HomeMy WebLinkAbout97-02813
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PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(ThIS p,ool 01 SO'VICO MUST BE FILED WITHIN TEN (to) DA YS AFTER 11/"'9 Iho nollCo ol,'ppoal. Chock appllcablo bO'os)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ; II
AFFID~VIT: I hereby swear or afllrm that I served
. 0 . COP)' ollhe NotIce 01 Appeal. Common Pleas No , upon the District Justice deslgnaled therein on
(dare 01 se,vice) , 19~. 0 by personal seryice 0 by (cerlllied) (registered) mail, sender's
receipt aUached herolo, end upon the appellee, (nanle) , on
.19 n by personul service 0 bV (ccrrilie~) (registered) mail. sender's recoiplattached hereto
o and lurlher lhatl served the Rule to Fole a Compla,nl accompan,''''g the aboye Notice of Appeal upon theappellee(,) 10 whom
the Rule was addressed on , 19___ 0 by personal service 0 by (cerlified) (regIstered)
mail, sender's receipt BUnched hereto.
SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME
THIS DAY OF , 19__
S'gn,'ure 01 aflt'n1
SIgn,ture ot o'f,clal belor. whom ,It,dllvlr was m,ae
Tiff' 0' aUici.,
My commiSSion expires on
19_,
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HANS S ROMBERGER
Plaintiff
IN THE COURT OF COMMON PLEAS OF
v.
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 97-.1 f/,3 CIVIL TERM
DEBORAH GRAHAM,
Defendant
AFFIDAVIT IN SUPPORT OF PETITION
FOR LEAVE TO PROCEED IN FORMA PAUPERIS
1. I am the defendant in the above matter and because of my
financial condition am unable to pay the fees and costs of
prosecuting, defending, or appealing the action or proceeding.
2. I am unable to obtain funds from anyone, including my
family and associates, to pay the costs of litigation.
3. I represent that the information below relating to my
ability to pay the fees and costs is true and correct.
(a) Name: Deborah Graham
Address: 615 Wavne Drive
Mechanicsburq PA 17055
Social Security Number: 167-40-0628
(b) If you are presently employed, state
Employer:
N/A
Address:
Salary or wages per month:
Type of work:
If you are presently unemployed, state
Date of last employment:
5/16/97
salary or wages per month:
$1500/month (netl
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SAIDIS. GUIDO.
SHUFF &
MAS LAND
2109 Market SlRel
Camp Hill. PA
HANS S. ROMBERGER,
Plaintiff
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNa.
NO. 1997 -:J.J'/J Qiu~~ It
v.
DEBORAH GRAHAM,
Defendant
CIVIL ACTION - LAW
COMPLAINT
AND NOH COMES the Plaintiff, by his attorney, Saidis, Guido,
Shuff and Masland and files this complaint whereof the following
is a statement:
1. The Plaintiff is an individual residing at 300 South
24th Street, Camp Hill, Pennsylvania.
2. The Defendant is an individual residing at 615 Wayne
Drive Mechanicsburg, Pennsylvania, in premises owned by the
Plaintiff.
3. The Plaintiff and Defendant entered in to an oral lease
whereby the Defendant leased the property in which she resides
from the Plaintiff at a rental of $500.00 per month.
4. The Defendant became delinquent in the payment of her
rent and on March 23, 1997, written notice was given to the
Defendant to remove herself from the premises.
5. As of the date of this Complaint, rent is unpaid for
five months, totalling $2,500.00.
6. Defendant has paid a security deposit in the amount of
$500.00 which Plaintiff retains in his possession.
7. The Defendant retains possession of the real property
and refuses leave the premises.
WHEREFORE, the Plaintiff demands the delinquent rent in the
amount of $2,500.00 and any additional rent that becomes due and
unpaid during the course of these proceedingsr less any balance
remaining from the security deposit, and possession of the
premises.
SAIDIS, GUIDO, SHUFF & MASLAND
'7
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E.
Su me Court 10#: 06262
2109 Market Street
Camp Hill, PA 17011
(717) 737-340