite or alimony. Husband and Wife further,
voluntarily and intelligently, waive and relinquish any right to seek from the other any
payment for spousal support, maintenance, alimony pendente lite or alimony.
15. PENSION PROGRAM
Each party hereto shall maintain sole ownership over his or her individual pension
plan, profit sharing or similar retirement plan acquired individually or as the result of
contributions by his or her employer. Wife hereby releases any interest that she has in the
retirement benefits of Husband accumulated as the result of his empl~~ and 3fJY other
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additional benefits he may have accrued. Husband hereby releases any interest that he has
in the retirement benefits of Wife accumulated as the result of her employment and any
other additional benefits she may have accrued. This waiver is a full and complete
discharge of each parties' marital claim.
16. MISCELLANEOUS
All assets including, but not limited to, savings accounts, checking accounts,
certificates of deposit and life insurance policies shall be the sole and separate property of
the title holder of said asset.
The parties believe and agree, that the division of property hereto made by this
Agreement is a non-taxable sale or exchange of such property. Each party promises not to
take any position with respect to the adjusted basis of the property assigned to him or her
or with respect to any other issue which is inconsistent with the position set forth in the
preceding sentence on his or her federal or state income tax returns.
18. GENERAL PROVISIONS
A. WARRANTY AS TO EXISTING OBLIGATIONS - Each party
represents that they have not heretofore incurred or contracted for any debt or liability or
obligation for which the estate of the other party may be responsible or liable except as
may be provided for in this Agreement. Each party agrees to indemnify or hold the other
party harmless from and against any and all such debts, liabilities, or obligations of every
kind which may have heretofore been incurred by them, including those for necessities,
except for the obligations arising out of this Agreement.
B. WARRANTY AS TO FUTURE OBLIGATIONS - Wife and Husband
each covenant, warrant, represent, and agree that each will now and at all times hereafter
save harmless and keep the other after the execution date of this Agreement, except as
may be otherwise specifically provided for by the terms of this Agreement and that neither
of them shall hereafter incur any liability whatsoever for which the estate of the other may
be liable.
C. SEVERABILITY - If any term, condition, clause, or provision of this
Agreement shall be determined or declared to be void or invalid in law or otherwise, then
only that term, condition, clause, or provision shall be stricken from this Agreement and in
all other respects this Agreement shall be valid and continue in full force, effect, and
operation. Likewise, the failure of any party to meet his or her obligations under anyone
or more of the paragraphs herein, with the exception of the satisfaction of the conditions
precedent, shall in no way void or alter the remaining obligations of the parties.
D. OTHER DOCUMENTATION - Wife and Husband covenant and agree
that they will forthwith execute any and all written assignments, releases, satisfactions,
deeds, notes or such other writings as may be necessary or desirable for the proper
effectuation of this agreement, and as their respective counsel shall mutually agree should
be so executed in order to carry out fully and effectively the terms ofes~gr:,eeTt,
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E. ENTIRE AGREEMENT - This Agreement contains the entire
understanding of the parities, and there are no representations, warranties, convenants, or
undertakings other than those expressly set forth herein.
F. WAIVER OR MODIFICA nON TO BE IN WRITING - No
modification or waiver of any of the terms hereof shall be valid unless in writing and
signed by both parties and no waiver of any breach hereof or default hereunder shall be
deemed a waiver of any subsequent default of the same or similar nature.
G. MUTUAL COOPERA nON - Each party shall, at any time and from to
time to time hereafter, take any an all steps and execute, acknowledge and deliver to the
other party any and all further instruments and/or documents that the other party may
reasonably require for the purpose of giving full force and effect to the provisions of this
Agreement.
H. LAW GOVERNING - This Agreement shall be construed and governed
in accordance with the laws of the Commonwealth of Pennsylvania.
1. BINDING EFFECT - Except as otherwise stated herein, this Agreement
shall be binding and shall inure to the benefit of the parties hereto and their respective
heirs, executors, administrators, successors, and assigns.
J. NO WAIVER OR DEF AUL T - This Agreement shall remain in full force
and effect unless and until tenninated under and pursuant to the terms of this Agreement.
The failure of either party to insist upon strict performance of any of the provisions of this
Agreement shall in no way affect the right of such party hereafter to enforce the same, nor
shall the waiver of any breach of any provision hereofbe construed as a waiver of any
subsequent default of the same or similar nature, nor shall it be construed as a waiver of
strict performance. of any other obligations herein.
K. BEADINGS NOT PART OF AGREEMENT - Any heading preceding
the text of the several paragraphs and subparagraphs hereof are inserted solely for
convenience or referenced and shall not constitute a part of this Agreement nor shall they
affect its meaning, construction, or effect.
L. WAIVER OF CLAIMS AGAINST ESTATES - Except as herein
otherwise provide, 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 have or hereafter
acquire, under the present or future laws of Pennsylvania or another jurisdiction, to share
in the property or the estate of the other as a result of the marital relationship, including,
without limitation, dower, curtesy, their statutory equivalents, widow's allowance,
homestead rights, right to take in intestacy, right to take against the will of other, and right
to act as administrator or executor of the others estate, and each party 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.
M. ATTORNEY'S FEES FOR ENFORCEMENT - In the event that either
party breaches any provision of this Agreement, and the other party retains counsel to
assist in enforcing the terms thereof, the parties hereby agree that the breaching party will
pay for all reasonable attorney's fees, court costs, and expenses incurred by the other
party in enforcing the Agreement. . . .;) f/j lvt"
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IN WITNESS WHEREOF, and intending to be bound hereby, the parties have
signed and sealed this Agreement on the _ day of , 2002.
In the presence of
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Roger arles VanSelow
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RONI LYNN VAN SELOW,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 0 I - Lfl (.,p 9 &;J1 or b->
CIVIL ACTION - LAW
IN DIVORCE
ROGER CHARLES VAN SELOW,
Defendant
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 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 grounds for the divorce are indignities or irretrievable breakdown of the
marriage, you may request marriage counseling. A tist of marriage counselors is available in the
Office of the Prothonotary at the Cumberland County Courthouse.
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
CUMBERLAND COUNTY LAWYER REFERRAL SERVICE
ONE COURTHOUSE SQUARE
CARLISLE, PA 17013
(717) 697-0371
RONI LYNN VAN SELOW,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 01- 7//.;'1 ~~.J"T;A--
ROGER CHARLES VAN SELOW,
Defendant
CIVIL ACTION - LAW
IN DIVORCE
COMPLAINT IN DIVORCE PURSUANT TO SECTION 3301(C)
OR SECTION 3301(0) OF THE DIVORCE DECREE CODE
AND NOW, comes the Plaintiff, Roni L. Van Selow, by and through her attorney, of The
Law Office of Darrell C. Dethlefs, seeks to obtain a Decree in Divorce from the Bonds of
matrimony with the above-named Defendant and in support of her Complaint avers the following:
1. Plaintiff, Roni L. Van Selow, is an adult individual, who currently resides at 609A
Erford Road, Camp Hill, Cumberland County, Pennsylvania, 17011. The Plaintiff's
social security number is 204-62-9319.
2. Defendant, Roger C. Van Selow, is an adult individual, who currently resides at
609A Erford Road, Camp Hill, Cumberland County, Pennsylvania, 17011. The
Defendant's social security number is 163-66-2496.
3. Both Plaintiff and Defendant have been basified residents of the Commonwealth of
Pennsylvania for at least six (6) months immediately preceding the filing of this
Complaint.
4. The parities were married on September 1, 1992 in Dauphin County,
Commonwealth of Pennsylvania.
5. The Plaintiff and Defendant are both citizens of the United States of America.
6. The Plaintiff and Defendant are not members of the Armed Services of the United
States or any of its allies.
7. Plaintiff has been advised of the availability of counseling and that she and the
Defendant may have the right to request that the Court require the parties to
participate in such counseling.
COUNT I
REQUEST FOR DIVORCE DUE TO IRRETRIEVABLE BREAKDOWN
UNDER 3301(C) OF THE DIVORCE CODE
8. The prior paragraphs of this Complaint are incorporated herein by reference as
though set forth in full.
9. The marriage of the parties is irretrievably broken.
10. After ninety (90) days have elapsed from the date of the filing of this Complaint,
Plaintiff intends to file an affidavit consenting to a divorce. Plaintiff believes that
the Defendant may also file such an affidavit consenting to a divorce.
11. Plaintiff has been advised of the availability of counseling and that he and the
Defendant have the right to request the Court to require the parties to participate
in such counseling.
WHEREFORE, if both parties file affidavits to divorce after ninety (90) days have elapsed
from filing of the Complaint, Plaintiff respectfully requests the Court to enter a Decree of Divorce,
pursuant to 3301(C) of the Divorce Code.
COUNT II
REQUEST FOR DIVORCE DUE TO IRRETRIEVABLE BREAKDOWN
UNDER 3301(0) OF THE DIVORCE CODE
12. The prior paragraphs of this Complaint are incorporated herein by reference as
though set forth in full.
13. The Marriage of the parties is irretrievably broken.
14. After a period of two (2) years has elapsed form the date of separation, Plaintiff
intends to file his affidavit of having lived separate and apart.
15. Plaintiff has been advised of the availability of counseling and the Plaintiff and
Defendant have the right to request the Court to require parties to participate in
such counseling.
WHEREFORE, Plaintiff respectfully requests this honorable court to equitably divide and
distribute all property both real and personal, owned by both parties.
COUNT III
EQUITABLE DISTRIBUTION
16. The prior paragraphs of this Complaint in divorce are incorporated herein by
reference as though set forth in full.
17. Plaintiff and Defendant have acquired various items of both real and personal
marital property during their marriage, which is subject to equitable distribution
by this Court.
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WHEREFORE, Plaintiff respectfully requests this honorable Court to equitably divide and
distribute all property both real and personal, owned by both parties.
Respectfully Submitted;
Date: 6 (:::>..,/ () I
LAW OFFICE OF DARRELL C. DETHLEFS
By:
Michael J. Pykosh
Attorney I.D. 58851
P.O. Box 368
Camp Hill, PA 17001
(717) 975-9446
Attorney for Plaintiff
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RONfL YNN VANSELOW,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO.
ROGER CHARLES VANSELOW,
Defendant
CIVIL ACTION - LAW
IN DIVORCE
VERIFICATION
I hereby verify that the statements of fact made in the foregoing Complaint in Divorce, are
true and correct to the best of my knowledge, information and belief. I understand that any false
statements therein are subject to the criminal penalties contained in 18 Pa C. S. Section 4904,
relating to unsworn falsification to aut~ities.,
Date: (p. (}.7. D ( tf:--tA'>-- rSt--
Roni Lynn
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Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
RONI VAN SELOW,
v.
NO. 01-4169
ROGER CHARLES VAN SELOW,
Defendant
CIVIL ACTION - DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301 (c) of the Divorce Code was filed on
or about July 6, 2001.
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. I consent to the entry of a final decree of divorce.
4. I understand that if a claim for alimony, alimony pendente lite, marital property,
counsel fees, or expenses has not been filed with the Court before the entry of a final decree in
divorce, the right to claim any of them will be lost.
I verify that the statements made in this Affidavit are true and correct. I understand that
false statements herein are made subject to the pe . of 18 Pa. C.S.A. ctio 4904 relating
to unsworn falsification to authorities.
Date: ~ I t%/03
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RONI VAN SELOW,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 01-4169
v.
ROGER CHARLES VAN SELOW,
Defendant
CIVIL ACTION - DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301 (c) of the Divorce Code was filed on
or about July 6, 2001.
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. I consent to the entry of a final decree of divorce.
4. I understand that if a claim for alimony, alimony pendente lite, marital property,
counsel fees, or expenses has not been filed with the Court before the entry of a final decree in
divorce, the right to claim any of them will be lost.
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.SA Section 4904 relating
to unsworn falsification to authorities.
Date: g 114103
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Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
RONI VAN SELOW,
v.
NO. 01-4169
ROGER CHARLES VAN SELOW,
Defendant
CIVIL ACTION - 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 entry of a final decree of 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 until a divorce decree is entered by the
Court and that a copy of a 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.A.Section 4904 relating
to unsworn falsification to authorities.
Date: 3ll~ lo..JI'l
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RONI VAN SELOW,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 01-4169
ROGER CHARLES VAN SELOW,
Defendant
CIVIL ACTION - 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 entry of a final decree of 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 until a divorce decree is entered by the
Court and that a copy of a 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.A.Section 4904 relating
to unsworn falsification to authorities.
Date: .'61 L4lcr3
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Roger Cha s Van Selow, Defendant
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LAW OFFICE OF DARRELL C. DETIll..EFS
By: Michael J. Pykosh, Esquire
Attorney Identification No. 58851
3805 Market Street
Camp Hill, PA 17011
(717) 975-9446
Attorney for Plaintift;
Rani Van Selow
RONI LYNN VAN SELOW,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYL VANIA
v.
; NO. 0 I - l{ {f.t1 9 c:. " v" (
ROGER CHARLES VAN SELOW,
Defendant
: CIVIL ACTION . LAW
: IN DIVORCE
CERTIFICATE OF SERVICE
I, Michael J. Pykosh hereby certify that I have served the within Divorce Complaint filed in this
matter, by sending a tnIe and correct copy of same to the above-named defendant, Roger C. Van Selow,
via certified mail, return receipt requested, United States Mail, postage prepaid, (the original green card is
attached hereto and marked as Exhibit "A") and addressed as follows:
Roger C. Van Selow
609-A Erford Road
CampHil/, PA 17011
LAW OFFICE OF DARRELL C. DETIll..EFS
Date: r/7(1J I
By~~
Mic J. Pykosh, Esq' ,
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~ SENDER:
"C . Complete items 1 and/or 2 for additional services.
'iij . Complete items 3, 4a, and 4b.
Q) . Print your name and address on the reverse of this form so that we can return this
l!! card to you.
~ . Attach this form to the front of the mailpiece, or on the back if space does not
l!! permit
. Write "Return Receipt Requested" on the mailpiece below the article number.
Q) . The Return Receipt will show to whom the article was delivered and the date
:; delivered.
S 3. Article Addressed to:
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I also wish to receive the
following services (for an
extra fee):
1. D Addressee's Address
2. D Restricted Delivery
Consult postmaster for fee.
4a, Article Number
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8. Addressee:s Address (Only if requested
and fee is pffi'd)
102595-98.B-0229
Domestic Return Receipt
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