HomeMy WebLinkAbout06-5665
. ,
LAW OFFICES OF PETER J. RUSSO, P.C.
BY: ELIZABETH J. SAYLOR, ESQUIRE
PA Supreme Court 10: 200139
3800 Market Street
Camp Hill, PA 17011
PH: (717) 591-1755
F: (717) 591-1756
Isavlor@ojrlaw.com
Attorneys for Plaintiff
v.
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
AMIE SMITH
Plaintiff,
SHAWN W. SMITH
Defendant
.
: NO. 2006 - C/,f.,S CIVIL TERM
: IN DIVORCE
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 the 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 Cumberland County
Courthouse, 1 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, GO TO OR TELEPHONE THE OFFICE SET
FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION
ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, 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 County Bar Association
32 South Bedford Street
Carlisle, PA 17013
717-249-3166
1-800-990-9108
LAW OFFICES OF PETER J. RUSSO, P.C.
BY: ELIZABETH J. SAYLOR, ESQUIRE
PA Supreme Court 10: 200139
3800 Market Street
Camp Hill, PA 17011
PH: (717) 591-1755
F: (717) 591-1756
Isavlor@ojrlaw.com
Attorneys for Plaintiff
AMIE SMITH
Plaintiff
v.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
NO. 2006 -.sl.&.S CML'TERM
IN DIVORCE
SHAWN W. SMITH
Defendant
COMPLAINT UNDER SECTION 3301 (c) OR 3301 (d) OF 1HE DIVORCE CODE
AND NOW COMES the above-named Plaintiff by and1hrough her
attorney Elizabeth J. Saylor, Esquire and seeks to obtain a Decree in Divorce
from the above-named Defendant, upon the grounds hereinafter more fully set
forth:
1. Plaintiff is Amie Smith, an adult individual who has resided at 139 B
Garden Avenue, New Cumberland, 17070, Cumberland County, Pennsylvania
since January of 2006.
2. Defendant is Shawn W. Smith, an adult individual who has resided at
122 Hummel Avenue, Lemoyne, Cumberland County, Pennsylvania since August
2005.
3. Plaintiff and Defendant have been bona fide residents in the
Commonwealth for at least six (6) months immediately previous to the filing of
this Complaint.
. ,
4. Plaintiff and Defendant were married on October 17, 1996, in Bel Air,
Harford County, Maryland.
5. Plaintiff and Defendant separated on January 20, 2006.
6. Both Plaintiff and Defendant are in the United States Army.
7. There have been no prior actions for divorce or annulment between the
parties in this or any other jurisdiction.
8. Plaintiff has been advised that counseling is available and that Defendant
may have the right to request that the court require the parties to participate in
counseling, but does not request the same.
COUNT I -- DIVORCE
9. The prior paragraphs of this Complaint are incorporated by reference
as though fully set forth herein.
10. Plaintiff avers that the marriage between the parties is irretrievably
broken.
11. Plaintiff requests the court to enter a decree in divorce.
WHEREFORE, Plaintiff prays that a decree be entered in favor of the
Plaintiff and against Defendant as follows:
That a decree in divorce be entered dissolving the marriage between the
two parties.
LAW OFFICES OF PETER J. RUSSO, P.C.
~
Attorneys for Plaintiff
Peter J. Russo, Esquire
~/
. .
Date:
f-7-0,b
10 # 72897
Scott A. Stein, Esquire
10 # 81738
Elizabeth J. Saylor, Esquire
10 # 200139
.
LAW OFFICES OF PETER J. RUSSO, P.C.
BY: ELIZABETH J. SAYLOR, ESQUIRE
PA Supreme Court 10: 200139
3800 Market Street
Camp Hill, PA 17011
PH: (717) 591-1755
F: (717) 591-1756
Isavlor@Dirlaw.com
Attorneys for Plaintiff
AMIE SMITH
Plaintiff
v.
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
SHAWN W. SMITH
Defendant
NO. 2006-
: IN DIVORCE
CIVIL TERM
VERIFICATION
I, Amie Smith, verify that the statements made in the foregoing
document(s) are true and correct. I understand that false statements made
herein are subject to the penalties of 18 Pa.C.S. 94904 relating to unsworn
falsification to authorities.
,,0
Date: 1:3? L "(P
: . ! Ii
. U it:1
., "\\",,. ,....'i1/C,( "'~<.. .t:~J "It--
'-'A1i1fu Smith '--'"
, (J ~
~ '""""
~ ~
= 0
= "T1
. <.:r'
C/) -I
~ ..,-
"""" U Pl rll :JJ
-0 I
~ f> N -0 [!J ((;)
W -.J tE~
-0
l:1 ,.., -0
p: :l:
f w ;~~.:::, r Tl
-4.. ~-'
,];!
-< .;:;- ~D
U 0 -<
~
.. ...........
LAW OFFICES OF PETER J. RUSSO, P.C.
BY: ELIZABETH J. SAYLOR, ESQUIRE
PA Supreme Court ID: 200139
3800 Market Street
Camp Hill, PA 17011
PH: (717) 591-1755
F: (717) 591-1756
Isavlor@pjrlaw.com
Attorneys for Plaintiff
v.
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
NO. 2006 -Su..s CIVIL TERM
: IN DIVORCE
AMIE SMITH
Plaintiff
SHAWN W. SMITH
Defendant
CERTIFICATE OF SERVICE
I, Janet E. Bush, hereby certify that I am on this day serving a copy of the
foregoing Notice and Divorce Complaint upon the person and in the manner
indicated below:
Certified Mail, Restricted Delivery, Return Receipt Requested, Regular US Mail,
and addressed as follows:
Shawn W. Smith
122 Hummel Street
Lemoyne, PA 17043
Date:
r; 1 rdto
~ .. . ,"'
AMIE SMITH
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
CIVIL ACTION - LAW
SHAWN W. SMITH
Defendant
NO. 2006 - S'-~ CIVIL TERM
IN DIVORCE
. 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 mailplece,
or on the front if space permits.
1. Article Addressed to:
S~awr-.W . S~~"
\~d. ~"^~~ \ N~
~Nl,~~ \,al1~
2. Article Number
(T'ransfer from servfce label)
PS Form 3811. February 2004
x
B. Received by ( Printed Name)
3. ~1YPe
Z CertIfIed Mall 0 ~ Mall
CJ Registerecl ,.Ja"Retum Receipt for Merchandise
o Insured Mall 0 C.O.D.
4. Restricted Delivery? (Extra Fee) Yes
DomestIc Return Receipt 102595-02-M-1540
7006 0810 0006 1052 8033
e r--.,)
C:-~ ;J
= "'11
;R~ 0""
0 :r
C'? ,.,
Z:J:l -i niF
Z~ -orn
(n 00 :00
;:s. "':.- <) (-..>
...-0 ..,j"]",
.)> -0 ~;.~?~
zO :x
~8 c:.5m
~ --I
'1>
N j:J
-<
LINDA Z. GORTER,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNA
v.
: NO. 05-5665
DOUGLAS S. GORTER,
Defendant
: CML ACTION - LAW
: IN DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on
October 31, 2005.
2. The marriage of the Plaintiff and Defendant is irretrievably broken, and ninety days
have elapsed from the date of both the filing and service of the Complaint.
3. I consent to the entry of a final decree of divorce after service of Notice ofIntention
to request entry of the Decree.
WAIVER OF NOTICE OF INTENTION 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 in 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 above are true and correct. I understand that false
statements herein are made subject to the penalties of 18 Pa. C.S.A. ~4904, relating to unsworn
falsification to authorities.
Date: /~j; r /t;~
~'
j -~
da z. Gorter.l,llff
o
~;
'S.-
~;~r
~
C~
g~
C':l
0,
~-)
f'-'
C.)
o
-n
--I
~~E
~'-~
'T
(.,n
-l
LINDA Z. GORTER,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 05-5665
DOUGLAS S. GORTER,
Defendant
: CIVIL ACTION - LAW
: IN DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed
on 10/31/05.
2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90)
days have elapsed from the date of filing and service of the Complaint.
3. I consent to the entry of a final decree of divorce 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.A. Section 4904
relating to unsworn falsification to authorities.
Date:
W'-JDO
", /', f\
(,\ !' ~I) ~.__"
~.,~~
~ Ie l;"
ti6uglas ' . Gorter
~ 0
G? -n
0'
c::J
rr1
C"')
f......J
o
-
-
(Jl
CO
LINDA Z, GORTER,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 05-5665
DOUGLAS S. GORTER,
Defendant
: CIVIL ACTION - LAW
: IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REOUEST 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 I do not claim them before a divorce is granted.
3. I understand that I will not be divorced until a divorce decree is entered by the
Court and that a copy of the decree will be sent to me immediately after it is filed with the
Prothonotary .
I verify that the statements made in this Affidavit are true and correct. I understand
that false statements herein are made subject to the penalties of 18 Pa. C.S. ~4904, relating
to unsworn falsification to authorities.
Date:
i :11 '1. O{
~!#.
Douglas . . ~~~er
.-..;)
C::>
=
0'"
c:::J
1'1
("'";
"'..)
'0
o
-n
.-1
:l--n
rn r:-
~~~
-
-
(..n
CO
NUUUTALSETTLEMENTAGREEMENT
BY AND BETWEEN
LINDA Z. GORTER
AND
DOUGLAS S. GORTER
John 1. Connelly, Jr., Esquire
JAMES, SMITH, DIEITERICK & CONNELLY LLP
P.O. Box 650
Hershey, PA 17033
Telephone: (717) 533-3280
Counsel for Linda Z. Gorter
Marianne E. Rudebusch, Esquire
4711 Locust Lane
Harrisburg, P A 17109
Telephone: (717) 657-0632
Counsel for Douglas S. Gorter
MARITAL SETTLEMENT AGREEMENT
+\.-
TmS AGREEMENT, made this '<6 - day of b~be{Z..l ,2006, by
and between LINDA Z. GORTER, of Lewisberry, York County, Pennsylvania, and DOUGLAS
S. GORTER, of Mechanics burg, Cumberland County, Pennsylvania.
WITNESSETH:
WHEREAS, Douglas S. Gorter (hereinafter called "Husband") currently resides at 4167
Kittatinny Drive, Mechanicsburg, Cumberland County, Pennsylvania 17050;
WHEREAS, Linda Z. Gorter (hereinafter called "Wife") currently resides at 120 Megan
Way, Lewisberry, York County Pennsylvania 17339;
WHEREAS, the parties hereto are husband and wife, having been lawfully married on
August 29, 1981;
WHEREAS, the parties have lived separate and apart since on or about October 15,2005;
WHEREAS, two children were born of the marriage between the parties, namely, Bradley
R. Gorter, born March 23, 1986; and Stacey K. Gorter, born November 15, 1988;
WHEREAS, the parties hereto are desirous of settling fully and fmally their respective
financial and property rights and obligations as between each other, including, without limitation,
the settling of all matters between them relating to the ownership of real and personal property, the
support and maintenance of one another and, in general, the settling of any and all claims and
possible claims by one against the other or against their respective estates.
NOW THEREFORE, in consideration of these premises, and of the mutual promises,
covenants and undertakings hereinafter set forth, and for other good and valuable consideration, the
receipt and sufficiency of which is hereby acknowledged by each of the parties hereto, Husband and
Wife, each intending to be legally bound hereby, covenant and agree as follows:
1. PERSONAL RIGHTS. Husband and Wife may, at all times hereafter, live
separate and apart. Each shall be free from all control, restraint, interference and authority, direct or
indirect by the other. Each may reside at such place or places as he or she may select. Each may,
for his or her separate use or benefit, conduct, carry on or engage in any business, occupation,
1
profession or employment which to him or her may seem advisable. Husband and Wife shall not
molest, harass, disturb or malign each other, nor compel or attempt to compel the other to cohabit
or dwell by any means or in any manner whatsoever with him or her. Neither party will interfere
with the use, ownership, enjoyment or disposition of any property now owned by or hereafter
acquired by the other.
2. ADVICE OF COUNSEL. Each party acknowledges that he or she has had the
opportunity to receive independent legal advice from counsel of his or her selection. Husband has
secured legal advice from Marianne E. Rudebusch, Esquire, his counsel, and Wife has secured legal
advice from John J. Connelly, Jr., Esquire, her counsel. Each party fully understands the facts and
his or her legal rights and obligations, and each party acknowledges and accepts that this
Agreement is, in the circumstances, fair and equitable, and that it is being entered into freely and
voluntarily, and that the execution of this Agreement is not the result of any duress or undue
influence, and that it is not the result of any improper or illegal agreement or agreements. In
addition, each party understands the impact of the Pennsylvania Divorce Code, whereby the court
has the right and duty to determine all marital rights of the parties including divorce, alimony,
alimony pendente lite, equitable distribution of all marital property or property owned or possessed
individually by the other, counsel fees and costs of litigation and, fully knowing the same, 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 his and her respective right
to have the Court of Common Pleas of Cumberland County, or any other court of competent
jurisdiction, make any determination or order affecting the respective parties' rights to alimony,
alimony pendente lite, support and maintenance, equitable distribution, counsel fees and costs of
litigation.
3. DISCLOSURE OF ASSETS. Each of the parties hereto acknowledges that he or
she is aware of his or her right to seek discovery including, but not limited to, written
interrogatories, motions for production of documents, the taking of oral depositions, the filing of
inventories and all other means of discovery permitted under the Pennsylvania Divorce Code or the
Pennsylvania Rules of Civil Procedure. Each of the parties further acknowledges that he or she has
2
had the opportunity to discuss with counsel the concept of marital property under Pennsylvania law
and each is aware of his or her right to have the real and/or personal property, estate and assets,
earnings and income of the other assessed or evaluated by the courts of this Commonwealth or any
other court of competent jurisdiction. The parties do hereby acknowledge that there has been full
and fair disclosure to the other of his or her respective income, assets and liabilities, whether such
are held jointly, in the name of one party alone or in the name of one of the parties and another
individual or individuals. Each party agrees that any right to further disclosure, valuation, appraisal
or enumeration or statement thereof in this Agreement is hereby specifically waived, and the parties
do not wish to make or append hereto any further enumeration or statement. Specifically, each
party waives the need for copies of bank statements, insurance policies, retirement plan statements
or any other documentation. Each party warrants that he or she is not aware of any marital asset
that is not identified in this Agreement. The parties hereby acknowledge and agree that the division
of assets as set forth in this Agreement is fair, reasonable and equitable, and is satisfactory to them.
Each of the parties hereto further covenants and agrees for himself and herself and his or her heirs,
executors, administrators or assigns, that he or she will never at any time hereafter sue the other
party or his or her heirs, executors, administrators or assigns in any action of contention, direct or
indirect, and allege therein that there was a denial of any rights to full disclosure, or that there was
any fraud, duress, undue influence or that there was a failure to have available full, proper and
independent representation by legal counsel.
4. MUTUAL CONSENT DIVORCE. It is the intention of the parties, and the
parties agree, that by this Agreement they have resolved all ancillary economic issues related to the
dissolution of their marriage and thus any divorce action with respect to these parties shall be
limited to a claim for divorce only. Wife acknowledges that she has filed a Divorce Complaint in
the Court of Common Pleas Cumberland County, Pennsylvania, Docket No. 05-5665. The parties
agree that, at the time of the execution of this Agreement, they will each execute an Affidavit of
Consent and Waiver of Notice of Intention to Request Entry of Divorce Decree in order that
counsel for Wife may finalize the divorce action in a timely fashion. Upon completion of the
divorce action, counsel for Wife shall supply counsel for Husband with a copy of the Decree.
3
5. EOIDT ABLE DISTRIBUTION.
A. Real Estate. The parties have sold their jointly titled real estate located at
211 Fox Drive, Mechanicsburg, Cumberland County, Pennsylvania. At the time of the sale of the
real estate, the parties divided the proceeds 55% to Wife and 45% to Husband with Wife receiving
$67,133.81 and Husband receiving $54,927.67.
B. Furnishinl!:s and Personaltv. The parties agree that they have divided by
agreement between themselves all furnishings and personalty located in the Marital Residence,
including all furniture, furnishings, antiques, jewelry, rugs, carpets, household appliances and
equipment. Accordingly, Husband shall retain sole and exclusive ownership of all furnishings
and personalty currently in his possession, free and clear of any right, title, claim and/or interest
of Wife and Wife shall retain all items of furnishings and personal property currently in her
possession as her sole and separate property free and clear of any right, title, claim and/or interest
of Husband.
C. Motor Vehicles.
(1) Husband shall retain as his sole and separate property a 2005 Chevrolet
Impala. This vehicle is provided to Husband by his employer and is considered non-
marital property.
(2) Wife shall retain as her sole and separate property the 2002 Honda CRY.
Wife shall be responsible for any balance due on the said vehicle and she shall indemnify
and hold Husband harmless on the same.
(3) The 1995 Honda Accord shall be, at the appropriate time, transferred to
son's name individually.
(4) The 2002 Hyundai Sonata shall be transferred to Wife for the sole benefit
of the parties' daughter and ultimately transferred to the daughter or traded for another
vehicle which shall be the daughter's vehicle.
(5) The parties agree that they will. cooperate in effectuating the transfer of
titles and insurance to accomplish the purposes of this subparagraph.
.
4
D. Life Insurance. Each of the parties shall retain any life insurance policies
in their individual names. Husband is currently provided a life insurance policy through his
employer and agrees to designate Wife as beneficiary on the said policy in the amount of at least
$100,000.00. The life insurance beneficiary designation to Wife shall terminate at the time of the
termination of alimony more particularly set forth herein.
E. Pension and Retirement Benefits. Except as set forth below, each party
shall retain the pension and retirement benefits in their name individually.
Husband owns the following pension and retirement benefits:
(1) A rollover IRA with First Investors in the amount of approximately
$105,000.00.
(2) A CRST International, Inc. Mass Mutual 401K In the amount of
approximately $18,000.00.
(3) A JB Hunt 401K with a value as of March 10, 2006 of approximately
$5,200. OO( non-marital).
(4) A Roth IRA Northern Trust Security balance as of January 31, 2006 of
approximately $7,100.00 (non-marital).
Wife has a retirement plan with her employer, the YMCA, with a current value of
approximately $13,000.00.
In order to equitably distribute the pension plans, Husband agrees that he will rollover to
Wife a total of $62,000.00 as set forth herein. Husband will rollover the entire balance in his
CRST International, Inc. Mass Mutual 40lK account to Wife pursuant to a Qualified Domestic
Relations Order to be prepared by counsel for Wife. It is anticipated that the rollover balance
will be approximately $18,000.00. The parties shall determine the balance in the said account at
the time of the execution of the Agreement and that amount will be deducted from the total due
to Wife from pension accounts ($62,000.00). The remaining amount (the difference between
$62,000.00 and the value established for the CRST International, Inc. Mass Mutual 401K
account at date of Agreement) shall be transferred from First Investors IRA to an IRA designated
by Wife. Wife shall be entitled to retain in its entirety the rollover from the CRST International,
5
Inc. Mass Mutual 401 K account. In the event Wife withdraws any funds from the said account,
any tax liability generated by the withdrawal shall be the responsibility of Wife.
F. Bank Accounts. The parties have divided to their mutual satisfaction all
marital bank accounts. Any remaining bank accounts in either party's individual name shall be
their sole and separate property.
G. Miscellaneous Property, As of the execution date of this Agreement, any
and all property not specifically addressed herein shall be owned by the party to whom the
property is titled; and if untitled, the party in possession. This Agreement shall constitute a
sufficient bill of sale to evidence the transfer of any and all rights in such property from each to
the other.
H. Property to Wife. The parties agree that Wife shall own, possess, and
enJoy, free from any claim of husband, the property awarded to her by the terms of this
Agreement. Husband hereby quitclaims, assigns and conveys to Wife all such property, and
waives and relinquishes any and all rights thereto, together with any insurance policies covering
that property, and any escrow accounts relating to that property. This Agreement shall constitute
a sufficient bill of sale to evidence the transfer of any and all rights in such property from
Husband to Wife.
I. Property to Husband. The parties agree that Husband shall own,
possess, and enjoy, free from any claim of Wife, the property awarded to him by the terms of this
Agreement. Wife hereby quitclaims, assigns and conveys to Husband all such property, and
waives and relinquishes any and all rights thereto, together with any insurance policies covering
that property, and any escrow accounts relating to that property. This Agreement shall constitute
a sufficient bill of sale to evidence the transfer of any and all rights in such property from Wife to
Husband.
J. Marital Debt. All marital debt of the parties has been satisfied at the time
of the execution of this Agreement.
K. Colle2e Education. The parties agree that they will set aside for the
college education of their daughter Stacey U.S. Savings Bonds valued at approximately
6
$12,000.00 and a First Investor Account #104387 with a balance of approximately $40,600.00.
These monies shall be used solely for the education of the parties' daughter. In the event any
funds are left after daughter's education, they shall be divided between the parties 55% to Wife
and 45% to Husband. The parties agree that they will cash in the savings bonds for the purpose
of their daughter's education when the bonds have matured and the maximum amount is
available through the cashing of the bonds.
L. Liabilitv not Listed. Each party represents and warrants to the other that
he or she has not incurred any debt, obligation or other liability, other than those described in this
Agreement, on which the other party is or may be liable. A liability not disclosed in this
Agreement will be the sole responsibility of the party who has incurred or may hereafter incur it,
and such party agrees to pay it as the same shall become due, and to indemnify and hold the other
party and his or her property harmless from any and all debts, obligations and liabilities.
M. Indemnification of Wife. If any claim, action or proceeding is hereafter
initiated seeking to hold Wife liable for the debts or obligations assumed by Husband under this
Agreement, Husband will, at his sole expense, defend Wife against any such claim, action or
proceeding, whether or not well-founded, and indemnify her and her property against any
damages or loss resulting therefrom, including, but not limited to, costs of court and actual
attorney's fees incurred by Wife in connection therewith.
N. Indemnification of Husband. If any claim, action or proceeding is
hereafter initiated seeking to hold Husband liable for the debts or obligations assumed by Wife
under this Agreement, Wife will, at her sole expense, defend Husband against any such claim,
action or proceeding, whether or not well-founded, and indemnify him and his property against
any damages or loss resulting therefrom, including, but not limited to costs of court and actual
attorney's fees incurred by Husband in connection therewith.
O. Warrantv as to Future Obli!!ations. Husband and Wife each represents
and warrants to the other that he or she will not at any time in the future incur or contract any
debt, charge or liability for which the other, the other's legal representatives, property or estate
may be responsible. From the date of execution of this Agreement, each party shall use only
7
those credit cards and accounts for which that party is individually liable and the parties agree to
cooperate in closing any remaining accounts which provide for joint liability. Each party hereby
agrees to indemnify, save and hold the other and his or her property harmless from any liability,
loss, cost or expense whatsoever, including actual attorneys fees, incurred in the event of breach
hereof.
6. INCOME TAX. The parties have heretofore filed joint federal and state tax
returns. Both parties agree that, in the event any deficiency in federal, state or local income tax is
proposed or any assessment of any such tax is made against either of them, each will indemnify
and hold harmless the other from and against any loss or liability for any such tax deficiency or
assessment and any interest, penalty and expense incurred in connection therewith. Such tax,
interest, penalty or expense shall be paid solely and entirely by the individual who is finally
determined to be the cause of the misrepresentations or failures to disclose the nature and extent
of his or her separate income on the aforesaid joint returns.
7. INCOME TAX EXEMPTIONS: Ordinarily. the parties would share the income
tax exemptions available to each of them for their minor children with Wife taking Stacey as her
dependent in the tax vear 2006. The parties agree that Husband shall take the dependency
exemption for Stacey for the tax vear 2006 therebv having both chil~en as dependents for tax
purposes in that tax year. Husband shall be entitled to the exemvtion for Stacey so long as Wife
receives from Husband the amount Wife would have received had she claimed Stacey as a
dependent versus the amount she will receive without the exemption. For example. if Wife
would have received a $200.00 refund without Stacey as an exemption. and a $600.00 refund
with Stacevas an exemption. Husband would pay to Wife the $400.00 difference in order to use
Stacev as a dependent on his tax return. The same formula would apply should Wife have a tax
liability meaning Husband will pay to Wife the difference in her liability with and without Stacey
as a dependent.
8. ALIMONY. Husband agrees that he shall pay to Wife in the form of alimony the
sum of $700.00 per month. The said amount is presently designated as spousal support in a
Support Order through the Court of Common Pleas Cumberland County, Domestic Relations
8
Division. The said Support Order shall be converted to alimony at the time of the execution of
this Agreement. The said alimony payments shall be for an indefinite period of time but are non-
modifiable as to duration or amount. The said alimony payment shall terminate upon the death
of Husband, death of Wife or Wife's remarriage or cohabitation.
All such payments by Husband to Wife shall be deemed alimony, as defined in Section 71
(b) (1) (A) of the Internal Revenue Code as amended, and as said Section is amplified by the
provisions of the Tax Reform Act of 1984 and Tax Reform Act of 1986, and any future laws or
regulations related thereto. Payments from Husband, when received by Wife, shall be deductible in
the year of payment by Husband pursuant to Section 215 of the Internal Revenue Code, as
amended, or any similar future laws or regulations thereto, and shall be includable in the year of
receipt in the gross income of Wife pursuant to Section 71 (b) (1) (A) of the Internal Revenue Code,
as amended or any similar future laws or regulations thereto.
9. CIDLD SUPPORT. Husband is currently paying child support to Wife for the
parties' daughter Stacey pursuant to an Order in the Court of Common Pleas Cumberland County,
PACSES Case No. 55710774 in the amount of$I,OOO.OO per month. The said Child Support Order
shall continue in full force and effect subject to the terms and conditions of the existing Order. The
Child Support Order shall terminate upon the child's graduation from high school in June of2007.
Under the current child/spousal support order referenced herein. Husband is to pay directly
to Wife 33% of his net bonus for child and spousal sUPl'ort. The said bonus provision shall be
reduced from 33% to 19.5% for child support only. The difference between 19.5% and the former
amount of 33% is the spousal support portion which is terminated at the time of the termination of
the spousal support order.
10. WAIVER OF INHERITANCE RIGHTS. Unless otherwise specifically
provided in this Agreement, as of the execution date of this Agreement, Husband and Wife each
waive all rights of inheritance in the estate of the other, any right to elect to take against the will
or any trust of the other or in which the other has an interest, and each of the parties waives any
additional rights which said party has or may have by reason of their marriage, except the rights
saved or created by the terms of this Agreement. This waiver shall be construed generally and
9
shall include, but not be limited to, a waiver of all rights provided under the laws of
Pennsylvania, or any other jurisdiction.
11. WAIVER OF BENEFICIARY DESIGNATION. Unless otherwise specifically
set forth in this Agreement, each party hereto specifically waives any and all beneficiary rights
and any and all rights as a surviving spouse in and to any asset, benefit or like program carrying a
beneficiary designation which belongs to the other party under the terms of this Agreement,
including, but not limited to, pensions and retirement plans of any sort or nature, deferred
compensation plans, life insurance policies, annuities, stock accounts, bank accounts, final pay
checks or any other post-death distribution scheme, and each party expressly states that it is his
and her intention to revoke by the terms of this Agreement any beneficiary designations naming
the other which are in effect as of the date of execution of this Agreement. If and in the event the
other party continues to be named as beneficiary and no alternate beneficiary is otherwise
designated, the beneficiary shall be deemed to be the estate of the deceased party.
12. RELEASE OF CLAIMS.
A. Wife and Husband acknowledge and agree that the property dispositions
provided for herein constitute an equitable distribution of their assets and liabilities pursuant to
~3502 of the Divorce Code, and Wife and Husband hereby waive any right to division of their
property except as provided for in this Agreement. Furthermore, except as otherwise provided
for in this Agreement, each of the parties hereby specifically waives, releases, renounces and
forever abandons any claim, right, title or interest whatsoever he or she may have in property
transferred to the other party pursuant to this Agreement or identified in this Agreement as
belonging to the other party, and each party agrees never to assert any claim to said property or
proceeds in the future. The parties have divided between them to their mutual satisfaction,
personal effects, household goods and furnishings and all other articles of personal property which
have heretofore been used in common by them, and neither party will make any claim to any such
items which are now in the possession or under the control of the other. Should it become
necessary, each party agrees to sign any title or documents necessary to give effect to this
paragraph, upon request. However, neither party is released or discharged from any obligation
10
under this Agreement or any instrument or document executed pursuant to this Agreement.
Husband and Wife shall hereafter own and enjoy independently of any claim or right of the other,
all items of personal property, tangible or intangible, acquired by him or her from the execution
date of this Agreement with full power in him or her to dispose of the same fully and effectively
for all purposes.
B. Each party hereby absolutely and unconditionally releases and forever
discharges the other and the estate of the other for all purposes from any and all rights and
obligations which either party may have or at any time hereafter has for past, present or future
support or maintenance, alimony pendente lite, alimony, equitable distribution, counsel fees,
costs, expenses, and any other right or obligation, economic or otherwise, whether arising out of
the marital relationship or otherwise, including all rights and benefits under the Pennsylvania
Divorce Code of 1980, its supplements and amendments, as well as under any other law of any
other jurisdiction, except and only except all rights and obligations arising under this Agreement
or for the breach of any of its provisions. Neither party shall have any obligation to the other not
expressly set forth herein.
C. Except as set forth in this Agreement, each party hereby absolutely and
unconditionally releases and forever discharges the other and his or her heirs, executors,
administrators, assigns, property and estate from any and all rights, claims, demands or
obligations arising out of or by virtue of the marital relationship of the parties whether now
existing or hereafter arising. The above release shall be effective regardless of whether such
claims arise out of any former or future acts, contracts, engagements or liabilities of the other or
by way of dower, curtesy, widow's or widower's rights, family exemption or similar allowance,
or under the intestate laws or the right to take against the spouse's will, or the right to treat a
lifetime conveyance by the other as testamentary or all other rights of a surviving spouse to
participate in a deceased spouse's estate, whether arising under the laws of Pennsylvania, any
state, commonwealth or territory of the United States, or any other country.
D. Except for the obligations of the parties contained in this Agreement and
such rights as are expressly reserved herein, each party gives to the other by the execution of this
11
. ~
Agreement an absolute and unconditional release and discharge from all causes of action, claims,
rights or demands whatsoever in law or in equity, which either party ever had or now has against
the other.
13. PRESERVATION OF RECORDS. Each party will keep and preserve for a
period of four (4) years from the date of their divorce decree all financial records relating to the
marital estate, and each party will allow the other party access to those records in the event of tax
audits.
14. MODIFICATION. No modification, rescission, or amendment to this
Agreement shall be effective unless in writing signed by each of the parties hereto.
15. SEVERABILITY. If any provision of this Agreement is held by a court of
competent jurisdiction to be void, invalid or unenforceable, the remaining provisions hereof shall
nevertheless survive and continue in full force and effect without being impaired or invalidated
In any way.
16. BREACH. If either party hereto breaches any provision hereof, 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. The non-breaching party shall be entitled to
recover from the breaching party all costs, expenses and legal fees actually incurred in the
enforcement of the rights of the non-breaching party.
17. WAIVER OF BREACH. The waiver by one party of any breach of this
Agreement by the other party will not be deemed a waiver of any other breach or any provision of
this Agreement.
18. NOTICE. Any notice to be given under this Agreement by either party to the
other shall be in writing and may be effected by registered or certified mail, return receipt
requested. Notice to Husband will be sufficient if made or addressed to the following:
Douglas S. Gorter
4167 Kittatinny Drive
Mechanicsburg, P A 17050
and to Wife, if made or addressed to the following:
Linda Z. Gorter
12
.
I
120 Megan Way
Lewisberry, P A 17339
Notice shall be deemed to have occurred upon the date received by the recipient. Each party may
change the address for notice to him or her by giving notice of that change in accordance with the
provisions of this paragraph.
19. APPLICABLE LAW. All acts contemplated by this Agreement shall be
construed and enforced under the substantive laws of the Commonwealth of Pennsylvania
(without regard to the conflict of law rules applicable in Pennsylvania) in effect as of the date of
execution of this Agreement.
20. DATE OF EXECUTION. The "date of execution" or "execution date" of this
Agreement shall be defined as the date upon which the parties signed the Agreement if they
do so on the same date, or if not on the same date, then the date on which the Agreement was
signed by the last party to execute this Agreement.
21. EFFECTIVE DATE. This Agreement shall become effective and binding upon
both parties on the execution date.
22. EFFECT OF RECONCILIATION. COHABITATION OR DIVORCE. This
Agreement shall remain in full force and effect and shall not be abrogated even if the parties
effect a reconciliation, cohabit as husband and wife or attempt to effect a reconciliation. This
Agreement also shall continue in full force and effect in the event of the parties' divorce. There
shall be no modification or waiver of any of the terms hereof unless the parties in writing execute
a statement declaring this Agreement or any term of this Agreement to be null and void.
23. HEADINGS NOT PART OF AGREEMENT. Any headings preceding the text
of the several paragraphs and subparagraphs hereof are inserted solely for convenience of
reference and shall not constitute a part of this Agreement nor shall they affect its meaning,
construction or effect.
24. AGREEMENT BINDING ON PARTIES AND HEIRS. This Agreement shall
bind the parties hereto and their respective heirs, executors, administrators, legal representatives,
assigns, and successors in any interest of the parties.
13
.
.
25. ENTIRE AGREEMENT. Each party acknowledges that he or she has carefully
read this Agreement; that he or she has discussed its provisions with an attorney of his or her
own choice, and has executed it voluntarily and in reliance upon his or her own attorney; and that
this instrument expresses the entire agreement between the parties concerning the subjects it
purports to cover and supersedes any and all prior agreements between the parties.
This Agreement should be interpreted fairly and simply, and not strictly for or against either of
the parties.
26. MUTUAL COOPERATION. Each party shall, on demand, execute and deliver
to the other any deeds, bills of sale, assignments, consents to change of beneficiary designations,
tax returns, and other documents, and shall do or cause to be done every other act or thing that
may be necessary or desirable to effectuate the provisions and purposes of this Agreement. If
either party unreasonably fails on demand to comply with these provisions, that party shall pay to
the other party all attorney's fees, costs, and other expenses actually incurred as a result of such
failure.
27. AGREEMENT NOT TO BE MERGED. This Agreement may be incorporated
into a decree of divorce for purposes of enforcement only, but otherwise shall not be merged into
said decree. The parties shall have the right to enforce this Agreement under the Divorce Code
of 1980, as amended, and in addition, shall retain any remedies in law or in equity under this
Agreement as an independent contract. Such remedies in law or equity are specifically not
waived or released.
IN WITNESS WHEREOF, the parties hereto set their hands and seals on the dates of
their acknowledgments.
~~
'/, -'7d
LO daZoGortJ
~~r ~ tk
14
p
\1
r~.
n
~"""
o
--
-.....
en
c,'
-.........
,(1
:<
.", ....
LINDA Z. GORTER,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNA
v.
: NO. 05-5665
DOUGLAS S. GORTER,
Defendant
: 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 (XX) 3301 (c) ()
3301(d) of the Divorce Code.
2. Date and manner of service of the Complaint: by certified, restricted mail on
November 3,2005, as evidenced by the Affidavit of Service on record.
3. Complete either paragraph (a) or (b).
(a) Date of execution of the Affidavit of Consent and Waiver of Counseling
required by Section 3301(c) of the Divorce Code: by Plaintiff: December 18,2006; by Defendant:
December 4, 2006.
(b) (1) Date of execution of the Plaintiff's Affidavit required by Section 3301(d) of
the Divorce Code:
(2) Date of service of the Plaintiff's Affidavit upon the Defendant:
4. Related claims pending: All claims have been settled pursuant to a Marital
Settlement Agreement dated December 18, 2006.
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) of the
Divorce Code:
6. Date and manner of service of Notice ofIntention to file Praecipe to Transmit
Record, a copy of which is attached, if the decree is to be entered under Section 3301(d) of the
Divorce Code:
or, date of execution of Waiver of Notice of Intention to Request Entry of a Divorce Decree
under Section 3301(c) of the Divorce Code: by Plaintiff: December 18,2006; by Defendant:
December 4, 2006.
and, date of filing of the Waiver of Notice ofIntention to Request Entry of a Divorce
Decree: both PlaintifPs and Defendant's Waivers are being filed contemporaneously herewith.
JAMES, SMITH, DIEITERICK & CONNELLY, LLP
Date: I a I d. 0 I () tp
o
~:
"';..~
r">J
C'.:>
c.;.:;)
CT'
C)
rrl
~-)
~~~)
-n
.~
:r: -n
['11 p_
r:[~
l"..~)
C'
en
OJ
MARITAL SEPARATION AGREEMENT
I. PREAMBLE
THIS AGREEMENT, made and entered into this J 1..) f\p~, 1 ;;t.~C)t.., by and
between SHAWN WAYNE SMITH, hereinafter referred to as The Husband, and
AMIE MARIE SMITH hereinafter referred to as The Wife.
WITNESSETH:
MARRIAGE
WHEREAS, the parties hereto were married on the 17th day of October,
1996, in Bel Air, Maryland, and have been and are now Husband and Wife.
CHILDREN
WHEREAS, one child has been born as issue of this marriage, to-wit:
ALEXA MARIE SMITH, born October 12, 2000, and there are no other children
born or conceived of this marriage;
PHYSICAL SEPARATION
WHEREAS, the parties, in consequence of disputes and irreconcilable
differences, have separated on or about the 20th day of January, 2006, and are
currently living separate and apart from each other, and have voluntarily and
mutually agreed to continue to live separate and apart.
AGREEMENT
WHEREAS, both parties have arrived at mutually agreeable provisions to
settle, adjust, compromise, and determine for all time the custody of their minor
child, all rights of support and maintenance by either party against the other by
reason of their marriage, and all property including a fair and equitable division of
all community property and other rights and obligations existing between the
parties arising out of their marital relationship;
CONSIDERATION
NOW THEREFORE, in consideration of the mutual promises herein made
and of acts to be performed by them, the parties have agreed and by these
presents do agree as follows:
Separation Agreement
Page 1 of 19
II. SEPARATION OF THE PARTIES
SEPARATE LIVES
The parties mutually and voluntarily agree, with the intention of terminating
the marriage, to continue to live separate and apart in separate places of abode,
without any cohabitation, as they have since January 20,2006.
RECONCILIATION
Even if the parties reconcile and resume living as Husband and Wife, this
agreement shall nevertheless continue in full force and effect unless and until
both parties execute a notarized agreement expressly modifying or rescinding
this agreement. No failure to enforce any provision of this agreement for any
period of time shall constitute a waiver of such provision.
RIGHT OF DIVORCE RESERVED
Nothing contained in this agreement shall be construed as a waiver by
either of the parties of any ground for divorce which either of them may now or
hereafter have against the other, the same being hereby expressly reserved.
III. CHILD CUSTODY AND VISITATION
The custody of the minor child of the parties, namely, ALEXA MARIE
SMITH, shall be shared jointly by Husband and Wife. The parties agree that
although the child may primarily reside with the Wife, both parties shall exercise
joint care and control of the child and both parents may visit said minor child at
any and all reasonable times and places. The parties hereto represent and
agree that the welfare of the child shall be the major factor governing all aspects
of custody and visitation rights and it is further understood that nothing contained
herein shall constitute an abandonment of the said child by either of the parties.
The parties agree to consult one another with regard to any and all major
decisions affecting the health, education, and welfare in the best interests of said
child.
The Wife shall be referred to herein as the Custodial Parent. The
Husband shall be referred to as the Non-Custodial Parent. The Custodial Parent
agrees to consult with the Non-Custodial Parent on such matters as major
medical treatments and selection of schools for the child to promote the best
interests of the child. The Custodial Parent shall exercise final determination
over these matters.
Separation Agreement
Page 2 of 19
VISITATION
The child shall be with the Husband at the following times unless
otherwise agreed to by the parties:
WEEKENDS
On alternate weekends the Husband shall have custodial time with the
child 5: 15 p.m. Friday till transportated to school Monday morning. If the
weekend is adjacent to a Monday holiday, the visit shall be extended to weekday
schedule. Weekend visits will only be granted while Husband resides within 90
miles of the Wife.
WEEKDAYS
The Husband shall continue to have custodial time with the child every
other alternating Tuesday and Thursday, from 5: 15 p.m. till transported to school
the following morning and every other alternating Monday, Wednesday and
Friday from 5:15 p.m. till transported school the following day. The Husband
agrees to supervise and assist the child with homework assignments and to
provide them with dinner during such time. Weekday visits will only be granted
while Husband resides within 90 miles of the Wife.
HOLIDAY SCHEDULE
WINTER SCHOOL RECESSES
The winter school recess shall be divided so that each parent has the child
in alternating years while the child is out of school. In all even numbered years,
the Wife shall have the child from the time she is released from school to the day
before school resumes. In odd-numbered years, the Husband has the child from
the time the child is released from school to the day before school resumes.
THANKSGIVING
The parties agree that the child shall be with the Wife on Thanksgiving
Holiday from Wednesday evening to Sunday evening in every odd-numbered
year and with the Husband in every even-numbered year thereafter.
SPRING BREAK
The parties agree the child shall be with the Wife during spring break
vacation from the release from school until school resumes in every odd-
numbered year and with the Husband in every even-numbered year thereafter.
Separation Agreement
Page 3 of 19
SUMMER VACA liON
The child shall be with the Husband for a total of four weeks during the
summer. The Husband shall notify the Wife of his summer vacation schedule on
or before April 1st of each year.
EFFORTS TO ACCOMMODATE
The parties shall at all times be flexible in their visitation arrangement and
shall give mature considerations to the wishes and needs of the minor child. Thl~
parties acknowledge that the best interest of the child is their paramount concern
and recognize that modifications in the visitation arrangement may have to occur
in order to meet the changing needs of the child and the parties to this
Agreement. To that end, the parties may adjust any of the above times of
visitation by mutual agreement as their respective schedules and/or the child's
may require. Neither party shall arbitrarily dictate the terms of this Agreement
and each shall endeavor to resolve all conflicts in good faith. In exercising and
affording visitation or joint custody rights, each parent shall make all reasonable
efforts to accommodate the schedule of the other parent. However, failure to
reach mutual accord on a requested adjustment shall not constitute justification
for the Wife or Husband to delay delivery of the child beyond the above schedule.
The parties may modify or change this method of sharing physical custody
as they may mutually agree, based on any problems, which may arise. In the
event the parties cannot reach agreement regarding any requested
modifications, either parent reserves the right to petition a court of competent
jurisdiction to resolve the issue with the goal of maximizing the time with both
parents in order to carry out the intent of equal shared custody; provided,
however, that no modification will be implemented unless both parties agree or a
court of competent jurisdiction so orders.
AVAilABILITY OF OTHER PARENT
If either party is required by their employer to travel overnight out of the
area, the other party will have the option to make himself/herself available to care
for the child during that time. If either parent is unable to care for the child, prior
to using a third party to care for the child, the other parent shall be given the
option to make himself available to care for the child during that time.
SPECIAL EVENT
The parties shall also cooperate, to the extent which may be appropriate
under the circumstances, in accommodating one another should one wish to
have the child for some special event or occasion other than and in addition to
those specified herein above.
Separation Agreement
Page 4 of 19
The parties agree to work constructively with one another, and the child, in
determining other appropriate times for the child to be with the Husband.
Although the parties do not believe it necessary to schedule these times, the
parties agree on the following principles: the parties shall share or alternate
birthdays and special occasions and the parties shall make reasonable
arrangements for the child as the case my be, to spend weekday time with the
Husband, consistent with the schedules and the best interests of the child.
LONG DISTANCE VISITATION
The parties agree that upon the child's attaining the age that air carriers
will allow her to travel unaccompanied, the child will use this means for visitation
purposes. Husband will bear all transportation costs incident to exercise of
visitation rights except as follows:
The Wife will be responsible for delivering the child to and picking the child
up at the major commercial airport nearest her home.
If either parent moves to a new location so that transportation costs are
higher, that parent will bear the additional cost.
OPTIONAL VISITATION
Under this agreement visitation shall be optional with the Husband, and
his failure to exercise such rights on any occasion, for whatever reason, shall not
be construed as a waive of future rights. However, any such unused visitation
shall not accumulate.
PARENTAL RESPONSIBILITY
DISPARAGING REMARKS
Neither party will disparage or criticize the other party in the child's
presence, and each party will ensure that other adults refrain from disparaging or
criticizing the other party in the child's presence.
TELEPHONE
Notwithstanding any of the above-specified provisions regarding custody
and visitation, the parties shall each be allowed to communicate with the child by
telephone and other means as the situation may reasonably require from time to
time.
Separation Agreement
Page 5 of 19
NOTICE OF CHANGE OF ADDRESS
Each party shall at all times keep the other apprised of his or her current
permanent address within 30 Days of any intended change thereof. Such notice
shall provide the other party of the intended date of change of address, the
specific street, route address, city or county, state and zip code of the intended
new address.
IV. CHILD SUPPORT
AMOUNT
Commencing on the 5th day of February 2006, the Husband agrees to pay
to the Wife to be used solely for the benefit of such child the sum of $400 per
month until the child is emancipated. Such child support payments shall continue
so long as the child reside and live with the Wife until the occurrence of the
emancipation event as stated in this agreement.
MODIFICATION
The parties further acknowledge that the child support required by this
agreement is only subject to modification by a court of competent jurisdiction
upon a showing of a substantial change of circumstances
POST-SECONDARY EDUCATION
The Parties agree that the differences of the parties in no way effect their
affection for the child and they both agree to assist the child with the reasonable
expenses of vocational or academic education beyond secondary schooling,
whenever necessary and appropriate, in the same manner as if the parties had
continued to live together: provided such child is in legitimate and diligent pursuit
of such education, or until age 25.
v. HEALTH CARE
MEDICAL
The parties acknowledge that the child will remain covered under the
current military medical coverage for so long as they qualify for such coverage
under applicable law and military regulations. Coverage will be maintained as
TRICARE Prime, and the Husband is responsible for paying the premiums.
If the Husband terminates his military service prior to retirement, the
Husband agrees to provide comparable medical insurance coverage for the child.
Separation Agreement
Page 6 of 19
It is further mutually agreed by and between the parties that the Wife will
comply to the maximum extent possible with the provisions of any military service
health program for the care of the minor child. If military facilities are reasonably
available and the Wife, in a non-emergency, fails to use them, the Husband will
not be liable for any expenses incurred.
If civilian facilities are used, the Wife specifically agrees to maintain all
records and receipts required by said military service health care program and to
prepare whatever forms are required for obtaining reimbursement for medical
care and treatment for the minor child. The Husband shall obtain identification
cards, and take all other actions necessary to assure that the child enjoys full
access to, and benefits from, any government operated, funded or reimbursed
medical care program for which dependents of present and former service
members are eligible under the law. A copy of this Agreement, or of an abstract
containing this paragraph, shall constitute the Husband's direction and request to
the administrator of any such program to enroll the child as a participant.
The parties agree that the Husband shall pay 50% of the annual TRICARE
deductible. The parties also agree that the Husband shall pay 50% of the cost
share, excess charges, and uninsured medical expenses including, but not
limited to, medical, hospitalization, medication, mental health and optometry for
the period of time that the child is the Husband's dependent for the purpose of
medical care. The Wife is responsible for paying the balance of these costs.
DENTAL
The Husband agrees to enroll the child in the military dental care program
for so long as they qualify for such coverage under applicable law and military
regulations. The Husband is responsible for paying the premiums. If the
Husband terminates his military service prior to retirement, the Husband agrees
to provide comparable dental insurance coverage for the child.
It is further mutually agreed by and between the parties that the Wife will
comply to the maximum extent possible with the provisions of the military dental
care program for the dental needs of the minor child. If participating facilities are
available and the Wife, in a non-emergency, fails to use them, the Husband will
not be liable for any expenses incurred. The Wife specifically agrees to maintain
all records and receipts required by said military dental care program and to
prepare whatever forms are required for obtaining reimbursement for dental care
and treatment for the minor child. The Husband shall take all actions necessary
to enroll the child in the dental care program and assure that the child enjoys full
access to, and benefits from, the government operated, funded or reimbursed
dental care program for which dependents of present and former service
members are eligible under the law. A copy of this Agreement, or of an abstract
containing this paragraph, shall constitute the Husband's direction and request to
the administrator of any such program to enroll the child as a participant.
Separation Agreement
Page 7 of 19
The parties agree that the Husband shall pay 50% of the deductibles, cost
share, excess charges, and uninsured dental expenses, including orthodontic
services, for the period of time that the child is the Husband's dependent for the
purpose of medical care. The Wife is responsible for paying the balance of these
costs.
VI. EMANCIPATION EVENT
With respect to a child, an emancipation event shall be deemed to occur
upon the earliest happening of any of the following:
1. Reaching the age of 18 years or graduation from high school,
whichever occurs first, except in the case of a handicapped child;
2. Marriage;
3. Death;
4. Entry into the Armed Forces of the United States, however, if the
child is discharged from the service before his/her eighteenth birthday, an
emancipation event will not have been deemed to-occur except for the period of
actual service in the armed force;
5. Engaging in full-time employment other than during vacation and
summer periods;
6. Engaging in part-time employment, if not a student.
For the purposes of this agreement, a handicapped child shall
mean one who is physically or mentally incapable of continuous self-support, as
opposed to unwilling to support himself or herself at the age of eighteen years
and thereafter. During the period of time the handicapped child is engaged in full
or part-time employment, the obligation of the Husband for child support shall be
reduced by the amount of the handicapped child's net income; but upon the
termination of such employment, the Husband's obligation shall continue in full
effect.
VII. SPOUSAL SUPPORT
Neither party shall now or in the future be obligated to pay to the other any
amount or form of maintenance, alimony, or spousal support. They agree that
neither of them shall petition any court for any form of such support and they
each release the other from any obligation for support. This clause may be
pleaded in bar of such a petition.
Separation Agreement
Page 8 of 19
VIII. DIVISION OF PERSONAL PROPERTY
The parties have agreed to divide their personal property to their mutual
satisfaction. Henceforth, each of the parties shall own, have and enjoy
independently of any claim or right of the other party, all items of personal
property of every kind, nature and description and wheresoever situated, as
provided herein:
MOTOR VEHICLES
The 2003 Acura now owned by the parties titled in the name of the
Husband and the Wife, subject to an existing lien with a balance due of
$22,193.00 and payable at the rate of $345.00 per month, shall be the property
of Husband, who assumes liability for and shall make payments on the lien note
when due and hold the other harmless therefrom. The 1999 Ducati motorcycle
now owned by the parties titled in the name of the Husband and the Wife, subject
to an existing lien and payable at the rate of $120.00 per month shall be the
property of Husband, who assumes liability for and shall make payments on the
lien note when due and hold the other harmless therefrom. The 2004 Pontiac
Grand Am now owned by the parties titled in the name of the Husband and the
Wife, subject to an existing lien with a balance due of $15,349.00 shall be the
property of Wife, who assumes liability for and shall make payments on the lien
note when due and hold the other harmless therefrom.
Both parties agree to execute any bill of sale, registration certificate, or
other documents necessary to transfer full and complete title to said motor
vehicles as aforesaid.
INTANGIBLE PERSONAL PROPERTY
All stocks, bonds, cash, and sums on deposit in checking and savings
accounts shall be divided as soon after execution of this agreement as
practicable in the following manner:
Separation Agreement
Page 9 ofl9
BANK ACCOUNTS
All sums on deposit in checking accounts and savings accounts owned by
either or both of the parties in excess of outstanding checks drawn thereon prior
to midnight on 20 January 2006, shall be divided as follows:
Type Account Current Account Number and Account Balance Awarded to:
Owner Location
Savings and Husband 0203549437,PSECU Husband
Checking and Wife
Savings and Husband 0208669976, PSECU Wife
Checking and Wife
Savings Wife 7820165013,Pentagon WifE~
Federal Credit Union
Sums which either party has withdrawn from such accounts since midnight
on 20 January 2006 shall be charged as partial distribution to the withdrawing
party except to the extent that the proceeds of such withdrawals have been used
by the withdrawing party to pay obligations of the other party and except as
agreed upon by the parties.
STOCKS AND BONDS
Each party shall receive and retain as his or her sole and separate
property the following stocks and/or bonds in the amounts indicated.
Type Investment
Current Owner
Investment
Description
Roth IRA USCRX
Stock
Wife
Cost Basis Awarded To:
$1,646.58 Wife
FURNITURE AND OTHER TANGIBLE PROPERTY
Each party shall receive and retain as his or her sole and separate
property the following furniture:
Furniture item
King Bed
Small Table and 2 Chairs
Refrigerator
Washer and Dryer
Couch
Large Table and 4 Chairs
Computer
Computer Table
Item Value
$3,000.00
$350.00
$850.00
$750.00
$1,600.00
$1,350.00
$600.00
$160.00
Separation Agreement
Page 10 of 19
Awarded To:
Husband
Husband
Husband
Husband
Wife
Wife
Wife
Wife
All furniture and other tangible personal property not disposed of pursuant
to other paragraphs of this agreement shall be divided equally according to valu1e
between the parties. Air conditioners and other removable large appliances shall
be considered to fall within this sub-section.
Each party has independently determined to his or her satisfaction the
extent of property owned by the parties jointly and individually. Each party is
satisfied that this agreement divides all property and assets that should be
divided between the parties. Notwithstanding contrary provisions of law, any
property, asset or expectancy, be it real or personal, tangible or intangible,
vested or contingent, that is not addressed in this agreement is the separate
property of the party who now owns or possesses it.
IX. DIVISION OF REAL PROPERTY
The Husband and Wife own certain real property located at 122 Hummel
Avenue, Lemoyne, PA, hereinafter, the "home" and it shall be treated as follows:
The Husband shall have the exclusive right from and after the date of this
agreement personally to occupy the "home" without paying any remuneration
therefore to the Wife. While occupying the "home," the Husband shall pay all
charges, mortgage payments, taxes and assessments thereon.
In the event the Husband ceases personally to occupy the "home" and in
any event, no more than 3 years from the date of this agreement, the Husband
shall exercise the option either to:
Sell the "home" at the fair market value and pay to the Wife one-half the
net proceeds as hereinafter defined; or
Take title to the "home" in his sole name and pay to the Wife a sum equal
to one-half of the difference between the then appraised fair market value of the
"home" and the balance either then due on the currently existing liens on the
"home" or balance which would be due thereon if all payments subsequent to the
date of this agreement had been made on time, whichever is the lesser sum.
The appraised market value for the purpose of this paragraph shall be
determined by an independent appraiser to be selected by mutual agreement
between Husband and Wife, or, if they are unable to agree on the selection of
such an appraiser, by an appraiser selected by the persons suggested as
appraisers by Husband and Wife. The cost of such appraisal shall be divided
equally between the parties.
Separation Agreement
Page 11 of 19
If the Husband elects to sell the"
to division pursuant to the above subpal
in the contract of sale less balance then
home, any real estate broker's commiss
transfer and sales and documentary tax
prorated taxes and interest payable by t
improvements made by the Husband fol (
the actual cost of any fixing up expensel H b c~J 1\ e e c: S
. c C(/"'l -' , I
Improvements the Husband may make t U J 1_
immediately preceding the date on whicl I \ L I ~,...., CO./1 se:"17 T
actually paid not later than 30 days afterJ~ LV'r, \ 'I
shall not incur any such capital expenditl . I S e--l f- t
$200.00 (Two Hundred Dollars and No C (' r' N\ lI\ ,I l'^
Husband. .-t. · 0,
The following items now located a
of the "home" and not items of furniture (
meaning of the DIVISION OF PERSONA
agreement: rugs, fireplace equipment, dr
Husband may have the use of the large c
washer and dryer as long as he occupies
the items mentioned in the two precedin~
as part of the "home," they shall be dividE
PERSONAL PROPERTY paragraph of t~
There shall be no major alteration
the express written consent of the Husbal
alteration shall be that which, when comp
x. MARITAL DEBTS
CONESTffiA TITLE
INSUAANCE CO.
~ 137 East King Street. Lancaster, PA 17602 I www.contitle.com
phone: (800) 732-3555 . (717) 299-48051 Fax: (800) 675-2457' (717) 399-982
The Husband shall be solely responsible for the following presently
outstanding debts of the parties and their child:
Creditor
Exchange Credit Program Revolving
USAA Credit Card
Bank of America Credit Card
Citi Bank Credit Card
Best Buy Credit Card
Commerce Bank Line of Credit
PSECU 220 Closed End Loan
Account Number
6019440004953984
5491231246108495
4319040003544636
5424181907087864
7021270319490057
000833009814
0208669976
Total Husband Debt
Amount Due
$6,679.00
$5,975.00
$1,427.00
$1,794.00
$1,310.00
$359.00
$1,027.00
$18,571.00
Separation Agreement
Page 12 of 19
The Wife shall be solely responsible for the following presently outstanding
debts of the parties and their child:
Creditor
Wells Fargo Revolving Furniture
Line
PSECU L9 Credit Card
Shared PSECU L20 Closed End
Loan
PSECU L21 Closed End Load
. Exchange Credit Program Revolving
Victoria Secret Credit Card
Account Number
90684752
Amount Dw~
$2,941.00
$4,482.00
$1,027.00
$5,970.00
$6,449.00
$239.00
$21,108.00
0208669976
0208669976
0208669976
6019440003955220
891977191
Total Wife Debt:
Each party shall hold harmless and indemnify the other against any and all
liability in connection with those bills that he or she is obligated to pay under the
terms of this agreement.
The parties hereto agree that no further debts will be contracted in the
name of the other party, and to hold the other harmless in the event of a breach
of this paragraph. The parties further agree that neither party shall charge or
cause or permit to be charged to or against the other any purchase or purchases
which either of them may hereafter make, and neither shall hereafter secure or
attempt to secure any credit upon or in connection with the other, or in his or her
name, and each of them will promptly pay all debts and discharge all financial
obligations which each may incur for himself or herself.
XI. LIFE INSURANCE
The parties acknowledge that certain life insurance policies are in force on
the lives of the parties with the other as beneficiary. The parties hereby agree
that the party in possession of a policy or policies may do with such as they in
their sole discretion deem proper including, but not limited to, the termination of
said policies, or the designation of another beneficiary.
Separation Agreement
Page 13 of19
XII. MILITARY PRIVILEGES
CHILD ENTITLEMENTS
It is further mutually agreed by and between the parties that consistent
with existing regulations of the United States Army, the Husband hereby
specifically agrees to cooperate fully in furnishing any and all assistance in
obtaining and maintaining all benefits due to the minor child of the parties by
reason of the child's status as a military dependent. The Husband further
specifically agrees to take whatever action is necessary to obtain any and all
service-connected benefits for the minor child, including, but not limited to, post
exchange benefits, commissary benefits, education benefits, medical treatment
benefits or any other benefits the minor child is able to derive by reason of
military dependent status, consistent with the regulations of the United States
Army. .
XIII. DIVISION OF MILITARY RETIRED PAY
The parties agree that the Wife has waived all interest in the Husband's
military retirement plan with the U.S. Army, and has waived her entitlement to the
Husband's assignment of benefits in compliance with Federal Law.
The parties were married for a period of 9 years 4 months during which
the Husband performed 10 years 10 months of creditable military service.
The parties acknowledge that any applicable rights of the Husband under
the Servicemembers Civil Relief Act have been observed.
XIV. ACCEPTANCE AND MUTUAL RELEASE
Each of the parties receives the property set apart to them and the
undertakings hereof in full and complete settlement and release of all claims and
demands of every kind, name, or nature against the other party hereto, includin~,
all liability now or at any time hereafter existing or accruing on account of
support, maintenance, spousal support, dower, courtesy, or other allowances,
either statutory or arising at common law, incident to the marriage relation; and
after this settlement, Husband and Wife shall require nothing whatever of the
other, except as herein provided," as though the marriage relation between them
had never existed.
Separation Agreement
Page 14 of 19
XV. RELEASE OF ESTATE RIGHTS
Wife agrees that the estate of Husband, after payment of the
consideration herein mentioned to Wife, shall belong to the person or persons
who would have become entitled thereof if the Wife had died during the lifetime
of Husband; and Wife further agrees that she will not contest any will of Husband
to be probated, and will allow administration upon his personal estate to be taken
out by the person or persons who would have been entitled to do so had Wife
died during the lifetime of Husband. Husband agrees that the estate of Wife
including the consideration herein mentioned, shall belong to the persons who
would have become entitled thereto if Husband had died during the lifetime of
Wife; and Husband further agrees that he will not contest the will of Wife to be
probated, and will allow administration upon her personal estate to be taken out
by the person or persons who would have been entitled to do so had Husband
died during the lifetime of Wife. Each party releases to the other and to the heirs,
executors, administrators and assigns thereof all claims to or rights of, dower,
courtesy, or inheritance, descent, distribution, election, or alimony in and to all
property, real or personal, of the other, whether now owned or hereafter
acquired. Each party renounces any claim or right to petition for letters of
administration or to act as representatives of the other's estate even though there
be no dissolution of marriage.
XVI. TAX MATTERS
ANNUAL RETURNS
The parties agree to file separate federal and state income tax returns for
the Tax Year 2005, and for all subsequent years. Any tax refund from said
returns shall be the sole property of the party filing the separate return.
XVII. COUNSEL FEES
The party initiating the suit agrees to pay all court costs in connection with
any divorce action which may be instituted at any time in the future between the
parties hereto. Each party will pay his or her own attorney's fee. Each party
hereby releases the other from any further obligations to pay any other or further
counsel fees for each other or on each other's behalf in connection with any
matter, except for the costs of the enforcement of the terms of this agreement in
the event of one party's non-compliance, in which case the non-complying party
shall be responsible for all reasonable expenses incurred in enforcement.
Separation Agreement
Page 15 of 19
However, if any suit or action is brought to declare or to enforce the rights
of one of the parties under this agreement, the court may in its sound discretion
award attorney fees and costs to the prevailing party; and the court shall make
such an award if the suit or action is brought successfully to enforce a child or
spousal support obligation. Although this is not an agreement to obtain a
divorce, it is understood that the parties will be responsible for their own counsel
fees and costs in any subsequent divorce action or other proceeding brought by
either party.
XVIII. WAIVER OF RIGHTS UNDER THE SERVICEMEMBERS
CIVIL RELIEF ACT
The Husband hereby agrees to waive any and all rights he may have
under the provisions of the Servicemembers Civil Relief Act in any subsequent
action for divorce, provided that the terms of the divorce decree will not
contradict, change, add or delete from any of the terms of this agreement in any
manner whatsoever. The Husband realizes that this waiver will allow a default
judgment of divorce to be entered against him in accordance with the terms of
this agreement.
XIX. BINDING EFFECT
All covenants, promises, stipulations, agreements and provisions
contained herein shall apply to, bind and be obligatory upon, the heirs, executors,
administrators, personal representatives and assigns of the parties herein.
XX. NOTICES
For purposes of this agreement, all notices or other communications given
or made hereunder shall, until written notice to the contrary, be given or mailed to
AMIE MARIE SMITH at 139 B Garden Avenue, New Cumberland, PA 17070 and
to SHAWN WAYNE SMITH at 127 Hummel Avenue, Lemoyne, PA 17043.
XXI. ENTIRE AGREEMENT
Both the legal and practical effect of this agreement in each and every
respect and the financial status of the parties have been fully explained to both
parties by legal counsel of each party's independent choice, and both parties
acknowledge that the agreement is fair and is not the result of an fraud, duress or
undue influence exercised by either party upon the other or by any other person
or persons upon either, and they further agree that this agreement contains the
entire understanding of the parties, there being no representations, promises,
warranties, covenants or undertakings other than those expressly set forth
herein.
Separation Agreement
Page 16 of 19
XXII. SEVERABILITY
Should any Court hold a provision of this Agreement invalid, the remainder
of the Agreement shall be given full force and effect and the invalid portion shall
be struck from the Agreement or modified as the Court shall order.
XXIII. INCORPORATION OF AGREEMENT IN DECREE
In the event that an action for divorce is instituted at anytime hereafter by
either party against the other in this or any other state or country, the parties
hereto agree that they shall be bound by all the terms of this agreement and that
this agreement shall not be merged in any decree or judgment that may be
granted in such an action but shall survive same and shall be forever binding and
conclusive on the parties, but nothing herein shall be construed to prevent the
decree of judgment in any such action from incorporating in full or in substance
the terms of this agreement.
XXIV. GOVERNING LAW
This agreement shall be interpreted in accordance with the laws of the
State of Pennsylvania.
XXV. COUNSEL
In the negotiation and execution of this separation agreement, Husband
was not represented by legal counsel. During the negotiation and prior to the
execution hereof he was advised of his right to consult with counsel, of the
availability of free legal counsel, and of the desirability of consulting with counsel
before executing this agreement because if affects important personal and
financial rights. By his signature on the line below and his execution of this
agreement, Husband represents that he has not received any advice from Wife's
attorney other than the recommendation to consult with counsel of his choice,
and he hereby waives his right to counsel.
XXVI. EXECUTION
This agreement consisting of 19 typewritten pages is executed in
duplicate, each of which shall be deemed to constitute an original once executec/o
The parties have been advised and are aware that this agreement shall
not be binding oneither party unless it is duly executed by both parties.
Separation Agreement
Page 17 of 19
XXVII. ACKNOWLEDGMENT
IN WITNESS WHEREOF, I have at J-e.w Cuwt~/r ktlAJ, ?t=\ this '~y
of t\f\....' \ '2.J::i;b , set my hand and seal to this separation agreement,
the pages hereof bearing my initials.
=-~~
SHAWN WAYNE SMITH
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF YUvL
On thislj4~y of A ~v i \ 2-CbC:,. , before me, a Notary Public in and
for the Commonwealth of Pennsylvania, personally appeared SHAWN WAYNE
SMITH known to me to be the person whose name is subscribed to the foregoing
separation agreement, and he acknowledged to me that he voluntarily executed
the same for the purposes therein contained.
Witness my hand and official seal on this14B~y of Af"lt i l 20D6
~.3J~,~,
My Commission expires on
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Robert L Seiple, Sr., Notary Public
FairviewTwp.. YorkCollnty
My Commission Expires June 7. 2008
Member, Permsylvania Association Of NotarieG
Separation Agreement
Page 18 ofl9
IN WITNESS WHEREOF, I have at ~ ~vV\,lt4lovcl fJi4 this fi~ay
of ~v; l '2061.. ' se~ "!l.y hand ~~d seal to this separation, agreement,
the pag s hereof bearing my Initials. /-, '\ , -; J/ 1/
'1$/ ".
:Pt~~
AMIE MARIE SMITH
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~>'1--lL.-
On this.t4day of ~ vt \ 2D6 b , before me, a Notary Public in and
for the Commonwealth of Pennsylvania, personally appeared AMIE MARIE
SMITH known to me to be the person whose name is subscribed to the foregoing
separation agreement, and she acknowledged to me that she voluntarily
executed the same for the purposes therein contained.
Witness my hand and official seal on this 14~ay of ~V1 t ZD6-b
~S.~~
My Commission expires on
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Robert L Seiple. Sr.. Notary Public
Fairview Twp.. Vork County
My Commission Expires June 7, 2008
Member. Pennsylvania Association Of Notaries
Separation Agreement
Page 19 of 19
LAW OFFICES OF PETER J. RUSSO, P.C.
BY: ELIZABETH J. SAYLOR, ESQUIRE
PA Supreme Court ID: 200139
3800 Market Street
Camp Hill, PA 17011
PH: (717) 591-1755
F: (717) 591-1756
Isavlor@pjrlaw.com
Attorneys for Plaintiff
v.
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
AMIE SMITH
Plaintiff
SHAWN W. SMITH
Defendant
NO. 2006 - 5665 CIVIL TERM
IN DIVORCE
CERTIFICATE OF SERVICE
I, Janet E. Bush, hereby certify that I am on this day serving a copy of the
foregoing documents indicated below upon the person(s) and in the manner
indicated below:
Documents:
a) Plaintiff's Affidavit of Consent
b) Plaintiff's Waiver of Notice
c) Defendant's Affidavit of Consent
d) Defendant's Waiver of Notice
e) Praecipe to Transmit Record
f) Vital Statistic Form
g) Proposed Divorce Decree
U.S. Mail addressed as follows:
Date:
Shawn W. Smith
122 Hummel Street
Leymoyne, PA 17043
\ - \ L1 r01
---------
r-~~
,."P.,.)
c~:::'
\'"..)
N
~.J
LAW OFFICES OF PETER J. RUSSO, P.C.
BY: ELIZABETH J. SAYLOR, ESQUIRE
PA Supreme Court ID: 200139
3800 Market Street
Camp Hill, PA 17011
PH: (717) 591-1755
F: (717) 591-1756
Isavlor@pjrlaw.com
Attorneys for Plaintiff
v.
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
AMIE SMITH
Plaintiff
SHAWN W. SMITH
Defendant
NO. 2006 - 5665 CIVIL TERM
IN DIVORCE
AFFIDAVIT OF CONSENT
1. A complaint in divorce under S 3301 (c) of the Divorce Code was filed
on September 27,2006, and served on Defendant on October 10,2006.
2. The marriage of plaintiff and defendant is irretrievable 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 the decree.
I verify that the statements made in this affidavit are true and correct.
understand that false statements herein are made subject to the penalties of 18
Pa.C.S. S 4904 relating to unsworn f9rlsification,1D authorities.
I I
I
i
Date: 3~61
r-'
c::::>
C:_J.
.......J
L-
'2~~:
r-..)
N
c..n
.j::-
--------->-
--~
LAW OFFICES OF PETER J. RUSSO, P.C.
BY: ELIZABETH J. SAYLOR, ESQUIRE
PA Supreme Court ID: 200139
3800 Market Street
Camp Hill, PA 17011
PH: (717) 591-1755
F: (717) 591-1756
Isaylor@pjrlaw.com
Attorneys for Plaintiff
AMIE SMITH
Plaintiff
v.
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
SHAWN W. SMITH
Defendant
NO. 2006 - 5665 CIVIL TERM
IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE
DECREE UNDER 9 3301 (c) AND S 3301 (d) 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 I do not claim them before a divorce is
granted.
3. I understand that I will not be divorced until a divorce decree is entered
by the Court and that a copy of the decree will be sent to me immediately after it
is filed with the prothonotary.
I verify that the statement made in this affidavit are true and correct.
understand that false statements herein are made subject to thfPenalties of 18
Pa.C.S. 9 4904 relating to unsworn falsificat~to authorities.
Date: i) <]c.r-, 01
~
(':~
-.....J
~
:":::
~,;...
o
.1
-l
-r-
;C';1 '"'1i
'r
E?
(~'l
N
N
(J1
..~,.
LAW OFFICES OF PETER J. RUSSO, P.C.
BY: ELIZABETH J. SAYLOR, ESQUIRE
PA Supreme Court ID: 200139
3800 Market Street
Camp Hill, PA 17011
PH: (717) 591-1755
F: (717) 591-1756
Isavlor@pjrlaw.com
Attorneys for Plaintiff
v.
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
AMIE SMITH
Plaintiff
SHAWN W. SMITH
Defendant
NO. 2006 - 5665 CIVIL TERM
IN DIVORCE
AFFIDAVIT OF CONSENT
1. A complaint in divorce under 93301 (c) of the Divorce Code was filed
on September 27,2006, and served on Defendant on October 10, 2006.
2. The marriage of plaintiff and defendant is irretrievable 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 the decree.
I verify that the statements made in this affidavit are true and correct.
understand that false statements herein are made subject to the penalties of 18
Pa.C.S. 94904 relating to unsworn falsification to authorities.
Dale: 11 )1\11 01 =~~ kJ~
Shawn W. Smith
----------
r-)
=
=
--'
'-
o
-n
.-\
;0-1' :!1
I' r..:.::
~~\ ~;
~ ~ I 1
Jlfi
....r.:::--
'''!"''-1
::<.
::::::
N
N
-c:)
-.,'"
~.oo
(..11
..--------..
LAW OFFICES OF PETER J. RUSSO, P.C.
BY: ELIZABETH J. SAYLOR, ESQUIRE
PA Supreme Court ID: 200139
3800 Market Street
Camp Hill, PA 17011
PH: (717) 591-1755
F: (717) 591-1756
Isavlor@pjrlaw.com
Attorneys for Plaintiff
AMIE SMITH
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
CIVIL ACTION - LAW
SHAWN W. SMITH
Defendant
NO. 2006 - 5665 CIVIL TERM
IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE
DECREE UNDER 9 3301 (c) AND 9 3301 (d) 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 I do not claim them before a divorce is
granted.
3. I understand that I will not be divorced until a divorce decree is entered
by the Court and that a copy of the decree will be sent to me immediately after it
is filed with the prothonotary.
I verify that the statement made in this affidavit are true and correct.
understand that false statements herein are made subject to the penalties of 18
Pa.C.S. 94904 relating to unsworn falsification t
Date: 17 J~fl 07
orities. ~~ ^
L.0~
Shawn W. Smith
'C0
s
C--
..d...?
-::-~~:.::
f'.)
~
..."C:
,....-'-'
--
.'
----------/~. .
.l -..
LAW OFFICES OF PETER J. RUSSO, P.C.
BY: ELIZABETH J. SAYLOR, ESQUIRE
PA Supreme Court ID: 200139
3800 Market Street
Camp Hill, PA 17011
PH: (717) 591-1755
F: (717) 591-1756
Isavlor@pjrlaw.com
Attorneys for Plaintiff
AMIE SMITH
Plaintiff
v.
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
SHAWN W. SMITH
Defendant
NO. 2006 - 5665 CIVIL TERM
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 93301 (c) of the
Divorce Code.
2. Date and manner of service of the complaint filed on September 27,
2006: Certified mail, return receipt, restricted delivery, signed by Defendant on
October 10, 2006.
3. Date of execution of the Affidavit of Consent required by 93301 (c) of
the Divorce Code:
(a) By Plaintiff Amie Smith, on January 8,2007;
(b) By Defendant Shawn W. Smith, on January 17, 2007.
4. Date of execution of the Waiver of Notice was executed:
(a) By Plaintiff Amie Smith, on January 8, 2007;
./ ~.-.
(b) By Defendant Shawn W. Smith, on January 17, 2007
6. No other related claims are pending.
7. Plaintiff's Affidavit of Consent and Waiver of Notice has been filed with
the prothonotary simultaneously herewith.
8. Defendant's Affidavit of Consent and Waiver of Notice has been filed
with the prothonotary simultaneously herewith.
Atto neys for PI
Peter J. Russo,
ID # 72897
Scott A. Stein, Esquire
ID # 81738
Elizabeth J. Saylor, Esquire
ID # 200139
Date:
/-/f-07
r-3
~:;::::1
~
---'
c..._
"'-
~~;.":
o
-n
-I
-\-/=1 :n
, 1-
.'.""'i\n
y:,'~),
..::);~:
~~ f\'1
~...J
..i
~
..~..J
--<:.
N
N
~)
l..J1
.------.~---
-
~~~ ~~~~ ~ ~~ ~~~~~ ~ ~ ~ ~ ~~~ ~ ~ ~~~ ~~~ ~~~~~~~~~~~~
~ ~~~ff.ff.~ff.ff.
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 Separation Agreement dated April 14, 2006, is incorporated into
this decree.
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
STATE OF
PENNA.
AMIE SMITH,
2006 - 5665
Plaintiff
NO.
VERSUS
SHAWN W. SMITH,
Defendant
DECREE IN
DIVORCE
AND NOW,
~~.2(,
vr/l'tJDA ~ ·
,(/,::tb?, IT IS ORDERED AND
DECREED THAT
5HAVVN W. :SMI J H
, PLAINTIFF,
AND
, DEFENDANT,
ARE DIVORCED FROM THE BONDS OF MATRIMONY.
~ 'f.
ff.
ff.
~
ff.
~
~
~
~
~
~
~
~
~
ATTEST:
PROTHONOTARY
ff.
~ff. ~ ~
~~~ ~~ff.
~
ff.ff. ~
~
ff.
~
ff.
~
ff.
ff.
~
~
ff.
if.
ff.
if.
ff.
~
ff.
~
ff.
~
<Ii
<Ii
J.
~h? $ /~ ~J;t, (,(J'6-( l
~r ~ ~ U,pJ 1"9 LiJ.f,e';
..,
- '.
1;;
>