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LAW OFFlCfS
MliW'l & .1ACOBSON
81S0 DI!RRV ~'TRI!IIT
HARRISBURG. PA 17111.521>0
(717)51>1.1515
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OF CUMBERLAND COUNTY
STATE OF '* PENNA.
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DECREE IN..A-
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decreed that"" "".. ,SCOTT ,w. ,SHREFFLER.,...."".,..""" plaintiff,
and "," , , , , ,NIY, Il., SIIREFFLER. . . , , , . . , , , . , , , , , , , . , , , , , , . . , , " defendant,
are divorced from the bonds of matrimony.
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The court retains jurisdiction of the following claims which have
been raised of record in this action for which a final order has not yet
been entered;
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16..1996.. is, hereby. INCORPORA:fro .in.to -tMfi' 'Hna-l, 'Decree.and .bhe .porn:l:ea..'
D to comply with its provisions
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4
MARRIAGE SETTLEMENT AGREEMENT
THIS AGREEMENT is made and entered into between SCOT~ W.
SHREFFLER and AMY KYTE SHREFFLER, hereinafter referred to as
"Husband" and "Wife".
The parties were married on October 17,
1992, and there are no children born or adopted of this marriage.
As a consequence of disputes and unhappy differences, the
parties have separated.
The parties desire to confirm their
separation and make arrangements in connection therewith, including
the settlement of their property rights, 3upport, and all other
rights and obligations arising out of the marriage relationship.
It is therefore agreed:
1. CONSIDERATION
The consideration for this agreement is the mutual promises
and agreements herein contained.
2. SEPARATION AND NON-INTERFERENCE
A. It will be lawful for each party at all times hereafter
to live separate and apart from the other party at such place or
places as he or she may from time to time chose or deem fit.
B. Each party shall be free from interference, authority and
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control, direct or indirect, by the other as fully as if h~r she
were single and unmarried. Neither shall bother .the other or
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compel or endeavor to compel the other to cohabit or dwell w~h him
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or her.
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3. MUTUAL RELEASE
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Subject to the provisions of this Agreement, each party has
released and discharged, and by this Agreement does for himself or
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herself, and his or her heirs, legal representatives, executors,
administrators, and assigns, release and discharge the other of and
from all causes of action, claims, rights, or demands whatsoever,
in law or equity, which either of the parties ever had or now has
against the other, except any or all cause or causes of action for
divorce.
4. FULL DISCLOSURE
The provisions of this Agreement and their legal effect are
fully understood by each party to this agreement, and each party
acknowledges that the agreement is fair and equitable, that it is
being entered into voluntarily, and that it is not the result of
any duress or undue influence. Husband and Wife each represent and
warrant to the other that he or she has made a full and complete
disclosure to the other of all assets of any nature whatsoever in
which such party has an interest, of the sources and the amount of
the income of such party of every type whatsoever and of all other
facts relating to the subject matter of this agreement. Husband
represents that he was represented by M. Peter Harer, Esquire, in
reaching this Agreement and Wife represents that she was
represented by Charles E. Friedman, Esquire in reaching this
Agreement. Both parties represent that the terms of this Agreement
have been fully explained to them by their respective counsel.
5. EOUITABLE DIVISION
By this Agreement, the parties have intended to effect an
equitable division of their marital property. This division is not
intended by the parties to constitute in any way a sale or exchange
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of assets.
6. SUBSEOUENT DIVORCE
A. AGREEMENT NOT PREDICATED ON DIVORCE - It is specifically
understood and agreed by and between the parties hereto and each of
the said parties does hereby warrant and represent to the other
that the execution and delivery of this Agreement is not predicated
upon nor made subject to any agreement for institution,
prosecution, defense or for the non-prosecution or non-defense of
any action or divorce; provided, however, that nothing contained in
this Agreement shall prevent or preclude either of the parties
hereto from commencing, instituting or prosecuting any action or
actions for divorce upon just, legal and proper grounds; nor to
prevent either party from defending any such action which has been,
mayor shall be instituted by the other party, or from making any
just or proper defense thereto, It is warranted, covenanted and
represented by Husband and Wife, each to the other, that this
Agreement is lawful and enforceable and this warranty, covenant and
representation is made for the specific purpose of inducing Husband
and Wife to execute the agreement. Husband and Wife each knowingly
and understandingly hereby waives any and all possible claims that
this Agreement is, for any reason, illegal or for any reason
whatsoever unenforceable in whole or in part. Husband and Wife
each do hereby warrant, covenant and agree that, in any possible
event, he and she are and shall forever be estopped from asserting
any illegality or unenforceability as to all or any part of this
Agreement.
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B. ENTRY AS PART OF DECREE - It is the intention of the
parties that the Agreement shall survive any action for divorce
which may be instituted or prosecuted by either party and no order,
judgment, or decree of divorcer temporary, final or permanent,
shall affect or modify the financial terms of this Agreement. This
agreement shall be incorporated into but shall not merge into any
such judgment or decree of final divorce, but shall be incorporated
for the purposes of enforcement only.
C. MUTUAL CONSENT OF DIVORCE - The parties agree and
acknowledge that their marriage is irretrievably broken, that they
do not desire marital counseling, and that they both consent to the
entry of a decree in divorce pursuant to 23 Pa.C.S.A. S3301(c).
Accordingly, upon conveyance of the real estate as set forth in
Paragraph 10 of this Agreement, and upon satisfaction of all of the
conditions set forth therein, both parties agree to concurrently
execute such consents, affidavits or other documents and to direct
their respective attorneys to forthwith file such consents,
affidavits, or other documents as may be necessary to promptly
proceed to obtain a divorce pursuant to said 23 Pa.C.S.A. S330l(c).
Upon request, to the extent permitted by law and the applicable
rules of civil procedures, the named Defendant in such divorce
action shall execute any waivers of notice or other waivers
necessary to expedite such divorce.
7. DIVISION OF PERSONAL PROPERTY
Wife agrees that all of the property in the possession of
Husband shall be the sole and separate property of Husband~ and
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Husband agrees that all of the property in the possession of Wife
shall be the sole and separate property of Wife. The parties do
hereby specifically waive, release, renounce and forever abandon
whatever claims, if any, he or she may have with respect to the
above items which shall become the sole and separate party of the
other.
8. DIVISION OF MOTOR VEHICLES
with respect to the motor vehicles owned by one or both of the
parties, they agree as follows:
Wife - 1990 Pontiac Grand Am
Husband - 19BB Nissan Centra traded for a Ford Bronco.
The titles to the said motor vehicles shall be executed by the
parties, if appropriate, for effectuating transfer as herein
provided, on the date of execution of this Agreement.
9. DISPOSITION OF PROPERTY
From and after the date of the signing of this Agreement, both
parties shall have complete freedom of disposition as to his/her
separate property and any property which is in their possession or
control pursuant to this Agreement and may mortgage, sell, grant,
conveyor otherwise encumber or dispose of such property, whether
real or personal, whether such property was acquired before, during
or after marriage, and neither Husband nor Wife need join in,
consent to, or acknowledge any deed, mortgage, or other instrument
of the other pertaining to such disposition of property.
10. DIVISION OF REAL PROPERTY
Husband and Wife hereby agree and acknowledge that they own
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certain real property located at 423 South Pitt Street, Carlisle,
Cumberland County, Pennsylvania, as tenants by the entireties.
. Upon execution of this Agreement, Wife shall also execute a
Special Warranty Deed transferring all her right, title and
interest in said property to Husband. Said Deed shall be held in
escrow by Wife's attorney until time of transfer. At the time of
transfer, said Deed will be delivered to Husband, at which time
Husband shall pay Wife the sum of $5,000.00, which amount includes
funds currently being held in escrow by Husband's attorney. At the
time of said transfer, Wife's obligation under an existing mortgage
in favor of Fleet Mortgage, Inc. in the original principal amount
of $75,937.00 and Wife's personal obligation under said Mortgage
shall be satisfied in full.
In the event that the transfer of the real property does not
occur on or before April 15, 1995, then Husband and Wife agree to
list the property for sale. The parties agree to sell the property
at a price sufficient to satisfy the mortgage after consideration
of settlement costs and the amount being held in escrow by
Husband's attorney. If the parties incur a loss on the sale of the
real property, they agree to divide the loss in equal shares
between the parties. In the event the parties obtain a gain on the
sale, they agree to divide equally between them that amount, as
well as any of the funds currently held in escrow by Husband's
attorney.
11. PAYMENT OF SPECIFIC OBLIGATIONS
The parties agree that the following constitute joint marital
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obligations which shall be paid by the following persons:
A. WIFE - Will pay all debts in her name;
B. HUSBAND - Will pay all debts in his name;
12. LEGAL FEES
Each party shall pay his or her own attorney's fees.
13. ALIMONY
Both parties acknowledge and agree that the provisions of this
Agreement providing for equitable distribution of marital property
are fair, adequate and satisfactory to them and are accepted by
them in lieu of and in full and final settlement and satisfaction
of any claims or demands that either may now or hereafter have
against the other for support, maintenance, alimony pendente lite
or alimony. Husband and Wife further, voluntarily and knowingly,
waive and relinquish any right to seek from the other any payment
for support, maintenance, alimony pendente lite or alimony.
14. PENSION PROGRAMS
Each party hereto shall maintain sole ownership over his or
her individual pension plan, profit sharing or similar retirement
plan acquired individually or as the result of contributions by his
or her employer. Wife hereby releases any interest that she has in
the retirement benefits of Husband accumulated as the result of his
employment and any other additional benefits he may have accrued.
Husband hereby releases any interest that he has in the retirement
benefits of Wife accumulated as the result of her employment and
any other additional benefits she may have accrued. This wavier is
full and complete discharge of each parties' marital claim.
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15. MISCELLANEOUS
All assets including, but not limited to, savings accounts,
checking accounts, certificates of deposit and life insurance
polices shall be the sole and separate property of the title holder
of said asset. The parties believe and agree, and have been so
advised by the respective attorneys, that the division of property
heretofore made by this Agreement is a non-taxable division of
property between co-owners rather than a taxable sale or exchange
of such property. Each party promises not to take any position
with respect to the adjusted basis of the property assigned to him
or her with respect to any other issue which is inconsistent with
the position set forth in the preceding sentence or his or her
federal or state income tax returns. 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 assessed against them for the
years in which they filed joint returns, and in the event that said
deficiency is the result of a misrepresentation or failure to
disclose the nature and extent of separate income by either of the
parties, said party responsible for the deficiency shall be solely
liable for the assessment and any interest, penalty or expense
incurred in connection therewith.
If any deficiency is assessed through no fault of either of
the parties individually, they shall equally share said obligation.
In the event that the parties are entitled to a tax refund for any
year during which they filed jointly, said refund shall be equally
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divided between them.
In the event that the parties file individual tax returns for
1994, Wife shall be entitled to deduct mortgage interest payments
for January, February, March and April 1994 and Husband shall be
entitled to deduct mortgage interest payments for the remainder of
the year.
16. GENERAL PROVISIONS
A. WARRANTY AS TO EXISTING OBLIGATIONS - Each represents
that they have not heretofore incurred or contracted for any debt
or liability or obligation for which the estate of the other party
may be responsible or liable except as maybe provided for in this
Agreement. Each party agrees to indemnify or hold the other party
harmless from and against any and all such debts, liabilities or
obligations of every kind which may have heretofore been incurred
by them, including those for necessities, except for the
obligations arising out of this Agreement.
B. WARRANTY AS TO FUTURE OBLIGATIONS - Wife and Husband each
covenant, warrant, represent, and agree that each will now and at
all times hereafter save harmless and keep the other indemnified
from all debts, charges, and liabilities incurred by the other
after the execution date of this Agreement, except as maybe
otherwise specifically provided for by the terms of this Agreement
and that neither of them shall hereafter incur any liability
whatsoever for which the estate of the other may be liable.
c. SEVERABILITY If any term, condition, clause or
provision of this Agreement shall be determined or declared to be
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void or invalid in law or otherwise, then only that term,
condition, clause or provision shall be stricken from this
Agreement and in all other respects this Agreement shall be valid
and continue in full force, effect and operation. Likewise, the
failure of any party to meet his or her obligations under anyone
or more of the paragraphs herein, with the exception of the
satisfaction of the conditions precedent, shall in no way void or
alter the remaining obligations of the parties.
D. OTHER DOCUMENTATION - Wife and Husband covenant and agree
that they will forthwith execute any and all written instruments,
assignments, releases, satisfactions, deeds, notes, or such other
writings as may be necessary or desirable for the proper
effectuation of this Agreement, and as their respective counsel
shall mutually agree should be so executed in order to carry out
fully and effectively the terms of this Agreement.
E. ENTIRE AGREEMENT - This Agreement contains the entire
understanding of the parties, and there are no representations,
warranties, covenants or undertakings other than those expressly
set forth herein.
F. WAIVER OR MODIFICATION TO BE WRITING - No modification or
waiver of any of the terms herein shall be valid unless in writing
and signed by both parties and no waiver of any breach hereof or
default hereunder shall be deemed a waiver of any subsequent
default of the same or similar nature.
G. MUTUAL COOPERATION - Each party shall, at any time and
from time to time hereafter, take any and all steps and execute,
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acknowledge, and deliver to the other party any and all further
instruments and/or documents that the other party may reasonably
require for the purpose of giving full force and effect to the
provisions of this Agreement.
H. LAW GOVERNING - This Agreement shall be construed and
governed in accordance with the laws of the Commonwealth of
Pennsylvania.
I. BINDING EFFECT - Except as otherwise stated herein, this
Agreement shall be binding and shall inure to the benefit of the
parties hereto and their respective heirs, executors,
administrators, successors, and assigns.
J. NO WAIVER OF DEFAULT - This Agreement shall remain in
full force and effect unless and until terminated under and
pursuant to the terms of this agreement. The failure of either
party to insist upon strict performance of any of the provisions of
this Agreement shall in no way affect the right of such party
hereafter to enforce the same, nor shall the waiver of any breach
of any provision hereof be construed as a waiver of any subsequent
default of the same or similar nature, nor shall it be construed as
a waiver of strict performance of any other obligations herein.
K. HEADINGS NOT PART OF AGREEMENT - Any heading preceding
the text of the several paragraphs and subparagraphs hereof are
inserted solely for convenience or reference and shall not
constitute a part of this Agreement nor shall they affect its
meaning, construction or effect.
L. WAIVER OF CLAIMS AGAINST ESTATES - Except as herein
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otherwise provided, each party may dispose of his or her property
in any way, and each party hereby waives and relinquishes any and
all rights he or she may have or hereafter acquire, under the
present or future laws of Pennsylvania or another jurisdiction, to
share in the property or the estate of the other as a result of the
marital relationship, including, without limitation, dower,
curtesy, their statutory equivalents, widow's allowance, homestead
rights, right to take in intestacy, right to take against the will
of other, and right to act as administrator or executor of the
other's estate, and each party will, at the request of the other,
execute, acknowledge, and deliver any and all instruments which may
be necessary or advisable to carry into effect this mutual waiver
and relinquishment of all such interest, rights, and claims.
M. ATTORNEY'S FEES FOR ENFORCEMENT - In the event that
either party breaches any provision of this Agreement, and the
other party retains counsel to assist in enforcing the terms
thereof, the parties hereby agree that the breaching party will pay
all reasonable attorney's fees, court costs and expense incurred by
the other in enforcing this agreement.
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IN WITNESS WHEREOF, and intending to be bound
parties have signed
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and sealed this Agreement on the
hereby,
1/ rr-- day of
the
, 1995 at Harrisburg, Pennsylvania.
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lAW OFFICES
MIRIN &. JAC9DSON 0/,,- ,
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, , HARRISBURG. PA 17111.5260
(717) 561.1515
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SCOTT W. SHREFFLER, . IN THE COURT OF COMMON PLEAS
.
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
. CIVIL ACTION - LAW
.
v. .
.
. NO. 1100 CIVIL 1994
.
AMY E. SHREFFLER, .
.
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 3301(c) of the Divorce Code.
(2) Date and manner of service of the Complaint on the
Defendant: certified mail, return receipt requested
dated March 9, 1994.
(3) Date of execution of the affidavit of consent required by
Section 3301(c) of the Divorce Code: by the Plaintiff,
April 4, 19951 by the Defendant, April 6, 1995.
(4) Related claims pending: None
(5) Date and manner of service of the notice of intention to
file praecipe to transmit record, a copy of which is
attached: N/A
MIRIN & JACOBSON,
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M. Peter Harer
Attorney for the Plaintiff
1.0. * 65604
8150 Derry Street
Harrisburg, PA 17111-5260
(717) 561-1515
DATE:
April 10. 1995
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LAW OFFICES
l\IlRIN & ,JAC()nSO~ 1', C,
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IIARRISIIURO,I'A 1711I,~2(~1
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SCOTT W. SHREFFLER,
Plaintiff
: IN THE COURT OF COMMON PLEAS
I CUMBERLAND COUNTY, PENNSYLVANIA
v.
.
.
.
.
CIVIL ACTION - LAW
:
.
.
NO. /100 ~ /99t.f
IN DIVORCE
AMY E. SHREFFLER,
Defendant
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NO'l'ICE TO DEFEND AND CLAIM RIGB'l'S
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 the Cumberland County Courthouse,
Carlisle, Pennsylvania.
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, MARITAL PROPERTY,
COUNSEL FEES OR EXPENSES BEFORE THE FINAL DECREE OF DIVORCE OR
ANNULMENT IS ENTERED, 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.
COURT ADMINISTRATOR
FOURTH FLOOR
CUMBERLAND COUNTY COURTHOUSE
CARLISLE, PA 17013
Telephone 717-240-6200
.
v.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO.
IN DIVORCE
SCOTT W. SHREFFLER,
Plaintiff
AMY E. SHREFFLER,
Defendant
COMPLAINT IN DIVORCE
PURSUANT TO SBCTION 330ltcl OF THE DIVORCE CODE
The Plaintiff, Scott W. Shreffler, brings this action in
divorce against the Defendant, on the following basis:
(1) Plaintiff, Scott W. Shreffler, is an adult individual
residing at 423 S. Pitt street, Carlisle, Cumberland County, PA
17013.
(2) Defendant, Amy E. Shreffler, is an adult individual
residing at 423 S. Pitt Street, Carlisle, Cumberland County, PA
17013.
(3) Plaintiff has been a bona fide resident of the
Commonwealth for at least six months immediately previous to the
filing of this Complaint.
(4) Plaintiff and Defendant were married on October 17, 1992
in Dauphin County, Pennsylvania.
(5) Neither Plaintiff nor Defendant is in the military or
naval service of the United States or its allies.
(6) There have been no prior actions of divorce or for
annulment between the parties.
1'". ",.:'.'"CiI->>f1'
(7) The marriage is irretrievably broken.
(8) Plaintiff has been advised that counseling is available
and that Plaintiff may have the right to request that the court
require the parties to participate in counseling.
(9) Plaintiff requests this Honorable Court to enter a decree
of divorce pursuant to Section 3301(c) of the Divorce Code.
Respectfully submitted,
MIRIN & JACOBSON
."-""
DATED: March 2. 1994
By:I!Je.)~,~
M. eter Harer
Attorney I.D.' 65604
Attorney for Plaintiff
B150 Derry Street
Harrisburg, PA 17111-5260
(717) 561-1515
VERIFICATION
I, Scott w. Shreffler, verify that the statements made in the
foregoing document are true and correct to the best of my
knowledge, information and belief. I understand that the
statements therein are made subject to the penalties of 1B Pa.C.S.
section 4904 relating to unsworn falsification to authorities.
CERTIPlCATE OP SERVICE
I, M. Peter Harer of the law firm of MIRIN & JACOBSON, do
hereby certify that a copy of the foregoing Complaint in Divorce
was this day served upon the following person in the manner
indicated below:
CERTIPIED MAIL. RETURN RECEIPT REOUBSTED
Amy E. Shreffler
423 S. pitt Street
Carlisle, PA 17013
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DATED: -;-7- 'tv
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M. Peter Harer
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MIRIN & JACOBSON
8150 DERRY STReET
HARRISBURtJ~ PA 17111.5260
(717)561.UI5
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SCOTT W. SHREFFLER,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 1100 CIVIL 1994
IN DIVORCE
v.
AMY E. SHREFFLER,
Defendant
PLAIN'l'IFP'S AFFIDAVIT OF CONSBN'l'
(1) A complaint in divorce under Section 3301(c) of the
Divorce Code was filed on March B, 1994.
(2) The marriage of Plaintiff and Defendant is irretrievably
broken and ninety (90) days have elapsed from the date of filing
the Complaint.
(3) I consent to the entry of a Final Decree of divorce.
(4) 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.
I verify that the statements made in this affidavit are true
and correct. I understand that false statements herein are made
suLject to the penalties of 1B Pa.C.S. Section 4904, relating to
unsworn falsification to authorities.
:ktrJl. *-
SCOTT W. S FFLER
DATE:
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lAW OFFICES
MIRIN & JACOBSON
815lUlERRY STREET
IlARRIEBURO,i'A 17111-5260
(717) 561-1515
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SCOTT W. SHREFFLER,
Plaintiff
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IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
: CIVIL ACTION - LAW
.
.
AMY E. SHREFFLER,
Defendant
: NO. 1100 CIVIL 1994
: IN DIVORCE
DBPENDANT'S AFFIDAVIT OP CONSENT
(1) A complaint in divorce under Section 3301(c) of the
Divorce Code was filed on March B, 1994.
(2) The marriage of Plaintiff and Defendant is irretrievably
broken and ninety (90) days have elapsed from the date of filing
the Complaint.
(3) I consent to the entry of a final decree of divorce.
(4) 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.
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 1B Pa.C.S. S 4904, relating to unsworn
falsification to authorities.
DATE:
~~~~.
AMY . SHREFFL
. .,,-
J I o() t /tJ91/
CERTIFICATE OF SERVICE
I, Beryl Millsr-Eckrich, a paralegal with the firm of Mirin and Jacobson, do
hereby certify that the original Complaint in Divorce was served by Unitsd States Mail,
certified, retLlrn receipt requested on March 9, 1994,
Mrs, Amy E, Shreffler
423 So Lith Pitt Street
Carlisle, PA 17013
RETURN RECEIPT ATTACHED
Date: April 10, 1995
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18110 wlah to ~.1IM!j.~'::1
following I.rvlc.. (for .n extra I '.
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I . PrInt your ",me end Iddrn. on the rlVltfII af tN. form sa that w. can
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AMY E. SHREFFLER
e 423 SOUTH PITT STREET
. S CARLISLE, PA 17013
,D~ 1881 eII.I._lI. __ DOMESTIC RETURN RECEIPT
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Form. DV\Maid. Name
SCOTT W. SHREFFLER,
Plaintiff
v.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
.
.
AMY E, SHREFFLER,
Defendant
.
.
NO, 1100 CIVIL 1994
IN DIVORCE
NOTICE OP INTENT TO RETAKE PRIOR NAME
Notice is hereby given that the Defendant in the above matter,
having been granted the Final Decree in Divorce (or annulment) on
the~ 20th day of Apr~l
, 19~, hereby elects to retake and
use her previous name of Amy E. Kyte and gives this written notice
avowing her intention in accordance with the provisions of the Act
of December 16, 1982, Pa, Cons. Stat. 5704,
~~~. ~,~(y.
E. Shref er
To Be Known As:
4~'~'
Amy Kyt
COMMONWEALTH OF PENNSYLVANIA
.
.
SS:
COUNTY OF Dauohin
On the 24th day of April I. 1!! 95, before me, a Notary
pUblic, personally appeared L!m;; G ',;)j,rpr/l1l? known to me to be the
person whose name is subscrlbed to the within document and
acknowledged that he/she executed the foregoing for the purpose
therein contained.
IN WITNESS, I have hereunto set my hand and seal.
6~~~ 1tf~__
Notarial Soal
Linda A. DoAngelo, Notary pubnc
Harrilburg. Dauphin County
My Commission F.Jpire!'i Sopt. 11, 1998
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