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Home My WebLink About01-0880 FX " fEB 1 4 20~ ~ IN THE COURT OF COMMON PLEAS OF Ct>I"\BER /...AJJf\ COUNTY, PENNSYLVANIA :ur. l.I.nLU\JID 1_. [)vBC>:rS , PLAINTIFF CIVIL ACTION VS. -tEfIE$A- A. OI>-em.S , DEFENDANT NO. OI-<6<6{) ~;V; L ORDER AND NOW, this _ day of , 20 . upon consideration of the Petition before this court, and pursuant to Pa. R. Civ. P. 1920.62, petitioner is granted leave to file the Complaint iti. Divorce without payment of court costs or fees. Th(l Complaint shall be served as provided in Pa. R Civ. P. 142; provided, however, that petitioner shall attempt personal service by restricted mail, restricted delivery, return receipt requested, before requesting the Sherift'to make service of the Complaint in this action without fee. Petitioner may proceed in Forma Pauperis until further Order of the Court. Pursuant to Pa. R. Civ. P. 1920.62, costs in the amount of $ respondent who is directed to deposit same with the prothonotary within date. are hereby assessed against days of today's By the Court, J. IN THE COURT OF COMMON PLEAS OF ~ OJYli'li',RLJlJ.l() COUNTY, PENNSYLVANIA !'Jd-':LlLAAD J..... DlJ€,('):!s:V: PLAINTIFF CIVIL ACTION . . VS. "fI<;RESA. A. 1~il)ecn:5 , DEFENDANT --- NO. Of. H6 C/u;/ le.-/""- Rule to Show Cause-Permission to Proceed in Foruna Pauperis AND NOW, this _ day of ,20 _, upon motion of petitioner, the court hereby grants a Rule upon defendant, and any other interested parties, to show cause why plaintiff should not be permitted to proceed in Forma Pauperis and without posting bond in the above captioned divorce proceedings. Petitioner shall be permitted to proceed in Forma Pauperis pending entry of a final order on this petition by the Court; provided, however, that Petitioner shall attempt personal service or service by registered mail, restricted delivery, return receipt requested, before requesting the Sheriff to make service of the Complaint in this action without fee. Rule returnable, the Courtroom day of , 20_, at , Pennsylvania. o'clock, _.M., in By the Court, 1. c..,_ , ,- . .'."'".," _',,"_~,~,_, ',~_.,_,',","_",,, _'l'l'lI',",",S~, - I, ,.,> .---' .~. FEB 1 4 20~ l IN THE COURT OF COMMON PLEAS OF c'l>M&R.I-..J.WD CIVIL DIVISION COUNTY, PENNSYLVANIA :::n:c W:ru...AR.D /.... DUBO:IS _ Plaintiff NO. OI-1~(j Civi L VS. "T&RE$A A. \)ut,CI$ Defendant. COMPLAINT IN DIVORCE PURSUAN1' TO 23 PA.C.S.A. . 3301 1. The Plaintiffis WILLARD -m: 1.... I) l>BO~S . who currently resides at Camp Hill State Prison, P.O. Box 200, Camp Hill, PA 17001-0200. 2. The Defendant is 'TERESA A, Ul.lB6:r.S , who currently resides at 5;<.;2... NCRT~ 'ib,W. :smttT I-iARRI~B~G,I'j)A 17/03 3. The Plaintiff does not know the latest address of the Defendant. The name and address of the Defendant's nearest relative and/or other person who would be likely to know the whereabouts of the Defendant are: 4. The Plaintiff and Defendant were married on 'fX::( F(YJFlER. 31 J (q'B'-I 'f';ic7I-1U AfYlE CJ.{lJRUI A7 C0TI-/ Mn !1011.S ;')T. i-IA/(J2:r.S8?JRb, PA. , at 5. The Plaintiffhas resided within this Commonwealth for at least six months immediately prior to the commencement of this divorce action.YES 6. The Defendant has resided within this Commonwea1th for at least six months immediately prior to the commencement of this divorce action. YES 7. The Plaintiff seeks a divorce based upon the following groun<@ [CIRCLE LETTER(S) WIDCH ARE THE GROUNDS YOU ARE SEEKING THE DIVORCE ON] @ Wtl1ful and malicious desertion, and absence from the habitation of the injured and innocent spouse,without reasonable justification or any cause for a period from f.-1C\JErtlR:,fR... '2..7) 19q J to tID Adultery. c. The Defendant knowingly entered into unlawful bigamous maniage, while the fanner P((FSEJJ1 marriage is still subsisting. d. Cruel and barbarous treatment that endangered the life of the Plaintiff or the health of the injured Plaintiff. e. The Plaintiff or the Defendant has been convicted and sentenced in a court oflaw to a term of imprisonment of more than two years. f. The Defendant offered such indignities to the innocent and injured spouse, so as to render the spouse's condition intolerable and life burdensome. 8. To the best of the Plaintiff's knowledge, information and belief, there has not been any previous action of divorce filed either in this Commonwea1th or any other state.JR.~ 9. The Plaintiff does have knowledge of a pending divorce action filed in ~I\ , County, . Case Caption Case Number 10. The Plaintiffhas been advi~ of the availability of counseling and that either party has the right to request that the Court require the parties to participate in counseling, WHEREFORE, the P1aintiff request that the court enter a decree of divorce. Dated:~~ ~IZ(jOI ?JJLA1~ AIJ? Plaintiff, Pro Se Institution Number 87'-193 SCI - Camp Hill P.O. Box 200 CampHill,PA 17001-0200 ","'., " .<. ~ >, _L'_ ,q. ., '.. ,v _, _ ~" _O~ ..~. -~ - IN THE COURT OF COMMON PLEAS OF C.UI"I~UJJD COUNTY, PENNSYLVANIA 'J]J: W:I:l..LAM 1... t'>1>6=$ , PLAINTIFF CIVIL ACTION VS. . . . . TERE-SA. A,. l)~6 , DEFENDANT NO. 0/. H6 a,-v: J J;.r f"'. PETITION TO PROCEED IN FORMA PAUPERIS TO THE HONORABLE, THE JUDGES OF THE SAID COURT: Petitioner respectfully represents that: 1. Petitioner, 1,)kLLA./(l) l... Dv~o:r.s:J8; captioned action or divorce. 2. Petitioner's social security number is: :;u () - 4@ -ObI;;, 2 , is the plaintiff in the above- 3. Petitioner's address is: The State Correctional Institution at Camp Hill, P.O. Box 200, Camp Hill, PA 17001-0200. 4. Petitioner's income information is fully and accurately set forth on the attached IN FORMA PAUPERIS STATEMENT. 5. In addition to the petitioner, the following are dependant on such income: (a) Child(ren) of this marriage: ( HA.TiR:L/<Ai)DP.',T<; hE;/(fl'A ~ (b) Others: Petitioner and Respondent). 6. Respondent, TE~e--JI. A.. Dlll'm.S captioned action for divorce. 7. Respondent's social security number is: 8. Respondent's address is: 522. N. I b TN ST. ~B<;', PA 17/6~ 9. kespo~d~Iii'S income and source are believed to be: SI-lf' klC>RI:S (relationship to is the defendant in the above- 10. (If unemployed, state when and where respondent was last employed.) 1 11. A support complaint was filed against respondent on or about the day of , 20 (a) The Domestic Relations number is: (b) Petitioner receives support from respondent totaling week/month. (c) Petitioner (has)(has not) assigned support rights to the Department of Public Assistance. per 12. After talking with an attorney, Petitioner is of the opinion that he has a good and just cause against the above named respondent on the grounds of: A.P.\.1\\1bIl)IYIH~T / ADULT6R.y! SJ<~ -rOOK f'lW ((:rJ)5lE:FT fVle .<WD i-lM A Mfl..Y .,.-6 AA::i3TJ.lER GuY. :r:. HA.VEMT BCE:~ T\.lE SA,]'Ylf: sn:oC..&./'1J:'I\ITAL- M!&ms-H . 13. Petitioner is unable to pay any of the necessary costs, or giver security for the fees, costs and expenses, necessary to prosecute said action without substantially impairing his ability to provide the necessities of life for himself and hischild(ren). 14. WHEREFORE, Petitioner respectfully requests your Honorable Court to enter an Order Granting Petitioner leave on me the Complaint in Divorce as an indigent party and to proceed to termination thereof without the necessity of paying an costs therefore. RespectfWly submitted, ffdlJ ;/1/1 ~ Petitioner 2 "';+"-,""'C"" ,""~>,, _,,,,-<,~,,c_'''1,,,'q'"'."!'-''~'-"_. '_r_,_,t'r"""".__~"._I' ',--- ",~_, ~,__ ""1'_ "" 1. IN THE COURT OF COMMON PLEAS OF (' ufYIAERJ..AIJD --.:m: UStLUliW L. T1 IM-rS . PLAINTIFF COUNTY, PENNSYLVANIA CIVIL ACTION VS. . NO. 6/-?'KD ~ I~ ~ A. DUL:.O:r.s , DEFENDANT .f' T IN FORMA PAUERIS STATEMENT ~ , f I ~ r ~.;.'... ~' I, l.c;Z:U..A,RD I.... OU/YYI5 -::tiJ. . states under penalties provided by 23 Pa. C.SA 6106 relating to unsworn falsification to authorities that: 1. I am the plaintiff in the above action and because of my financial condition I am unable to pay the court costs or fees to file the Complaint of Divorce. 2. My responses to the questions below relating to ability to pay the fees and cost are true and correct. (A) Are you presently employed? eYES) , ~ . i i\ NO (1) If the answer is "yes," state the amount of your salary or wages per month, and give the lll1I,Jle and address of your employer. (List both gross and net salary)" 4:.1 Cf -::r; P't A. "')AJl.:ln~ 7. R.~GV~ 19: (:J21\:)<{ A.N. HOl.)'tZ (2) If the answer is "no," state the date oflast employment and the amount of the salary and wages per month which you received. r YES NO YES NO YES NO (B) Have you received within the past twelve months any money from and of the following sources? (1) Business, profession or other form of self-employment? (2) Rent payments, interest or dividends? (3) Pensions, annuities or life insurance payments? (4) Gifts or inheritances? (5) Any other sources? ~ NO YES NO I; i: , If the answer to any of the above is "yes," describe each source of money and state the amount received from each during the past twelve months. rvt Cr1' M- R... .$6- N"'" l'Y!E: D1.O 1-.'16' Y F=OR. c.QSP\6.,:r:.CS 1$ 30.00 1 ~!I~,-_"~,,_ _~_'l . C _ -__J_' " ,~-, '-W.'_." ,_ ,~r1~="" _'"~, [ -I' !'j !i ~;- . (C) Do you own any cash, or do you have money in checking or savings accounts? YES @ (Include any funds in prison accounts.) If the answer is "yes," state the total value of the items owned. (D) Do you own or have any interest in any real estate, stocks, bonds, notes, automobil~ other valuable property (excluding ordinary household furnishings and clothing)? YES ~ If the answer is "yes," descn'be the property and state its approximate value. (E) List the persons who are dependent upon you for support, state your relationship to those persons, and indicate how much you contribute toward their support. CJ.JA;TTR;I.KA fJUf6o:r.-$ iE:R.eSIl..()b!2>DJ:-$ mY DKlS~ ATG1t.5 3. I understand that a false statement or answer to any question in this verified statement will subject me to the penalties provided by law. (Date) ~JLJ;e ~15~. 2- - 0- () I Sigtulture of Applicant Executed on ~l _T" . ~,_ '~'''';o ,,-'. ,< _ c"'> ., '-"~-. '-'I~"'lf,_~,'-,,~_r,,~,,"_~" ,.-.n., ,. PAGE 1 M-B-1003 INMATE ACCOUNTS SYSTEM MONTHLY ACCOUNT STATEMENT 01-29-2001 2614C INMATE NUMBER EJ7493 NAME LAST DUBOIS FIRST WILLARD MI OLD BALANCE 24.04 BATCH DATE # MO DY YEAR TRANSACTION DESCRIPTION TRANSACTION BALANCE AFTER AMOUNT TRANSACTION 8364 12-29-2000 32 CAM COMMISSARY FOR 12/29/2000 -23.70 7386 01-08-2001 10 MAINTENANCE PAYROLL GROUP 1 12-01-00 TO 12-31-00 26.60 7386 01-08-2001 50 ACT 84 TRANSACTION * 2980/99 01/08/01 -5.32 8012 01-12-2001 32 CAM COMMISSARY FOR 1/12/2001 -21.44 .34 26.94 21. 62 .18 NEW BALANCE AS OF THIS STATEMENT -------------------> .18 "', '~"" .,_, _ 1. -- ._" 1 +~ ,_ 1"1 ' , WILLARD L. DUBOIS, III IN THE COURT OF CUMBERLAND COUNTY, PENNSYLVANIA v. TERESA A. DUBOIS NO. 01-0880 CIVIL TERM IN RE: IN FORMA PAUPERIS ORDER OF COURT AND NOW, this 15TH day of FEBRUARY, 2001, based on the attached petition to proceed In forma pauperis, the request is granted and petitioner may proceed without payment of the costs. Edward E. Guido, J. WILLARD L. DUBOIS, III #EJ7493 SCI - CAMP HILL P.O. BOX 200 CAMP HILL, PENNSYLVANIA 17001-0200 :sld ~ \9 vi 0"'''* 'If; . ~, "r - , .. .1"1-:' I ~~J1'-~~~~~iJrTi -.....'...........'.............'....... . . - - .-.. - -. . " ", , 1~131">15ID,) 1 Month Day Year ~ ---:zfi:ase send mail to new address beginning: WUPnTS' W'XU.Aen L My Name (Last nafT!e:!','rW"J1~E!' ~iddle) 'IICA..P^" H:IU)?Ri~.I, 15.171.J'r3 1 . 'OLD Complet~ Street Address or PO Box or Rural Route a.ncfI~Pi Box Apt.!Suite # 1(;'A1-Y\Y f-bu~ . .. q lP>'elI 20tJ 11701'':_01(101 City or Post Office " - ,- State' ZIP or ZIP +4 Code II eA1I1.p fL:.t i . 1>" 17~)of -0::200 1 'NEW Complete Street Addre!,s or PO Box or Rural Route a,nd RR Box Apt./Suite # 1 C'D:un...lAc,6 :PLACE N VI! 1 RofJ,fJ If 2./-1 1 City or Post Office State ZIP or ZIP +4 Code 1 H I9-Mi^>1e.LS T610t\) 'PI\, N.E.W Telephone Number (Optional) 1717 533-0'-f2.'?S Ie) 1[7030 ,'$ i I I , i I I ~~ iii.!~l~1~ij-'"I'~)!r'1 \ ~I~i~~,i~ ~!~!i!'~"'!llj,~"',."~~~.~r~"!III.......j..iiii..,~i~'""!,~"iii~,..,,_ Today'sDate: "'Ionth Day Year PS FORM 3576. September 2000 See http://www.usps;com/moversnet for more information. ;"'~~;{-?~~;;tr:.:~:~,),~~:t6i'iJ,':wi1-'%'i:i&fjjf;t;i,j!mn ~!};,*-"'!6f.J%":Lt:'4~f:!.~Sj'j,~tJif~44?:}'itYitk'0;J:~'WZ6Z-.'L., r:- <r'1/" '_ ( t I/-..,i " ,'SPoS~ r~~-j '\ Q4'~ -.:.... rmPlace *R1h"I1RIiIl~ , - re : 1 ~' ~~'~ ... ~ ~~~~~~~ ~1. -- , l ~ :5 ~ i;.4J~ED ~~-Zt~;;~E : 7 <'- :~ ~ CURTI"") K. lOI\JG, Name 'PIN\T I-iDJ\.)tYTA..RY If Applicable, Name of Business C.UI"1P\tfllA/I.\n COLlI..\TY OIJE C:OlJl?TJ.lC)JJSf S(;)II~6';: Complete Street Address or PO Box or Rural Route and RR Box C.1ill LX ")I-..h . City or Post Office 't>A State 110/3 ZIP or ZIP + 4 Code ~:/:.:"';:-::.:::.:-:: .. .. ---- 1",iH",ii\"""Il"H",ii",ii'Hi,ii,ii,i,I"i,j"i,ii,i -:.!tiJl~""fI!I,!~q1;~I'r~1' 'I" ,__~_f'@.+t#!II~:;;;H-j;,:<lh -;;--;::;- ,-; ," --::~:::;-;;:j:;:-~"'1I~, ---- ---- i0ii-I~ r\;~- iiii ~ 1~I'k ,_1l"~ ."",~ '~ ~~eij~j'~t~t1~fu'~~~~2K:~"ii~~ii&~) " COMMONWEALTH OF PENNSYLVANIA IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION PRAECIPE TO TRANSMIT RECORD To the Prothonotary: Transmit the record, together with the following information, to the court for entry of a divorce decree; 1. Ground for divorce: irretrievable breakdown under section (201 (c)) (201 (d) (1) of the divorce code. 2. Date and manner of service of the complaint: 3. (A) Date of execution of the affidavit of consent required by section 201 (c) of the divorce code: by plaintiff l<\'(1I'\'pl) L. [)IiBOxs=: by defendant 7ERE'S1i A. OiJBcas 2. Date of service of the plaintiffs affidavit upon the defendant: ~/U>f!J!l~~ ,~ " 0" <"'e