HomeMy WebLinkAbout04-5720
Cumberland County
No. DLf~ Sf d.-eJ C~
ORDER
Stephen K. Davis,
Plaintiff
Lawrence Chevrolet,
Defendant
NOV 1 7 2004 V V
In the court of Common Pleas of the County of Cumberland, in the matter of
Stephen K. Davis VSI Lawrence Chevrolet, it is hereby granted that the plaintiff may
proceed in forma pauperis on this c:hy ~+ 'he ~'~ar
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By Order of the cOi
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Cumberland County
Stephen K. Davis,
Plaintiff
No.
Lawrence Chevrolet,
Defendant
l. I am the (plaintiff) (defendant) in the above matter and because of my financial condition am
unable to pay the fees and costs of prosecuting or defending 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:
1 S -lc.pJv> f\ i lk.'t I ) i ")
Address: () /) /)
dOC; (Oi 11(\1,) ;11/1/ ,vur!? M,rd/ IJl-'f1htJ/J/(/<,JJf::J r/4
I
I '7o,~-o
Social Security Number:
I ii 0- 5"(P - 'it :2) '7 7
(b) Employment
If you are presently employed, state
Employer:
Salary or wages per month:
Type of work:
If you are presently unemployed, state
Date of last employment: -r-
~ ""Mj !J ~ I '?(JOLt
Salary or wages per month: JI / I (j _ j' ., 1/
'"J ilO_ 1'0-<;, -) _/J1f\11tlJ..
I};;-Io Afi'Y t/l/1IJJ(ljCdl
Type of work:
(c) Other income within the past twelve months
Business or nrofession:
Other self-employment:
Interest:
Dividends:
Pension and annuities:
Social security benefits:
Support payments:
Disability payments:
Unemployment compensation and
supplemental benefits: _$ <;:" /)
0,;;1(.)-00
!t~/\.~/j(f,.m1 fM//':y,)CJ:)f Iv vdU1/ .!Jootf
Workman's compensation:
Public assistance: -Pip. _ I 'A
(- 0:') ,()() /1lIJrJ1";
IP,. /ollfU~}'/)(') t/ /0
/)4d.'\o/1~
,
Other:
(d) Other contributions to household support
(Wife) (Husband) Name:
AIM
If your (wife) (husband) is employed, state
Employer:
Salary or wages per month:
Type of work:
Contributions from children:
Contributions from parents:
(e) Property ownedCash:
Checking account: (y) d, - Ii )
(f / '/t /7
~r:1- rY)
Savings account:
Certificates of deposit:
Real estate (including home):
Motor vehicle: Make
FJ.'d /--/50
, Year
;qqlj
Cost
40<:'<:'" 00
, Amount Owed $
~ & 'is . /7/7
Stocks; bonds;
Other:
(f) Debts and Obligations
Mortgage:
Rent: I /A
5/00- ou / m b/7
!;J//,;'<\4/J'!!/ .3~ /lJ1I/J111 / d U/1/fdb4..., j
Loans:
(g) f't:r:}"UFlS ut:pt:ru1t:ru' upun yuu JUT suppuri
(Wife) (Hu~hand) Name~
~L~l...1_~_ ~& __.T'
'-'1.11.1UJ.~11, 1.1 d.1J.],
"",J'':in-,,,,'
Age:
UU:r.cf rcfSOl1:s.Nwllt::.
Relationships:
4, I u.,derstand that I have a continuing obligation to infi)rm the court of improvement in my
f'in".......,i,'Jol ...li"f"l1n1ro+"'........""co UThlf"h 1.1.;;;'111'-:1 n..'ii"fi'\lt 1"\1.e to pay +Le "o-t'" incurred he-rel'n
................................. ........................_............ T........"'..... nv.......... .!-''''............. ...... _ ~ UJ. '" ."."... .
5. I verify that the state!nents made in this ~ffi(bvit are true a.'1d c0rre~t. ! u.ndersta..'1d t..l1at false
statements herein are made subject to the penalties of 18 Pa.C.s. S 4904, relating to unsworn
falsification to authorities,
Date:
U - I 5 - 04 (\\
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Petitioner
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COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
NQTICE OF APPEAL
FROM
DISTRICT JUSTICE JUDGMENT
Judicial District, County Of
Entd in Frothy's Offfice 11-15-04
jhs
COMMON PLEAS No. 04-5720 CIVIL TElM
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.
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IN THE CASE OF (P eintiff)
5!-e Ol'\e '\
-nW{)105 fl Pic,
STATE ZIP CODE
(r (J A , U{> '7
"'-J (Defendant)'
'" Lo \J._Jrf'(\~e C he! ) ru let
SIGNATURE OF APPELLANT OR ATTORNEY OR AGENT
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This block will be signed ONLY when this notation is required under Pa. 1001(6) in action
R.C.P.D.J. No. 1008B.
This Notice of Appeal, when received by the District Justice, will operate as a before a District Justice, A COMPLAINT MUST BE FILED within twenty
SUPERSEDEAS to the judgment for possession in this case.
(20) days aNer filing the NOTICE of APPEAL.
Signature of Prothonotary or D9puly
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(This section of form to be used ONLY when appellant was DEFENDANT (see P".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 appeltee.
PRAECIPE: To Prothonotary
Enter rule upon
appellee(s). to file a complaint in this appeal
Name of appel/ee(s)
(Common Pleas No.
) within twenty (20) days alter service of rule or suffer entry ofjudgment of non pros.
Signature ofapp9flant or attorney or agent
RULE: To
, appellee( s)
Name of appellee(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
Signature of Prothonotary or Depu(
YOU MUST INCLUDE A COPY OF THE NOTICE OF JUDGMENTITRANSCRIPT FORM WITH THIS NOTICE OF APPEAL.
AOPC 312-02
COURT FILE
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iCE OF NOTICE OF APPEAL AND RULE TO FILE COI\.
iD WITHIN TEN AP iF:;) Wing notice of appeal. \
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AF .=IDA VIT ,
I h.lI JY I.' Ir) (affirm) that I served
a elf i c f J 'Jotice of Appeal, Common F2!cas
(dab )fSFe) 1)1,/.2006-
5er::! attached hereto, and upon th(;
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sC(id. -:Jt atta~d"~ereto
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[Jlstrict Justice des,fY
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(SVlO~R " 'IFMED;~lm J'B S,~CR",I"BE"B, EFORE Ml,
THS//J ~D DE 'i,I,,"'- ~U05-'
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Ig:;alure otofficii' btlo 'hk, i1;;;;,~"if ~s made
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Title f offid10sbra L: BIosnlch. Notary
SIIyer /lpring Twr ~'~l<l~and CoII1ly
My o~o.n ,;ept23,2l106 ,20
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1'-'1 _____, .__
STEPHEN K. DAVIS,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
No. 04-5720
CIVIL TERM
v.
LAWRENCE CHEVROLET, INC.,
Defendant
PRAECIPE TO STRIKE APPEAL
FROM JUDGMENT BY DISTRICT JUSTICE
TO THE PROTHONOTARY:
Pursuant to Pa. R.C.P.DJ. 1006, please mark the appeal by plaintiff from the judgment by
the District Justice, dated October 15, 2004, stricken from the record due to plaintiff-appellant's
failure to comply with Pa. R.C.P.DJ. 1004A or 1005B. Plaintiff-appellant has failed to file a
complaint or a timely proof of service of his notice of appeal, which was filed on November 15,
2004.
Respectfully submitted,
KEEFER WOOD ALLEN & RAHAL, LLP
Dated: January 20,2005
BYt~'
Dona . LewIs III
LD. # 58510
210 Walnut Street
P. O. Box 11963
Harrisburg, P A 17108-1963
717-255-8038 and -8051
Attorneys for defendant
Lawrence Chevrolet, Inc.
January 21, 2005, Appeal Stricken in accordance wit above Praecipe.
CERTIFICATE OF SERVICE
I, Donald M. Lewis III, Esquire, attorney for defendant, hereby certify that I have served
the foregoing paper upon plaintiff, an unrepresented party, this date by depositing a true and
correct copy of the same in the United States mail, first-class postage prepaid, addressed as
follows:
Stephen K. Davis
209 Willow Mill Park Road
Mechanicsburg, P A 17050
KEEFER WOOD ALLEN & RAHAL, LLP
BY~~
on eW1S III
Dated: January 20,2005
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