HomeMy WebLinkAbout03-3078IN THE 'COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
Plaintiff :
Civil Term
NOTICE TO DEFEND AND CLAIM RIGHTS -; -'
~ (-2
YOUHA VE BEENSUED IN COURT· If you wish to defend against the claims set xorm
in the following pages, you must take prompt action.
You are warned that i£you fail to do so, the case may proceed without you and a decree
of divorce or annulment may be entered against you by the Court. A judgment may also be
entered against you for any other claim or relief requested in these papers by the Plaintiff. You
may lose money or property or other rights important to you, including custody or visitation of
your children.
When the ground for divorce is indignities or irretrievable breakdown of the marriage, you
may request marriage counseling. A list of marriage counselors is available in the Office of the
Prothonotary, Cumberland County Courthouse, 1 Courthouse Square, Carlisle, Pennsylvania.
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DMSION OF PROPERTY,
LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS
GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU
DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE
THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, PA 17013
(717) ,2.4973166
HELP.
cD
:~ [:'5
Ee han demandado a usted a la cone. Si usted quiere defenderse en contra estas demandas
expuestas en las paginas siguientes, usted tiene veinte (20) dias de plazo al partir de la fecha de la
demanda y la notification. Usted debe presentar una apariencia escrita o en persona o por
abogado y archivar en la cone en forrna escrita sus defensas o sus objeciones a las demandas en
contra suya.
Se has avisado que si usted no se defienda, la cone tomara medidas y puede entrar una
orden contra usted sin previo aviso o notificacion y por cualquier queja o alivio que es pedido en
la peticion do demanda. USTED PUEDE PERDER DINERO O PROPIENDADES O OTROS
DEKECHOS IMPORTANTES PARA USTED.
LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI USTED NO
TIENE O CONOCES UN ABOGADO, VAYA EN PERSONA O LLAME POR TELEFONO A
LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABA JO PARA AVERIGUAR
DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, PA 17013
(717) 249-3166
AMERICANS WITH DISABILITIES ACT OF 1990
The Court of Common Pleas of Cumberland County is required by law to comply with the
Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable
accommodations available to disabled individuals having business before the Court, please contact
our office. All arrangemems must be made at least 72 hours prior to any hearing or business
before the Court. You must attend the scheduled Conference or Hearing.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, PA 17013
(717) 249~3166
Plaintiff
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 2003 - ,~s~7 ~'
: CIVIL ACTION - LAW
:
: IN DIVORCE
COMPLAINT UNDER 83301 (c) or (d) OF THE DIVORCE CODE
1. Plaintiff is ¢~c1~(~/~ ~7. ~.~.'1.~r. who currently resides at
Cumberland Co,W, Pe~sylvma.
2. Defendant is ~~.,X '~P'~%e¢ who c~ently resides at
3. ~l~nfiff h~s bo~ ~ bona ~de ro~id~nt of ~o Co~onw~al~ of Pe~sylvanJa for ~t
leas~ the six months prior to ~o filing of~is ComplainS.
4. Plaintiff ~d Defend=t were m~ed on ~ ?~ ~0 at
5. ~e manage is i~e~vably broken, ~d ~e p~es sep~ated on
6. There have been no prior actions of divorce or ~ulment be~een ~e pmties.
7. Plaintiff, to ~e best of hisSer ~oMedge ~d belief, avers ~at defendant is not in the
~lita~ se~ice of the U~ted States of~efica, but is in fict living at the ad&ess
given in Paragraph 2 above.
Date
8. Plaintiffhas been advised of the availability of counseling and that Plaintiff may have
the right to request that the Court require the parties participate in counseling.
WHEREFORE, Plaintiff requests the Court to enter a Decree of Divorce.
I, I (~ ~ ~t~ ,~verify that the statements made in this Complaint
are tree and correct to the best of my knowledge, information, and belief. I understand that false
statements made herein are subject to the penalties for unswom falsification to authorities as
provided in 18 Pa. C.S. §4904.
Assisted by:
MIDPENN LEGAL SERVICES
PRO SE DIVORCE CLINIC
8 lrvine Row
Carlisle, Pennsylvania 17013
(717) 243-9400
Plaintiff
vii.
Defendant
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
:NO. 2003 - 3o-~? ~,7,[
: CIVIL ACTION - LAW
: IN DIVORCE
PETITION TO PROCEED IN FORMA PAUPERIS
The Petitioner, ~[~l~e.' ~Z ¢~'k~x~'' , is the Plainfiff in this action. On
her behalf, I, Joan Carey, attorney for MidPenn Legal Services, do hereby certify that the
Petitioner is indigent according to the poverty guidelines of MidPenn Legal Services. MidPenn
Legal Services is assisting the Petitioner in filing a divorce casepro se. The Petitioner's
Financial Affidavit showing inability to pay the costs of litigation is attached hereto. Petitioner
requests leave to proceed without payment of fees or costs.
Resp. ectfully submij&e d:
Pro Se Divorce Clinic
8 Irvine Row
Carlisle, PA 17013
Plaintiff
VS.
Defendants
: IN THE COURT OF COlVIIVlON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
:
: NO. CIVIL TERIVi
.
:
AFFIDAVIT IN SUPPORT OF PETITION
FOR LEAVE TO PROCEED IN FORMA PAUPERIS
1. Iam th¢~.'~[~ 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
hfigafion.
3. I represent that the information below relating to my ability to pay the fees and costs is true and
(b) Social Security Number:
If you are presently employed, state
Employer: ~x~l~
Address:
Salary or wages per month:
Type of work:
If you are presently unemployed, state
Date of last employment:
Salary or wa~es per month: ~,~
(c) Other income within the past twelve months
or pro£ession:~ ~
Business
Other self-employment:
Dividends: ~
Pension and annuities:
Social Security benefits:
Support payments: ~ / ~
Unemployment compensation and
supplemental benefits:
Workman' s compensation:
(d) Other contributions to h~support
If yom(wife) is employed, state
salt o~ wa~es p~r month:~S.
Contributions from children:
(e) Property owned
Savings Account: ~ I~
Certificates of Deposit:
Reml Estate (including home):
Motor vehicle: Make ~
cost 0
Stocks; Bonds: 0
Other: 0
(~) DeBts and obligations
Mortgage: 0
Monthly Expenses:g~J~)
Year
Amount owed
(g) Persons dependent upon you for support
(Wife) (Husband) Name: ~,3~
Children, if any:
4. I understand that I have a continuing obligation to inform the court of improvement in my
financial circumstances which would permit me to pay the costs incurred here'm.
5. I verify that the statements made in this affidavit are true and correct. I understand that false
statements herein are made subject to the penalties of 18 Pa. C.S. 4904, relating to unswom falsification to
authorities.
Madylene J. Weiser,
Plaintiff
VS.
Adam J. Weiser,
Defendant
IN THE COURT OF COMMON PLEAS OF
CLrMBERLAND COUNTY
PENNSYLVANIA
No. 03- 3078 CIVIL TERM
IN DIVORCE
ACCEPTANCE OF SERVICE
I /q~.~ ~1, I.,'~l,~'/~ , accepted service of a true and correct copy of the
Complaint in Divorce under section 3301 (c) of the Divorce Code on the date written below.
I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. §4904,
relating to unsworn falsification to authorities.
Dat Adam J. Weiser, Defendant
_ i.-S rn
Madylene J. Weiser,
Plaintiff
VS.
Adam J. Weiser,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY PENNSYLVANIA
No. 03- 3078 CIVIL TERM
IN D1VORCE
AFFIDAVIT OF SERVICE FOR PERSONAL SERVICE
~x_~ /'~` ~.~ ~ with a Divorce Complaint under Section 3301(c)of the
Divorce Code by personally handing him/her a copy at
(City)
at ~ 2-1L~C)
(Time)
'l~Street Number and Address)
(State) (Zip)
.m. onthe G~ dayof ~'~U\~
(Date) (Month) .),
,200
(Year)
I, ~0~[]/t~ ~'~"- [J,~iJ~/ , verify that the statements made in this
(N'athe of ~erson who performed service)
Affidavit of Service is true and correct. I understand that false statements herein are made
subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn falsification to authorities.
Madylene J. Weiser,
Plaintiff
VS.
Adam J. Weiser,
Defendant
IN THE COURT OF COlvIMON PLEAS OF
CUMBERLAND COUNTY PENNSYLVANIA
No. 03- 3078 CWIL TERM
IN DIVORCE
1. A complain
2003.
2. The marfia~
elapsed fi'o~
3. I consent to
intention to
I verify that the
false statements
relating to uns~
AFFIDAVIT OF CONSENT
: in divorce under §3301(c) of the Divorce Code was filed on June 30,
e of plaintiff and defendant is irretrievably broken, and ninety days have
a the date of filing and service of the Complaint.
the entry of a final decree of divorce after service of notice of
request entry of divorce.
statements made in this affidavit are true and correct. I understand that
herein are made subject to ~he penalties of 18 Pa.C.S. Section 4904
om falsification to authox/tilbs. . ] ' '
Ma
Madylene J. Weiser,
Plaintiff
VS.
Adam J. Weiser,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY PENNSYLVANIA
No. 03- 3078 CIVIL TERM
IN DIVORCE
1. A complair
2003.
2. The marrial
elapsed fi'o~
3. I consent to
intention t
I verify that tl~
false statement~
relating to unsv
Date:/0//~ ~-/
AFFIDAVIT OF CONSENT
in divorce under §3301(c) of the Divorce Code was filed on June 30,
e of plaintiff and defendant is irretrievably broken, and ninety days have
a the date of filing and service of the Complaint.
the entry of a final decree of divorce after service of notice of
request entry of divome.
statements made in this affidavit are true: and correct. I understand that
herein are made subject to the penalties of/18 Pa.C.S. Section 4904
;om falsification to authoriti~r
Signature:
A~lfim J. Weiser, Defendant
Madylene J. Weiser,
Plaintiff
VS.
Adam J. Weiser,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY PENNSYLVANIA
NO. 03- 3078 C,~VlL TERM
IN DIVORCE
WAIV]
DIV
I consent tc
I understan~
fees or exp~
I understan~
and that a c
Prothonotm
I verify tha
false staten~
to unswom
Date:
~R OF NOTICE OF INTENTION TO REQUEST ENTRY OF A
)RCE DECREE UNDER §3301(c) OF THE DWORCE CODE
the entry of a final decree of divorce without notice.
I that I may lose fights concerning alimony, division of property, lawyer's
nses ifI do not claim them before a divorce is granted.
I that I will not be divorced until a divorce decree is entered by the Court
opy of the decree will be sent to me immediately after it is filed with the
y.
statements made in this affidavit are tree and correct. I understand that
ents herein are made subject to the penalties of 18 Pa.C.S. §4904 relating
~'alsification to authorities, r,~fi l!1~'
Maff' ene A Weise inti
Madylene J. Weiser,
Plaintiff
VS.
Adam J. Weiser,
Defendant
IN THE COURT OF COMIviON PLEAS OF
CUMBERLAND COUNTY PENNSYLVANIA
No. 03- 3078 CIVIL TERM
IN DIVORCE
WAIV]
DIV
I consent t~
I understan
fees or exp(
I understan.
and that a c
Prothonotm
I verify tha
false statem
to unswom
Date: Jt~/
~,R OF NOTICE OF INTENTION TO REQUEST ENTRY OF A
)RCE DECREE UNDER §3301(c) OF 7'HE DWORCE CODE
the entry of a final decree of divorce without notice.
that I may lose rights conceming alimony, division of property, lawyer's
nses if I do not claim them before a divorce is granted.
that I will not be divorced until a divorce decree is entered by the Court
opy of the decree will be sent to me imraediately after it is filed with the
~,.
statements made in this affidavit are tree and correct. I understand that
:nts herein are made subject to the penalties of 18 Pa.C.S. §4904 relating
Falsification to authorities. /~ i //
Signature:
Adam J. Weiser, Defendant
Madylene J. Weiser,
Plaintiff
VS.
Adam J. Weiser,
Defendant
To The Prothonotary:
Transmit the r
entry of a divorce dec
1. Ground fo
Divorce Code.
2. Date and
of Service form on J~
3. Complete
(a) Date ofe
the Divorce Code: b'.
(b)(1) Date
of the Divorce Code
(2) Date *
4. Related c]
5. Complete
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY PENNSYLVANIA
NO. 03- 3078 CIVIL TERM
IN DIVORCE
PRAECIPE TO TRANSMIT RECORD
~cord, together with the following information, to the Court for
:ee:
divorce: Irretrievable breakdown under Section 3301(c) of the
4armer of service of the Complaint: Defi~ndant signed Acceptance
3, 2003.
[ther paragraph (a) or (b).
cecution of the Affidavit of Consent required by Section 3301 (c) of
, Plaintiff, October 12, 2003; by Defendant, October 12, 2003.
f execution of the Plaintiff' s Affidavit required by Section 3301 (d)
N/A
frilling and service of Plaintiff's Affidavit upon Defendant: N/A
aims pending: There are no outstanding claims.
either paragraph (a) or (b).
(a) Date and:
Transmit Record, a cc
(b) Date Plai~
the Prothonotary: Ocl
(c) Date Dele
with the Prothonotary:
Plaintiff's Social Secu
Defendant's Social Se
nanner of service of the notice of intention to file Praecipe to
DY of which is attached: N/A.
Iiff's Waiver of Notice in Section 3301(c) Divorce was filed with
~ber 16, 2003.
adant's Waiver of Notice in Section 3301(c) Divorce was filed
October 16, 2003.
:ity Number: 513-86-0187
:urity Number: 179-68-0704
Attorney mr Plainfirx
MidPenn Legal Services
8 Irvine Row
Carlisle, PA 17013
(717) 243-9400
IN TH COURT OF COMMON PLEAS
MADYLENE J.
PLAI !IFF
STATE OF
SER
VERSUS
ADAM J. WEISE~
DEFENDANT
OF CUMBERLAND COUNTY
PEN NA.
NO. 03-3078 CIVIL
DECREE IN
· DIVORCE ~
AND NOWl~ '~'~__ '~I~0~1~
., IT IS ORDERED AND
DECREED THAT
AND ADAM
ARE DIVORCED
ThECOUrT
BEEN RAISED
YET BEEN ENTEl
ALL CLA]
MADYLENE J. WEISER , PLAINTIFF,
WEISER , DEFENDANT,
ROM THE BONDS OF MATRIMONY.
ETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVf
RECOrd IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT
~ED;
MS HAVE BEEN RESOLVED.
p ROTH O~N ~OTA ~'