HomeMy WebLinkAbout10-7548COMMONWEALTH OF PENNSYLVANIA
rnl INTY OF- CUMBERLAND
Mag. Dist. No.:
09-3-03
? a/.l
NOTICE OF JUDGMENT/TRANSCRIPT
CIVIL CASE
PLAINTIFF: NAME and ADDRESS
BROWN, DANIKA LYNN
20 EAST ST APT/STE 8
MT. HOLLY SPRINGS, PA 17065
L J
VS.
DEFENDANT: NAME and ADDRESS
FBEISHLINE, RICHARD
408 N BALTIMORE AVE APT/STE 105
MT HOLLY SPRINGS, PA 17065
L J
Docket No.: CV- 0000136 -10
Date Filed: 4/28/10
MDJ Name: Hon.
SUSAN K. DAY
Address: 229 MILL ST, BOX 167
MT. HOLLY SPRINGS, PA
Telephone: (717 ) 486-7672 17065
DANIKA L. BROWN
20 EAST ST APT/STE 8
MT. HOLLY SPRINGS, PA 17065
THIS IS TO NOTIFY YOU THAT:
Judgment: FOR PLAINTIFF
® Judgment was entered for: (Name)
® Judgment was entered against: (Name)
in the amount of $ 823.0
Defendants are jointly and severally liable.
? Damages will be assessed on Date & Time
F This case dismissed without prejudice.
Amount of Judgment Subject to Attachment/42 Pa.C.S. § 8127
F] Portion of Judgment for physical damages arising out of
residential lease $
Amount of Judgment $_ 800.00
Judgment Costs $ 23.00
Interest on Judgment $ .00
Attorney Fees $ . U0.
Total
$ 823.001
Post Judgment Credits $
Post Judgment Costs $
Certified Judgment Total $ 823.00
ANY PARTY HAS THE RIGHT TO APPEAL WITHIN 30 DAYS AFTER THE ENTRY OF JUDGMENT BY FILING A NOTICE
OF APPEAL WITH THE PROTHONOTARY/CLERK OF THE COURT OF COMMON PLEAS, CIVIL DIVISION. YOU
MUST INCLUDE A COPY OF THIS NOTICE OF JUDGMENT/TRANSCRIPT FORM WITH YOUR NOTICE OF APPEAL.
EXCEPT AS OTHERWISE PROVIDED IN THE RULES OF CIVIL PROCEDURE FOR MAGISTERIAL DISTRICT JUDGES, IF THE
JUDGMENT HOLDER ELECTS TO ENTER THE JUDGMENT IN THE COURT OF COMMON PLEAS, ALL FURTHER PROCESS MUST
COME FROM THE COURT OF COMMON PLEAS AND NO FURTHER PROCESS MAY BE ISSUED BY THE MAGISTERIAL DISTRICT JUDGE.
UNLESS THE JUDGMENT IS ENTERED IN THE COURT OF COMMON PLEAS, ANYONE INTERESTED IN THE JUDGMENT MAY FILE
A REQUEST FOR ENTRY OF SATISFACTION WITH THE MAGISTERIAL DISTRICT JUDGE IF THE JUDGMENT DEBTOR PAYS IN FULL,
SETTLES, OR OTHERWISE COMPLIES WITH THE JUDGMENT.
- / (/ Date , / n? I I -t
.LG'
I certify that this is a true orre copy
- IC) Date
My commission expires first Monday of January, 12016
(Date of Judgment)
BROWN, DANIKA LYNN
7/06/10
BEISHLINE, RICHARD
, Magisterial District Judge
containing the judgment.
, Magisterial District Judge
SEAL
AOPC 315-07
DATE PRINTED: 9/21/10 12:48:00 PM
FILED-OFFICE
OF THE PROTHONOTAR
1010 DEC -7 AM 10= 18
CUMBERLAND COUNTY
PENNSYLVANIA-
i
a
FILED-OFFICE ,,
OF THE PRO11JONOTARR
2Q10 OEE -1 AM 14* S `.'
CUMBERLAND t;OUIN' €
p"Awkipk!?i 1%
V.
Defendant
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
to ? 7SY?
NO. CIVIL TERM
PETITION TO PROCEED IN FORMA PAUPERIS
The Petitioner in the above-captioned matter respectfully petitions this Court for permission to
proceed in forma pauperis. As set forth in the attached Affidavit, which is incorporated herein by
reference, Petitioner is unable to pay the fees and costs necessary to commence these proceedings.
WHEREFORE, Petitioner requests that this Court enter an order permitting her to proceed in
forma pauperis.
(A /a q AC)
D to Petitioner
drol'jit
IDCA&'/?? 't.'L
Plaintiff
VS.
R f ??r d &I S k1i a? e
Defendants
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
: NO.,J - CIVIL TERM
AFFIDAVIT IN SUPPORT OF PETITION
TO PROCEED IN FORMA PAUPERIS
1. I am thew 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 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.
(a) Name:
Address:
` V
_(b) Social Security Number:
If you are presently employed, state
Employer:
Address:
Salary or wages per month:
Type of work:
If you are presently unemployed, state
Date of last employment: nlnz,
Salary or wages per month:
Type of work: C\1?
(c) Other income within the past twelve months
Business or profession:
Other self-employment:
Interest:
Dividends:
Pension and annuities:
Social Security benefits:
Support payments ?_ \I u
Disability payments:
Unemployment compensation and
supplemental benefits:
Workman's compensation:
Public Assistance: A 1j( V_ oyfoi(
Other: S f l & M?AV)9_(JV C?(l1k Q??'(? CIO
(d) Other contributions to household support
(Wife)(Husband) Name: M_f
If your (husband) (wife) is employed, state
Employer:
Salary or wages per month:
Type of work:
Contributions from children:
(e) Property owned
Cash: ()(a_
Checking
Savings Account: 4D
Certificates of Deposit:
Real Estate (including home):
Motor vehicle: Make4LI- Year
Cost Amount owed
Stocks; bonds:
Other:
(f) Debts and obligations
Mortgage:
Rent. $
Loans:
f-t
Monthly Expenses: ele(I&{,,?
(g) Persons dependent upon you for support
(Wife) (Husband) Name:
Children, if any:
Name: ge:
kIA rrxhS
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 unworn falsification
to authorities.
Date 0 ?y`?
DEC 0 8 20)0
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
efendants
NO. IU 7671EIVIL TERM
ORDER OF COURT
AND NOW this day of 41 , 2006, upon considerations of the
-e?& 0,q*'Kl' X1 17 Z`'
attached Petition and Affidavit, the petitioner is s.
avla 7,
lrBY THE COURT,
Judge
Distribution
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Plaintiff:
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Defendant: R?k C! t ??r1
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Name
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