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HomeMy WebLinkAbout04-0389 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PEN~NSYLVANIA CIVIL ACTION - LAW ',J Plaintiff Defendant -- : NOTICE TO DEFEND AND CLAIM RIGHTS YOUHA VE BEENSUED IN COURT. If you wish to defend against the claims set fo~h /2 the following pages, you must take prompt action. You are warned that if 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 rellefrequested in these papers by the Plaintiff. You may lose money or property or other rights important to you,/neluding custody or visitation of your children. When the pound for divorce is indi~m~ities or h-retrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office o£the Prothonotary, Cumberland County Court_house, 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 HELP. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 (7.17) ¢~97~166 · Ee hah demandado a usted a la corte. Si usted quiere defenderse en contra estas demandas expuestas en las paginas siguientes, usted fiene veinte (20) dias de plazo al partir de la fecha de la demanda y la notificacinn. Usted debe presentar mm apariencia escrita o en persona o por abogado y arch/var en la corte en ronda escrita sus defensas o sas objeciones a las demandas en contra suya. Se has avisado que si usted no se defienda, la corte tomara medidas y puede entrar una orden contra usted sin previo aviso o notiticaeion y por cualquier queja o alivin que es pedido en la peticion do demanda USTED PUEDE PERDER DINERO O PROPIENDADES O OTROS DERECHOS IMPORTANTES PARA USTED. LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAM~NTE. 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 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. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 (717) 249-3166 o. cooJ 5.e : r Co To Co o PL ,sOF Plaintiff :Cm, mE~ COtnaTV PENNS~V~A : VS. : NO. 04- CIVIL TERM Defendant · IN DIVORCE COMPLAINT UNDER {3301(c) or (d) OF THE DIVORCE CODE 1. Plaintiffis ~rl,~e..~o~ /'), (.~e. ot'~e , who currentlyresidesat Cumberl~d Count, Pe~sylv~ia. 2. Defendant is &)~eaff ~, ~eor~ , who c~ently resides at 3. Plaintiff has been a bona fide resident of the Commonwealth of Pennsylv~ia for at least ~e six months prior to ~e filing of~is Complaint. 4. Plaintiff and Defendant were ma~ed on ~/~/~2 at 5. ~e manage is i~etfievably broken, ~d thc pa~ies sep~ated on 6. There have been no prior actions of divorce or annulment be~een the panics. 7. Plaintiff, to the best of his/her knowledge and belief, avers that defendant is not in the military service of the United States of America, but is in fact living at the address given in Paragraph 2 above. 8. Plainfiffhas been advised of the availability of counseling and that Plaintiffmay 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. Date P1 Se I, ]~v~e_..Jtt ,~. C~e~oe'~. , verify that the statements made in this Complaint are true and correct to the best of my knowledge, information, and belief. I tmderstand that false statements made herein are subject to the penalties for unsworn falsification to authorities as provided in 18 Pa. C.S. §4904. Date: Plaintiff, Pro Se Assisted by: MIDPENN LEGAL SERVICES PRO SE DIVORCE CL1NIC 8 Irvine Row Carlisle, Pennsylvania 17013 (717) 243-9400 ./t ,~e/q~a. {)~ ~_o~ ~ e : 1N THE COURT OF COMMON PLEAS OF Pl'aintiff : CUMBERLAND COUNTY, PENNSYLVANIA : v. :NO. q : CIVIL ACTION - LAW ~?fko~.y I,d~ ~r~C ~DIVORCE Defen~t : PETITION TO PROCEED IN FORMA PAUPERIS The Petitioner, l~ flq la ¢~eo ~-f~t~ , is the Plaintiff in this action. On the petitioner's behalf, MffdPenn Legal Services tt6es 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 case pro 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. Respectfully submitted: Pamela G. Smith Attorneys for Plaintiff MidPenn Legal Services Pro Se Divorce Clinic 8 Irvine Row Carlisle, PA 17013 (717) 243-9400 ~/~tqe~a. ~. ~...oeog'tlC : ~ THE COURT OF COMMON PLEAS OF ~ Plaintiff~ · : CUMBE~AND CO~TY, PE~SYLVANIA VS. : : NO. CIVIL TE~ D~f~ndant ~FIDAVIT ~ SUPPORT OF PETITION TO PROCEED ~ FO~ PAUPERS 1. I am the &~ ~ ~ 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 procee~ng. 2. I am unable to obtain ~nds ~om anyone, including my family ~d associates, to pay ~e costs of litigation. 3. I represent that the info~ation below relating to my abili~ to pay ~e fees and costs is ~e ~d co~ect. (b) Address: ~.~ 5 ~ ~,'~ 5~ (c) Social Sec~ Number: ~00 -~ ~ ~ 7 If you ~e presently employed, state Employer: ~ ~ ~ ~ ~C. Salary or wages per month: ~;~) i~ (~'- lfyou 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: Other self-employment: Interest: Dividends: Pension and annuities: Social Security benefits: Support payments: Disability payments: Unemployment compensation and supplemental benefits: Workman's compensation: Public Assistance: Other: (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: ~_~0°° Checking Account: ] Savings Account: Certificates of Deposit: Real Estate (including home): Motor vehicle: Make D~ae Year lqqb Cost ~0O0 Amount owed Stocks; bonds: Other: (f) Debts and obligations Mortgage: Rent: /-'J o~ 5 o'~ t.oans: 06 Monthly Expenses: (g) Persons dependent upon you for support (Wife) (Husband) Name: Children, if any: Name: /~)~-.. ¢ C- ~i Age: 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. Angela D. George : I~ THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNI'Y PENNSYLVANIA V. NO. 04-389 CIV~ TERM Anthony W. George IN DWORCE Defendant AFFIDAVIT OF SERVICE BY MAIL I, l~/dldg/a (9~__0ft~ C., do hereby swe~ that I se~ed ~ony W. George with a Complaint under Section 3301(c) or~(d) of the Divorce Code pursuit to Pa.R.C.P. 1920.42(a)(2) onth~ day of ~~ , 200q by certified mail, remm receipt, res~icted deliver, to ~e person ~d ad&ess below: J I, /4//q ~ [Ct (~v EX9 ,r0 ~'_ , verify that the statements made j in this Affidavit of Service are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904 relating to unswom falsification to authorities. Date: 3- ~/'/- ~~/ Signature: IN THE COURT OF COMMON PLEAS OF Angela D. George, CUMBERLAND COUNTY PENNSYLVANIA Plaintiff V. : No. 04-389 CIVIL TEP.~ : : IN DIVORCE Anthony W. George, Defendant AFFIDAVIT OF CONSENT I. A complaint in divorce under §3301(c) of the Divorce Code was flied on January 30, 2004. 2. The marriage of plaintiff and defendant is irretrievably broken, and ninety days have elapsed from the date of filing and service of the Complaint. 3. I consent to the entry of a final decree of divorce at~er service of notice of intention to request entry of divorce. 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. Section 4904 relating to unswom falsification to authorities. Angela 6. George¥tSlainti~'f Angela D. George, : IN T~£ COU~T OF CO~4MON PLaAS OF Plaintiff : CUMBERLAND COUNTY PENNSYLVANiA V. : No. 04-389 CIVlLT~P,~ : : Anthony W. George, : IN DIVORCE Defendant 1. A complaint in divorce under §3301(c) of the Divorce Code was filed on January 30, 004. 2. The marriage ofplaintiffand defendant is irretrievably broken, and ninety days have elapsed fi'om the date of filing and service of the Complaint. 3. I consent to the entry of a final decree of divorce after service ofnotien of intention to request entry of divorce. I verify that the statements made .n this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904 relating to unswom falsification to authorities. Anthony W. O~orge, Defendant· Angela D. George, : IN T~E COURT OF COMMON PLEAs OF Plaintiff CUMBEP. L~ND COUNTY PENNSYLVANIA V. No. 04-389 C~VlL TERM : : : I~ DIVORCE Anthony W. George, Defendant WAIVER OF NOTICE OF INTENTION TO ~Q~ DIVORCE DECREE UNDER 3301 e OF THE DIVORCE CODE 1. I consent to the entry of a final decree of divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses ifl do not claim them before a divorce is granted. 3. I understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the Prothonotary. I verify that 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:?~7--- ~/ Signature! ~'~ Angela Angela D. George, : I~ T~E COU~T OF CO~ON PLEAS OF Plainliff : CL~ERLAND COUNTY PENNSYLVANiA : No. ~-389 C{V~L TE~ ~ony W. Geor~, ~ ~ ~m ~fen~t m r ~. ~ W~ ~ ~OTICE OF I~ENTION T~ ........ ~ ~ ~~ ~ ~ U~ST E~RY ' . ~ I. I consent to ~e en~ ora final dec~e ofdivome wi~out notice. 2. I und~nd t~t I may lose rights conc~ing alimony, division ofpmp~, lawyer's fees or expenses ifI do not claim ~m ~fom a divome is ~t~. 3. I undemmnd ~at I will not be divomed until a divome d~me is entered by ~e Court ~d ~at a copy of~e dec~e will be sent to me i~ediately aRer it is flied with the Pm~onota~. I verify ~at statements made in this affidavit are ~e ~d co~t. I undem~d t~t false statmen~ he,in am made subject to ~e penalties of 18 Pa.C.S. ~4904 mlat~g to ~swom falsification to au~odties. ~nmony W. Oi~orge, Defendant : IN THE COURT OF COMMON PLEAS OF Angels D. George, : CU~mEm. AND Cotnvry PENnSYLVANiA Plaintiff : V. : No. 04-389 CIVIL TERM : : : IN DIVORCE Anthony W, George, Defendant PRAECIPE TO TRANSMIT RECORD To The Prothonotary: Transmit the record, together with the following information, to the Cotut for entry ora divorce decree: 1. Ground for divorce: Irretrievable breakdown und~ Section 3301(c) ertL. Divorce Code. Date and Manner of service of the Complaint: recei t restricted delive on Februa 14 2004D~erred b certified mail return 2. Date °f execution of the Affidavit of Consent required by Sectiun 3301 (c) of the Divorce Code: by Plaintiff, Ju__~... 22004; by Defendant, Jul 13~. 3. Related claims pending: There are no outstandinL, claims. 4. (a) Date Plaintiff's Waiver of Notice in Section 3301(c) Divorce was filed with the Prothonotary: Jul 27~. Co) Date Defendant's Waiver of Notice in Section 3301(c) Divorce was filed with the Prothonotary: Jul 2~. Plaintiff's Social Security Number: 500-86-5097 Defendant's Social Security Number: 169-56-1086 ~/ ~///.~/~/ Jes~a Diamondstone At~mey for Plaintiff MidPenn Legal Se~ices 8 ~ine Row C~lisle, PA 17013 (717) 243-9400 IN THE COURT OF COMMON PLEAS OF CUM BERLAND COUNTY STATE OF ~ PENNA. ANGELA D. GEORGE Plaintiff NO. 04-389 CIVIL TERM VERSUS ANTNONY W. GEORGE Defendant DECREE IN DIVORCE AND NOW, ~-~-~ ~ ~0~ IT IS ORDERED AND DECREED THAT Anaela D. Geroga , PLAINTIFF, AND Anthony W. Geroge , DEFENDANT, ARE DIVORCED FROM THE BONDS OF MATRIMONY. THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT YET BEEN ENTERED; NONE BY TH E~u RT: