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
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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 -- -,?
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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
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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
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NO. ?? - 30&IL TERM /
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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
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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