HomeMy WebLinkAbout99-05694
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PENNY M. SHUNK :IN THE COURT OF COMMON PLEAS
:OF THE 41ST JUDICIAL DISTRICT
V. :OF PENNSYLVANIA-
:PERRY COUNTY BRANCH
GORDON E. DAVIS :NO. 96-4&&j-
:P.F.A.
O R D E R
AND NOW, August 9, 1996, following conference, in accordance
with the agreement of the parties, shared legal custody is
awarded to both parents, but primary physical custody is vested
in mother with rights of temporary physical custody and
visitation in father at such times and under such circumstances,
as the parties hereto shall agree.
BY 9<QU37rr. KEI Y 1 P.J.
cc: Plaintiff
,/befendant
PSP
Police Force
Sheriff
File
CElilifIED A ' UECr''f
DEPUTY PROTHON T,"CRY
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CERTIFIED A iR'JE COPY _
DEPUTY PRO1H0'T RY ,•S''°
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PENNY M SHUNK,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
V.
GORDON E. DAVIS,
Defendant
To the Prothonotary:
NO.- CIVIL TERM
99-'j494-/
Kindly allow, Penny M. Shunk , Plaintiff, to proceed in forma nauperis.
I, Joan Carey, attorney for the party proceeding in forma pauXii , certify that I believe the party is
unable to pay the costs and that I am providing free legal services to the party. The party's affidavit showing
inability to pay the costs of litigation is attached hereto.
Joan Carey
Attorney for Plaintiff
LEGAL SERVICES, INC.
8 Irvine Row
Carlisle, PA 17013
(717) 243-9400
PENNY M SHUNK, : IN THE COURT OF COMMON PLEAS OF
Plaintiff
CUMBERLAND COUNTY, PENNSYLVANIA
V. 99-
NO. -96-66+ CIVIL TERM
GORDON E. DAVIS,
Defendant
1. I am the plaintiff 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: Penny M. Shunk
Address: 3445 Spring Rd.
Carlisle. PA 17013
(b) Social Security Number: 178-52-3949
If you are presently employed, state
Employer: Texaco Food Mart
Address: 920 Walnut Bottom Rd.
Carlisle. PA 17013
Salary or wages per month: _$546.00/month (gross)
Type of work: Cashier
If you are presently unemployed, state
Date of last employment:
Salary or wages per month:
Type of work:
(c) Other income within the past twelve months
Business or profession: N/A
Other self-employment: N/A
Interest: N/A
Dividends:- N/A
Pension and annuities: N/A
Social Security benefits: N/A
Support payments: N/A
Disability payments: N/A
Unemployment compensation and
supplemental benefits: N/A
Workman's compensation: N/A
Public Assistance: $403/month cash assistance
Other: N/A
(d) Other contributions to household support
(Wife)(Husband) Name:
If your (husband) (wife) is employed, state
Employer:
Salary or wages per month:
Type of work:
Contributions from children:
(e) Property owned
Cash: SO
Checking Account: SO
Savings Account: N/A
Certificates of Deposit: N/A
Real Estate (including home):
Motor vehicle: Make P]ymouth Voyaggr _ year 1988
Cost 54500.00 Amount owed 53300.00
Stocks; bonds: _ N/A
Other: N/A
(f) Debts and obligations
Mortgage:
Rent:
Loans: $1101month (oersonal loan)
Monthly Expenses: Groceries $50.00 (after food stamns): Laundry SRO.On• M;erpnaPnnc
P
(g) Persons dependent upon you for support
(Wife) (Husband) Name:
Children, if any:
Name: Heather Shunk Age: 16 years
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 herein.
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 unsworn falsification to
authorities.
Date:
Plamhff