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HomeMy WebLinkAbout97-01028 I .' ~ ~ '" ~ , i ~ i , I ~ , ~ ~ '" ~ '( i c.? , .... \l " ~ :-- ~ ,- ~ , " ", "- ~ -"'--. , J ,/ .. / :--. Cl.,. ~; , . t'-. ~ ~ 0___. ';,'~P-U-.)"!'~~ 1~'~.! J.;Jlf'1 Hllf >>.I.dLtj,jl_ ~"JltU.~~I'_... III 1:11:-'1 '..HJr~Udll~ l','-. 1l;'lInllU D.1Il\'1l n.HT11II ~~L "TAl! II. ._.1...../1'''"" , GO _ ,. .t,........... ,<< ,....... .,. I~........ Y... -. .... '.. ,- , -.--- .'- .CIlIO""!: '''' ..IIUUIICI CAlI -..- - 01 ,- - .....,.,...... c... ......... .- ~_rJiIN . ttWN ~ :a _JV.lL-.. ~' - .hI..... ......... .. ..., ......... ,...... ""NirflI ,.. ........................,.... A.I4 ._" '" "It ,,........ ...,... ,I ,...." '" ....~ -- en @ actlll1UL, .. .1 nANR n...o 1NtfI1, .ROM.... Nrt.UeeI OOMr.Nn. AHV or.. ..&eI.......... ..... .'.. ,-- ';::, "'LJ.:::. ._"';:;... ......... &:1'1. _~t11k-a;~' :;;1 P.... A"...... O..A".."" ~ _-.D_ _-0_ ~ ---- -" ....... "'""* ,.... 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CCV.._ IIWl.nMl! .,CUAlIlllI (vII ._ _11-....,." w_....."'-"... ,ft.Nl.......... I I!. C\Q;'.... _"1' "'.1190 . 001>> U7 ISO un Ira _.- ~f!!:L .r.&"#O ddO_.... .......01 "'................ ~.,... ............t,.... ~........"""'" , -::r"'=--= --.. .---- --..-. -- -~_. _LI e . HOIf4IA,,"nAOl.lIlClHlmn t....__ .hoot " _Mryt ...... .,.,... "''''''..,11III.. __ NA ""....at ... .... ......... ...... ~.~ lit.... - '-.-.- '.--.-- -. - . --'--- ~- EXHIBrr \\/\ If f' :, - p.~.-: '1'1' >- r.r; c: ....; I. lu,'. ~ (). - . C' '. l.,- '" y. ., 8; r_ '! I , . &:1.' c.' !j r :;,~ .'- I I~. .; C- o' .J IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA IN RE: No. (j1. /0.1 i ew<:I TJ--- MARGARET GATUSKY YENKOWSKI . . PETITION TO CHANGE NAME 1. Petitioner is Margaret Joan Mary Gatusky Yenkowski, who resides at 220 East Lauer Lane, camp Hill, Cumberland County, Pennsylvania. 2. Petitioner has resided at the following address for five years previous to the filing of this petition: 220 East Lauer Lane, Camp Hill, Cumberland County, Pennsylvania 17011. 3. Petitioner is unmarried. 4. Petitioner desires and intends to change her name to her birth name, Margaret Joan Mary Gatusky. 5, Petitioner provides the fOllowing reasons for this request: A. Petitioner is a member of the Cumberland county Bar and is licensed to practice law in Pennsylvania. B. Petitioner was married to Gary F. Yenkowski on June 22, 1985 in Wilkes-Barre, Luzerne county, Pennsylvania. ~E()"""-IY';': 1~:':.1 H'lll Hl\l-#~.,Ic"l. HI,JiLW~I~ III ~1I'>1 ,,,J(.IUl1lO P,IJS "f'i ~ o . orilll...,. II_ "'AII CU" - - " -."1 .- ,- -- ......' ':"'1 -.. ... .. .~ ...- 1.& __ ,,, - - - - .- "'''h, .. :r ~~" .. UA_ ~~ !'." ~.1. "aDi -_. -- -,_..__.- -,- .-' --- --- --+-1 .'_._.. - - -.... . 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Ilol IOC., ,",""",.IIIl, ..._...1.11I.,.."...."'....... .......,.................. ....'..,........ ~."'~.I'II... ...,M'" ,,.,...................\ IN..........' ",~tl',""'_N""fC'NIltld.. rM~.vI. ,.1''''1 lM.....I..I".t,...P"WI . ""-"" "...... .....11 tI'ftrI.", If':."'" "AIM" ,___ ell..,. "l~ .,........... or. '*' .,. tt. .....1' .1 1ft' 01" .....'Iv""'" I. ....... "'.......J ................. "'.............r....,....... ""'... ..........,...... ....."IC "tOMlft"'I6' ~_Nl;"a .1II"*',".........,....... .,............. ".....,........'"........ .........,.. _"IM "'--' ,.,.,.............. ft"l........ ...""" ..... to ....",......~, II "'............ ...... ...,.1............ ...~.rtJft..,.Itt'Il' el.II....,... ...... HI" ~........................ ...1iI......41tlllll'llll........,..,....................,..,. ,.."..., "......'If."llllll'.l lIf'DI"""" W. &l1'Cl ..".,.,.ca .~.. 11\'1 .......... UIl .. ..... .,1" .. ltefI""'" ."!ltlil1I D......... J/u ,,~.........'_>II~~,/ ,,( OlIO ...... ___._ 11_ ...........Iol.... '""'" ---- f~HI~IT "A" p. ~ dj 3 ~HJ :8 fir ~ IiI I :1 -*',' .; f Ut ~ ';f ~jl. ~~~ Subminedlo: PENNSYLVANIA NATIONAiEB~SN~NAL FINANCIAL STATEMENT O.le:~ pnrrSVlI1 F PFNNC:;VI VANIA' I , ., .. . I . ., . . I r '. : . ' . . . IMPORTANT: Road thlle dlrecllone belore complellng thll Slltlmenl .. . 0" you ard .pplyi~ lor Individual credil in your own n.m'.nd .r. '.Iylng on your own Incom.. or ...." and notlh~'Ir\come or '....I..ollnol"" pe,son.. Ih. baSis lor repaym.nt olth. cred.I request.d, or " Ihls S1al.ment relal.s to your gua,anly ollh. Ind.bl.dne.. 01 olher person(.). '.ml'} or corporalion(s), complet. onty Sections 1,3, .nd 4, . o It you It, applying for Individual cr,dil bul." './ylng en Income 'fom alimony. child support, or upa,al. malnlenance or on the income or Buels tI another pelson as a basis for rrpayment 01 the credit ,.quesled. complel. all Soclion5. Provide Information In Section 2 aboullhe person whOst alimony, support. or mainlenance paymenls 01 Inco",e or auels you ar, relying on. Alimony, child support, or separate mainlenance lncomo, need nol b. rev.al.d " you do nol wl.h 10 h.v. " conslder.d .. . basis lor repaying Ihls obllgltion. S.cllon 1 . IndlvldullInformlllon Ilvn. or nrlnt' S.cllon 2 . Other P.rtv Inform. lion Ilvn. or nrlnll Nlme ..A1AIU.AREi'T M. V €Alk.OWS~1 Address OS Am &;' Name G.ARV r, YEi'IIII<.Dw!.l(/ Addrus ..n.o EAST LAUeR LAIVG ~AIttP ""H.t. t:'eNNSYL.\IANIA 1701/ City, St.t. & Zip City, 51.1. & Zip SoclaIS.CIJrlly, "'1- ~f{ -g/7b SoclalS.CIJrlly. 20'1 _ 42.- "870 ~.I. 01 el~h I 1. - "2 i - S-q OalO 01 BI~h q _ (. _ .!> / Position or occup.tlon A~/UJEY - PA_R.rl.Jfl:~ Position or occupation A1T'ollI\J1; V -A~~cl"lt7E' Business n.m. Mc.N€~... IIIAl-L.~G !: M!,![?:ICIC:: Busln.ss n.m. c;olJ)~~~fi,/l1t!~ f. ~!J@\~tJ Buslness.ddress 100 ?/N6 ~T Busln.Sladdre.. 31.O MAtt~IrT ~c-r HArtrlH.rl"'Rl'. PCNNS'IL\lANIA 11/0"" JlARitI1BII~ P€NN~~I/A~Ui.. /1108 City, Stale & Zip City, 51.1. & Zip L.nglhat'pres.,;IAddru.,.'1.5 VtfA-ItS' . I L.nglh.tpres.nt.ddre",. ./.s Ve:A/l;~ . , , lenglh olelnploymenl I, "Ii' V f: ArtS Lenglh 01 .mploymenl .':t. S A YEA ~!> . Res. phon. Bus.phone Z,il7-5"J 2.li' Res. phone . Bus.phon...23</ -4J7~ Hav. ie~h.r 01) you ollny 111m In which you were . m.jol owner .ver decl.red banknJptcy, or s.lIled ". ,DYe, .JIC No any debl' for less than the amounts owed? If yes. please provide details on a separate sheel. Are (.lther 01) you. delendantln any suit 0' l.g.l.clion? Are (either 01) you presently subjeclto,any unsatislied judgemenls 10 1..II.ns7. ., When 11 evo,'h.v. (eilheroll vou b.en audited bv IRS? . Nar. ')\PPL"GABL6 S.cllori:3' .:Stli.m.nl 0' Fln.ncl.1 Condlllon II 0' ,: . I ~ -':] ...'. ";,s'q 2..' AII.li In doll". I I. . LI.bIllUi. (Omil c.nlll II loin I, Ilndlvldu", (Jolnl) with whom " . DVos DVes BlNo ,l{No ',t.. ," It,._ . .;. I... lOOnol~.Utl.OfdoutldUlwP"t1 e.." ~s..W'IO..eD'. U.SJlvr\ ~'I'bI'MO.Irl"" Non- b 'tcurlUt." In 'doll", (omil cents) IlndlvldUll1 [J.ln'l lS~O - - - - - II Jolnl, wllh whom o 13't>0 WIfe. Holl. D".r.,'JD b&/'IlI.I' Otrl.,.. n...,.~_." " .. _.~, _...~. " ~.. ..,...,....".-..... .. ....... -~""-.... ...."'-~.~.,.., Rul iii"U::~I~' pa,.tIlt" - - - ~.htldb'brOl" D...~~ ,., ...,....,.--0, , o. ..- ,,,.. )1"'--101."'- ..~ C"'ur, "&Iue.I!.~r'ICI" '* ~~~~"2,~~"'" Com " I.oN ."""'..,-,..~ ~'-'.n'l ~._ - - - - 0 \1ll1l "-.II (' en 1- ? ., 1/71 OclO Wi"'..... t; ,~. - wi~ - 1771) ~NYI wi~ - - - 2 ,"00 '- .1 r::a-tJ ~lWt) W\k. . :I..,Z.,.-I ~ - - - - - _00 T.'.I...... I CI IOtrft S7. S7." S.cllon 4 . Annu.llncom. For. Voar Ended -J 2:- : " ' Annu,llneome ' J:I~~OlnIJ AnnuSrE.pendltu,OI !':.'a.. O,Mt nl"Aa-...1"Il l.....'.f A.. _aa 11'I8 T.~..to.'M.o' I ~". _ to 0... I ~~l'Id'uppott,Of ~"""."tI Mpar".malnltNlQ ~ hc:oInt tIHd ftCl Dt ,,,,..1tId . cNId J4.ClrPOIl ',cu 00 nof-'lh 10"'"" ~lcIlftd"'bI"'fof 'f1lIJ'lng ltII, ob'g.tiO" I T.""n".M. I. ':!mm IMo.VDO 7 '7~ T."IIf.M'''''..nd'''IW.''h If"m'\ I/.S75" t,1D'.CZ...,.,,:" '" '~.~..,. ........ ......" . IlndMdull) (J~Olnt" ContlnOlnt u.brUII.. E.lIm,lld .\mou"l, (lncl1vldu.rJ .[Jq.lnt) - hef' I n..._."..,:.... . 'Y. Not " S.~I~nl...bIll...I..rodo'..,. n ~ ~ '~I ,n ~ ...::zoo .. ,~, n J( .'0 ..... n 11II'1 - I ~.~1lInt1 tal 'Il'\'".~ n PIlI ~........, n bit 1..- ~0i0 .~.., ..... . . ... - , '.,'OCO IJO 51/J T...I ""n"""-- l.::Xltl BiT \\A if J es Tol.1 ConUna.nlll'bIllUu o o l I , , . ;~ \; I ., ""',', . . " , '.' " ' . . r.CHECULI, A, ('ASH. CH;:CK!NG AlID SAVI1WS ACCOllNTS, CCnTlFICATE$ OF DEPOSIT, MONEY 'MnKET FUNDS, HC. fi1iK::~:;;~:;i~;'- '~'~:.:;;; li: ~ ~~~;;; :~:';'Ht:~-" "".~~"'''=r:::--5~3 t' j1.J..Lt.O.^l..:L:bL(.J:' _.I ,~~----- _.:;L,_ N.A_.....-3... !"(J'O"'1 1tE\..l.:9.N -C -WLL .s..'J1,o~ L___,~_. :r' ...1{,(J, .l-'.P...2!~ 5CIIEDULE D . U.S. GOV;:nrIMENT ~ 'Mntl'ETABLE SECURITIES (U.a .duli.o.,.1 .10881 II ",',,,.r/) N A. . ,------ .---------- .--- - '''l"."bffoIS''.'..:.or, I AItUlI,..ntgl.llltft. ~ ~~:~.~:~. '~.D~:'fgU""IPII::" _ I. H.m. 01 PI.di.d, 0' H.ld by U"... M....I V.lu. h'''''g.. W"'=.d r. ---..- --r- ,----..- L-__ _ _--l_ .__ __ __..'_"___, SCHEDULE C: NON.MAnKETABLE SECl:nrTIES. 'll. .'Odd'I'o"I" ".'11 ".c'.-ary) N' A ;, . r--H","bll. ~-r":-~'.::'''':' ":lh";~'IIII"'d. ..,..~{ '~-----J t~~~~' _~""'PIIO. .. t~. '~ H''': o~. P~dg.d, 0' H,'d oy 0:"... V'I~~ _' . _~:~:bd o~~""~~_ -~J" l,:=~. I' . ." " ,______-1.-_ _ ____. 'SCHEDV~.E D 'IHVE"n":UEHTI; IN n.FoAL Esr~:'El. 'u.. .~.~~~~lIYI -;-_~. _ : .' .;-______, Dt.crIJlll.,tvtouUon . % '41'1..1 ",.Iu, I . \ 'MortO.g.'j I 01 ~"I.E'I.I' ~ ball of Ot'Oln"1 0""1111 , ~. o! \'c.lt ".-\ . ., ,P,...nl : M""'hI,. MIllIfU)d I. .. .1;ol0r1c1g.. 1 ~::::::'._ I~L~'I,"'.V."'OUOI .n".u olln,,","'n' hI".. __.~:ym...l 0.11 -k~~l_._. j r~~.E1.J'f:., ' =r+ A,Y...I.~_...I 1i3."''-Q~, ~S'_ ..!!~ir~_ni.b,~-....::J C...:..u..~-~-=- ~'- ~;ZD, ooO_I.. :_._~__ =c~2,~j__ M~11!~.f:::j SCHEDULE E - Li'C msunA'-CE CAnnlfO, INCLUDI:IG GROUP IIlSURAlICE f r~.m,ol --- ---'&~;;JCj;IY~F;;"---r - c;;hS--;;;;~~;"--J ~.~~ .:.~:p."y Ow... 01 0011" _. '.d~''':~.:~_ __.~~~ PolI.y 1,.'0' V.lu. _'n ljt~ C.My-' _e~l>6 V~~1j 1S'n, aM"-Gl- :____L__[. 7 7 L_jl ~r.tlIID~ _~:f. '-'i' 'hvi~~;;1 ~~OJ .: .----=---i----~..~(L_.. !l'(M'#.,N (......,. n.,""G,Mty:,....- -V~,,~ (1o?i' ~JO:OOO' .... ~_._--L.._...lI!>.!Yg_-.J , SCIl~DUI.E F. VESTE(lINTEnEST III DE"EnnED COMPENSATI::JIlIPnOFIT.SHAnIlIG PLAIIS 'iJ---i--- M......, "%ul o~;;-]._---_.__., -_n1 ~~~ Comp..y.",;.' ,;. ,.,...oo""'umo.. l.n."I'Y,l.~'n.~:.~~,..' Oil. -I-e.:....~.:~"CI"). 1- ^iil"-j ~?--- '-~ '. "O~-'- --. -r-~l-.-;-..---f :J~o-u- ~ ~~'7 ._~~" _' .L --- .--=-__I"---Y-' . '~=~j ;~ fiEOUlE O. O'U5!HES5''1FNTURES (Use addil;Ollal shPPH a nec;euLiryj rv /?p. -'- ......1- "f' 1--:----1 .. 1.l.IN....,..u.tfJ\1'''',''u ,.'/01., ,,,,::1:,,,:,: T..IIII~...\... . ,.....fIIlllt:! 01 AnyB'J,lnu.V.ntlo:ft I 11tluln Untel ~'tlraln U."dln... YOUt~'OI' N.I'NOrf~ I VnlUlolYo~H I - t ~'~~!~~;~~~ :~~:~~;r . ,t-. Bu,I",,, __.DU.III.", ___'''. ..."."..... .. 8..'"on 3 ;': :1 Owoi"~hl., 0' Bu.lo... J, I."":~~.:....... E' - , . . t.---.-J---.- ~!, -----,-, -.---. -----.1-- '.... ---,+-- j'-'-'--"..-i '---- , -. ~'_...L_ ____._.1 ;~"EDULE H. LC~N~OWI}lo qAlIKS, BnO~EIlS. 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