HomeMy WebLinkAbout04-1897form 3
David Grey Stahl
( Cumberland
(IN THE COURT OF COMMON PLEAS OF
PLAINTIFF,
v.
COUNTY, PENNSYLVANIA
(CIVIL DIVISION
Elizabeth J Anderson
(NO:041- Ir,/
CIU?C?
DEFENDANT.
NOTICE TO DEFEND AND CLAIM RIGHTS
YOU HAVE BEEN SUED IN COURT. IF YOU WISH TO DEFEND AGAINST THE CLAIM
SET FORTH IN 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 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 CHILD(REN).
WHEN THE GROUND FOR THE DIVORCE ARE 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 AT
, PENNSYLVANIA.
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYERS
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.
LAWYERS REFERRAL SERVICE
4th Floor, Cumberland County Courthouse
Carlisle, PA: 17013
Telephone: 717-240-6200
For Petitioner
Address: 2311 N. Front St Apt 410
Harrisburg, PA 17110
Telephone: 717 608 6051
179
form 4
David Grey Stahl
PLAINTIFF,
V.
(IN THE COURT OF COMMON PLEAS OF
( Cumberland COUNTY, PENNSYLVANIA
(CIVIL DIVISION
(
Elizabeth J Anderson ( NO: aL/ - /?9 ! l _f utl ??/LY?1
DEFENDANT l
COMPLAINT IN DIVORCE
AND NOW COMES, the Petitioner, David Grey Stahl by FILING PRO SE,
who files this Complaint in Divorce a statement of which is as follow:
1. The Petitioner is David Grey Stahl , an adult individual currently residing
at 2311 N. Front St Apt 410 Hnrriqhiirg PA 17110
2. The Defendant is Elizabeth I Andercnn , an adult individual currently residing
at 853 Wynncwood Rd Camp Hill PA 17011
3. The Petitioner has been a bona fide resident of the Commonwealth of Pennsylvania for at least six (6)
months previous to the filing of this Complaint.
4. The Petitioner and Respondent were married on date: August 3`d 1985 in the State
of Pennsylvania
5. There (is) are _ child(ren) born of this marriage. Name(s) Nathan Anderson-Stahl
Birthdate(s): 8/22/1994
6. Neither party is a member of any branch of military.
7. The marriage is irretrievably broken.
8. The Petitioner, David Grev Stahl respectfully requests this Honorable
Court to a grant this Divorce pursuant to Section 3301 (c), or in the alternative, Section 3301 (d) of
the Divorce Code.
Respectfully submitted,
Name: David Grey Stahl
Full Address: 2311 N. Front St Apt 410
Harrisburg, PA 17110
Telephone: 717 608 6051
I verify that the statements made in the Complaint are true and correct. I understand that false
statements made herein are subject to penalties of 18 Pa. C.S.A. Section 4904, relating to unsworn Isification
to authorities. ??
Dated:. ? l `may
180
form 5
David Grey Stahl
PLAINTIFF,
V.
Elizabeth J Anderson
DEFENDANT.
(IN THE COURT OF COMMON PLEAS OF
Cumberland
(
(CIVIL DIVISION
(
(NO:
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF: Cumberland
ss:
COUNTY, PENNSYLVANIA
Before me, the subscriber, a Notary Public in and for said Commonwealth and
County, personally appeared David Grey Stahl I who being
duly sworn according to law, deposes and says that the facts contained within the foregoing
Complaint in Divorce are true and correct to the best of his/her knowledge, information, and
belief, and that he/she is authorized to make this Affidavit.
i" ;e
Name David Grey Stahl
Sworn to and subscribed before me this
2'1?'l day of APA it
?CrS? eZ<i.th? fzoS?Zs
NOTARY PUBLIC
,200" .
COJAMON'VVEAL {-1. Oi=P:ilii:,SY L'eNi'yA
NoLnnaf Seal I
Susan Kirby Ras6s, Plntary Public
Hampden Twp., Cumberland County
My Commission Expires June 21, 2007
Member, Pennsylvania Association of Notaries
lei
form 7
REQUIRED INFORMATION TODAY'S DATE yA?/?o`/
Cumberland Plaintiff/Defendant
County Domestic Relations Department
Income and Expense Statement
Name David Grey Stahl
Date of Birth 2/25/1965 SS# 503 62 3375 Phone #
2311 N rYont St Apt 410 Harrisburg IPA 17110
Home Address
Drivers License # PA 21 899 638
Diverse Tech, Inc Consultant
Employer 8233 Penn Randall Place, Upper Marlboro MD 20772
Address 301 669 1000 3/8/2004
Phone Date Employed
Other Employment
Health Insurance Company Name Guardian Policy #
Address P.O. Box 423 East Bridgewater MA 023"p #
1. Check Method of Payment and List Gross Income:
Paid: ? Every 2 weeks ?C] Twice Monthly ? Monthly ? Weekly
2. Subtract tax deductions
Federal Income Tax $ 581.06
Social Security 235.64
State Income Tax 94.56
Local Income Tax 30.80
86.51
Health Insurance
Union Dues
Pension Contributions
Credit Union
Other Deductions
_
10'28.57
Total Deductions
Subtract Totals from Gross Income
ALL OTHER INCOME
717 608 6051
15640C8D
00380872
$ 3166.65
Gross Income
1028.57
2138.08
NET INCOME
List any interest and dividends, pensions and annuity, Social Security, net income from property,
Unemployment Compensation, Workmen's Compensation or other, such as royalties, expense accounts, gifts,
etc. (if no other income check none) NONE ?
Total Other Income
Deduct Estimated Income Taxes on such Other Income _
Final Net Income Per Week $
183
0
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Curtis R. Long
Prothonotary
office of the Protbonotarp
(Eumberlantl Countp
Renee K. Simpson
Deputy Prothonotary
John E. Slike
Solicitor
014 - 1 gg'r CIVIL TERM
ORDER OF TERMINATION OF COURT CASES
AND NOW THIS 5TH DAY OF NOVEMBER 2007 AFTER MAILING NOTICE OF
INTENTION TO PROCEED AND RECEIVING NO RESPONSE - THE ABOVE
CASE IS HEREBY TERMINATED WITH PREJUDICE IN ACCORDANCE WITH PA
R C P 230.2.
BY THE COURT,
CURTIS R. LONG
PROTHONOTARY
One Courthouse Square • Carlisle, Pennsylvania 17013 • (717) 240-6195 • Fax (717) 240-6573