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COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
NOTICE OF APPEAL
FROM (, //'1/6 0
JUDICIAL DISTRICT
DISTRICT JUSTICE JUDGMENT
COMMON PLEAS No. pO....](, /1 ~ '{.L..-
NOTICE OF APPEAL
Notice is given that the appellant has filed in the above Court of Cammon Pleas an appeal from the judgment rendered by the District Justice on the
date and in the case mentioned below.
~~~ag and Dan Behrens
ADDRESS OF APPELlANT
OTY
I MAG. DIST. NO A. NAME Of OJ.
SUS~TEK Day
PA
ZIP CODE
275 BEast
DATE OF .II..I:lGMENT
06-05-00
~Fallen Goho & Dan Behrens
S1G~Ec;:PEllANT H1SATro:NEYO AGENT L.l3()/ >r....vtf'S) /n('.
CV 19 ~:VUf"( Sf /rvh)e Row
LT19 LT-121-00 1/'- C. /',) rl r^H/<...,aA/7plJ'
This block will be signed ONLY when this notation is required under Po. R.cPJ . No. If a Ilant was CLAIMANT (see Pa. R.CP.JP. No.
10088.
This Notice 0/ Appeal, when received by the District Justice, will operate as a 1001 (6) in action before District Justice, he MUST
SUPERSEDEAS ta the judgment for possession in this case FILE A COMPLAINT within twenty (20) days after
filing his NOTICE of APPEAL.
Pomfret street
IN THE CASE OF (PlaIntiff)
James Costopoulos
Carlisle
17013
(DeIendant)
ClAIM NO
Signature ot Prothonotary or Deputy
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(This section of form to be used ONLY when appellant was DEFENDANT (see Pa. R.C.P.J.P. No. 1001 (7) in action before District Justice.
IF NOT USED, dtltach from copy of notice of appeal to be served upon appellee).
PRAECIPE: To Prothonotary
Enter rule upon
James ('astapa"l "s ,appellee(s), to file a complaint in this appeal
Name of awe//ee(s!
H' ~l. 1'1 Civi:.i ..,-;,,_ ) within twenty (20) days after service of rule
Name of appel/fre(s)
, appellee(s).
(Common Pleas No.
James Costopoulos
RULE: To
(1) You (Ire notified that a rule is hereby entered upon you to file a complaint in this appeal within twenty (20) days after the dote of
service of this rule upon you by personal service or by certified or registered mail
(2) If you do not file a complaint within this time, a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST YOU.
(3) The date of service of this rule if service was by mail is the date of mailing.
Date: C),....-- J 'I ,19 oU1J7;
r).AA-12 n.v/J-v-; ~.
I Prothonotary or Deputy
N:JPC 312-84
COURT FILE TO BE FILED WITH PROTHONOTARY
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PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(This proof of service MUST BE FILED WITHIN TEN (70) DAYS AFTER filing the notice of appeal, Check applicable boxes)
COMMONWEALTH OF PENNSYlVANIA
COUNTY OF ; ..
AFFIDAVIT: I hereby swear or affirm that I served
o a copy of the Notice of Appeal, Common Pleas No, , upon the District Justice designated therein on
(date ot service) 0 by personal service 0 by (certified) (registered) mail, sender's
receipt attached hereto, and upon the appellee, (name) , on
, 19_ 0 by personal service 0 by (certitied) (registered) mail, sender's receipt attached hereto.
o and fur!her that I served the Ruleto Filea Complaint accompanying the above Notice of Appeal upon the appeilee(s) to whom
the Rul'l was addressed on , 19~ 0 by personal service 0 by (certified) (registered)
mall, sender's receipt attached hereto.
SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME
THIS_
DAY OF
,19_
Signature of affiant
Signature of official before whom affidavit was made
TiUe of official
My commission oxpires Ofl _
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James Costopoulos
Plai ntiff
IN THE COURT OF COMMON PLEAS OF
v.
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 00 -3~n CIVIL TERM
Fallen Goho & Dan Behrens
Defendants
PRAECIPE TO PROCEED IN FORMA PAUPERIS
To the Prothonotary:
Kindly allow Fallen Goho and Dan Behrens, Defendants, to proceed in
forma pauperis.
I, Philip C. Briganti, attorney for the parties proceeding in forma pauperis,
certify that I believe the parties are unable to pay the costs and that I am
providing free legal services to them. The partys' affidavit showing inability to
pay the costs of litigation is attached hereto.
~/A~
Philip C.ganti / 0
Attorney for Defendants
Legal Services, Inc.
8 Irvine Row
Carlisle PA 17013
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James Costopoulos
Plaintiff
IN THE COURT OF COMMON PLEAS OF
v.
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 00 -3(./7 CIVIL TERM
Fallen Coho & Dan Behrens
Defendants
AFFIDAVIT IN SUPPORT OF PETITION
FOR LEAVE TO PROCEED IN FORMA PAUPERIS
1. We are the defendants in the above matter and because of our
financial condition are unable to pay the fees and costs of prosecuting,
defending, or appealing the action or proceeding.
2. We are unable to obtain funds from anyone, including our family and
associates, to pay the costs of litigation.
3. We represent that the information below relating to our ability to pay
the fees and costs is true and correct.
(a) Name: Fallen Coho & Dan Behrens
Address: 275 BEast Pomfret Street
Carlisle PA 17013
Social Security Number: Dan 200-66-0051
Fallen 210-60-4610
(b) If you are presently employed, state
Employer: (Dan) Quik Fill
Address: Old York Road
Carlisle PA 17013
Salary or wages per month:J; 700.00 aoo net
Type of work: qas attendant If you are presently unemployed, state
Date of last employment:
Salary or wages per month:
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Type of work:
(c) Other income within the past twelve months
Business or profession:
Other self-employment:
Interest:
Dividends:
Pension and annuities:
Social Security benefits:
Support payments: $234.00/month
Disability payments:
Unemployment compensation and
supplemental benefits:
Workman's compensation:
Public Assistance:
Other:
(d) Other contributions to household support
(Wife (Husband) Name:
If your (husband) (wife) is employed, state
Employer:
Salary or wages per month:
Type of work:
Contributions from children:
(e) Property owned
Cash:
Checking Account: $ 7.50
Savings Account:
,.",
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Certificates of Deposit:
Real Estate (including home):
Motor vehicle: Make Nissan
Year 1988
Cost $ 500.00
Stocks; bonds:
Other:
(f) Debts and obligations
Mortgage: Rent: $ 9.00/mo
Loans: $ 66.00/mo
Monthly Expenses: Utilities $ 70.00: Telephone $ 34.00: Cable $
37.00: Groceries $ 436.00: Clothinq/Shoes $ 100.00: Transportation $165.00:
Miscellaneous household expenses $100.00
Amount owed
(g) Persons dependent upon you for support
(Wife) (Husband) Name: Fallen Goho. fiance
Children, if any:
Name: Alexander Bender Age: 3
4. We understand that we have a continuing obligation to inform the
court of improvement in our financial circumstances which would permit us to
pay the costs incurred herein.
5. We verify that the statements made in this affidavit are true and
correct. We understand that false statements herein are made subject to the
penalties of 18 Pa. C.S. 4904, relating to unsworn falsification to authorities.
Date: uJ/3/60
v II
{JJ~ Jr/&J
Fallen Coho, Defendant
Date: all?'/oO
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Dan Behrens, Defendant
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06/13/00 15:19 FAX 7174860224
COMMONWEALTH OF PElNSYLVANIA
COUNTY OF:' CllMB~
Iobg.Olsl No.: I
09'3-03
I
SUSAN K. DAY
""",..,, 229 MILL STPET, BOX 167
HT. HOLLY SPR.INGS, PA
I
Tar"""",,, (717) 486-7672
I
DJ09-3-03
I4J 002
17065
NOTICE OF JUDGMENT/TRANSCRIPT
PLAINTIFF' RESIDENTIAL LEASE
rr' NAM~ and AOOI'I~SS
. COSTOPOULOS, JAMES
15 S. HANOVER ST.
FUR-VIEW ST.
t?RL1SLE, PA 17013
vs.
DEFENDANT: NAM,andADDA,SS
fGoao, PALLEN" BEBRmlS, DAN, Ell' AL"J
LO'J1 1
PURVIEW TRAILER. COURT
,t9ARL1SLE, PA 17013
I
OJ Nama. Hon..
-!
SUSAN It. DAY
229 MILL STREET, BOX 167
HT. HOLLY SPRINGS, PA 17065
THIS IS TO NOTIFY YOU THAT!
Judgment: ., FOR PLAiNTIPF
[!J Judgment was entered for: (Name) COSTOPOULOS, ~S
o Judgment was entered aga nst GORO, FALLEN &: BEHRENS, DAN
1XJ LandlordlTenant action in t~e amount of $ 1.143.63 on 6/05/00 .
The amount of renL per month, as established by the District Justice, is $
Tha total amount of the Security Ioeposit is $ 00
Docket No.: LT-0000121-00
Date Filed: 5/25/00
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in a
(Date ot Judgment)
.00.
.
, rtal Amount Establishrd a~~J IfSs' Security Deposit Ap~~d c Adjudicated ~ou8t
Rent In Arrears $, . 0 - $ . = $ , 0 . 0
Physicai Damages Leasehold P operty $ , . 00 * . 00 - $ () 0
Damages/Unjust Detention $ 00 - 00 - $ . 00
Less Amt Due Defendant from Cross Complaint - $ .00
Interest (if provided by lease) $ 00
o Attachment Prohibited! I UT Judgment Amount $ 1.053 00
Victim of Abuse (Act 5. 1996) Judgment Costs $ 90.63
o This case dismissed Withoul prejudice. AlIorney Fees $ on
Total Judgment $ 1,143.63
[!] Possession granted. Post Judgment Credits $
Post Judgment Costs $
Certified Judgment Total $
Possession granted if money jud ment is no! satlsnea DV lime or eVICllon.
B Possession not granted. I g y 0 Defendants are jointly and severaily liable.
D Levy is stayed for _ d~Ys or 0 generally stayed.
o Objection to Levy has been [i1ed and hearing will be held:
Date: I Place:
Time: I
IN AN ACTION INVOLVING A RESIDEN IAL ~EA E ANY PARTV HAS THE RIGHT TO APPEAL FROM A JUDGMi:NT FOR POSSi:SSIO
;, S" NWITHIN
TEN DAYS AFTER THE DATe OF fNTijY OF JUDGMENT BY FILiNG A NOTICE OF APPEAL WITH THE PROTHONOTARY/CLERK OF COURTS
OFTHE COURT OF COMMON PLEAS, qlVLL DLVISION. THIS APPEAL WILL INCLUDE AN APPEAL OF THE MONEY JUDGMENT, IF ANY, IN
ORDER TO OBTAIN A SUPERSEDEA~, if Hi: APPELLANT MUST DEPOSIT WITH THE PROTHONOTARY/CLERK OF COURTS THE ~ESSER OF
TliRIiE MONTHS RENT Ol'l TliE RliNT ~CTUALL v IN AI'lREb.RS ON THE OATE THE APPEAL IS FILEO.
If A PARTY WISHES TO APPEAL qNL "1.THE MONEV PORTION OF A JUDGMENT INVOLVING A RESIDENTIAL LEASE, THE PARi'! HilS
30 DAVS AFTi:R THE DATE OF ENTI'lV OF JUDGMENT IN WHICH TO FILE A NOTICE OF APPEAL WITH THf PROTHONOTARV/CLERK OF
COURTS OF THE COURT OF COMMON\PU:AS, Ct'J}~,OIYI~IOIl,
THE PARTY fiLING AN APPEAL MUST INCLUDE A COPY (,)FT~If:: NOTl~F 01= Jllnr..M~MTttR.ll.~r'.:RIClT j:r1RM W1TJ.I TJ_U= NnTlf":.l= n~ Ap;;Il;l.l=.4J
;' Date" .. I '., . District Justice
certl t at t IS IS a true an correct copy 0 I e recor 0 t e procee Ings contammg I e JU gmen!.
Date I , District Justice
Mv commission expires first Mond~y of January, 2004, SEAL
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Total Postage & Fees $
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Legal Servi.ces .. Ine...---.---...---,....---.
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City, State, ZIP+4
, .' C~~RlOF COM~N~LEAS' .., /" ),,/60:
" .. ....., . .'e ' ,FROM . " .' . .:
JUDICIA~ ~ISTRICT "
DISTRICT JUSTICE JUDGMENT
COMMoN~LEASNo. 0tJ.....J~/1 (!.u.u -r:4-
NOTICE OF APPEAL
. '., '. -
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Notice is giventhol"'e"ppell~thosfiled'in the above Court ofCorrimOnPleasan appeal from the judgment ienderedby the District Justice an the
date and in the.case ,;;Orjtioned belOw. ., ,
Fallen Goho a~dDan Beb~ens
NAME OF APPELLANT '
ClAIM NO.
(Defendant)
Fallen Goho &D..ni~ehr~ns
- gG.rN4ltl~.:~'/': OF p~ H AT .EYORAGENT. ~3.~:, ~..~.'h.I."Jj Il('.
~r7r a, q /rl-"'1(' Row
~~11: M'.., Uf ~06. ,;>)" I.. ('/',.' ".,,.h' (" CIf'" h${~ ~A /7<4Y
This block will b"sig~ ONLY:~ni this,na~l\an is re,quired uncler Po. R.C.PJ. . No. If ". '11ahtWas CLAlr-AANT ($~ Pa. R.GP.JP. ND.
10088.' .';"," . '. ,
1001 (6 JinactionbefOre-Di$iiriclt Justice, he MUST
This. Notice of ""'PP"9!;wh~n 'reseived by.,l!>\bDistrict Justic~, will operate as 0_., .' ... '..'. . I. .
SUPERSEDEAS iGthe jUdgmenHorpOssessian in this case. FlLE.A COMPLAINT within twei7ty. (2l'J) days after
. ,\" . : '" '!
. fiJi'ng his NOTICE Df APPEAL. "
,Pomfret jtreet
IN THE CASE OF (Plaintiff)
James Costopoulos
'OTY
Carl:isle
I MAG 0ISt NOO. NA,^,: OF Od .
SusanK . Day.
STAre
ZP CODE
ADDRESS OF APPEllANT ,
275 BEast
DATE Of AJDGMENT
06-Q5-00
, FA
17013
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Signature of Prothonotary or Deputy
'i~AECIP..~ :to'~N.UR"R4t.ETO FILE COMPLAINT .AND RULE. TO FI,LE
(This section of fonn to be iJsed ONLY when ;ippel/ant was DEFENDANT (see Pa. HCP,JP No, 1001(7) in action before District Justice.
IF NOT USED, detach frim". copy oCnotice of appeal/obe served upon appel/ee),
PRAECIPE: To Prdthonatory
James
Enter rule up':"
Costopoulos ,appellee(s), to file a complaint in this appeal
Name of, appel/ee(s) . ,.
t1J ~iJ(, 1'1 Cux.:I r u-- . ) within twenty (20) days alter service afrule~
/
(Common Pleas No.
JamesCostopoulos
RULE: To.
Name ,01 appeIIOe(s)
, appellee(s),
(1) You a", ni>'tifiedthat a ",Ie. is hereby entered upon Y<1u to file a,complaint in this appeal withi~ twen\y (20) days after the d"te of
....vice of this rule upol'lYOu by persanalservice or by certified or registered mail . .,/ ,~'
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(2) IfY<l," donatfile a crpl~int within,this ti~, a JUDC>Mf,NT OF NON PROS WILL BE ~~~~~_i;~\,
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(3) The date af ",'vice oiihisru~i; s;"vice WCIS by ';'ail is the date of mailing. .t:;S"'i" "'ct~~~.
Date: ~ N. l',.,utm "";' t2~:, ; "" f'
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PROOF OF SERVICE OF NOTICE Of APPEAL AND RULE TO FILE COMPLAINT
(This proof of "!livice MUST BE FILED WITHIN TEN (10) DA YS AFTER filing fhe notice of appeal, Check "pplicable boxes!
COMMONWEALTH OF PENNSYLIIAI<lIA
COUNTY OF C ll....b,e" Iu~J
; ss-
AFFIDAVIT: I hereby sweat or affirm that I served C,' v,l ref...,
113';,' copy of the Notice o~ppeal. Common Pleas No, 00 - J' I} , upon the District Justice designated therein on
(date of service) 6 /.<;/~~oo , D by personai servioe l31ly (certified) (rlllli31Glca) mail, sender's
receipt ~'Che~ hereto, and :pon the appellee, (name) Jo.,mp.r (' O~f.~ulos ,on
I:> 15 ,,,..,:JbOC D by personal service 0'by (certified) (r,~ ) mail, sender's receipt ~ttached hereto.
Iil"and further that I served the Rule to Fi" a C~mplalnt accompanyin~ the above Notice of Appeal upon the ap~lIee(S) to whom
the Rule was addreesed on G, I~ , ~J1~ D by personal service C!tbY (ce'1fied) (: Il!li@te,"d)
mail, sender's receipt attached hereto.
SWORN (AFFiRMED) AND SUBSCRIBED BEFORE ME
THIS _
DAY OF
.,19-~
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gnature of a/llant
Signature of officff31 beiorf-' wtlom affidavit Wi(S mads
rille of officiai
My commission expires on
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I verify that
Affidavit are
the statements set forth in this
true and correct.
I understand that
the
false statements herein are made subject to
penalties of 1~ P.S. Section 4904, relating
unsw~n ~l~ication to authorities.
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JAMES COSTOPOULOS,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY PENNSYL VANIA
v.
FALLEN GOHO and
DAN BEHRENS,
NO. 00-3617 CIVIL TERM
Defendants
CIVIL ACTION - LAW
PRAECIPE TO DISCONTINUE CASE
TO THE PROTHONOTARY:
Kindly mark the above-captioned case as settled and discontinued, with prejudice.
Date: 7/f-(00
Jame Costopoulos, Plaintiff
15 . Hanover Street
Carlisle, P A 17013
(717) 243-3414
Date: 7/7/00
~
Philip C. 19anti
Counsel for Defendants
LEGAL SERVICES, INC.
8 Irvine Row
Carlisle, P A 17013
(717) 243-9400
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