HomeMy WebLinkAbout05-4998
SHIRLEY A. PERRY,
Plaintiff
Defendant
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - DIVORCE
NO, 05 -/.jq'?f Ci u;{~ l~
vs.
JAY R. PERRY,
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 ground for 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 at the:
CUMBERLAND COUNTY COURTHOUSE
ONE COURTHOUSE SQUARE
CARLISLE PA 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 BAR ASSOCIATION
32 S. BEDFORD STREET
CARLISLE PA 17013
(1-717-249-3166)
vs.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - DIVORCE
NO: oS -"f99f C!,;",LY~
SHIRLEY A. PERRY,
Plaintiff
JAY R. PERRY,
Defendant
COMPLAINT UNDER SECTION 3301 (c) or (d)
OF THE DIVORCE CODE
1. Plaintiff is Shirley A. Perry, who currently
resides at 670 Old Shannon Road, Boiling Springs, Cumberland
County, Pennsylvania, 17007, since 1994.
2. Defendant is Jay R. Perry, who currently resides at
48 Audubon Park, Dillsburg, Pennsylvania, 17019, since 2004.
3. Plaintiff and Defendant have been bona fide
residents in the Commonwealth for at least six months immediately
previous to the filing of this Complaint.
4. The Plaintiff and Defendant were married on
May 6, 2003 on board the Nordic Empress, Hamilton, Bermuda.
5. There have been no prior actions for divorce or for
annulment between the parties.
6. The marriage is irretrievably broken.
-1-
7. 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.
8. Plaintiff requests the Court to enter a Decree in
Divorce.
t~ .t.:::~ Es~ire
Attorney for Plaintiff
I.D. 42752
909 East Chocolate Avenue
Hershey PA 17033
(717) 533-7130
-2-
VERIFICATION
I verify that the statements made in this document
are true and correct.
I understand that false statements herein are made
subject to the penalties of 28 Pa.C.S. ~4904 relating to unsworn
falsification to authorities.
DATE:
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Shirley A. pe
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SHIRLEY A. PERRY,
IN THE COURT OF COMMON PLEAS OF
PLAINTIFF
CUMBERLAND COUNTY, PENNSYLVANIA
VS.
CIVIL ACTION -- DIVORCE
.lA YR. PERRY,
NO. 2005-4998 CIVIL TERM
DEFENDANT
IN DIVORCE
AFFlDA VIT OF CONSENT
1. A Complaint in Divorce under 9330I(c) of the Divorce Code was
tiled on September 22, 2005,
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 in Divorce after service of
notice of intention to request entry of the decree,
I verify that the statements made in this Affidavit are true and correct. I
understand that false statements herein are made subject to the penalties of 18 Pa.C,S,
94904, relating to unsworn falsification to authorities,
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Shirley A. Perry
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SHIRLEY A. PERRY,
IN THE COURT OF COMMON PLEAS OF
PLAINTIFF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
CIVIL ACTION - DIVORCE
JAY R. PERRY,
NO. 2005-4998 CIVIL TERM
DEFENDANT
IN DIVORCE
AFFJDA VIT OF CONSENT
1. A Complaint in Divorce under ~3301(c) of the Divorce Code was
filed on September 22, 2005.
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 ofa Final Decree in Divorce after service of
notice of intention to request entry of the decree.
I verify that the statements made in this Affidavit are t~ue and correct. I
I
understand that false statements herein are made subject to the penalties of 18 Pa.C.S.
~4904, relating to unsworn falsi~tion to authorities.
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Jay R. PerltY
Date
SIIIRLEY A. PERRY,
IN THE COURT OF COMMON PLEAS OF
PLAINTIFF
CUMBERLAND COUNTY, PENNSYLVANIA
VS.
CIVIL ACTION - DIVORCE
JAY R. PERRY,
NO. 2005-4998 CIVIL TERM
DEFENDANT
IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER ~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, 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
thc Court and that a copy of the decree will be sent to me immediately after it is filed
wi th the prothonotary.
I verify that the statements made in this Waiver are true and correct. I understand
that false statements herein are made subject to the penalties of I 8 Pa.C.S.A. 94904
relating to unsworn falsifications to authorities.
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Shirley A. Perry
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SHIRLEY A. PERRY.
IN THE COURT OF COMMON PLEAS OF
PLAINTIFF
CUMBERLAND COUNTY, PENNSYLVANIA
VS.
CIVIL ACTION .- DIVORCE
.IA YR. PERRY.
NO. 2005-4998 CIVIL TERM
DEFENDANT
IN DIVORCE
WAIVER OF NOTICE OF lNTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER ~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, lawyer's fees or expenses if! 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 Waiver are true and correct. I understand
that false statements herein are made subject to the penalties of 18 Pa.C.S.A. S4904
relating to unsworn falsifications to authorities.
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Jay R. Pe/ry
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SHIRLEY A. PERRY,
IN THE COURT OF COMMON PLEAS OF
PLAINTIFF
CUMBERLAND COUNTY, PENNSYLVANIA
VS.
CIVIL ACTION - DIVORCE
JAY R. PERRY,
NO. 2005 -4998 CIVIL TERM
DEFENDANT
IN DIVORCE
AFFIDAVIT OF SERVICE
I, George W. Porter, Esquire, do swear that I served true and correct copy of the
divorce complaint filed in this matter on Defendant Jay R. Perry, at his address of 48
Audubon Park, Dillsburg, PA 17019 by way of regular and certified mail, restricted
delivery, return receipt requested. The return receipt evidencing the completion of
service, signed by Defendant Jay R. Perry, is attached hereto and marked "Attachment
A~'.
This service was made in accordance with Pennsylvania Rule of Civil Procedure
1930.4 (c).
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On the 29th day of December, 2005, before me, a Notary Public, personally
appeared George W. Porter, who signed this document before me, for the purposes
therein stated.
Q.fJ<.hJ.-" L (~1SI1f/lA-
NOTARY PUBLIC ~
Notarial Seal
Carol L. Espenshade. Notary Public
Derry Twp., Dauphin County
My Commission Expires Aug. 31. 2006
Member, Pennsylvania Association otNotaries
.
Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mailpiece,
or on the front jf space permits.
t
JAY R. ?cj:.~'i.
LJ r- A l) l> ,Ie (}41 ~ Ie.
j)111s.8u~" i~
o Agent
o Addressee
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o No
1. Article Aadressed to:
3.~rvice Type
Certified Mail
\). egistered
B Insured Ma.il
o Express Mail
o Return Receipt for Merchandise
o C.O.D.
2. Article Number
(Transfer from service 1[,
() I C; 4. Restricted Delivery? (Extra Fee)
7003 1680 0004 6487 9726
es
PS Form 3811 , February 2004
Domestic Return Receipt
102S9S-02-M-1540 :
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U,S. Postal Service,.
CERTIFIED MAIL" RECEIPT
(Domestic Mail Only; No Insurance Coverage provided)
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;;r- Certirled Fee ~. ~6
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D Return RecieptFee
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D Restricted DelivetyFee 3 "5>0
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ATTACHMENT A
SHIRLEY A. PERRY,
IN THE COURT OF COMMON PLEAS OF
PLAINTIFF
CUMBERLAND COUNTY, PENNSYL VANIA
vs.
CIVIL ACTION - DIVORCE
JAY R. PERRY,
NO. 2005 -4998 CIVIL TERM
DEFENDANT
IN DIVORCE
PRAECIPE TO TRANSMIT RECORD
To the Prothonotary:
Transmit the record, together with the following infonnation, to the court for entry of a
divorce decree:
1. Grounds for divorce: irretrievable breakdown under S (3301(c)) of the Divorce
Code.
2. Date and manner of service of the complaint: September 29, 2005, Certified mail,
restricted to addressee only, returned receipt received, in accordance with PA.R.C.P. 1930.4 (c).
3. Date of execution of the affidavit of consent required by 9330] (c) of the
Divorce Code: by plaintiff December 29,2005; by defendant December 29, 2005.
4. Related claims pending: None.
5. Date Plaintiff's Waiver of Notice was filed with the prothonotary: December
30,2005,
Date Defendant's Waiver of Notice was filed with the prothonotary:
December 30, 2005,
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Attorney fo .' laintiff
George W. Porter
909 East Chocolate Avenue
Hershey, PA ]7033
1.0. #42752
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IN THE COURT OF COMMON PLEAS
OFCUMBERLANDCOUNTY
PENNA.
STATE OF
Shirley A.
Perry
No.
2005
4998
Plaintiff
VERSUS
Jay R.
Perry
Defendant
DECREE IN
DIVORCE
AND
NOW~.JJ.e~
IT IS ORDERED AND
-
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-:to
DECREED THAT
Shirley A.
, PLAINTIFF,
Perry
AND
Jay R.
, DEFENDANT,
Perry
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;
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PROTHONOTARY
++++++++++++++++++++++
J.
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4. .'.. r. ..
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
Shirley A. Perry
Plaintiff
Vs
FileNo.
2005-4998
IN DIVORCE
Jay R. Perry
Defendant
NOTICE TO RESUME PRIOR SURNAME
Notice is hereby given that the Plaintiff / defendant in the above matter,
[select one by marking "x"]
_ prior to the entry of a Final Decree in Divorce,
or ~ after the entry ofa Final Decree in Divorce dated 12/31/05,
hereby elects to resume the prior surname of Bartlett ,and gives this
written notice avowing his @ntentionpursuant to thIYprovisions of 54 P.S,
Date: 1!3I!o{,p ". .
Sign
f,. /)7
#1t/uJe~ I.h0v tJ (~
l Signature' fname being resumed
COMMONWJ;I\L TH OF PE~SYL VANIA )
COUNTY OF (jJ fA./g.p (!O.JI::QJl
On the ~ day of Jt11lUCU 0 ,20013 before me, the Prothonotary or the
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 he / she executed the
foregoing for the purpose therein contained.
In Witness Whereof, I have hereunto set my
seaL
l
j TARlAl SEAl..
:fkkH,t Notary PubIc
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