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HomeMy WebLinkAbout11-3953COMMONWEALTH OF PENNSYLVANIA COURT OF COMMON PLEAS Judicial District, County Of NOTICE OF APPEAL FROM DISTRICT JUSTICE JUDGMENT COMMON PLEAS No. // NOTICE OF APPEAL Notice is given that the appellant has filed in the above Court of Common Pleas an appeal from the judgment rendered by the District Justice on the date and in the case referenced below. I Y when this notation is 1?1 rs R.C.P.D.J. No. 10088. This Notice of Appeal, when received by the District Justice, will operate as a SUPERSEDEAS to the judgment for possession in this case. was Claimant in action before a District Justice, A COMPLAINT MUST BE FILED within twenty (20) days after firing the NOTICE of APPEAL. sorw- of ft-w a w - mpw PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE (This section of form to be used ONLY when appellant was DEFENDANT (see PA.R.C.P.D.J. No. 1001(7) in action before District Justice. IF NOT USED, detach from copy of notice of appeal to be served upon appellee. PRAECIPE: To Prothonotary Enter rule upon Name of BA N "(s) appellee(s), to fide a complaint in this appeal (Common Pleas No. ) within twenty (20) days after service of rule or suffer entry of judgment of non pros. Slg Wme of app&%W or affomey or agent RULE: To , appellee(s) Name of appNlee(s) (1) You are notified that a rule is hereby entered upon you to file a complaint in this appeal within twenty (20) days after the date of service of this rule upon you by personal service or by certified or registered mail. (2) If you do not file a complaint within this time, a JUDGMENT OF NON PROS MAY BE ENTERED AGAINST YOU. (3) The date of service of this rule if service was by mail is the date of the mailing. Date: ,20 SOmfun of Profbonofary or Deputy YOU MUST INCLUDE A COPY OF THE NOTICE OF JUDGMENTITRANSCRIPT FORM WITH THIS NOTICE OF APPEAL. AOPC 312-02 WHITE - COURT FILE TO BE FILED WITH PROTHONOTARY GREEN - COURT FILE YELLOW - APPELLANTS COPY PINK -COPY TO BE SERVED ON APPELLEE GOLD -COPY TO BE SERVED ON DISTRICT JUSTICE ?m -V o -v C COMMONWEALTH OF PENNSYLVANIA Notice of Judgment/Transcript Civil COUNTY OF CUMBERLAND Case Mag. Dist. No: MDJ-09-1-02 MDJ Name: Honorable Barbara A. Clare Address: 1901 State Street Camp Hill, PA 17011 Telephone: 717-761-0583 Kathleen Serafin 231 B W Main St Mechanicsburg, PA 17055 Kathleen Serafin V. Derek Tare y3 y (loner Ro-k rfters, PA, 1131, Docket No: MJ-09102-CV-0000036-2011 Case Filed: 2/11/2011 Disposition Summary Docket No Plaintiff Defendant Disposition Disposition Date MJ-09102-CV-0000036-2011 Kathleen Serafln Derek Tare Judgment for Defendant 03/2912011 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 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. a Magisterial District Judge ?L-•? Barb u{- 4P AL-2-1S .0 IM, ara A. Clare I certify that this is a true and correct copy of the record of the proceedings containing the judgment. Date Magisterial District Judge Barbara A. Clare MDJS 315 Page 1 of 1 Printed: 03/29/2011 10:34:54AM VaA? ?? Plaintiff : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNgLMjANFA V. : -v3 -- -,? 5fa_ co Ci C) NO. CIVIL TERM 4 Defendant 71- C_ tti? - i'r: PETITION TO PROCEED IN FORMA PAUPERIS C n 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. (-Z? 1 N Dat M i IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. Plaintiff V. CIVIL ACTION - LAW urt'r-, Defendant FINANCIAL AFFIDAVIT 1. 1 am the Plaintiff in the above matter and because of my financial condition am unable to pay the fees and costs of prosecuting the action or proceeding. 2. 1 am unable to obtain funds from anyone, including my family and associates, to pay the costs of litigation. 3. 1 represent that the information below relating to my ability to pay the fees and costs is true and correct. (a) Name and Address: (?•'? Ske,?C- Z3 t W mar) Social Security No.: fled-p,nic4Nc , 0 A ) -7 05? /§? - /,3-14p?- 3 J (b) Employment - gt4v - If you are presently employed, state Name and Address of Employer: Salary or wages per month: ? • a Type of work: If you are presently unemployed, state Date of last employment 1JZ.ov(-0 Wages or salary per month: Type of work: (c) Other income within th past twelve months Business or professional: Other self-employment: Interest/Dividends: Pension and annuities: Social Security benefits: Support Payments: Disability payments: Unemployment compensation supplemental benefits: Worker's compensation: Public assistance: LIV6 Other: lU SJC W (d) Other contributions to household support Contributions from children: Contributions from parents: Other contributions: (e) Property owned Cash: 9.Z-3 Checking account: Z`J Savings account: Certificates of deposit: Real Estate (including home): Motor vehicle u - Make and Year: 2W 1O 1 ?'vJ f K IR. Cost: Zocb Amount owed: 0 Stocks; bonds: Other: (f) Debts and obligations Mortgage/Rent: `mD to P co a ? M Loans: Other: (g) Persons dependant upon you for support Children, if any: ) Sh, . nz Se r - LA ? C1 ? -0-2- (h) Expenses Item To Whom Paid /a n Monthly Amount Rent/Mortgage 114 11? C"O'k -UZ- jQ(0 Taxes Electric /60 Gas Heating Oil Water/Sewer/Trash Property Insurance Telephone q0 Car Loan Car Insurance 62- Gasoline/Oil/Repairs Medical/Dental Life/Health Insurance Food Household Supplies/Laundry -!Q Pampers/ Clothing f`a Hair cuts 2,0 Other Transportation 9)Y TOTAL MONTHLY EXPENSES 4. 1 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. 1 verify that the statements 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, which upon conviction provides for a fine not to exceed $2,500, or for imprisonment for a term not to exceed one year. Date G Petitioner Plaintiff vs. 02'r? T(T,?'Q. Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY , PENNa J AI CO j r-' ? NO. ?? - 30&IL TERM / , -<)> w ° r :;4 ca -? Z,- C7 ORDER OF COURT t AND NOW this day of , 2011, upon consideration of the attached Petition and Affidavit, the petitioner is allowed to proceed in forma pauperis. BY THE COURT, Judge Distribution Plaintiff: k0t ` N1 Z31 0 W ?o.' ?Nsk& ?J' ?U.?IIC S?l)?' ?' dress bs? Name hard del over -6/3I1+ OKS s Address Davila Buell Prothonotary Office of the (Prothonotary Cum6er[and County, Pennsylvania // xf rkS. So!ionage, FSQ Soficitor 39,5.3 CIVIL TERM ORDER OF TERMINATION OF COURT CASES AND NOW THIS 28TH DAY OF OCTOBER, 2014, 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, DAVID D. BUELL PROTHONOTARY One Courthouse Square 0 Suite100 0 Carlisle, TA 0 Phone 717 240-6195 0 717 240-6573