3301(d) Notice and Affidavit and Blank Counter-Affidavit

3301(d) Notice and Affidavit and Blank Counter-Affidavit GLADYS M. HICKS, : IN THE COURT OF COMMON PLEAS OF Plaintiff : YORK COUNTY, PENNSYLVANIA : v. : NO. 2023-FC-000298-02 : ANTONIA L. HICKS, : CIVIL ACTION – LAW Defendant : IN DIVORCE NOTICE TO THE DEFENDANT If you wish to deny any of the statements set forth in this affidavit, you must file a counter-affidavit within twenty (20) days after this affidavit has been served on you or the statements will be admitted. AFFIDAVIT UNDER SECTION 3301(d) OF THE DIVORCE CODE 1. The parties to this action have been separated since January 24, 2024. 2. Check (a) or (b): _____ (a) The date of separation was prior to December 5, 2016, and the parties have continued to live separate and apart for a period of at least two years. __X__ (b) The date of separation was on or after December 5, 2016, and the parties have continued to live separate and apart for a period of at least one year. 3. The marriage is irretrievably broken. 4. I understand that I may lose rights concerning alimony, division of property, lawyer's fees, costs and expenses, or other important rights if I do not claim them before a divorce is granted. VERIFICATION Subject to the penalties of 18 Pa. C.S.A. § 4904 relating to unsworn falsification to authorities, I hereby certify that the facts set forth in the foregoing document are true and correct to the best of my information and belief. Dated: 7/17/25 /s/ Gladys M. Hicks GLADYS M. HICKS, : IN THE COURT OF COMMON PLEAS OF Plaintiff : YORK COUNTY, PENNSYLVANIA : v. : NO. 2023-FC-000298-02 : ANTONIA L. HICKS, : CIVIL ACTION – LAW Defendant : IN DIVORCE COUNTERAFFIDAVIT UNDER §3301(d) OF THE DIVORCE CODE 1. Check either (a) or (b): _____ (a) I do not oppose the entry of a divorce decree. _____ (b) I oppose the entry of a divorce decree because: (check (i), (ii), (iii) or all): _____ (i) The parties to this action have not lived separate and apart for the required separation period: two years for parties separated prior to December 5, 2016, and one year for parties that separated on or after December 5, 2016. _____ (ii) The marriage is not irretrievably broken. _____ (iii) There are economic claims pending. 2. Check (a), (b) or (c): _____ (a) I do not wish to make any claims for economic relief. I understand that I may lose rights concerning alimony, division of property, lawyer's fees, costs and expenses, or other important rights if I do not claim them before a divorce is granted. _____ (b) I wish to claim economic relief, which may include alimony, division of property, lawyer's fees, costs and expenses, or other important rights. I UNDERSTAND THAT IN ADDITION TO CHECKING (2)(b), I MUST ALSO FILE ALL OF MY ECONOMIC CLAIMS IN WRITING AND SERVE THEM ON THE OTHER PARTY. IF I FAIL TO DO SO BEFORE THE DATE SET FORTH ON THE NOTICE OF INTENTION TO FILE THE PRAECIPE TO TRANSMIT RECORD, THE DIVORCE DECREE OR ORDER APPROVING GROUNDS FOR DIVORCE MAY BE ENTERED WITHOUT FURTHER NOTICE TO ME, AND I MAY BE UNABLE THEREAFTER TO FILE ANY ECONOMIC CLAIMS. _____ (c) Economic claims have been raised and are not resolved. I verify that the statements made in this counter-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: ___________________ ____________________________ Antonia L. Hicks NOTICE: IF YOU DO NOT WISH TO OPPOSE THE ENTRY OF A DIVORCE DECREE OR ORDER APPROVING GROUNDS FOR DIVORCE AND YOU DO NOT WISH TO MAKE ANY CLAIM FOR ECONOMIC RELIEF, YOU SHOULD NOT FILE THIS COUNTER-AFFIDAVIT. January 14 2026 LSOM0436957