HomeMy WebLinkAbout02-1263IN THE 'COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
Plaintiff :
: No.C)~ 1 ~6~.3 Civil Term
V. -'
~ tg r~ ~-~O~q~.~o~ : IN DIVORCE
Defendant :
NOTICE TO DEFEND AND CLAIM RIGHTS
YOU HA VE 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 bc entered against you by the Court. A judgment may also bc
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 thc Office of the
Prothonotary, Cumberland County Courthouse, I Courthouse Square, 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 Bar Association
2 Liberty Avenue
Carlisle, PA 17013
(717) 249-3166
Ee han demandado a usted a la cone. Si usted quiere defenderse en contra estas demandas
expuestas en las paginas siguientes, usted tiene veinte (20) dias 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 fo, ua escrita sus defensas o sus objeciones a las demandas en
contra suya.
Se has avisado que si usted no se defienda, la cone tomara medidas y puede entrar una
orden contra usted sin previo aviso o notificacion y pot cualquier que ja o alivio que es pedido en
la peticion do demanda. USTED PUEDE PERDER DINERO O PROPIENDADES O OTROS
DERECHOS IMPORTANTES PARA USTED.
LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI USTED NO
TIENE O CONOCES UN ABOGADO, VAYA EN PERSONA O LLAME POR TELEFONO A
LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR
DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, PA 17013
(717) 249-3166
AMERICANS WITH DISABILITIES ACT OF 1990
The Court of Common Pleas of Cumberland County is required by law to comply with the
Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable
accommodations available to disabled individuals having business before the Court, please contact
our office. All arrangements must be made at least 72 hours prior to any hearing or business
before the Court. You must attend the scheduled Conference or Hearing.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, PA 17013
(717) 249-3166
Haintiff
Vo
x Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 200
: CIVIL ACTION - LAW
:
: IN DIVORCE
COMPLAINT UNDER SECTION 3301(c) or (d) OF THE
DIVORCE CODE
Plaintiff is -]3ne r~g~
who currently resides at
, Cumberland County, Pennsylvania.
2. Defendant is (,O m vU ~z~c~ro&r~-[ , who currently resides at
3. Pl~nfiff has b~n a bo~fide resident of the Commonw~ of Pennsylv~ia
for at least the six months prior to the filing of this Complaint.
4. Plaintiff and Defendant were married on 23'~3r~e_ \~ .[q~oQ~
at ~fl roe__ ~c~t~c?~x4 D~
5. The marriage is irretrievably broken, and the parties separated on
6. There have been no prior actions of divorce or annulment between the
parities.
7. Plaintiff, to the best of his/her knowledge and belief, avers that defendant is
not in the military service of the United States of America, but is in fact
living at the address given in Paragraph 2 above.
8. Plaintiff has been advised of the availability of counseling and that Plaintiff
may have the right to request that the Court require the parties participate in
counseling.
WHEREFORE, Plaintiff requests the Court to enter a Decree of Divorce.
Date Pl(dntif~, Pro Se
I, '-'[~ve<xt~ x~,ctrce_._ ~-~.'~verify that the statements made in this
Complaint are true and correct to the best of my knowledge, information, and belief. I
understand that false statements made herein are subject to the penalties for unswom
falsification to authorities as provided in 18 Pa. C.S. Section 4904.
Date ~ l~lJaJntiff
Assisted by:
MIDPENN LEGAL SERVICES
PRO SE DIVORCE CLINIC
8 Irvine Row
Carlisle, Pennsylvania 17013
(717) 243-9400
P~alntiff
vi.
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
:
: NO. 2001-
:
: CIVIL ACTION - LAW
:
: IN DIVORCE
NOTICE TO DEFENDANT
If you wish to deny any of the statements set forth in this affidavit, you must file
a counter affidavit within twenty days after this affidavit has been served onyou or the
statements will be admitted.
PLAINTIFF'S AFFIDAVIT UNDER
SECTION 3301 (d) OF THE DIVORCE CODE
1. The par~es to this action separated on (o - I Io I q f.~ and
continued to live separate and apart for a period of two years.
2. The marriage is irretrievably broken.
o
I understand that I may lose rights concerning alimony, division of marital
property, lawyer's fees, or expenses if I do not claim them before a Divorce is
granted.
I, '-~rec~ tv-,xri-e_ Q~xec~esx~ , verify that the statements made in this
Affidavit are true and correct ~o the best of my knowledge, information, and belief.
I understand that fase statements made herein are subject to the penalties for
unswom falsification to authorities as provided in 18 P.S. Section 4904.
Date / Plal~ff, Pro Se
Theresa Marie Sargent,
Gary Sargent
Plaintiff
V.
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
:NO. 2002- /~(03
:
: CIVIL ACTION - LAW
:
: IN DIVORCE
PETITION TO PROCEED IN FORMA PAUPERIS
The Petitioner, Theresa Sargent, is the Plaintiff in this action. On her behalf, I, Joan
Carey, attorney for MidPerm Legal Services, do hereby certify that the Petitioner is indigent
according to the poverty guidelines of MidPenn Legal Services. MidPenn Legal Services is
assisting the Petitioner in filing a divorce case pro se. The Petitioner's Financial Affidavit
showing inability to pay the costs of litigation is attached hereto. Petitioner requests leave to
proceed without payment of fees or costs.
Respectfully su~bn3itted:
MidPenn Legal Serviceg
Pro Se Divorce Clinic
8 Irvine Row
Carlisle, PA 17013
Plaintiff
VS.
Defendants
: IN THE COIJRT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. CIVIL TERM
AFFIDAVIT IN SUPPORT OF PETITION
FOR !.F. AVE TO PROCEED IN FORMA PAUPERIS
1. I am the D ~a.i n-~( ~D in the above matter and because of my financial condition am unable to pay
the fees and costs of prosecuting, defending, or appealing the action or proceeding.
2. I am unable to obtain funds from anyone, including my family and associates, to pay the costs of
litigation.
3. I represent that the information below relating to my ability to pay the fees and costs is true and
(a) Name:--~xe_caG 6~
Address: ~G(~ Co, ~1,00\0~'~
Co) Social Security Number:
If you are presently employed, state
Employer:
Address:
Salary or wages per month:
Type of work:
If you are presently unemployed, state
Date of last employment: C>co~
X% x oo0
Salary or wages per month:
Type of work:
(c) Other income within the past twelve months
Business or profession:
Other self-employment:
Interest:
Dividends:
Pension and annuities:
Social Security benefits:
Support payments:
Disability payments:
Unemployment compensation and
supplemental benefits:
Workman' s compensation:
Public Assistance:
Other:
(d) Other contributions to household support
(Wife)(Husband) Name:
If your (husband) (wife) is employed, state
Employer: ~0
'7
Salary or wages per month:
'9
Type of work: ,
Contributions from children:
(e) Property owned
Cash: O
Checking Account: 3-3 ' a o
Savings Account: ~.5'-/' o o
Certificates of Deposit: o '
Real Estate (including home): ~
Motor vehicle: Make~ Year
Cost C~. co Amount owed
Stocks; bonds: Mo
Other: Mo ~
(f) Debts and obligations
Mortgage:
Rent: ]~
Loans:
Monthly Expenses:
(g) t'ersons dependent upon you for support
(Wife) (Husband) Name:
Children, if any:
Name: Age:
4. I understand that I have a continuing obligation to inform the court of improvement in my
financial circumstances which would permit me to pay the costs incurred herein.
5. I verify that the statements made in this affidavit are tree 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.
Date:
DIVORCE INFORMATION SHEET
PURSUANT TO ACT 2001-82, VITAL STATISTIC FORMS ARE NOT
REQUIRED BY THE STATE EFFECTIVE JANUARY 1, 2002. THE
PROTHONOTARY IS REQUESTING THIS INFORMATION IN LIEU OF
THE VITAL STATISTICS FORM.
PLEASE FILL IN THE APPROPRIATE INFORMATION AND RETURN
TO THE PROTHONOTARY'S OFFICE.
DOCKET NUMBER:
DATE OF MARRIAGE: ~'- Ic~ - ~o~
Theresa Marie Sargent,
Plaintiff
V.
Gary Sargent,
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 2002-1263
:
: CIVIL ACTION - LAW
:
: IN DIVORCE
ACCEPTANCE OF SERVICE
I Gary Sargent, do hereby depose and say that I personally received and accepted service of
a true and correct copy of the Complaint in Divorce on the date written below.
I understand that false statements herein are made subject to the penalties of 18 Pa. C.S.
§4904, relating to unswom falsification to authorities.
Name of~pe~son accepting~rvice
Theresa Made Sargent,
Plaintiff
¥.
Gary Sargent,
Defendant
: IN THE COURT OF COMMON PLEAS OF
:
: CUMBERLAND COUNTY, PENNSYLVANIA
:
: NO. 2002-1263
:
: CIVIL ACTION - LAW
:
: IN DIVORCE
AFFIDAVIT OF CONSENT
1. A complaint in divorce under §3301(c) of the Divorce Code was filed on March
14, 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 intention to
request entry of divorce.
I verify that the statements made in this affidavit are tree and correct. I understand that
false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904
relating to unswom falsification to authorities.
Date: ~t~fi, ~ gT~,~ Si. gnatur~~~~:~l~~
Theresa Made Sargent,
Plaintiff
V.
Gary Sargent,
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
:
: NO. 2002-1263
:
: CIVIL ACTION - LAW
: IN DIVORCE
o
WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A
DIVORCE DECREE UNDER §3301(c) OF THE DIVORCE CODE
I consent to the entry of a final decree of divorce without notice.
I understand that I may lose fights concerning alimony, division of property, lawyer's
fees or expenses if I do not claim them before a divorce is granted.
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 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.
Signature:~
Gary SargeaXf - ~ r
Theresa Made Sargent,
Plaintiff
V.
Gary Sargent,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2002-1263
CIVIL ACTION- LAW
IN DIVORCE
AFFIDAVIT OF CONSENT
1. A complaint in divorce under §3301(c) of the Divorce Code was filed on March
14, 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 intention to
request entry of divorce.
I verify that the statements made in this affidavit are tree 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.
Date: ~ ~ J- -O ~ Signature: ~ _
Theresa Made Sargent/
/
212
--< r,,~
Theresa Marie Sargent,
Plaintiff
V.
Gary Sargent,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND cOUNTY, PENNSYLVANIA
NO. 2002-1263
CIVIL ACTION - LAW
IN DIVORCE
o
WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A
DIVORCE DECRg. E UNDER §3301(c) OF THE DIVORCE CODE
I consent to the entry of a final decree of divorce without notice.
I understand that I may lose rights concerning alimony, division of property, lawyer's
fees or expenses ifI do not claim them before a divorce is granted.
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.
Date:
I verify that 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.
Signature: v_~a~.~
Theresa Marie Sargent f dj
Theresa Marie Sargent,
Plaintiff
V.
Gary Sargent,
Defendant
To The Prothonotary:
: IN THE COURT OF COMMON PLEAS OF
:
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 2002-1263
:
: CIVIL ACTION - LAW
:
: IN DIVORCE
PRAECIPE TO TRANSMIT RECORD
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: Defendant personally accepted
service of the Divorce Complaint on April 15, 2002.
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, August 5, 2002; by Defendant, August 9, 2002.
(b)(1) Date of execution of the Plaintiff's Affidavit required by Section 3301(d) of the
Divorce Code: N/A
(2) Date of filing and service of the Plaintiff's Affidavit upon Defendant: N/A.
4. Related claims pending: There are no outstanding claimq.
5. Complete either paragraph (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 Plaintiff's Waiver of Notice in Section 3301(c) Divorce was filed with the
Prothonotary: August 15, 2002.
(c) Date Defendant's Waiver of Notice in Section 3301(c) Divorce was filed with the
Prothonotary: August 15, 2002.
Plaintiff's Social Security Number: 061-44-2773
Defendant's Social Security Number: 199-40-3894
MIDPENN LEGAL SERVICES
8 Irvine Row
Carlisle, PA 17013
(717) 243-9400
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
STATE OF
LTheresa Marie Sargent,
Plaintiff
VERSUS
Gary Sargent,
Defendant
PENNA.
N o. 02-1263
DeCree IN
DIVORCE
AND NOW,~
DECREED THAT
2002
Theresa Marie Sargent
AND Gary gar_~n~_
ARE DIVORCED FROM THE BONDS OF MATRIMONY.
, IT IS ORDERED aND
, PLAINTIFF,
, DEFENDANT,
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;
Ail Claims have been resolved.