HomeMy WebLinkAbout06-2243ADRIENNE J. BOYER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. NO.
MATTHEW A. BOYER, CIVIL. ACTION -LAW
DEFENDANT IN DIVORCE
NOTICE
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 judgement 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 at: The Office
of the Prothonotary, Cumberland County Courthouse, One Courthouse Square, Carlisle,
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 BAR ASSOCIATION
32 S. BEDFORD STREET
CARLISLE, PENNSYLVANIA 17013
(717) 249-3166
800-990-9108
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
ADRIENNE J. BOYER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO.
MATTHEW A. BOYER, CIVIL, AC rION - LAW
DEFENDANT IN DIVORCE
NOTICIA
LE HAN DEMANDADO A USTED EN LA COUTE. Si Listed quiere defenderse de
estas demandas expuestas en las paginas siguientes, Listed tiene veinte (20) dias de plazo al
partir de la fecha de la demanda y la notification.
Usted debe presentar Una apariencia escrita o en persona o por abogado y archivar en
la corte en forma escrita sus defensas IT sus objeciones a las demandas en contra de su persona.
Sea avisado que si Listed no se detiende, la corte tomato medidas y puede entrar una orden
contra Listed sin previo aviso o notification y por cualquier queja o alivio que es pedido en la
petition do demanda. Usted puede perder dinero o sus propiedades o otros derechos
importantes para usted.
LLEVE ESTA DEMANDA A UN ABOGADO IMMEDIATAMENTE. 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 AVERIGUAR DONDE SE
PUEDE CONSEGUIR ASISTENCIA LEGAL.
CUMBERLAND COUNTY BAR ASSOCIATION
32 S. BEDFORD STREET
CARLISLE, PENNSYLVANIA 17013
(717) 249-1166
800-990-9108
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P O. BOX 1062 • HARRISBURG. PA 17108
(717) 236-9428 • FAX(717)236-2817
ADRIENNE J. BOYER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO.
MATTHEW A. BOYER, CIVIL AC PION - LAW
DEFENDANT IN DIVORCE
COMPLAINT IN DIVORCE
UNDER SECTION 3301(C) OF THE DIVORCE CODE
AND NOW, comes Plaintiff, Adrienne ,I. Boyer, by and through her attorneys, Meyers,
Desfor, Saltzgiver & Boyle and files the following Complaint in Divorce and in support
thereof avers as follows:
Plaintiff is Adrienne J. Boyer an adult individual who currently resides at 198 Martel
Circle, Dillsburg, Pennsylvania.
2. Defendant is Matthew A. Boyer an adult individual who currently resides at 6
Turmeric Drive, Mechanicsburg, Pennsylvania.
3. Plaintiff has been a bona fide resident of the Commonwealth of Pennsylvania for at
least six (6) months immediately previous to the filing of this Complaint.
4. The Plaintiff and Defendant were married on July 20, 2004 at Wailea, Maui, Hawaii.
5. There have been no prior actions of divorce or annulment between the parties.
6. The marriage is irretrievably broken.
7. The Defendant is not a member of the United States Army or its allies.
8. Plaintiff has been advised that counseling is available and that Plaintiff may have the
right to request the court require the parties to participate in counseling, being so
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG. PA 17108
(717) 236-9428 • FAX (717) 236-2817
advised, Plaintiff waives that right.
9. Plaintiff requests the Court to enter a Decree of Divorce pursuant to Section 3301(C)
or 3301(D) of the Divorce Code.
WHEREFORE, Plaintiff, Adrienne .1. Boyer, respectfully requests this Honorable
Court enter a Decree in Divorce pursuant to Section 3301(C) or 3301(D) of the Divorce Code.
COUNTS
COUNTI
EQUITABLE DISTRIBUTION
10. Paragraphs one through nine of the Complaint are incorporated by reference as if fully
set forth herein.
11. During the marriage, Plaintiff and Defendant have acquired various items of marital
property, both real and personal, which are subject to equitable distribution under the
Divorce Code.
12. Plaintiff requests that this Honorable Court equitably distribute all marital property
pursuant to the Divorce Code.
WHEREFORE, Plaintiff, Adrienne J. Boyer, respectfully requests this Honorable
Court equitably distribute all property, both real and personal, tangible and intangible,
acquired by the parties during their marriage.
MEYERS, DESFOR, SALTZGIVER & DOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
COUNT 11
ALIMONY PENDENTE LITE, SUPPORT, COUNSEL FEES, AND EXPENSES
13. Paragraphs one through twelve of the Complaint are incorporated by reference as if
fully set forth herein.
14. By reason of this action, Plaintiff will be put to considerable expense in the
preparation of this case, in the employment of counsel. and the payment of costs.
15. Plaintiff is without sufficient funds to support herself and to meet the costs and
expenses of this litigation, and unable to appropriately maintain herself during the
pendency of this action.
16. Plaintiffs income is not sufficient to provide for her reasonable needs and pay her
attorneys' fees and the costs of this litigation.
17. Defendant has adequate earnings to provide support and alimony pendente lite to the
Plaintiff and to pay his counsel fees, costs and expenses.
WHEREFORE, Plaintiff, Adrienne J. Boyer, respectfully requests this Honorable
Court compel the Defendant to pay Plaintiff alimony pendente lite, support, counsel fees,
costs and expenses of this action.
COUNT III
ALIMONY
18. Paragraphs one through seventeen of the Complaint are incorporated by reference as if
fully set forth herein.
MEYERS, DESFOR, SALTZGIVER 6 BOYLE
410 NORTH SECOND STREET • FO. BOX 1062 • HARRISBURG. PA 17108
(717) 236-9428 • FAX (717) 236-2817
19, Plaintiff lacks sufficient property to provide for her reasonable needs.
20. Plaintiff is unable to sufficiently support herself through appropriate employment.
21. Defendant has sufficient income and assets to provide continuing support and to pay
alimony to the Plaintiff.
WHEREFORE, Plaintiff, Adrienne J. Boyer, respectfully requests this Honorable
Court compel Defendant to pay alimony to Plaintiff.
Respectfully submitted,
Catherine A. Boyle, Esquire
Attorney I.D. 76328
Meyers, Desfor, Saltzgiver & Boyle
410 North Second Street
P.O. Box 1062
1larrisburg, PA 17108
(717)236-9428
Attorney for Plaintiff
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX(717)236-2817
VERIFICATION
I, Adrienne J.
verify that the
statements made in this Complaint in Divorce
are true and correct to the bes
of my knowledge, information and belief. I understand that fal
statements herein are made subject to the penalties of 18 Pa.
C.S. Section 4904, relating to unsworn falsification to
authorities.
Dated: 4/20/2006
( ) Defendant
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
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ADRIENNE J. BOYER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO.
MATTHEW A. BOYER, CIVIL ACTION - LAW
DEFENDANT IN DIVORCE
PETITION FOR SPECIAL RELIEF TO FREEZE ASSETS
AND NOW, comes the Plaintiff, Adrienne J. Boyer, by and through her attorneys,
Meyers, Desfor, Saltzgiver & Boyle, and files this Petition for Special Relief to Freeze Assets
and in support thereof avers as follows:
Plaintiff is Adrienne J. Boyer, an adult individual currently residing at 198 Martel
Circle, Dillsburg, York County, Pennsylvania (hereinafter referred to as "Wife").
2. Defendant is Matthew A. Boyer, an adult individual currently residing at 6 Turmeric
Drive, Mechanicsburg, Cumberland County, Pennsylvania (hereinafter referred to as
"Husband").
The parties are husband and wife, having been lawfully married on July 20, 2004.
4. Wife files a Complaint in Divorce contemporaneously with this Petition.
5. During the marriage, both parties were employed by Giant Food Stores. Husband as
Category Manager and Wife as a Human Resource Manager.
6. Although Husband is the primary wage-earner, the parties divided household expenses
equally.
After paying said expenses, Wife had little to no remaining income.
Husband, who earns approximately $95,000.00 per year, including bonus, would have
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
money remaining after paying expenses and invest same in accounts held in his name
alone.
9. Wife believes Husband's investments are held at USAA and total over $30,000.00.
10. Wife has no other knowledge or access to these accounts.
11. Additionally, both parties have a 401(k) and other retirement benefits through their
employment.
12. However, Husband's 401(k) has twice the value of Wife's and represents one of the
largest marital assets.
13. Wife believes that upon service of the Complaint in Divorce, Husband will dissipate
the accounts, particularly the investment accounts. in order to defeat Wife's interest in
same.
WHEREFORE, Plaintiff, Adrienne P. Boyer, respectfully requests this Honorable
Court issue an Order stating that:
Any and all retirement accounts are frozen pending further Order of Court;
Any and all investment accounts are frozen pending further Order of Court.
Respectfully submitted,
i
Catherine A. Boyle, Esquire
I.D.#76328
MEYERS. DESFOR, SALTZG[VER & BOYLE
410 North Second Street
P.O. Box 1062
Harrisburg, PA 17108
(717) 236-9428
Attorney for the Plaintiff
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
STATE OF PENNA.
Adrienne J. Boyer,
No. 06-2243
Plaintiff
VERSUS
Matthew A. Boyer,
Defendant
DECREE IN
DIVORCE
AND NOW, b r ? -7 2006_, IT IS ORDERED AND
DECREED THAT Adreinne J. Boyer PLAINTIFF,
AND Matthew A. Boyer 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;
The Marital Settlement Agreement dated December 11, 2006
is herebv incorporated but not merged herein.
BY THE COWRT:
ATT#J: J.
PFIOTFfO,*OTARY
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VERIFICATION
I, Adrienne J. Boyer verify that the
statements made in this Petition For Special Relief to
Freeze Assets
are true and correct to the bes
of my knowledge, information and belief. I understand that fal
statements herein are made subject to the penalties of 18 Pa.
C.S. Section 4904, relating to unsworn falsification to
authorities.
Dated: 4/20/2006
'lAU nN I C
( X ) Plaintiff
( ) Defendant
MEYERS, OESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
ADRIENNE J. BOYER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO.
MATTHEW A. BOYER, CIVIL ACTION - LAW
DEFENDANT : IN DIVORCE
CERTIFICATE OF SERVICE
I hereby certify on this = day of April, 2006, a copy of Petition for Special
Relief to Freeze Assets was sent Certified Mail Restricted Delivery and Regular U.S. Mail,
postage paid to:
Matthew A. Boyer
6 Turmeric Drive
Mechanicsburg, PA 17050
_ ?L e
atherine A. Boyle, Esquire
Attorney I.D. #76328
Attorney for Plaintiff
MEYERS, DESFOR, SALTZGIVER 8, BOYLE
410 NORTH SECOND STREET • RO. BOX 1062 • HARRISBURG, PA 17106
(717) 236-9428 • FAX (7171 236-2817
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ADRIENNE J. BOYER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. Vlp oZ-1?,3 ????.
MATTHEW A. BOYER, CIVIL ACTION -LAW
DEFENDANT IN DIVORCE
RULE TO SHOW CAUSE
AND NOW, this d V day of Q+1 , 2006, a RULE is issued upon
the Defendant, Matthew A. Boyer, to show cause why the within Petition for Special Relief to
Freeze Assets should not be granted. Until such time a hearing may be held, any and all
retirement and investment accounts are frozen.
Said Rule returnable at hearing on the day of 2006
at g 3b A.m. o'clock in Courtroom No. J
BY THE COURT:
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
ADRIENNE J. BOYER, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
VS. : CIVIL ACTION - LAW
: NO. 06-2243
MATTHEW A. BOYER,
Defendant IN DIVORCE
PRAECIPE
TO THE PROTHONOTARY OF CUMBERLAND COUNTY:
Please enter the appearance of Hubert X. Gilroy, Esquire as attorney for Defendant Matthew
A. Boyer in the above case.
Dated: April 25, 2006
Il be X. G* oy, Esquire
Broujos & ilroy, P.C.
4 N. Hanover Street
Carlisle, PA 17013
(717) 243-4574
ID #29943
Attorney for Defendant
ADRIENNE J. BOYER, : IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO. 06-2243
MATTHEW A. BOYER, CIVIL ACTION -LAW
DEFENDANT IN DIVORCE
PROOF OF SERVICE
MEYERS, DESFOR, SALTZGIVER 6 BOYLE
410 NORTH SECOND STREET • P.O. BOX 1082 • HARRISBURG, PA 17108
(717) 238-9428 • FAX(717)236-2817
ADRIENNE J. BOYER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO. 06-2243
MATTHEW A. BOYER, CIVIL ACTION - LAW
DEFENDANT IN DIVORCE
CERTIFICATE OF SERVICE
I hereby certify on this C day of AN _2006, a copy of the foregoing
Proof of Service was sent via first-class mail, postage pre-paid, to:
Matthew A. Boyer
c/o: Hubert X. Gilroy, Esquire
BROUJOS & GILROY
4 North Hanover Street
Carlisle, PA 17013
/J; ?__ h ? 6
Catherine A. Boyle, Esquire
Attorney for Plaintiff
MEYERS, DESFOR, SALTZGIVER 6 BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
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ADRIENNE J. BOYER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO. 06-2243
MATTHEW A. BOYER, CIVIL ACTION -LAW
DEFENDANT IN DIVORCE
ORDER OF COURT
AND NOW, this y? day of May, 2006, upon relation of counsel, that the parties are
attempting to amicably resolve the issues in this case, the hearing previously scheduled for May
4, 2006, is continued generally. Counsel are directed to notify the court if an agreement is
reached or if a hearing is desired.
, atherine A. Boyle, Esq.
410 North Second Street
P.O. Box 1062
Harrisburg, PA 17108
Attorney for Plaintiff
X. Gilroy, Esq.
4 North Hanover Street
Carlisle, PA 17013
Attorney for Defendant
BY THE COURT:
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M. L. Ebert, J.
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MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. SOX 1062 • HARRISBURG, PA 17108
(717) 236-8428 • FAX(717)236-2817
VINVAIAS1VN3d
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AdVIONiHiOdd 3Hl dfl
ADRIENNE J. BOYER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 06-2243
MATTHEW A. BOYER, CIVIL ACTION -LAW
DEFENDANT IN DIVORCE
CERTIFICATE OF SERVICE
I hereby certify on this 16"-'
day of , 2006, that the foregoing
Request for Production of Documents was mailed, first-class, postage pre-paid to:
Matthew A. Boyer
c/o Hubert X. Gilroy, Esquire
BROUJOS & GILROY
4 North Hanover Street
Carlisle, PA 17013
4 V(?- cc -a? z
Catherine A. Boyle, Esquire
Attorney for Plaintiff
7
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
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ADRIENNE J. BOYER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO. 06-2243
MATTHEW A. BOYER, CIVIL ACTION -LAW
DEFENDANT : ALIMONY PENDENTE LITE
PETITION FOR ALIMONY PENDENTE LITE, COUNSEL FEES,
COSTS AND EXPENSES
AND NOW, comes the Petitioner, Adrienne J. Boyer, by and through her attorneys,
Meyers, Desfor, Saltzgiver & Boyle, and files the following Petition for Alimony Pendente
Lite, Counsel Fees and Expenses and in support thereof avers as follows:
1. Petitioner is Adrienne J. Boyer, an adult individual who currently resides at 1471
Hillcrest Court, Apt. 706, Camp Hill, Pennsylvania (hereinafter known as "Wife").
2. Respondent is Matthew A. Boyer, an adult individual who currently resides at 1017
Chippenham Road, Mechanicsburg, Pennsylvania (hereinafter known as "Husband").
3. The parties were married on July 20, 2004 at Wailea, Maui, Hawaii.
4. A Complaint in Divorce was filed on April 21, 2006.
5. Said Complaint in Divorce contains a count requesting Alimony Pendente Lite,
Support, Counsel Fees, Costs and Expenses.
6. Since the date of separation, Wife has received no money from Husband.
7. By reason of this action, Wife will be put to considerable expense in the preparation of
her case, in the employment of counsel and the payment of costs and expenses.
8. Wife is without sufficient funds to support herself and to meet the costs and expenses
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
of this litigation and is unable to appropriately maintain herself during the pendency of
this action.
9. Wife's income is not sufficient to provide for her reasonable needs and to pay
attorney's fees and the costs of this litigation.
10. Husband has adequate earnings to provide support and alimony pendente lite for the
Wife and to pay her counsel fees, costs and expenses.
WHEREFORE, the Petitioner, Adrienne J. Boyer respectfully requests this Honorable
Court award her Alimony Pendente Lite.
Respectfully submitted,
Catherine A. Boyle, Esquire
Attorney I.D. 76328
Meyers, Desfor, Saltzgiver & Boyle
410 North Second Street
P.O. Box 1062
Harrisburg, PA 17108
(717)236-9428
Attorney for Petitioner
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
VERIFICATION
I, Adrienne Boyer , verify that the
statements made in this Petition for Alimony pendent T,,__, Coun el
Fees, Costs and Expenses are true and correct to the best
of my knowledge, information and belief. 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.
Dated: 9/29/06
( ) Defendant
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
ADRIENNE J. BOYER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO. 06-2243
MATTHEW A. BOYER, CIVIL ACTION -LAW
DEFENDANT : ALIMONY PENDENTE LITE
CERTIFICATE OF SERVICE
I hereby certify that on this c2?,- day of , 2006, a copy of the
attached Petition for Alimony Pendente Lite, Counsel Fees, Costs and Expenses was mailed,
postage prepaid, to:
Hubert X. Gilroy, Esquire
BROUJOS & GILROY
4 North Hanover Street
Carlisle, PA 17013
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Catherine A. Boyle, Es re
Attorney for Petitioner
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST., P.O. BOX 320, CARLISLE PA 17013
Phone: (717) 240-6225
Adreinne J. Boyer
Plaintiff
V.
Matthew A. Bover
Defendant
Fax: (717) 240-6248
NO. 06-2243
CIVIL ACTION - LAW
IN I DIVORCE
DRS ATTACHMENT FOR APL PROCEEDINGS
PETITIONER'S INFORMATION:
Name: Adrienne-Jane Boyer
Address: 1471 Hillcrest Court, 706
City: Camp Hill State: PA
SSN: 173-54-5293 DOB: 5/1-=/74
Physica.lDescription:.Ht. Wt. Eves
Emaii-Address:
Employer: Ahold Financial Services
LI-D Code
Telephone:
Hai.
Race
Employer's Address: 1149 Harrisburc_ Pike
a rsle, Pa 17013 Phone: 960-;727
loo TitlelPosition: Human Gross Pad,: 67, loo %r Net Pay:
Resource Manager (plus bonus)
Petitioner's Attorney: Catherine A. Bogle, Esquire
Petitioner's Attorney's Address: 41 North econa Street, Harr isflurG, A
17101 Phone:717-236-9428
Medical Insurance Carrier:
Medical Insurance Carrier Address:
Phone:
Policy Number: Group Number:
17ti--
RESPONDENT'S INFORMATION:
Name:Matthew Alan Boyer
Address: 1017 C ippenham Road
City: Mechanicsburg State: PA Zip Code: 17050
SSN:548-67-3737 DOB: 7/ll/72 Telephone:
Physical Description: Ht. Wt. Eyes Hair Race
Email Address:
Employer: Giant Food Stores
Employer's Address: 1149 Harrisburg Pike
Carlisle, PA 17013 Phone: 240-1556
Job Title/Position: Category Gross Pay: 75,0 00/yrNet Pay:
Manager (plus bonus)
Respondent's Attorney: Hubert X. Gilroy, Esquire
Respondent's Attorney's Address: 4 North Hanover Street
Carlisle, PA 17013 Phone:717-243-457-'_
Medical Insurance Carrier:
Medical Insurance Carrier-Address:
Policy Number:
MARRIAGE INFORMATION:
Phone:
Group Number.
Date Married: 7 / 2 0 / 0 4 Date or Separation:
Place of Marriage: Maui, Wailea, E?
Address of last Marital Domicile : 6 Turmeric Drive
Mechanicsburg, PA 17050
Description of Document Raising APL Claim: Petition for APL, Counsel Fees, Costs
Date APL Document Filed": & Expenses
"Please note: A copy of the filed document MUST be enclosed with this form."
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In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
ADRIENNE J. BOYER ) Docket Number 06-2243 CIVIL
Plaintiff )
VS. ) PACSES Case Number 688108667
MATTHEW A. BOYER )
Defendant ) Other State ID Number
ORDER OF COURT
You, MATTHEW A. BOYER plaintiff/defendant of
1017 CHIPPENHAM RD, MECHANICSBURG, PA. 17050-2196-17
are ordered to appear at DOMESTIC RELATIONS HEARING RM
DOMESTIC RELATIONS OFC, 13 N HANOVER ST, CARLISLE, PA. 17013-3014-13
before a hearing officer of the Domestic Relations Section, on the
NOVEMBER 29, 2006
at 9: 3 OAM for a hearing.
You are further required to bring to the hearing:
1. a true copy of your most recent Federal Income Tax Return, including W-2s, as filed,
2. your pay stubs for the preceding six (6) months,
3. verification of child care expenses, and
4. proof of medical coverage which you may have, or may have available to you
5. information relating to professional licenses
6. other:
Service Type M
Form CM-504
Worker ID 21302
BOYER V. BOYER PACSES Case Number: 688108667
If you fail to appear for the conference/hearing or to bring the required documents, the
court may issue a warrant for your arrest or enter an order in your absence. If paternity is an
issue, the court may enter an order establishing paternity.
The appropriate court officer may enter an order against either party based upon the
evidence presented without regard to which party initiated the support action.
BY THE COURT:
Date of Order: 0 (J 0 ) - C,
JUDGE
YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE HEARING AND
REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE
THE OFFICE SET FORTH BELOW. THIS OFFICE MAY BE ABLE TO PROVIDE
YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
CUMBERLAND CO BAR ASSOCIATION
32 S BEDFORD ST
CARLISLE PA 17013-3302-32
(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 at: (717) 240-6225 . All arrangements must be
made at least 72 hours prior to any hearing or business before the court. You must attend the
scheduled hearing.
Page 2 of 2 Form CM-509
Service Type M Worker ID 21302
r
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
ADRIENNE J. BOYER ) Docket Number 06-2243 CIVIL
Plaintiff )
VS. ) PACSES Case Number 688108667
MATTHEW A. BOYER )
Defendant ) Other State ID Number
ORDER OF COURT
You, ADRIENNE J. BOYER plaintiff/defendant of
APT 706, 1471 HILLCREST CT, CAMP HILL, PA. 17011-8026-81
are ordered to appear at DOMESTIC RELATIONS HEARING RM
DOMESTIC RELATIONS OFC, 13 N HANOVER ST, CARLISLE, PA. 17013-3014-13
before a hearing officer of the Domestic Relations Section, on the
NOVEMBER 29, 2006 at 9:30AM for a hearing.
You are further required to bring to the hearing:
1. a true copy of your most recent Federal Income Tax Return, including W-2s, as filed,
2. your pay stubs for the preceding six (6) months,
3. verification of child care expenses, and
4. proof of medical coverage which you may have, or may have available to you
5. information relating to professional licenses
6. other:
Service Type M
Form CM-509
Worker ID 21302
BOYER
V. BOYER
PACSES Case Number: 688108667
If you fail to appear for the conference/hearing or to bring the required documents, the
court may issue a warrant for your arrest or enter an order in your absence. If paternity is an
issue, the court may enter an order establishing paternity.
The appropriate court officer may enter an order against either party based upon the
evidence presented without regard to which party initiated the support action.
BY THE COURT:
Date of Order: r• o L 0 C, 0 4 /?4i ?' z
J.//WESLEY OL JR., JUDGE
YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE HEARING AND
REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE
THE OFFICE SET FORTH BELOW. THIS OFFICE MAY BE ABLE TO PROVIDE
YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
CUMBERLAND CO BAR ASSOCIATION
32 S BEDFORD ST
CARLISLE PA 17013-3302-32
(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 at: (717) 240-6225 . All arrangements must be
made at least 72 hours prior to any hearing or business before the court. You must attend the
scheduled hearing.
Page 2 of 2 Form CM-509
Service Type M Worker ID 21302
1 _
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co
NOV 29 2006 0"
ADRIENNE J. BOYER, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
VS. : CIVIL ACTION -LAW
: NO. 06-2243
MATTHEW A. BOYER,
Defendant IN DIVORCE
AFFIDAVIT OF CONSENT AND
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER
SECTION 3301(c) OF THE DIVORCE CODE
1. A Complaint in divorce under Section 3301(C) of the Divorce Code was filed on April 21,
2006.
2. Defendant acknowledges receipt and accepts service of the Complaint on or about April 24,
2006.
3. The marriage of the Plaintiff and Defendant is irretrievably broken and ninety days
have elapsed from the date of the filing of the Complaint.
4. I consent to the entry of a final decree of divorce without notice.
5. 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.
6. 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.
7. I have been advised of the availability of marriage counseling and understand that I
may request that the Court require counseling. I do not request that the Court require
counseling.
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.
Date: November a 1 , 2006 Aor e A,=::::=
Matthew A. Boyer, Defend At
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ADRIENNE J. BOYER,
PLAINTIFF
V.
MATTHEW A. BOYER,
DEFENDANT
IN THE COURT F COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 06-2243
CIVIL ACTION LAW
IN DIVORCE
A Complaint in Divorce under Section 3301(c) o the Divorce Code was tiled on April
21, 2006.
The marriage of the Plaintiff and Defendant is irretrievably broken and ninety (90)
days have elapsed from the date of filing and service oft e Complaint.
I consent to the entry of a final decree of divorce Rafter 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.S. § 4904 relating to
unworn falsification to authorities.
Date: IZ-4`2-ooco
Adrienne . Boyer
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
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ADRIENNE J. BOYER,
PLAINTIFF
V.
MATTHEW A. BOYER,
DEFENDANT
IN THE COURT
CUMBERLAND
NO. 06-2243
CIVIL ACTION
IN DIVORCE
WAIVER OF NOTICE OF INTENT vl
ENTRY OF A DIVORCE DE REE UNDER
final decree of divorc? without notice.
I consent to the entry of a L
2. I understand that I may lose rights concerning al?mony, 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 d?vorce decree is entered by the Court
and that a copy of the decree will be sent to me
Prothonotary.
I verify that the statements made in this
false statements herein are made subject to the
unworn falsification to authorities.
Date-L2- --4 - 20 0 to
OF COMMON PLEAS
COUNTY, PENNSYLVANIA
LAW
ON TO
after it is filed with the
are true and correct. I understand that
of 18 PC S. § 4904 relating to
. Boyer
MEYERS, DESFOR, SALTZGIVIER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 102 • HARRISBURG, PA 17108
(717) 236-9428 • FAX(71i)236-2817
cn
MARITAL SETTLEMENT AGREEMENT
`?h
THIS AGREEMENT made this I I` day o , 2006 by and between Adrienne
Jane Boyer (hereinafter referred to as "Wife") of 1471 Hillcrest Court, Apt. 706, Camp Hill,
Cumberland County, Pennsylvania and Matthew Alan Boyer (hereinafter referred to as
"Husband") of 1017 Chippenham Road, Mechanicsburg, Cumberland County, Pennsylvania.
WITNESSETH:
WHEREAS, Husband and Wife were lawfully married on July 20, 2004 in Maui,
Wailea, Hawaii; and
WHEREAS, no children have been conceived of this marriage; and
WHEREAS, diverse differences and difficulties have arisen between the parties
respecting their interests, rights and title in and to certain property, real and/or personal, owned
by or in possession of the said parties to either of them; and
WHEREAS, Husband and Wife desire to settle and determine their rights and
obligations and to amicably adjust, compromise and forever settle all property rights and all
rights in, to or against each other's property or estate of any kind or nature whatsoever, including
property heretofore or subsequently acquired by either party and to settle all disputes existing
between them, including any and all claims for Wife's and/or Husband's rights to equitable
distribution, maintenance and/or support, alimony, alimony pendente lite, counsel fees and costs;
and
WHEREAS, the parties acknowledge and agree that in entering into this Agreement,
including foregoing waivers, they are each relying on truth and completeness in all material
respects as to all information provided by the other party hereto regarding the assets of such
person.
NOW THEREFORE, in consideration of the mutual promises, covenants and
agreements hereinafter contained, each of the parties hereto intending to be legally bound hereby
promises, covenants and agrees as follows:
1. DIVORCE: The parties agree that their marriage is irretrievably broken and that they
mutually consent to a divorce and agree and have executed all necessary Affidavits of
Consent and Waivers of Notice forms required by the court for the entry of a mutual
consent divorce. Both Husband and Wife have directed their respective counsel to
immediately file with the Court said Affidavits and Waivers and file the appropriate
documents to request a Decree in Divorce from the bonds of matrimony under Section
3301(c) of the Divorce Code.
2
2. FULL FORCE AND EFFECT: This Agreement shall continue in full force and
effect until such time of final Decree in Divorce is entered.
3. AGREEMENT TO CONTINUE IN EVENT OF DIVORCE: In the event that the
marriage of the parties hereto is terminated by divorce, this Agreement shall nevertheless
remain in full force and effect, and shall survive such decree and shall not in any way be
affected thereby, except as provided for herein.
4. INTERFERENCE: Each party shall be free from interference, authority, and contact by
the other, as fully as if he or she were single and unmarried except as may be necessary to
carry out the provisions of this Agreement. Neither party shall molest the other or
attempt to endeavor to molest the other, nor compel the other to cohabit with the other, or
in any way harass or malign the other, nor in any way interfere with the peaceful
existence, separate and apart from the other.
5. WIFE'S DEBTS: Wife represents and warrants to Husband that since the date the
divorce was filed, to wit, April 21, 2006, she has not and in the future she will not,
contract or incur any debt or liability for which Husband or his estate might be
responsible and shall indemnify and save harmless Husband from any and all claims or
demands made against him by reason of debts or obligations incurred by her.
6. HUSBAND'S DEBTS: Husband represents and warrants to Wife that since the divorce
was filed, to wit, April 21, 2006, he has not and in the future he will not, contract or incur
any debt or liability for which Wife or her estate might be responsible and shall indemnify
and save harmless Wife from any and all claims or demands made against her by reason
of debts or obligations incurred by him.
7. DISCOVERYNINANCIAL DISCLOSURE: The parties agree and acknowledge that
they have each had the opportunity to conduct discovery and investigation of the assets of
both parties. Wife acknowledges that she has issued various requests for information
from Husband. Husband acknowledges that he had the opportunity to conduct discovery
of Wife's assets. The parties agree and acknowledge that they have made full and fair
disclosure of all of their assets and income to the other party. The parties acknowledge
that they have both been given the opportunity to conduct investigation into all assets,
whether separate or marital, prior to entry into this agreement. Both Husband and Wife
acknowledge they have had full and fair disclosure of all assets prior to execution of this
agreement. Furthermore, the parties acknowledge that they have both had full disclosure
as to both parties income and financial condition.
MUTUAL RELEASES: 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
4
all causes of action for termination of the marriage by divorce or annulment and except
any or all causes of action for breach of any provisions of this Agreement. Husband and
Wife specifically release and waive any and all rights he or she might have to raise claims
under the Pennsylvania Divorce Code and all subsequent amendments, but not limited to
claims for equitable distribution of marital property, support, alimony, alimony pendente
lite, counsel fees or expenses. The fact that a party brings an action to enforce the
property agreement as incorporated in the divorce decree, under the Pennsylvania Divorce
Code and all subsequent amendments, does not give either party the right to raise other
claims under the Divorce Code, specifically waived and released by this paragraph and all
rights and obligations of the parties arising out of the marriage shall be determined by this
Agreement.
9. RELEASE OF TESTAMENTARY CLAIMS: Except as provided for in this
Agreement, each of the parties hereto shall have the right to dispose of his or her property
by Last Will and Testament or otherwise and each of them agree that the estate of the
other, whether real, personal or mixed, shall be and belong to the person or persons who
would become entitled thereto as if the decedent had been the last to die. This provision is
intended to constitute a mutual waiver by the parties of any rights to take against each
other's Last Wills under the present or future laws of any jurisdiction whatsoever and is
intended to confer third-party beneficiary rights upon the other heirs and beneficiaries of
each.
5
10. AGREEMENT BINDING ON HEIRS: The parties acknowledge that except as
provided for in this Agreement, each of the parties shall have the right to dispose of their
respective property by Last Will and Testament, and that each party waives the right to
take under the Will of the other. This Agreement shall be binding on the respective heirs,
executors, administrators and assigns of the parties thereto.
11. ENTIRE AGREEMENT: This Agreement represents the entire agreement between the
parties. There are no representations, promises, agreements, conditions, or warranties
between the parties other than those set forth herein.
12. LEGAL ADVICENOLUNTARY EXECUTION: The provisions of this Agreement
and their legal effect have been fully explained to the parties by their respective counsel.
The Wife has employed and has had the benefit of counsel of Catherine A. Boyle,
Esquire, as her attorney. The Husband has employed and has had the benefit of counsel of
Hubert X. Gilroy, Esquire, as his attorney. Each party acknowledges that they have
received independent legal advice from counsel and that each party fully understands the
facts and have been fully informed of their legal rights and obligations, and each party
acknowledges and accepts that this Agreement is, under the circumstances, fair and
equitable, and that it is being entered into freely and voluntarily after having received
such advice and with such knowledge, and that execution of this Agreement is not the
result of any duress or undue influence and that it is not the result of any collusion or
improper or illegal agreement or agreements. Also, each party hereto acknowledges that
6
he or she has been fully advised by his or her respective attorney of the current
Pennsylvania Divorce Law, and his or her rights thereunder, each party hereto still desires
to execute this Agreement acknowledging that the terms and conditions set forth herein
are fair, just, and equitable to each of the parties and waives their respective right to have
the Court make any determination or order affecting the respective parties' right to a
divorce, alimony, alimony pendente lite, equitable distribution of all marital property,
counsel fees and costs and expenses.
13. EQUITABLE DISTRIBUTION:
a. The parties acknowledge that the former marital residence was sold and the
proceeds placed in a Mid Penn Escrow account #14000939. The parties agree that
said account shall be closed with $50,000.00 being distributed to Wife and the
balance being distributed to Husband.
b. The parties acknowledge that there are savings bonds titled in joint names. Any
and all said bonds shall become the sole and exclusive property of Husband. Any
tax consequence resulting from redeeming said bonds shall be the sole and
exclusive responsibility of Husband.
C. Any and all other property not specifically mentioned herein shall become the sole
and exclusive property of the individual to whom said asset is titled.
14. WAIVER OF RIGHT TO ALIMONY, ALIMONY PENDENTE LITE, SPOUSAL
SUPPORT, COUNSEL FEES, COSTS AND EXPENSES: The parties hereby
acknowledge that they each waive their right to request alimony, alimony pendente lite,
spousal support, counsel fees, costs and expenses from the other unless otherwise
provided for in this Agreement.
15. BREACH: If either parry breaches any provision of this Agreement, the other party shall
have the right, at his or her election, to sue for damages for such breach or seek such other
remedies or relief as may be available to him or her, and the party breaching this contract
shall be responsible for payment of legal fees and costs incurred by the other in enforcing
their rights under this Agreement.
16. ADDITIONAL INSTRUMENTS:
a. 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.
b. This Agreement shall be incorporated into a Divorce Decree but not merged
therein.
17. MODIFICATION AND WAIVER: A modification or waiver of any of the provisions
of this Agreement shall be effective only if made in writing and executed with the same
formality as this Agreement. The failure of either party to insist upon strict performance
18
19
20
21.
of any of the provisions of this Agreement shall not be construed as a waiver of any
subsequent default of the same or similar nature.
DESCRIPTIVE HEADINGS: The descriptive headings used herein are for
convenience only. They shall have no effect whatsoever in determining the rights or
obligations of the parties.
VOID CLAUSES: 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.
EXECUTION DATE: The execution date shall be defined as the date both parties
have signed this Agreement. In the event that the parties do not sign this Agreement at
the same time, the execution date shall be the date the last party has signed.
APPLICABLE LAW: This Agreement shall be construed pursuant to the laws of
the Commonwealth of Pennsylvania.
9
IN WITNESS WHEREOF, the parties have hereunto set their hands and seals the day
and year first above-written.
Catherine A. Boyle, Esquire
Adrienne J. Boyer
Matthew A. Boyer
10
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ADRIENNE J. BOYER,
PLAINTIFF
V.
MATTHEW A. BOYER,
DEFENDANT
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 06-2243
CIVIL ACTION -LAW
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: Served by Certified Mail
Restricted Delivery on April 28, 2006. Proof of Service was filed with the Prothonotary on
MU 3, 2006.
3. (a) Date of execution of the Affidavit of Consent required by Section 3301(c)
of the Divorce Code: by the Plaintiff December 4, 2006; by the Defendant November 29.
2006.
4. Related claims pending: No other claims ending.
5. Date and manner of service of the notice of intention to file praecipe to transmit
record, a copy of which is attached, if the decree is to be entered under section 3301(d)(1)(I)
of the Divorce Code.
(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:
?J
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
(b) Date Plaintiffs Waiver of Notice in § 3301(c) Divorce was filed with the
Prothonotary; December 5 2006.
Date Defendant's Waiver of Notice in § 3301(c) Divorce was filed with the
Prothonotary November 29 2006.
Catherine A. Boyle, Esqui
Attorney for Plaintiff
MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 • HARRISBURG, PA 17108
(717) 236-9428 • FAX (717) 236-2817
ADRIENNE J. BOYER, IN THE COURT OF COMMON
PLAINTIFF :CUMBERLAND COUNTY, PENNSYLVANIA
NO. 06-2243
MATTHEW A. BOYER,
DEFENDANT 'CIVIL ACTION -LAW
: IN DIVORCE
CERTIFICATE OF SERVICE
I hereby certify on this
day of, 2006
Praecipe to Transmit Record was sent first-class mail, Postage copy of the forgoing
paid to:
Matthew A. Boyer
C/o Hubert X. Gilroy, Esquire
BROUJOS & GILROY
4 North Hanover Street
Carlisle, PA 17013
Respectfully submitted,
r
Catherine A. Boyle, Esquire
Attorney for Plaintiff
II MEYERS, DESFOR, SALTZGIVER & BOYLE
410 NORTH SECOND STREET • P.O. BOX 1062 - HARRISBURG, PA 17108
(717) 236-9428 - FAX (717) 236-2817
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA.
Plaintiff
Vs File No.
IN DIVORCE
? Defendant
NOTICE TO RESUME PRIOR SURNAME
Notice is hereby given that the Plaintiff / defendant in the above matter,
[select one by mai dng "x']
prior to the entry of a Final Decree in Divorce,
or X_ after the entry of a Final Decree in Divorce dated D2c- Z-7 , 200ig
hereby elects to resume the prior surname of (et* I , and gives this
written notice avowing his / her intention p pro of 54 P.S. 704.
Date: I)-U, 01
Si
C-'y J-jlp'?p -
Signature of Aama being resumed
COMMONWEALTH OF PENNSYLVANIA
COUNTY OFI-', 1/,v,4,,,. d )
On the day of Wgty , 200 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 her unto set my hand hereunto set my hand and official
seal.
NOTARIAL SEAT.
PROTHONOTARY, NOTARY PUBLIC
CARLISLE CUMBERLAND COUIGY COURTHOUSE
MY COMMISSION E)IRES JANUARY 4, 2010
Notary Public
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