HomeMy WebLinkAbout04-2270AMIE M. McCLINTIC, :
Plaintiffs :
JAMIE L. COOK, :
Defendant :
IN THE COURT OF COI~4ON PLEAS
CUMBERLAND COUNTY PENNSYLVANIA
NO. <p~. ~.0_no
CIVIL ACTION - LAW
IN CUSTODY
CUSTODY COMPLAINT
TO THE HONORABLE JUDGES OF SAID COURT:
1. The Plaintiff is Amie M. McClintic whose last residence
was 26 Stephen Road, Camp Hill, Cumberland County, PA 17011.
2. The Defendant
Browning Road, Rockmart,
3. Plaintiff seeks
of the following child:
Cameron Jacob Bartlett
is Jamie L. Cook, who resides
GA.
at 1807
shared legal and partial physical custody
PRESENT RESIDENCE
1807 Browning Road
Rockmart, GA
DQB
09/29/00
The child was born in wedlock.
The Cameron is presently in the physical custody of Jamie L.
Cook who resides at 1807 Browning Road, Rockmart, GA.
Cameron has resided with the following persons and at the
following addresses:
Person A~dress
Father & Stepmother 1807 Browning Road
Rockmart, GA
Mother 26 Stephen Road
Camp Hill, PA
Mother 30 W. Main Street
Shiremanstown, PA
Azores, Portugal
Mother &
Stepfather
The mother of the child is Amie M. McClintic who
at 26 Stephen Road, Camp Hill, PA.
She is not married.
Date
04/04 - present
04/03 - 03/04
12/02 - 04/03
08/01 - 12/02
last resided
The father of the child is Jamie L. Cook who lives at 1807
Browning Road, Rockmart, GA.
He is married.
The relationship of Plaintiff to the
The Plaintiff currently resides with no
J
mother.
5.
father.
persons:
6.
The relationship of Defendant to the
The Plaintiff currently resides
Wife, Stepson & Cameron
child is that of
other persons:
child is that of
with the following
Neither party 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.
Plaintiff does not know 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.
2
7. The best interest and permanent welfare of the child will
be served by approving the Custody Stipulation between the parties.
Completed on May 19, 2004.
8. Each parent whose parental
been terminated and the person who
child have been named as parties to this action.
her
rights to the child have not
has physical custody of the
WHEREFORE, Plaintiff requests this Honorable Court to grant
shared legal and partial physical custody as set forth in the
Custody Stipulation completed on May 19, 2004.
Respectfully submitted,
Thomas D. Gould, Esquire
ID %36508
2 E. Main Street
Shiremanstown, PA 17011
(717) 731-1461
VERIFICATION
I, Amie M. McClintic, hereby certify that the foregoing
CUSTODY COMPLAINT is true and correct to the best of my knowledge,
information and belief. I understand that false statements herein
are made subject to the penalties
relating to unsworn falsification to
of 18 Pa. C.S. Section 4904
authorities.
· McClintic
Plaintiff
3
JAMi~ L.~ CO(~, t
NO.
CIVIL ACTZO~ - LAW
RTTPUT. TTON
IS4IS STZ~JLATI~i~, made ~hisl~'" day af ~ , 2004, by and
between ~E M. ~IC, (h~reinafter referred ~o as Mother), and
J~K L. ~, ~h~ralnafter referred to as Fa~har).
~, M~th~r and Father ara the biological p~r~nts
~ ~B ~TT, born Septe~er 29, 2000, hereinafter
referred' to as ~ild.
~, due to Mother's impending entry into activ~ military
service, Mother and Father, for the best interest of the Child,
wish to amicably resolv~ the custody o~ ~ J~ ~TT.
~ N~, the parties intending to be legall~ bound hereby
agree that a court order be i~sued stating that:
1. Mother and Fathe~ shall share legal custody of the Child,
whereby each ~arty agree~ t~ consult with the other conce~in~ all
major declslon~ affecting the ~ild, including but not limited to,
health, education and religion.
I'd O~LS-~89-O~L sso~ a~pp3 dO~:SO ~0 S~
2, Mother and Father are to have equal access to medical,
educational and o%her r~cords of the Child.
3. Father shall have physical custody of the Child subject
to Mother's periods of partial custody or visite~ion ss are in, the
best interest of the Ghild as agreed by the par~ies,
4. Each parent shall inform the other of $~gnificant events
that occur in the Child's life.
5. Zach party is to inform the other of~n~anges in th~£r
employment, health, residence or telephone number.
AMIE M. M~CLINTIC
- Date/ ~' JAMI~ L. COOK
AMIE M. McCLINTIC,
Plaintiffs
JAMIE L. COOK,
Defendant
IN THE COURT OF C0~940N PLEAS
CUMBERLAND COUNTY PENNSYLVANIA
NO.
CIVIL ACTION - LAW
IN CUSTODY
AFFIDAVIT OF SIGNATURE
I, Thomas D. Gould, am the attorney for Plaintiff, in the
above captioned action for custody. Plaintiff was to be inducted
into the U.S. Army May 19, 2004, but the induction was suspended
until Friday, May 21, 2004, because Plaintiff had not relinquished
custody,
to obtain
induction.
defendant who
Stipulation.
by court order, of her son. There was insufficient time
Defendant's original signature prior to Plaintiff's
I hereby certify that I personally talked with the
advised me that he read and understood the Custody
He stated that he signed the Custody Stipulation in
front of a witness and faxed a copy to me. Defendant stated that
he was aware that I would be submitting the Custody Stipulation
with his faxed signature to the court to obtain an Order of Court
granting him joint legal custody and physical custody of Cameron
Jacob Bartlett. Defendant's faxed signature is on the Custody
Stipulation.
Thomas D. Gould, Esquire
ID % 36508
Attorney At Law
2 East Main Street
Shiremanstown, PA 17011
(717) 731-1461
AMIE M. McCLINTIC,
Plaintiffs
JAMIE L. COOK,
Defendant
IN THE COURT OF COI~4ON PLEAS
CUMBERLAND COUNTY PENNSYLVANIA
NO. ~ ~- ~ ;-7 ~
CIVIL ACTION - LAW
IN CUSTODY
PRAECIPE TO PROCEED IN FORMAPAUPERIS
TO THE PROTHONOTARY:
Please allow Amie M. McClintic to proceed in forma mauperis.
I, Thomas D. Gould, attorney for Amie M. McClintic, certify
that Amie M. McClintic is not employed, owns no real estate and has
no assets available to pay the costs of this custody matter. I am
proving my legal services pro bono.
Date: /~ ~ O~ ~;~ V
Thomas D. Gould
Attorney for Plaintiff
I.D. # 36508
2 East Main Street
Shiremanstown, PA 17011
(717) 731-1461
AMIE M. McCLINTIC, :
Plaintiffs :
:
JAMIE L. COOK, :
Defendant :
IN THE COURT OF CO~ON PLEAS
CUMBERI~%ND COUNTY PENNSYLVANIA
NO. O'~- ~7o
CIVIL ACTION - LAW
IN CUSTODY
ORDER OF COURT
__ day of May, 2004, upon review of the Custody
Complaint and Custody Stipulation it is hereby ordered that:
1. AMIE M. McCLINTIC (Mother) and JAMIE L. COOK (Father)
shall share legal custody of CAMERON JACOB BARTLETT (Child) whereby
each party agrees to consult with the other concerning all major
decisions affecting the Child, including but not limited to,
health, education and religion.
2. Mother and Father are to have equal access to medical,
educational and other records of the Child.
3. Father shall have physical custo~!y of the Child subject
to Mother's periods of partial custody or visitation as are in the
best interest of the Child as agreed by the parties.
4. Each parent shall inform the other of significant events
that occur in the Child's life.
5. Each party is to inform the other of any changes
employment, health, residence or telephone ]number.
in their
Jo