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HomeMy WebLinkAbout06-2671 " J,")llise E. Harris IN THE COURT OF COMMON PLEAS OF 3419 Brisban st. : Harrisburg, PA. 17111 (717) 350-1183 . v. . TERM Daniel N. Harris. 26 Regency Woods N . Carlisle, PA. 17013 NO. C>l. - '11 11 (717) 697-5556 diP C!iut'L ~IL~ 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 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 is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is avail- able in the Office of the Prothonotary at Cumberland County Bar Association 2 Liberty Ave. Carlisle, PA. 17013 (717) 249-3166 (800) 990-9108 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 Ave. Carlisle, PA. 17013 (717) 249-3166 (800) 990-9108 Forms 20 l.ouise E. Harris:IN THE COURT OF COMMON PLEAS OF 3419 Brisban ST Harrisburg, PA. 17111 (717) 350-1183 v. TERM Daniel N. Harris. 26 Regency Woods N NO. 61... - ;((",7/ Carlisle, PA. 17013 (717) 697-5556 C/~L't~( COMPLAINT IN DIVORCE COUNT I REQUEST FOR DIVORCE UNDER SECTION 3301(c) OF THE DIVORCE CODE I. Plaintiff is Louise E. Harl}'qq,currently resides at 3419 Brisban St Harrisburg, PA. 17111 2. Defendant is D . 1 N H-' who currently resides at anle .. clrrlS 26 Regency woods N Carlisle, PA. 17013 3. Louise E Harri~as been a bona fide resident of the Commonwealth of Pennsylvania for a period of more than six (6) month immediately preceding the filing of this Complaint. 4. The parties were married on the 11 day of June , 20~ at Salem United Church Of Christ Cambell town, Pennsylvania , Attached hereto and marked Exhibit "A" is the certificate of marriage evidencing said marnage. Fonns 23 f CERTIFICATION OF EXCERPTS FROM MARRIAGE LICENSE RECORD STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND I,GLENDA FARNER STRASBAUGH , CLERK OF ORPHANS' COURT in and for said County, hereby do certify that the records in this office, as contained in Marriage License Docket, vol. 2005 page 282, show that Marriage License No. 282 was issued on May 02, 2005 to HARRIS DANIEL N (Lase, ~1rse, M1ddle) and RUDDY LOUISE E that the Return to (Lase, "1rSe, M1ddle) said License shows that said persons were married on June 11, 2005 by DWIGHT C HEIN REVEREND stated his date of birth his birthplace LOWER BUCKS COUNTY PA CHARLES J HOFFMAN PATRICIA G SATTERFIELD stated her date of birth at CAMPBELL TOWN HARRIS DANIEL N was April 14, 1974 and the names of his parents and RUDDY LOUISE E was February 24, 1982 and the names of her parents her birthplace ROBERT J RUDDY JEAN K RUDDY HANOVER PA IN TESTIMONY WHEREOF, I have hereunto set my hand and the seal of said court this 14th day GLENDA FARNER STRASBAUGH f2.>-- CLERK OF ORPHANS' COURT V . . . 5. Neither plaintiff not defendant is in the military or naval service of the United States or its allies within the provisions of the Soldiers' and Sailors' Civil Relief Act of the Congress of 1940 and its amendments. 6. There have been no prior actions for divorce or for annulment between the parties except 1 . ~ler~..LU. 7. The defendant has been advised of the availability of counseling and the right to request that the Court require the parties to participate in Counseling. 8. The marriage of the parties is irretrievably broken. 9. After 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 Defendant may also file such an affidavit. WHEREFORE, if both parties file affidavits consenting to a divorce after 90 days have elapsed from the date of filing of this Complaint, Plaintiff respectfully requests that a decree of divorce be entered pursuant to Section 3301(c) of the Divorce Code dissolving the marriage between Plaintiff and Defendant. Fonns 24 COUNT II REQUEST FOR INCORPORATION OF MARITAL SETTLEMENT AGREEMENT PURSUANT TO SECTIONS 3 104(A) (I) AND (3) AND 3323(B) OF THE DIVORCE CODE 10. Paragraphs I through 9 are incorporated herein and made a part hereof by reference as though fully set forth. 11. Plaintiff and Defendant have reached an agreement on issues including Proprty Division. WHEREFORE, Plaintiff respectfully requests that this Court approve and incorporate the agreement reached between Plaintiff and Defendant into the final divorce decree, pursuant to Sections 3 104(a) (I) and (3) and 3323(b) of the Divorce Code. I verify that statements made in this Complaint are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. Forms 25 . . Louise E. Harris: IN THE COURT OF COMMON PLEAS OF 3419 Brisban st. Harrisburg, PA. 17111 (717) 350-1183 v. : Daniel N. Harris: 26 Regency Woods N. Carlisle.,J PA. 17013 (717) b97-5556 TERM NO. COUNSELING NOTICE The Divorce Code of Pennsylvania requires that you be notified of the availability of counsel- ing where a divorce is sought under any of the following grounds: Section 3301 (a) (6) - Indignities Section 3301 (c) - Irretrievable breakdown- Mutual Consent Section 3301 (d) - Irretrievable breakdown -Two/Three year separation A list of qualified professionals is available for inspection in Cumberland County Bar Association 2 Liberty Ave. Carlisle, PA. 17013 (717) 249-3166 (800) 990-9108 F onns 26 . .. Louise E. Harria IN THE COURT OF COMMON PLEAS OF 3419 Brisban St. Harrisburg, PA. 17111 (717) 350-1183 v. Daniel N. Harris 26 Regency Woods N. Carlisle, PA. 17013 (717) 697-5556 TERM NO. AFFIDA VlT OF NON-MILITARY SERVICE Louise E. Harris ,being duly sworn according to Law, deposes and says that he/she knows by hislher own personal knowledge and therefore avers that defen- dant, Daniel N. Harris, is ~ years of age; that he/she is employed by Genco Distribution system. 100 Papercraft Park, Pittsburgh PA. 15238 and that he /she is not in the military service of the United States or its allies, or otherwise within the provision of the Soldiers' and Sailors' Civil Relief Act of Congress of 1940 and its amendments. Sworn to and subscribed before me this I st day of may , 20~ cL;~~CQG<J~S Notary Public Plaintiff .-. n~ 1 NalIriIISeII EluLC~,~ MyC~Ian~June211. 2llO7 .......P'~..--r..II....... i.Me .of......... Forms 27 ~ (') ..." Q. ~ <g, c:: cr ~';!;\ -p -() -:c -:;!Co \ ~)1.:^"'~ ~ t- o (l'\C:' hl . :;!~.t\'~ ..- :3~ 8 t/'''' 0 (.) ~t'~~r 'ii' :_-1;' "'.::.~ --0 I,~() " -:.; -- 7~~\~~:: .,-ff\ ~ ?d ~ 0 ..:t .""' '.':. (.;J .~ .:c '2 -' V ~ \,oJ ~ (;; - \l r,- V"l 2p ~ -.c:. ',<~J. -,r\ .'- ~,,)..,.,~ ~:;~;,;.:~~/;~~~-\,,~.,: :,~u'~'f~~'~)" 'Vl\ '" ';v:".(""'.' ~...~v.<tJ>ll'S.",~Jl.;\;.I" _I, j ~';..;. :':,'-' .-....~_.- ,~.;,,;..;.,;. "r"i',~\:' ",',~,,,,'1J.\~ ' IN THE COURT OF COMM:ON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA I.....'.li~u~. B.. lIa.LL1::; Plaintiff Vs Pile No. J.l.. "1 ( Oil INDIf6k& 1""," Daniel N. Hard" Defendant NOTICE TO RESUME PRIOR SURNAME Notice is hereby given that the Plaintiff I defendant in the above matter, [select one by marking ''x''] ~ prior to the entry of a Pinal Decree in Divorce, or --.:....- after the entry of a Pinal Decree in Divorce dated hereby elects to resume the prior surname of Loui se E . Rudny , and gives this written notice avowing his I her intention pursuant the provisions of 54 P .S. 704~ Date: 5/11'10& ' . , COMMONW:EUJ,TH OF PENNSYLVANIA ) COUNTY OJCttAtBO(t.AA/b ) On the ~31(p day of f11/J Y . , 200~ before me, the Prothonotary or the notary public, personally applared the above affiant known to me to be the person whose name is subscribed to the within document and acknowledged that he I she executed the foregoing for the purpose therein contained. In Witness Whereof, I have hereunto set my hand hereunto set rny hand and official seal. Proilit~" IIOTARlAL SEAL PII01HllNOTARY, NOTARY PU8UC CARIJSt.E ClIII8ERI.ANil COUNTY COIJIITHOUsE MY COMMISSION EllPlRES JANUNIY 4, 2010 ~-- " JI~'}~ jl\~qA1"tn\ {'I\ ~"~.l'\ .~;..\u\lo ~t1p.j'l~ '. 'j \W1J,)~ f.\\l"~J\\lB\I\J::l1J~U~A:J . r ,. ,,'''' \ ..' . "'''i \1""'"\11''''' ....' ..:.':' ::;'::,,'::; .:.;- ...;:: ~;;.::.... ...',- 1 -l.9- 0 ,..., ~ -;:::I """ c = ~ .:r- \) 3?l~~:," :l!: ::t-n :;s..~ \) ,'.-- ~ -< n1r=: 2": \~ N -08 ::U ':'..1" ' :nC "'- c..v ~~"C) ..:c '" _~.. -T\ ?-- ~ _':.o::::-n "":d ,,"'p''' ~- ';,}-(? '-~:,t~ ..... <sm l>.J r...:? _I -- --tJ f'::t c..v a 0- r-- -~ <.J'l ~ ~ L.tC-' ;;, 61 ;.:z.:2- tf 0 Louise E. Harris 3419 Brisban st. . Harrisburg, PA. 17111 (717) 350-1183 IN THE COURT OF COMMON PLEAS OF v. Daniel N. Harris 26 Regency Woods N. Carlisle, PA. 17013 (717) 697-5556 TERM NO. 06- 2671 Civil Term AFFIDAVIT AS TO SIGNATURE \.~c\I,,)\~ LJ\ft~ ~ i ") ,being duly sworn according to law, deposes and says that he/she is the Plaintiff in the above-captioned divorce action; that he/she is familiar with the signature of the Defendant; and that the signature on the return receipt attached hereto as Exhibit "A" is the signature of the Defendant. Sworn and subscri~d bef'fJ~d this~ day of . 20oz, tlU~,~ NOTARIAL SEAL Megan 1 McClain. Notary Public City of Harrisburg, Dauphin County My commission expires November 18. 2006 r NOTARIAl o. Megan T. McCl." City of Harr1sbur~ My commission exW ""Ibllo 1UIlty , 18, ~goe Fonns 29 () ,..., ~ "'" s:. '-" cf'" -:) i:. :lr. 1...,.., F" :;;:;f~ (11r:: -'" ': , N .-\~8 '~.~) t.:> 'r.C:') .1-, ~,'- -0 :::~~{\ -- s ::!i; \;,~~("::;l .::... c: OCr, "1-7' C';: <.:? -\ -7 ~ ,,--~ t.:> :< - Louise E. Harrij; 3419 Brisban st. : Harrisburg, PA. 1711~ (717) 350-1183 IN THE COURT OF COMMON PLEAS OF v. Daniel N. Harris 26 Regency Woods N. Carlisle, PA. 17013 (717) 697-5556 TERM NO. 06- 2671 Civil Term ACCEPTANCE OF SERVICE I hereby accept service of the Complaint in Divorce filed in the above-captioned matter. O:Y/II r ,20& ~ \011. L Defendant Forms 28 0 ,..., 0 <= <;; = " CI" :-,;. ..... c' , - ::t:..,.., rn I :1"" rn? .;:; -- _c ~T1 rn N> ('~~': w . .. -., :::~ ';:0 (' ~ 25rn --' ? w ~ -, Louise E. Harris IN THE COURT OF COMMO PLEAS OF 3419 Brisban St. Harrisburg, FA. 17111: (717) 350-1183 v. TERM Daniel N. Harri$ 26 Regency Woods N. Carlisle, FA. 17013 NO. 06- 2671 Civil T rm AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301(c) of the Divorce Code as filed on May -li)20_06 2. The marriage of the Plaintiff and the Defendant is irretrievably brok n. Ninety days have elapsed since the filing of the Complaint. 3. I consent to the entry of a fmal decree of divorce. WAIVER OF NOTICE OF INTENTION TO REQUEST ENT OF A DIVORCE DECREE UNDER SECTION 3301 (C) OF THE DIVO CE CODE I. I consent to the entry of a final Decree of Divorce without notice. 2. I understand that I may lose rights conceming alimony, division of p or expenses if I do not claim them before a divorce is granted. 3. I understand that I will not be divorced until a Decree in Divorce is and that a copy of the decree will be sent to me immediately after it is fi Prothonotary . , lawyer's fees tere<! by the Court d with the 4. I verify that the statements made in this affidavit are true and correc I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. ection 4904 relating to unsworn falsification to authorities. (Plaintiff) ~ 20Glo Fonns30 g ;;;: (t' ~.fr': L..,.,.,.., ?"..>-, the; =<t! '< :<;:C "',0 Y,C ~ :;; ~ ~ C") ~ ~~ :P :: 0 ~:rl ~ zg _ 9. ;; ~ .r::- Louise E. Harri~ IN THE COURT OF COMMO PLEAS OF 3419 Brisban st. : Harrisburg, PA. 17111 (717) 350-1183 v. Daniel N. Harris 26 Regency Woods N. Carlisle, PA. 17013 (717) 697-5556 TERM NO. 06- 2671 Civil T rm AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301(c) of the Divorce Code as filed on May 1-0 20 ilii 2. The marriage of the Plaintiff and the Defendant is irretrievably brok n. Ninety days have elapsed since the filing of the Complaint. 3. 1 consent to the entIy of a fInal decree of divorce. WAIVER OF NOTICE OF INTENTION TO REQUEST ENT Y OF A DIVORCE DECREE UNDER SECTION 3301 (C) OF THE DIVO CE CODE 1. 1 consent to the entIy of a fInal Decree of Divorce without notice. 2. 1 understand that 1 may lose rights concerning alimony, division of perty, lawyer's fees or expenses if 1 do not claim them before a divorce is granted. 3. 1 understand that 1 will not be divorced until a Decree in Divorce is tered by the Court and that a copy of the decree will be sent to me immediately after it is fI ed with the Prothonotary . 4. I verify that the statements made in this affidavit are true and correc. 1 understand that false statements herein are made subject to the penalties of 18 Pa. C.S. ection 4904 relating to unsworn falsifIcation to authorities " Defendan ) 8)~ , 20olo Fonns30 g ~ -(;Ie)J \!H.j; 2(: u:! ",";', ~C":; :J?:C 0:'0 :>"~ '2 ~ ~ ~ ~ ~~ .., :'3 ::::. 0 ~ ~~ _ S? ;; ~ s:- Louise E. Harris IN THE COURT OF COMMON PLEAS OF 3419 Brisban st. . Harrisburg, PA. 17111; (717) 360-1183 v. TERM Daniel N. Harris 26 Regency Woods N. Carlisle, PA. 17013 NO. 06- 2671 Civil Term (717) 697-5556 INVENTORY AND APPRAISEMENT OF Louise E. Harris files the following inventory and appraisement of all property owned or possessed by either party at the time this action was commenced and all property transferred within the preceding three years. Louise E. Harris verifies that the statements made in this inventory and appraisement are true and correct. Loui se E. Harri " understands that false statements herein are subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn falsification to authorities. ~Day Of~ 20C\.9 Forms 3 ASSETS OF PARTIES (plaintifl) (Defendant) marks on the list below those items applicable to the case at bar and itemizes the assets on the following pages. If an item has been appraised, a copy of the appraisal report is attached. ( ) 1. Real property ( ) 2. Motor vehicles ( ) 3. Stocks, bonds, securities and options ( ) 4. Certificates of deposit (j 5. Checking accounts, cash (j 6. Savings accounts; money market and savings certificates ( ) 7. Contents ofsafe deposit boxes ( ) 8. Trusts ( ) 9. Life insurance policies (indicate face value, cash surrender value and current beneficiaries) ( ) 10. Annuities ()11. Gifts ()12. Inheritance ()13. Patents, copyrights, inventions, royalties ( ) 14. Personal property outside the home ( ) 15. Businesses (list all owners, including percentage of ownership, and officer/director positions held by a party with company) ()16. Employment termination benefits - severance pay, workman's compensation claim/award ()17. Profit sharing plan Forms 4 ()18. Pension plans (indicate employee contribution and date plan vests) 6<)19. Retirement plans; Individual Retirement Accounts ( )20. Disability payments ()21. Litigation claims (matured and unmatured) ( )22. MilitaryN.A. benefits ( )23. Educational benefits 6Q24. Debts due, including loans, mortgages held ~25. Household furnishings and personalty (include as a total category and attach itemized list if distribution of such assets is in dispute) ( )26. Other Fonns5 MARITAL PROPERTY (plamtifi) , lists all marital property in which either or both spouses have a legal or equitable interest individually or with any other person as of the date this action was commenced: Item Number Description of Property Names of all Owners Date of Acquisition T----------HP--pavilfon--o;skt;p--c~;~p~t;;;-D-;;:~~;;i--~~d--~---~ 4 / 0 1 /06 Lou~se Harr~s Item Number Cost or Value as of Date of Acquisition Value as of Date Action Commenced Amount of Any Lien None Item Number Nature of Any Lien Effective Date of Lien Holder of Lien None Item Number Reason for Exclusion from Marital Property Forms 6 PROPERTY TRANSFERRED (Plaintiff) lists all property in which either or both spouses had a legal or equitable interest individually or with any other person and which has been transferred within the preceding three years: Item Number None Item Number None Item Number None Description of Property Names of All Owners Cost or Value as of Date of Acquisition Value as of Date of Transfer Nature of Any Lien at Date of Transfer Effective Date of Lien Date of Acquisition Date of Transfer Amount of Any Lien at Date of Transfer Holder of Lien Fonns? LIABILITIES OF PARTIES (Plaintiff) marks on the list below those items applicable to the case at bar and itemizes the liabilities on the following pages. Secured ( ) I. Mortgages ( ) 2. Judgments ( ) 3. Liens ( ) 4. Other secured liabilities Unsecured 6c) 5. Credit card balances ( ) 6. Purchases 6c) 7. Loan Payments ( ) 8. Notes payable ( ) 9. Other unsecured liabilities Contin~ent or Deferred ()IO. Contracts or agreements ( ) II. Promissory notes ()12. Lawsuits ( )13. Options ()14. Taxes ( ) 15. Other contingent or deferred liabilities Form. 8 LIABILITIES (Plaintiff) . lists all liabilities of either or both spouses alone or with any other person as of the date this action was commenced: Item Number Description of Liability Names of All Creditors Debtors 1 2 3 Chevy Cobalt 06 D~ll Desktop Compo Sectional Sofa NCFCU Dell Financial NB KLebman Item Number Date Liability was Incurred Amount of Liability on Date Incurred and Date Action Commenced lr-----------Ci4-]"i-9i'Ci6----------------i-7-;4ii-6-:i6:i---6ifi':ig-i-6-6----------------- 2 06/15/06 1234.00 06/15/06 3 07/10/06 1256.00 07/10/06 Item Number Date Balance is Due Periodic Payment and Amount 1 2 3 04/29/2012 01/01/08 08/01/07 299.64 84.00 20.00 Forms 9 o c:; ;:;- """ c:.-::1 (!:::) cr- en i"n -'0 - o -n ..... :t:..,-, n1e::, -n';...:..~ :/)'-1) <':-?() .)"T> ~..-" N :r:"'" :]': ~~~\ -po. ~ c:> N Louise E. Harri~ IN THE COURT OF COMMON PLEAS OF 3419 Brisban st. Harrisburg, PA. 1711~ v. : TERM Daniel N. Harris 26 Regency Woods N. . Carlisle, PA. 17013 NO. 06- 2671 Civil Term INCOME AND EXPENSE STATEMENT OF Louise E. Harris (plaintiff) (Plaintiff) (Defendant) files the following Income and Expense Statement setting forth (her) (his) income and expenses as of the date set forth below. (Plaintiff) (Defendant) verifies that the statements made in the Income and Expense Statement are true and correct. (Plaintiff) (Defendant) understands that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to au rities. Dated: ~ \\~lo Forms 10 DATE August 9, 2006 INCOME AND EXPENSE STATEMENT OF NAME Louise E. Harris Louise E. Harris v. Daniel N. Harris INCOME Employer: !In; t-F>n Cnn,.,nrn; " Address: Po Box 890089. Camo Hill. PA. 17089 Type of Work: Billing Specialist Payroll No.: Social Security No.: 177 -68-8 727 Gross pay per Pay period (indicate pay period: $964.04 wkly; biwkly; etc) Bi-weekly ITEMIZED PAYROLL DEDUCTIONS Federal Witholding $ $111.96 Local Wage Tax $ $18.85 Retirement $ Credo Union $ Health Ins. $ 71 <;4 Social Security $ <;A 44 Savings $ State Inc. Tax $ 28.94 Life Ins. $ Other: Fed Disab $ 13.67 $ Net pay per pay period: $ 709.80 Forms 11 INCOME AND EXPENSE STATEMENT OF NAME Louise E. Harris Louise E. Harris ~ Daniel N. Harris OTHER INCOME Weekly Monthly Yearly Interest $ 0 $ 0 $ 0 Dividends $ 0 $ 0 $ 0 Pension $ 0 $ 0 $ 0 Annuity $ 0 $ 0 $ 0 Rents $ 0 $ 0 $ 0 Royalties $ 0 $ 0 $ 0 Social Sec. $ 0 $ 0 $ 0 Expense Acc't $ 0 $ 0 $ 0 Gifts $ 0 $ 0 $ 0 Unemployment $ 0 $ 0 $ 0 Workers' Compo $ 0 $ 0 $ 0 Other $ 0 $ 0 $ 0 Total all income: $ 0 Per week month Jear Forms 12 INCOME AND EXPENSE STATEMENT OF NAME Louise E. Harris Louise E. Harris v. Daniel N. Harris PROPERTY OWNED Ownership Husband Wife Child DescriDtion Value Checking Acct Personnel $ 200.00 Savings Acct Personnel $ 80.00 Credit Union $ Stocks/Bonds $ Real Estate $ Automobile $ Other $ Wife Wife INSURANCE Company Policy # Husb. Wife Child Highmark HIM1026~9908001 x Hospitalization Medical Hiahmark HIM 102659908001 L- Health/Accident Hiahmark HIM1 02659908001 _ x Disability United Concordlia ~ Dental United Concordia 2528'11)000 ...x... Fonns 13 INCOME AND EXPENSE STATEMENT OF NAJJE Louise E. Harris Louise E. Harris ~ Daniel N. Harris EXPENSES ALLOCATION HOME Weekly Monthly Yearly Self Children Mortgage $ 0 $ 0 $ 0 $ 0 $ 0 Rent $ 0 $ 420.00 $ 5040.00 $ 5040.01$ 0 Maintenance $ 0 $ 0 $ 0 $ 0 $ 0 Gas $ 70.00 $ 280.00$ 3360.00 $ 3360.00 $ 0 Electric $ 0 $ 100.00 $ 1200.00$ 1200.00$ 0 Telephone $ 70.00 $ 70.00 $ 840.00 $ 840.00 $ 0 Water $ 0 $ 0 $ 0 $ 0 $ 0 Sewer $ 0 $ 0 $ 0 $ 0 $ 0 EMPLOY - MENT Weekly Monthly Yearly Self Children Transp. $ 70.00 $ 280.00 $ 3360.00$ 3360.0~ 0 Lunch $ 10.00 $ 40.00 $ 480.00 $ 480.00 $ 0 Forms 14 INCOME AND EXPENSE STATEMENT OF NAMH.ouise E. Harris Louise E. Harris VS Daniel N. Harris EXPENSES ALLOCATION TAXES Weekly Monthly Yearly Self Children Real Est. $ 0 $ 0 $ 0 $ 0 $ 0 Pers.Prop. $ 0 $ 0 $ 0 $ 0 $ 0 Income $ $ $ $ $ INSUR'NCE Weekly Monthly Yearly Self Children Homeowner $ 0 $ 0 $ 0 $ 0 $ 0 s Auto $ $ $ a02.0n$ 802.00 $ 0 Life $ 0 $ 0 $ 0 $ 0 $ 0 Accident $ 0 $ 0 $ 0 $ 0 $ 0 Health $ $ 43.08 $ 516.98$ 516.98$ Other $ $ $ $ $ ~ Weekly Monthly Yearly Self Children Payments $ $ 300.00 $ 3600.00$3600.00 $ 0 Fuel/oil $ 70.00 $ 280.00 $ 3360.00$ 3360.00$ $ 0 0 Repairs $ 0 $ 0 $ 0 $ 0 MEDICAL Weekly Monthly Yearly Self Children Doctor $ $ $ 30.00 $ 30.00 $ 0 Dental $0 $ 0 $ 0 $ 0 $ 0 Hospital $0 $ 0 $ 0 $ 0 $ 0 Medicine $ $ 10.00 $120.00 $ 120.00 $ Special $ $ $ $ $ INCOME AND EXPENSE STATEMENT OF NAME VS Fonns 15 Louise E. Harris Louise E. Harris V. Daniel N. Harris EXPENSES ALLOCATION SCHOOL Weekly Monthly Yearly Self Children Private Sch. $ 0 $ 0 $ 0 $ 0 $ 0 Parochial $ 0 $ 0 $ 0 $ 0 $ 0 College $ 0 $ 0 $ 0 $ 0 $ 0 Religious $ 0 $ 0 $ 0 $ 0 $ 0 PERSON'L Weekly Monthly Yearly Self Children Clothes $ 0 $ 0 $ 500.00 $ 500.00 $ 0 Food $ 80.00 $ 220.00$ 2640.00 $ 2640.00 $ 0 Hairdrsr. $ $ $ 240.00 $ 240.00 $ 0 Barber $ 0 $ 0 $ 0 $ 0 $ 0 Credit paym. $ $ 100.00 $ 1200.00$1200.00$ 0 Credit cards $ $ 400.00 $ $ 400.00 $ 0 Charge accts $ $ $ 2400.00 $ 2400.00$ 0 Dues $ 0 $ 0 $ 0 $ 0 $ 0 CHLDCARE Weekly Monthly Yearly Self Children Daycare $ 0 $ 0 $ 0 $ 0 $ 0 Babysitter $ 0 $ 0 $ 0 $ 0 $ 0 Other $ 0 $ 0 $ 0 $ 0 $ 0 Forms 16 INCOME AND EXPENSE STATEMENT OF NAME Louise Eo Harr;R Louise Eo Hi=IIrriR VS n::.nia.l I\T J.J::r.rr;l!;; EXPENSES LOANS Weekly Monthly Yearly Self Children Crdt Union $ $110.00 $ 1320.00$ 1320.00$ 0 Other $ 0 $0 $ 0 $ 0 $ 0 Other $ 0 $0 $ 0 $ 0 $ 0 Other $ 0 $0 $ 0 $ 0 $ 0 MIse Weekly Monthly Yearly Self Children Papers $ 0 $0 $0 $0 $0 Magazines $ 0 $0 $0 $0 $0 Entertain. $ 0 $0 $0 $0 $0 Pay TV $ $ 60.00 $ 729000 $720.00 $0 Vacation $ 0 $0 $0 $0 $0 Gifts $ 0 $0 $0 $ 0 $- Legal fees $ 0 $0 $0 $ 0 $ 0 Contributns. $ 0 $0 $0 $ 0 $ 0 Other child $ 0 $0 $0 $ 0 $ 0 support Alimony $ 0 $0 $0 $ 0 $ 0 Other $0 $ 0 $0 $ 0 $ 0 Other $ $ $ $ $ Other $ $ $ $ $ TOTAL EXPENSES Weekly $ Monthly Yearly Self $ 170.00 $ 8500.05 Children 8500.01$ 0 Forms 17 (') ~; ...., c.:;;::l ~ (/"l I-j', ~-() , .- :::t -< N o '<1 ~'<1 rnp -DI:D. -,._,'.",.... r'_), {_~.}, ~ -""'. L.; , \lffl '~d\ ~ -< - C) 1',) Louise E. Harris 3419 Brisban St. Harrisburg, PA. 17111 (717) 350\7~.183 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA Daniel N. Harris 26 Regency Woods N. Carlisle, PA. 17013 (717) 697-5556 CIVIL DIVISION NO. 06- 2671 CIVIL TERM 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 ~3301 (c) 3301 (d)(1) of the Divorce Code. (Strike out inapplicable section). 2. Date and manner of service of the complaint: . of flervice. ftttflu 1 () ")n;lF;. hy .:"l,...,...t.}.rYt-~nl""l~ " . 3. Complete either paragraph (a) or (b). (a) Date of execution of the affidavit of consent required by ~3301 (c) of the Divorce Code: by plaintiff ""g"!>" 11. 7nn/; ; by defendant ""g""" 11., Jnnfi (b) (1) Date of execution of the affidavit required by ~3301 (d) of the Divorce Code: (2) Date of filing and service of the plaintiff's aftidavit upon the respondent: 4. Related claims pending: Tncorporat: i on of attached Agreement. 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: Y'_d mail September 1, 2006 (b) Date of plaintiff's Waiver of Notice in ~3301 (c) Divorce was filed with the Prothonotary: Date defendant's Waiver of Notice in ~3301 (c) Divorce was filed with the Prothonotary: _ o f; 'S,. \:)'.):; ~=\~'. ~: ',", (i) .:::< .,' r.:- ' ~ "" ct" c/l f'r'\ -0 ___.r' y, ';;:'-;' '~C;" C,~~ Z ':;2 N Q. :i (l1;;g '<) IT'> ~"9 !<:':~ ~~l~\ (lB " ,-.n 9,' 'j>: ~ :l"" ':It - - o c..> ~~~~~~~~~~~~ ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Of Of ~ '" + Of Of ~ '" ~ Of Of Of Of Of '" Of Of + Of + Of + ~ Of '" '" '" '" + ~ '" ~ '" '" '" '" '" '" '" '" ~ '" ~ '" ~ '" '" '" '" '" '" '" '" '" '" '" '" '" '" '" ,. ,. ,. '" ,. ,. '" ,. '" ,. ,. ~ ,. '" ,. ,. ,. +. ,. ,. ,. ,. ,. ,. ,. ,. +. ,. ,. ~ ,. ,. ,. ,. ,. ,. ,. + ,. :+ :+ ,. +++.+++.~++.+~+.+.++.+.+.+.+.++.+++.+.++.+++.+.~+.+.++.~++~+~+.~+~+~++.++.++.+++++++++++. .. IN THE COURT OF COMMON PLEAS OFCUMBERLANDCOUNTY STATE OF Louise E. Harris VERSUS Daniel N. Harris AND NOW, PENNA. No. 06-2671 Civil Term DECREE IN DIVORCE S t..~ te,n-. ~ t~ ''\ lQ()Co , IT IS ORDERED AND DECREED THAT Louise E. Harris , PLAI NTI FF, AND Daniel N. Harris , DEFENDANT, ARE DIVORCED FROM THE BONDS OF MATRIMONY. THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE YET BEEN ENTERED; BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT PROTHONOTARY ./' J. " ~ $ /'fl"nI~;t, 1il-b/-j jJJ>-' ~ ~ ~ -r; 117 b! -j .