Loading...
HomeMy WebLinkAbout10-30980' COMPLAZMT UNDER SECTION ':??:? RJR 3341(d) OF THE DIVORCE Aki Plaintiff, proceeding pro 'se, respectfully represAnts: 1. Plaintiff is who currently ( ame) resides at ?43 F_RS? l rLc7, , (Address) (City) (County) since / (State) (Date) 2. Defendant is _ who currently (Name) / resides. at M 1' I CS6LI 75. Q , A (Address) (ity) (County) PA , since q (State) (Date) 3. has/have been a,, bona Plainti f-and/or Defen ant) , Plaintiff's Name and Address: SCE CJ_)D_ZX0_YL l? r J q?? V ! I; P9 I qa 13 Plaintiff's Name F1LED-4: r fc;F OF r! 1''? THE F?;? c r?')n,1TA Y , 2010 MAY 12: PM 12: 5r UNTY rENIN,SYLV, qv NTY COURT OF C014MON PLEAS TERM, 110. /Q ` 30 9 ?.?."l ??n CIVIL ACTION - DIVORCE vs. Defendant's Name PAGE 2 fide.,resident(s) in the Commonwealth for at least six months immediately previous to-the filing of this Complaint., 4., The plaintiff and defendant were married on ID LI /5 /o rm (Date) (City) (State/County) 5. Neither the plaintiff nor the defendant is in the military or naval service of the United States or its allies within the provisions of the Soldiers' and Sailors' Civil Relief Act of the,Congress of 1940 and its amendments. .6. There have been no prior nfactions of divorce or for annulment between the parties except IV ?? 7. The marxiage.of the parties is.frretrievably broken. 8.' The arties. have been living separate. and apart since S_Q COO( tc' (Date) 9. Plaintiff has been advised that counseling is available and that plaintiff may have the right to request that the court require the parties to participate in counseling. 10. Plaintiff requests the court to enter a decree of divorce; VWFICATION 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 Pa.C.S. Sec. '4904, relating to Plaintiff's Name and Address: xx? FILED-+Jt:i fCE ?.. OF ,HC ???? i ?, 1h??TARY Ch?. 1010 MAY 12 PM 12: 55 J-h 50 0 EagL PY Sk:9A Per `' O PENIlSvLvr :x.M COUNTY Plaintiff's Name COURT OF COMMON PLEAS VS. TERM, NO.- f Q` 3 6 Cn/ v I -? u`M D , CIVIL ACTION -,DIVORCE MOTION FOR LEAVE -TO. PROCEED 4 IN FORMA PAOPERIS ()OSLnJA Plaintif f in the. above- (Plaintiff's Name) - captioned case,. moves this Court for an order permitting him to .proceed without •prepayment of fees and costs or.,security. Plaintiff has attachad a verified statement of his poverty in support of this motion. airtiff's Signature Date: j u: ------------- Petitioner's Name and Address 'THE OTAPY CI 2010 MAY Q Phi 12: 56 'Soo E_ COUNTY Petitioner : COURT OF COMMON PLEAS Vs.. TERM, 316 V .7 NO. z4,yvv,?- ao Defendant CIVIL ACTION DIVORCE VERIFIED STATEMENT IN SUPPORT OF 'PETITION FOR LEAVE TO PROCEED IN FORMA PAUPERIS I, the plaintiff in the above-captioned case, have filed a petition requesting leave to proceed in forma pauperis and-in support represents. 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 this 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:. .11 I r^.• PAGE 2 ` (a) Name: 26JVU-? Address: EA S chtctaju /p/.9 q Q 1,3 Social Security Number: 7 3- ?P(o,-03J (b) Employment If you are presently employed, state Employer: n f Address 1 y lw5l.t n(O P,?,Z Salary or wages per month: r ,35o c) A ?'1?r JZ " Type of work: W_ze?T _ If you are presently unemployed, state Date of last employment: -?yA ? Salary or wages per month: 315 - 0 0 Type of work: n? Ae? (c) Other income within the past twelve months Business or profession: r\j Other self-employment: Interest: Dividends: Pension and annuities:: Social security benefits: I V/ Support payments: _ Disability payments: PAGE 3 Unemployment compensation and'supplemental benefits: Workman's compensation: 1v??r Public assistance: Other (d) Other contributions to household support Wife's Name If your wife is employed, state Employer:. I \1 ?/"? Salary or wages per month: / Type of work: 1 v Contribution%, from -children: Contributions from parents: Other contributions: (e) Property owned Cash: IA. Checking account: n . Savings account.: A) Certificates of 'deposit: I\j Real estate (including home): \J1 1A( Motor vehicle: Make Year v Cost Amount owed :$ Stocks; bonds: Other:. _/ Other persons: Name: Relationship: 40 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 .11 f i. 111 .• BARRY L. SWARTZ, JR., IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - LAW NO. 10-3098 CIVIL ANNETTE SWARTZ, Defendant ORDER AND NOW, this 25'- of August, 2010, on request of the plaintiff, Barry L. Swartz, Jr., the above-captioned action is DISCONTINUED and DISMISSED. Barry L. Swartz, Jr. SCI Chester 500 East 4t' Street Chester, PA 19013 Annette Swartz 6 Marshall Drive 05 Camp Hill, Pa 17011 rlm C"DfV OACt-`[t( .4,w Flo gi imp N t BY THE COURT,