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JOHN N, PURSEL,
Pl,linUff
va.
No, cyy. 3lq~f Clv, I TulYl
KTt-1 L, pURsn,
flefolldant
AFFI DAVI T OF CONSENT
1. A Complaint In Divorce under Section 201(cl of the
Divorce Code wn13 f II nd._. __'__.~_::::Jl -it
2, The marrli'Hj<:J of Plillntlff ilnd Defendant If!
irretrievably broken,
], The Plaintiff and Dofendant have lived separately since
February 18, 1994,
4. 1 con Bent to the entry of a final Decree of Divorce
after 90 daY13 have elapsed after the filing for divorce aD
requlred by Penrlllylvilnia Consolidated StatutllB Annotdted Title
23, Section 3301,
5, I understand that if a claim for allmony, alimony
pendente lite, marital property, counsel foos or expenseD has not
been filed with the County before the entry of a final Decree in
Divorce, the right to claim any of them will be lost,
I verify that the statements made In this Affidavit are
true and corroct, I understand that false otatements herein are
made r.lubjoct to tl.o ponnltiuD of 10 PA C,5, :ioGUon 4904,
relating to unnworn falolflcatlon to authorities,
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JUN n 3 21 \'" 19~
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JOI1N N, PURSEL, I
Plaintlf f I
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KIH L. PURSEL, I
Defondant I
AFFIDAVIT OF CONSENT
1, A Complaint !n Divorce under SectIon 201(cl of the
Divorce Code was fIled
~-11_-1~
2, The marriage of Plaintiff and Defendant is
irretrievably broken,
3, The Plaintiff and Defendant have lived separately since
February 18, 1994,
4. I consent to the entry of a final Decree of Divorce
after 90 days have elapsed after the filing for divorce as
required by Pennsylvania Consolidated Statutus Annotatud Title
23, Sectio~ 3301,
5, I understand that if a claim for alimony, alimony
pendente lite, marital property/ counsel fees or expenses has not
been filed with the County before the entry of a final Decree in
Divorce, the right to claim any of them will be loat,
I verify that the statements made in this AffIdavit are
true and correct, I understand that false statements herein are
made subject to the penaltiua of 10 PA C,S, Section 4904,
relating to unsworn falaification to authorities,.
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