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. IN THE COURT OF COMMON PLEAS OF
.
CHRISTEEN RHOTEN , Plaintitt
. CUMBERLAND COUNTY, PENNSYLVANIA
.
v. .
.
. NO. 9'g-~301 CIVIL TERM
.
.
.
MICHAEL BEAr.IILEY , Detendant : CUSTODY
ORD~
AND NOW, this
the attached Custody
Order ot Court.
S~ ~
day ot ~ - (J , 19~,
Stipulation and Agreement are
the terms ot
hereby made an
E. CUIDO , J.
Sendtol
Plaintif.t, ~ ..
CHRISTEEN RHOTEN
_......~'''~
Nallle
109 11th STREET
Address
NEtv CUMBERLAND PA 10070
Address
Defendant
NICHAEL BEArillLEY
Nallle
403 B SUHHIT STREET
Address
NEtv CU~1BERLAND PA 17070
Add.rllss
'-""--"-
9
C1-YI:) t eC'f1 Q Rho ten
IN THE COURT OF COMMON PLEAS OF
, Plaintiff
v.
CUMBERLAND COUNTY, PENNSYINANIA
NO. 98- .)-3>0 I CIVIL TERM
..
D. nl -, I
ffiIO"Ge\ \...u O(:(.t~' 6e1~hdant
CUSTODY
CUSTODY STIPULATION AND AGREEMEN~
Made by and between I .Lhr I ",\,-ppn (::'I ph\ l \en
hereinafter "Mother," currently residing at I oq I (t.h ,ell-
rvP\.lrUrY\OP1\(\N;.1 (Jf-\ 110'lC) and 1f'\\C'r\C\P\ I.).) ~t:)y...,\e~
hereinafter "Father," currently residing at L(()'373
()IiNII'Il,I RL NllAl (!,}ll1l'C~/'''I'~ PI) /71' ''/0
WHEREAS the parents have a child/children, namely:
I::iAME llATILo F BI RTH
\<'en \ ,LX' tpc Bb~~ R. \ (3 . C{ ~()
hereinafter "child/..' . - Uli" and
WHEREAS, the parents wish to enter into an agreement
relative to custody, partial custody and visitation of the
child/. ' . -. Iii
NOW THEREFORE the parents agree as follows:
1. Mother and Father shall have shared legal custody ot the
child/all1lJ.uln, meaning that they shall share the legal right to
make major decisions affecting the best interest of the
child/cAilJ__" and all of the major matters related to the
child/c) . n J. _", including, but not limited to, medical, religious
and. educational decisions.
2. Hother/r . 111:. shall have primary physical custody of the
10
child/"l ... ., meaning that this person shall have actual
physical possession and control of the child/~~'lJ_ PI for a
.,
majority of the time.
3. The other parent shall have partt1l1=j,ihysical
0101 I <\y/visita'l:ion "Partial physical custody" means the person uti \ ~J
shall have the right to take possession of the child/chHJLen C'h--e_I\..'-1 c,J
C) r,c~"C\ I;.
away from the other parent for a certain period of time; '-'-,j
C'trCf O::,r It C'
"Visitation" means the person shall have the right to visit the
child/cAdl - _n, but does not have the right to remove the
child/€La~'rTPl from the custodial person's control" ) as follows:
a. AS AGREED
as agreed to by the parents.
(If you think that you do not need a set schedule, you may stop
here and sign the agreement at the end.)
b. WEEKENDS (Initial choice 1 or 2 or leave blank)
1. ALTERNATING On alternating ds
beginning on ., at _.m.
(Day of Week)
through at and every
(Day of Week) (Time)
other weekend (alternating weekends at the
2. SPLIT
from
(Day
at
of Week)
at
(Time)
(Day of Week)
.m.
Week)
(Time)._ _~
c. DAY(S) DURI~E WEEK
/
/ at
/ (Time)
~t _ - .m. and
// (Time)-
"
(Initial if agreed)
From
(Day of
_____.m. through
(Day of
Week)
each week thereatter at tho
11
.f"~:'
...'
chil~/children tor the same number of weeks during the Sllm~
vacation provided the same number of weeks n~tice is ~ to the
--
other p~rent. ~/
i. MISCELLANEOUS ~nt9 also agreE
(Initial if agr~
//
to the following:
..--",'/-'
//r
/
/
/
/
/
./
/'
j. )3r.H'tional periods of visitation and primary physical
~~Sh~ll be provided as agreed to by the parties.
, 4. Transportation of the child/children shall be provided
as follows:
(Fill in the blank)
5. Neither parent shall do anything which may estrange tn.
child from the other parent or injure the opinion of the child as
to the other parent, or which may hamper the free and natural
development of the child's love and affection tor the other
parent.
6. Neither parent shall consume alcoholic beverages to the
point of intoxication or consume any unprescribed controlled
substances (drugs) while the child/!l ".. ,- is in their care.
7. Each parent agrees to provide the other par~nt with an
address and telephone number through which the parent may be
contacted during periods of custody of the child/ ," 11 _/ . Each
parent further agrees to inform the other parent ot any medical
emergencies that arise while the child/. . J.l~are in that
parent's care.
15
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..
.i.'i=-"",=,,,",_,.':..', """"''''''"''-~''1!I'''''''_.'''''_1Ie.
( t')1\~)\-ecf)
A Rr'DK'J(\
, Plaintiff
v.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 91'- ;)20/ CIVIL TERM
CUSTODY
"
( f., ~'..\L-\:."'f Defendant
C'Y'I\( 'r-.c:i. e "-' l....c.'t.-' I , - I '
ORDER
AND NON, this f\~r\\ day of Q:l"\'r) , 1997 , upon
cOflsidez'ation of the plaintiff's Petition and Affidavit in
Support of Petition for Leave to Proceed In Forrn~ Eauperis, it is
hereby ORDERED and DECREED that Plaintiff,
A
may file the attached custody action in !Qrm pauperis and proceed
to the termination of the proceedings without payment of filing
tees or costs.
J.
26
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(\'VL~' E'er-. A Q Ill:.)" C'."
, Plaintiff
IN THE COURT OF COMMON PLEAS OF
v.
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 98- ;)30/ CIVIL TERM
: CUSTODY
('f\l c I'\oe,\ w' ee:t)\-''IIC~'I' Defendant
PETITION FQB LEAVE TO PROCEED AS AN INDIGENT
1. C:~ri~~(~~f1~f() Plaintiff in the above-titled
action, on this ~ day of d LIth , 1997,
respectfully requests this Honorable Court to grant her leave t.o
proceed as an indigent to the extent that she be relieved from
paying the fees and costs in this procedure.
2. Plaintiff has been screened for income eligibility at
Legal Services, Inc., has been detel-mined eligible, and has
attended a custody class at Legal Services taught. by a private
attorney who was providing services free of charge as part of the
Cumberland County Bar Association's ~Q QQnQ plan. Verification
is attached.
3. Plaintiff has attached an affidavit in support of this
petition.
By the Plaintiff
V-\eJ\ C. dh)~
. I verify that the Plaintiff has been determined by Legal
Services, Inc. to meet their financial eligibility guidelines and
that the Plaintiff has attended a custody class.
r~~
27
..
'..
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 9S- ,1301 CIVIL TERM
Nl\'(hc~e..\ \JJ f1J3;l:1'tet Defendant CUSTOD'l
AFFIDAVIT IN SUPPORT OF PETITION
FOR I,.EAVE TO PROCEED IN FORMA PAUPERIS
(\.~< ')\eef") (.\ (,th-J\erl
, plaintiff
v.
1. I am the plaintiff in the above matter and because of my
tinancial condition am unable to pay the fees and cos.ts 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 infonnation below relating to my
ability to pay the fees and costs is true and correct.
(a) Name: Cry\')~() (<\1(,\\-en
Address: \('\C\ \ hI'> <:,\- '" lPl.) CII......re\\cHy..~
eG\ \ III ,0
Social security Number: ;::)\"\ ,'ld Odl 3
(b) It you are presently employed, state
Employer: ~. Y\ PC1~
Address: ('('r;(\(pt "')\- Len'..,::>..tY"\8
pf4 \1(':>42>
Salary or wages per month:llt3,9(O. W u.ve. "'''OP
Type of work: We;: \\-Ce~D
If you are presently unemployed, state
Date of last employment:
Salary or wages per month:
Type of work:
28
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