Loading...
HomeMy WebLinkAbout04-0265 .' COURT OF COMMON PLEAS OF (UM!:u.r Ic.n,) CIVIL ACTION COUNTY, PENNSYLVANIA , Jp-I/n;t.. L, CO/){'f1d Plaintiff VS. NO. Qtf - 2/P~ (\,;; L Te R m "'ToM ~t.ti)h~ Jot Defendant PETITION TO PROCEED IN FORMA PAUPERIS I, the undersigned, do hereby aver that: 1. My name is j,o/'lit_ L l".onrnd and I live at S.C.I. Cambridge Springs, 451 Fullerton Avenue, PA 16403-1238. 2. I have filed the above civil action, but I do not have the financial resources to pay the costs of filing such an action and any other costs of litigation. 3. I am not represented by an attorney in this matter. 4. I have attached an affidavit to this petition concerning my financial situation. 5. I request that the Court allow me to proceed without paying any costs or fees with respect to this litigation. I verify that the statements made in this Petition are true and correct. to the best of my knowledge, information and belief. I further understand that any false statements made herein are subject to the penalties of 18 Pa.C.S. 94904, relating to unsworn falsifications to authorities. Date: ~/Lj ._.~., ,-:l (-) -,J '- '~h / IN THE COURT OF COMMON PLEAS OF FAMILY DIVISION COUNTY, PENNSYL VANIA .Jt'_no'lt I ,ton (''(\ r\ Petitioner Vs. Case Number# CH .J.l,j Ci"il JeRTY1 loc\el Ne.L.,h~16e- Respondent IN FORMA PAUPERIS STATEMENT I, Je..hl'\i e. L, ~Qnrllr:! ' petitioner, pro se, hereby states under the penalties provided by 18 Pa. C.S.A. .~4904, relating to unsworn falsifications to authorities, that the following is in support of the In Forma Pauperis Statement: 1. I am the petitioner in the above captioned matter and that because of my finiancial condition I am unable to pay the following fees and costs of prosecution in this matter. 2. My responses to the questions below relating to my ability to pay the fees and costs are true and correct to the best of my knowledge, information, and belief. (A)Are you presently employed? 0 YES O@ (1) If the answer is YES, state the amount of your salary or wages per month and give the name and address of your employer: (2) If the answer is NO, state the date oflast employment, salary or wages eamed:_ (B) Have you received within the past twelve (12) months, any income from a business, profession, or other form of self employment, or in the form of rent payments, interest, dividends, pensions, annuities, social security benefits, support payments or other viable source? 0 YES 0 @ (1) If the answer is YES, describe the source of income, and state the amount received from each source during the last twelve (12) months: (C) Do you have a checking or savings account(s)? 0 YES O@ (1) If the answer is YES, state the amount in each account: (D) List the persons (if any), who are dependent upon your support and state their relationship to you: (E) List all outstanding debts and obligations: 3. I understand that any false statements or answers made herein will subj ect me to the penalties provided by law under 18 Pa. C.S.A. .1$4904, a misdemeanor in the 2nd degree. DATED: Respectfully submitted SIGN: )A'\A.:'" j ~) NAME: J..I'l"'( L, (~I'lt,)(j DOC#: OFo'fS',l ADDRESS: '15/ hller-/bl) Ave (,,..,hr/Jj€ ~""S PA- c c , ,---' , , , ,..-:- , ...- c... :::! , ,"j r '0) o COURT OF COMMON PLEAS OF ru""bult>.,~ COUNTY, PENNSYLVANIA CIVIL ACTION , Ji'_nn'lt' c..o 1'\ ro...d Plaintiff VS. NO. 04' J),.5 Civil TeR r'rt lodc\ l\J-fu) ~(')USP- Defendant AFFIDAVIT IN SUPPORT OF PETITION TO PROCEED IN FORMA PAUPERIS 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 the action or proceeding. 2. I am unable to obtain funds from anyone, including my family and assoc- iates, 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: ,lenl'\.ll'~ L. CJ"J()f''O...d Address: '151 f;.l\e~ ...AVl'. Co.'M\-.r\ ~ {> .t;'p I' i n':f' Social Securi ty Num~er: I q 5 (p ~ p(\ Q'771J (b) Employment If you are presently employed, state Employer: ",,1 A Address: kiA Salary or wages per month: N.A Type of work: N,A- If you are presently unemployed, state Date of last employment: Salary or wages per month: Type of work: Page 2 AFFIDAVIT (e) Other income within the past twelve months Business or profession: fo...\ J:l Other self-employment: ~~ Interest: IJ A Di vidends: M F\- Social security benefits: to,~ Support payments: ~IQ Disability payments: IJA Unemployment compensation and supplemental benefits: 1Jt:l Workman's compensation: k\~ Public assistance: ~l\ Other: (d) Other contributions to household support Name or names of other persons providing support in the household: For each such person who is employed, state Employer: foJ" Salary or wages per month: ~~ Type of work: N,/\ Contributions from children: ~A Contributions from parents: ~ Other contributions: ~~ (e) Property owned Cash: IJI'r Checking account: ~ Savings account: NA- Certificates of deposit: k1~ Real estate (including home): "J 1\ Motor vehicle: Make A..l A- Cost $ tvI~ Stocks; bonds: MA Other: MJ+- Year Nk Amount owed $ NA Page 3 AFFIDA VIT (f) Dehts and obligations , Mortgage: fU~ Rent: ~~ Loans: t-lA Other: N l1" (g) Persons dependent upon you for support Children, if any: Name: .:r ~<'li c \t !\\e.L0hOu<::>e.. Age: 3 't n_ Age: Age: Age: Other persons: Name: Relationship: 5o~ 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. S. 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. 9 4904, relating to unsworn falsification to authorities. Date: p IN THE COURT OF CXJMMON PLEAS OF' Gumberland~ COUNTY, PENNSYLVANIA CIVIL DIVISION Jennie Conrad Plaintiff : NO. 0 i./ - ..2." J..-' G, V. I VS. : : 'fnrlr1 NE'whcmc:::p Defendant : COMPLAINT FOR VISITATION 1 . The Plaintiff is Jennie Conrad , residing at SCI Springs, PA 16403-1238, Cambridge Springs, 451 Fullerton Avenue, Cambridge Crawford County. 2. The Defendant is Todd Npwhouse , res1.dtDgg' at IROn r.pnrprvi11p Rd. Newvi11e.PA 17241 3. Plaintiff seeks visitation of the following children: Name Present Residence Age IC:::8j~h N,:lowhnllC:::p 1806 Centervi11e Rd. Newvi11e.PA 17241 3years old The child~ (was not) born out of wedlock. The childl.i~resently l.n the custody of Todd Newhouse who resides at IROn r.pnrprvi11p Rd. Np.wvi11p.,Pa 17241 During the past five years, the child has resided with the following persons and at the following addresses: (List All Persons) (List All Addresses) (Dates) Tonn NpwhollC:::P 1806 r.enrprvi11p Rd. Npwvi11p,P" 17241 1806 Centervi11e Rd. Newvi1le.Pa 17241 Lived with both parents till L was incarcerated 12/16/02 1/25/01 1/25/01 Jpnnip c'nnrRn 1. , . The mother of the child is .Tpooi p ~oor"rl , currently residing SCI Cambridge Springs, 451 Fullerton Avenue, Cambridge Springs, PA 16403-1238. She is (married) (diVorCed)~ The father of the child is Torlrl Npwholl"p , currently residing at IROn ~pnrprvillp Rrl Npwvillp,P" 17741 He is (married) Q'9Lv=ceg:p (single). 4. The relationship of plaintiff to the child is that of Mot h f' r The plaintiff currently resides with the following persons: Name Relationship Sea abova 5. The relationship of defendant to the child is that of F"thf'r The defendant =rently resides with the following persons: Name Relationship ~"2iah Newhouse r.nl hy NpwhoTI.qp son Aon 6. Plaintiff (has) ~ participated as a party or witness, or in another capacity, in other litigation concerning the custody of the child in this or another court. The court, tenn, and number, and its relationship to this action is: Plaintiff (has) ~ infonnation of a custody proceeding concerning the child pending in a court of this Canmonwealth = any other state. The court, term and number, and its relationship to this action is: . plaintiff (knows) ~Of a person not a party to the proceedings who has physical custody of the child or claims to have custody or visitation rights with respect to the child. The name and address of such person is: 7. The best interest and permanent welfare of the child will be served by granting the relief requested because (set forth facts showing that the grant- ing of the relief requested will be in the best interest and permanent welfare of the child): Thp hpst i ntf'rest of my child would hp for "" to re-establish a mother/so~ bond through monthlv contact visits, lJp.pkl Y m::.; 1, phnrnc::. :::Inn wppkl y phnnp rrlll <::. T 'm ~1 qn TP'lIlj::lqting for mp to hp Bhlp to ~pnd my snn d;rpct fiR;l nnn eifts. Tt- is also in my sons hpst wplfRrp ttlRt hp is rpr;pving prnppr mpilirrll CRrp if> stints prr So T'm r~qu~~tinB any an all 2. m,:::.n; r~l rprnrn.c:; to hp sent to mea T 'm askin~ for the above rp'1"p~~ in I'hp hps~ interest,safety and welfare of mv child. 8. Each parent whose parental rights to the child have not been terminated and the person who has physical custody of the child have been named as parties to this action. All other persons, named below, who are known to have or claim a right to custody or visitation of the child will be given notice of the pend- ency of this action and the right to intervene: Name Address Basis of Claim Wherefore, plaintiff requests the court to -;b~-2 I verify that the statements made in this Complaint are true and correct. I understand that false statements herein are made subject to the penalties of 18 "'.C.'. · "04 nolat"" to ~ fal.m=b') L-/ 3. f".,) , o JENNIE CONRAD PLAINTIFF IN Hm COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA v. 04-265 CIVIL ACTION LA W TODD NEWHOUSE DEFENDANT IN CUSTODY ORDER OF COURT AND NOW, Thursday, February 05, 2004 . upon consideration of the attached Complaint, it is hereby directed that parties and their respective counsel appear before _ Hubert X. Gilroy, Esq. at 4th Floor, Cumberlaud County Courthouse, Carlisle on Thursday, February 26, 2004 , the conciliator, at 8:30 AM for a Pre-Hearing Custody Conference. At such conference, an effort will be made to resolve the issues in dispute; or if this cannot be accomplished, to define and narrow the issues to be heard by the court, and to enter into a temporary order. All children age five or older may also be present at the conference. Failure to appear at the conference may provide grounds for entry of a temporary or permanent order. The Court hereby directs the parties to furnish any and all existing Protection from Abuse orders, Special Relief orders, and Cnstody orders to the conciliator 48 honrs prior to schednled hearin2. FOR THE COURT. By: Isl Hubert X. Gilroy. Esq. Custody Conciliator l The Court of Common Pleas of Cumberland County is required by law to comply with the Americans with Disabilites 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 arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled conference or hearing. YOU SHOULD TAKE THIS PAPER TO YOUR ATTORNEY AT ONCE. IF YOU DO NOT HAVE AN ATTORNEY OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 32 South Bedford Street Carlisle, Pennsylvania 17013 Telephone (717) 249-3166 .~~.#, ~~~ ;'O.S'-C' .~?- ~ ~~. .7105e ~ ~ ~ 4h ~ htJ.5-t: Vii\JVf\lASNN3d 'uN"'l(YI n' '~'-',r""'.I~"" "'""".-",,,,',' !'",...tJ.I"ifiU L'1 :8 Wd S- 83.:1 ~OOZ A!:lV'10NOH10l:Jd 3H1 :10 3:)1:!:!iJ-031!:! JENNIE CONRAD, Plaintiff IN THE COURT OF COMMON PLE:lI~ 2004 CUMBERLAND COUNTY, PENNSvf.~: v CIVIL ACTION ./ TODD NEWHOUSE, Defendant NO. 04-265 IN CUSTODY TODD NEWHOUSE, Plaintiff IN THE COURT OF COMMON PLEASE OF CUMBERLAND COUNTY, PENNSYL VANIA v CIVIL ACTION JENNIE CONRAD, Defendant NO. 2001-7165 IN CUSTODY COURT ORDER AND NOW, this -d. day of March, 2004, upon consideration of the attached Custody Conciliation report, it is ordered and directed as follows: 1. The order of court dated January 4, 2002 entered at Docket No. 2001-7165 is vacated. 2. The father, Todd Newhouse, shall enjoy legal and physical custody of Isaiah Newhouse, born January 25, 2001. 3. The mother, Jennie Conrad, shall enjoy temporary custody with the minor child at such times and under such circumstances as the parties agree. 4. In the event the mother desires to modify this order, the mother may petition the court to have the case again scheduled for a conciliation conference with the Custody Conciliator. cc: Todd Newhouse Jennie Conrad ~ ~ 3-05'-0,/ Cj-, ,- Lc; <.c <- Cj UJ -:;~ 0--- ,~-O .........,.- !..L.F 90 on: we.. -1U,J ECiE l.L o co N >- ~j.~ ?~~;~: '~: .-i ,';,~ 1.:__1UJ I:UO_ N ::r.: 0.. on I cr: .a: x: . '..:;~ s = .,... "5 () JENNIE CONRAD, Plaintiff MAR 0 3 2004 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA v CIVIL ACTION TODD NEWHOUSE, Defendant NO. 04-265 IN CUSTODY TODD NEWHOUSE, Plaintiff IN THE COURT OF COMMON PLEASE OF CUMBERLAND COUNTY, PENNSYLVANIA V CIVIL ACTION JENNIE CONRAD, Defendant NO. 2001-7165 IN CUSTODY Prior Judge: J, Wesley Oler, Jr. CONCILIATION CONFERENCE SUMMARY REPORT IN ACCORDANCE WITH THE CUMBERLAND COUNTY CIVIL RULE OF PROCEDURE 1915.3-8(b), the undersigned Custody Conciliator submits the following report: 1. The pertinent infonnation pertaining to the child who is the subject of this litigation is as follows: Isaiah Newhouse, born January 25, 2001. 2. A Conciliation Conference was held on February 26, 2004, with the following individuals in attendance: The father, Todd Newhouse. Mr. Newhouse indicates that the mother, Jennie Conrad, is currently incarcerated. It appears from the petition that she filed the complaint for visitation at a time when she was incarcerated at SCI Cambridge Springs. 3. The child is 3 years old. The mother has not seen the child for approximately one year, and the mother has been in and out of prison throughout the child's entire life. 4. Although mother fIled the complaint for custody, she did not attend the hearing nor did she take any action to contact the Conciliator. . , 5. There was a temporary custody order between the parties at the above captioned action 2001-7165. Mother did not in her complaint for custody make any reference to that prior action. It was brought to the Conciliator's attention by the father. 6. Based upon the above, the Conciliator recommends an order in the fonn as attached. J;( I 0 1 DATE II" ... , i , IN THE COURT OF COMMON PLEAS O~(\\be.r\Gr(lCOUNTY, PENNSYLVANIA FAl\11LY DIVISION -0 en-O' E' Cnn~ Petitioner Vs. I~ 1~., YLO~~ Respondent Case Number# 04 - d Co s- PETITION I, J ' , " , the Petitioner who is not represented by an attorney, am appearing before the court to request the following relief . , C f ,td r ---- ~\ I believe I am entitled to this reliefbecause: --=-- I veriIy that the statements made in this Petition are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa, C.S.A. ~4901, relating to unsworn falsifications to authorities. DATED: ID~07- 05 { Respectfully submitted SIGN~~ 7'" ~'---- N.A.AfE:_ f IL.., " I'€... ('() " rq, J _ DOC#:_ () F 0 i.f 5 ;l. ADDRESS:f/ t-u~" ~ OJ" 6r,J,~ '. ;, ( .. If, b . = " I , IN THE COURT OF COMMON PLEAS OF Qu\'V\'aorh~OUNTY, PENNSYL VANIA FA1\fiLy DIVISION ,bme ('(}(\('o-A Petitioner Vs. \oM ~\f'~l<-,e Respondent Case Nurnber# D C\._ ~ to ~- Filed on Behalf of: '- SliOe) €.xl SS'~ 3 or 5'$"30 ) IN THE COURT OF COMMON PLEAS OFlLm~OUNTY, PENNSYL VANIA FAMILY DIVIsION ,~n'(\ ie Cof'\m A Petitioner Vs. --- \~.d Nel^-ht.~ Respondent Case Number# ()Ll - ;)(0 S; ORDER OF COURT And now, to wit, tills hereby ordered = day of , it is ~ - :- ~ By the Court, Judge -- = JENNIE CONRAD PLAINTIFF IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVA"IA v. 04-265 CIVIL ACTION LA W TODD NEWHOUSE DEFENDANT IN CUSTODY ORDER OF COLlin AND NOW, , \V{\<i~es<l"Y!,Octo~er.26,2005 , upon consideration or the attached Complaint. it is hereby directed that parties and their respective counsel appear berore Hubert X. Gilroy, Esq. at ,4thFlo(),r,l::11J)]}Jerland County Courthouse, Carlisl,,_ on__,!,:rid"y"1\Tove,nlb"r,1.8,20_05,, , the conci I iator, at 10:30 AM for a Pre-Hearing Custody Conference. At such conference, an effort will be made to resolve the isslIes in dispute; or ir this cannot be accomplished. to denne and narrow the issues to be heard by the court, and to enter into a temporary order. All children age five or older may also be present at the conference. Failure to appear at the conference may' provide grounds It)r entry of a temporary or penn anent order. The court herehy directs the parties to furnish any and all existing Protection from Abuse order.s, Special Relief orders, and Custodv orders to the conciliator 48 hours prior to scheduled hearing. FOR THE COURT", By: /s/ _lfgberr,,%. Gilrov, Es'L-_---J!.JrW Custody Conciliator Y' The Court of Common Pleas of Cumberland COllnty is required by law to comply with the Ameri,ans with Disabilitcs Act of 1990. For information ahollt accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact our office. All arrangements must be made at least 72 hours prior to any hearing or business before the court. Yau mLlst attend the scheduled con ference or hearing. YOU SHOULD TAKE THIS PAPER TO YOUR ATTORNEY AT ONCl', IF YOl; DO "0'1 HA VE AN ATTORNEY OR CANNOT AFFORD ONE. GO TO OR TELEPHONE THE OFf. ICE SET FORni BELOW TO FIND OUT WIIERE YOU CAN GET LEGAL II ELI', Cumberland County Bar Association 32 South Bedt(wd Street Carlisle, Pennsylvania 17013 Telephone (717) 249-3166 , ("""l _~.l to'.... c (,) -" T ~. ,,' OCT 2 5 2{}{}5( , , IN THE COURT OF COMMON PLEAS OFrl.l.'\'I'\'oe(\(~COUNTY, PENNSYL VANIA FAMILY DIVISION J e..Y\IL\ E' C () nc-nd Petitioner Vs. CaseNumber# 04- ctloS" . J ~dd ~e.w '0Cl'0.:~. Respondent PETITION 1, jCI1I"'1\(~ (I C)C\rr"A , the Petitioner who is not represented by an attorney, am appearing before the court to request the following relief: M c f r ~~m\t~) -~~~ du.'L \a'~ ~.-\ ~ T~~te:t.:':" 0, ~ I believe I am entitled to this relief because: I verify that the statements made in this Petition are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa,C.S.A. &4904, relating to unsworn falsifications to authorities. DATED: /D-07- 05 I Respectfully submitted SIGN:~~7 ~ NAM'E: Ie YI rJ ,€... (0" r. J DOC#: () F 0 1./ 5 ), ADDRESS: ~/ /~//~rfv" ~ O/l'Yllmdf(! ''/19 P* 1& 0 .. . OCT 2 5 2005( m THE COURT OF COMMON PLEAS OF QuW\U:fhx-ctOUNTY, PENNSYL VANIA FAMILY DIVISION , \e.n n. \ e _ (' 0(\. ,o...A Petitioner Vs. C\ - CaseNumber# D - ~tD'0 \oJA ~\f'~.l~e Respondent Petition for"'\oA\~\co\-\c,{\ O~ ~ xlS\';:,'\({\C\ (")r~ .\ Filed on Behalf of: Telephone No. # '_ g.~OO 2.iT <; S d 3 or 5$00 , , OCT 2 5 2005 fr LN THE COURT OF COMMON PLEAS OF~'oe<'~OUNTY, PENNSYL V b"'ITA FAMILY DIVISION ~XL(\ \f' CD("\ '('(). A Petitioner Vs. CaseNumber# Ol.\. - dWS \ax\r\. Nel~ Respondent ORDER OF COURT And now, to wit, this hereby ordered day of , it is By the Court, Judge <' . , OCT 2 5 2.QQ5~ .' COURTer COHMON PLEAS OF .B lM.~\'\(\:{\c\ COUNTY, PENNSYLVAt'lIA CIVIL ACTION ,)-exw\\e.. CcX\~ n Plaintiff, . ) ',.' , VS' ~ .;3;:- .., \ ~.~ " \ cd&;' Ne~\)~<"f; Defendant NO. ()\A:- ~~ AFFIDAVIT IN SUPPORT OF PETITION TO PROCEED IN FoRMA PAUPERIS 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 the action or proceeding. 2. I am unable to obtain funds from anyone, including my family and assoc~ iates, 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: Je'(\(\\e C'D<\\Or\ . ~ ()4S~ Address: 451 rullP-rton Avenue ('"mhri no/' i;pri "0/'. PII 1 .,An 1 Social Security Number: \C\S-lo<;(-Q1Tl (b) Employment If you are presently employed, state Employer: Incarcerated-SCI Cambridge Springs Address: 451 Fullerton Avenue 0lmhril'1<;J8 Sprinas.PA 16403-1238 Salary or wages per month: Type of work: If you are presently unemployed, state Date of last employment: None Salary or wages per month: NIA Type of work: M!A t' . -I .- COURT OF COMMON PLEAS OF Q ll~"(' """~ CIVIL ACTION COUNTY, PENNSYLVANIA l k::';f\(\\ e. C CWy~ Plaintiff VS. NO. C}\~ ~l.D~' . \oJ~ \\\ew~ Defendant PETITION TO FROCEED IN FORMA F AUPERIS I, the undersigned, do hereby aver that: 1. My name is ~)(\,ni.e.. Cn\l<h.A D\ 0 L.\SOl and I live at S.C.I. Cambridge Springs, 451 Fullerton Avenue, PA 16403-1238. 2. I have filed the above civil action, but I do not have the financial resources to pay the costs of filing such an action and any other costs of litigation. 3. I am not represented by an attorney in this matter. 4. I have attached an affidavit to this petition concerning my financial situation 4 5. I request that the Court allow me to proceed without paying any costs or fees with respect to this litigation. I verify that the statements made in this Petition are true and correct. to the best of my knowledge, information and belief. I further understand that any false statements made herein are subject to the penalties of 18 Fa.C.S. 94904, relating to unsworn falsifications to authorities. Date: IO~u-z-o 5: 74- . , .~~. .( ,,-' Page 3 AFFIDAVIT (f) Debts and obligations Mortgage: Rent: Loans: None None None Other: Fines/Costs: (g) Persons dependent upon you for support Children, if any: None Age: Age: Age: Age: Name: Other persons: Name: Relationship: None N/A N/A 4. I un~erstand 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. 9 4904, relating to unsworn falsification to authorities. Date: /0-07-05 '- .~ ~_~ ?:C ~i=.'~ . . . ~. ." Page 2 AFFIDAVIT (c) Other income within the past twelve months Business or profession: None Other self-employment: None Interest: None Dividends: None Social security benefits: None Support payments: None Disability payments: None Unemployment compensation None and supplemental benefits: Workman's compensation: None Public assistance: None Other: None Cd) Other contributions to household support Name or names of other persons providing support in the household: None For each such person who is employed, state Employer: None Salary or wage~ per month: None Type of work: None Contributions from children: None Contributions from parents: None Other contributions: None (e) Property owned Cash: None None Checking account: Savings account: None Certificates of deposit: None Real estate (including home): None Motor vehicle: Make None , Year Cost $ Stocks; bonds: Other: N/A , Amount owed $ None None '"' l.l ,.~., ~_.~ "I c "... . . . , OCT 2 5 2005 / (j" I \ a WD", \. -\ '('(\Q'-\ Q.C0Ci:S0 8.€...~o..\d\(\C) Q~ \h \ f\~'no(\ '{\L.l--I[\(\Iot,t( OL\- ~(oS' I- ~ex\'(\.\e.. c...CX\~M G.\t\(\ C\..t\cOc-l\.'N.~ 0.. 'ON) w\.t\'\ \'1'\,\~L-khon . Q \-e..-\\e.." ~~~I..\.es*,~ +\r\C\... t \ 1(\ Q\ \ ~\ t4t- \\ e.r Co<\';tt ~<i W\ ~\(\~ -ll Dl..\-')l.l/'> ,\~(\'f\\L ~6{\"\C-A. -\IS - "I oJd \N~L:)\uwe --t\^oJ l ~e ~' ~'" ~\'\G\..\CJ n a...~L\..'(\ \ ~~' -\\.xne.... \b ~\ u..~ V \ d-e.n 0 ( \' ~~t'\'c.:.-<\~ Qo(V\.\('(\\...\..\(\ ( C. (\ '\ \. \.X\~o (" (\,'1'\'-1 ~V\~ Q.\~ COO-.'I -\ ~\OCtedl("j~~ J~ ~ -\-~~ . ~\ I G.~ CI.J.:ne-Vl\\'j l<'\C:Af\\c.e~ec\ ~f\d Dc\.\ rb s~ \' \\ Ll\( ~"::"\fu N\'i Co.>.x-Bol C::.r '~~ <\X:,-,\€:'(\-\ ''''j cl~ ~G...(,1 '\',\\2.\)'1;- ~\.i\C~\~' . ~O{'L ~'An "-\CQ ~k\{1-~ Nc:h~ :~~ b€.~('\-xYeni. D~ c.one..c\ '-on \}\C,- \~\e~\nO<Ie c-\.-t ~~\l\) ?:,q<J5'-Sl/OO 0\ 0...\\ a...,~ C\.Y\~ . L\ P Com \'{\ (J COlA '\ t \" I{(j c e'€:.d LX)tj " "'5~ {: c.A-c:.. \ ~ t\~ ~ C\~\'\ ~ ~\'\lj \')~ ~ \ ' ex m\.\ CDu Y\<) ~{ f"'\'S1 ?'uJ;:H-e-'f 'l'nc\..Y\. \'\ L\C~ ~ < "10\.'-'<" \ \ '(Y)\L... \~e'ST*' c\ ~u..\ ''-1 ~~\\\\ \\<lei je.\I\11 \ t'. c.D<\~ .{i- (\t () y~ SJ. a~'l1 / ~ 1~.-D7- 5 ...... " . , :;1 I 1\ n v 2 '1 2005 I /Y'i i -~:=~"t=~-~==--;.:===:...:J JENNIE CONRAD, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. : NO.04-265 CIVIL ACTION - LAW TODD NEWHOUSE, Defendant IN CUSTODY ORDER OF COURT AND NOW, this ~ day of ):>c ((' '-7hd , 2005, upon consideration of the attached Custody Conciliation Report, it is ordered and directed as follows: 1. This Court's existing Order of March 5, 2004 shall remain in place. 2. Mother's Petition to Modify the Existing Order is dismissed subject, however, to Mother's ability to re-fiIe a Petition. 3. If Mother desires another Custody Conciliation Conference while she is still incarcerated, Mother is directed to make arrangements to be available at the time and at a specific number when the Conference is scheduled. Mother must notify the Conciliator in advance as to how she may be contacted. Furthennore, in the event Mother is released from prison, Mother may re-fiIe a Petition, at which time she can personally attend a Conciliation Conference. BY THE COURT, tV~ Cc: Mr. Todd Newhouse ~ ~L /)'.Jvf J);' c:; C) \.....: ',,_J .' .... JENNIE CONRAD, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA vs. NO. 04-265 CIVIL ACTION - LAW TODD NEWHOUSE, Defendant IN CUSTODY Prior Judge: The Honorable J. Wesley Oler, Jr. CONCILIATION CONFERENCE SUMMARY REPORT IN ACCORDANCE WITH THE CUMBERLAND COUNTY CIVIL RULE OF PROCEDURE 1915,3-8(b), the undersigned Custody Conciliator submits the following report: 1. The pertinent information pertaining to the child who is the subject of this litigation is as follows: Isaiah Newhouse, born January 25, 2001 2, A Conciliation Conference was held on November 18, 2005, with the following individual in attendance: The Father, Todd Newhouse, who appeared without counsel 2. The Mother had initiated this petition. Mother is incarcerated. She had sent a letter to the Conciliator asking the Conciliator to call her institution to speak with the "Parenting Department" to let them know the date of the hearing and such time and to arrange a telephone conference. The Conciliator does not believe it is his role to accommodate parties in a penal institution relative to scheduling attendance at conciliation conferences via telephone. If the parties make those arrangements themselves, the Conciliator will contact the institution. On the date and time of the Conciliation set in this case, the Conciliator did phone the institution and was unable to get in touch with the individual/Department that the Plaintiff referred to in her letter. 3. The existing Order is from March of 2004 giving Father custody. The Father related at the conference that the Mother has been in prison since prior to that time. He understands the Mother may be getting out of jail in January. 4. The Conciliator recommends an Order in the fonn as attached. Date: /1- ?"3- oS'