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HomeMy WebLinkAbout02-2785 IN THE'COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW ~i5T/~ A MvN015 Plaintiff : No. 1-007- -;J-m- Civil Term v. OAlrE:- lJ. MUNDI ~ :INDIVORCE Defendant NOTICE TO DEFEND AND CLAIM RIGHTS YOU HA VE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the Court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, Cumberland County Courthouse, I Courthouse Square, Carlisle, Pennsylvania IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DMSION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 2 Liberty Avenue Carlisle, P A 17013 , ___,(717) 249-3166 I.:e han demandado a usted a la corte. Si usted quiere defenderse en contra estas demandas expuestas en las paginas siguientes, usted tiene veinte (20) dias de plazo al partir de la fecha de la demanda y la notificacion. Usted debe presentar una apariencia escrita 0 en persona 0 por abogado y archivar en la corte en forma escrita sus defensas 0 sus objeciones alas demandas en contra suya. Se has avisado que si usted no se defienda, la corte tomara medidas y puede entrar una orden contra usted sin previo aviso 0 notificacion y por cualquier que ja 0 alivio que es pedido en la peticion do demanda. USTED PUEDE PERDER DINERO 0 PROPIENDADES 0 OTROS DERECHOS IMPORTANTES PARA USTED. LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI USTED NO TIENE 0 CONOCES UN ABOGADO, VA Y A EN PERSONA 0 LLAME POR TELEFONO A LA OFICINA CUY A DIRECCION SE ENCUENTRA ESCRIT A ABAJO PARA A VERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 (717) 249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of Cumberland County is required by law to comply willi the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the Court, please contact our office. All arrangements must be made at least 72 hours prior to any hearing or business before the Court. You must attend the scheduled Conference or Hearing. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 (717) 249-3166 /LfI-\J5f/NE ,4. ,MvNU15 , Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 2002- ..<? ~S- OAt..&- c. }VIVrJPI.5 Defendant : CML ACTION - LAW : IN DIVORCE COMPLAINT UNDER &3301(c) or Cd) OF THE DIVORCE CODE I. Plaintiff is /GP..'1STIW1S A ;VlvND1.5 . who currently resides at ~%JlA'-/(Nl6W\ 'SI CAl2-f..o!SL-E.. PA (,o/'? Cumberland County, Pennsylvania. 2. Defendant is .DAve:;.. Q,MUNG/So ~ N. t:At;"'T Sf ()A1Z-v/ ~ , who currently resides at fA rlo13 3. Plaintiff has been a bona fide resident of the Commonwealth of Pennsylvania for at least the six months prior to the filing of this Complaint. 4. Plaintiff and Defendant were married on .JV"'i:. I lliiJ (T}t~ ~CE.. ~fv'1uHANtSBuU- ft:l I7t6'5' at 5. The marriage is irretrievably broken, and the parties separated on AU6-vS-r f}...()() I 6. There have been no prior actions of divorce or annulment between the parities, 7. Plaintiff, to the best of hislher knowledge and belief, avers that defendant is not in the military service of the United States of America, but is in fact living at the address given in Paragraph 2 above. 8. Plaintiff has been advised of the availability of counseling and that Plaintiff may have the right to request that the Court require the parties participate in counseling. WHEREFORE, Plaintiff requests the Court to enter a Decree of Divorce. ~4,~ Date ~!~ I, ~!J'TJJ\€:. fr. MVNf21.S.-, verify that the statements made in this Complaint are true and correct to the best of my knowledge, information, and belief. I understand that false statements made herein are subject to the penalties for unsworn falsification to authorities as provided in 18 Pa. C.s. 94904. ~4~ . Date (k,~j;N-; Assisted by' L -. . MIDPE~~;;;RVICES PRO SE DIVORCE CLINIC 8 Irvine Row Carlisle, Pennsylvania 17013 (717) 243-9400 ~ (:) ~ N '- :t::n ;:Rfg c: JZ: ~~ Z::n 1 ~~ -.J - 4' '< t~j -l(J -0 :r:=fj ~8 :r. Qc'5 - 6m >c .. .,.... Z (.f1 5:; =< -< i;,ji J..P-.Y5T1N~ A, MVf'l~ : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYL VANIA v : NO. 2002- 21'i""r : CIVIL ACTION - LAW V~ t./.MUNOI~ Defendant : IN DIVORCE PETITION TO PROCEED IN FORMA PAUPERIS The Petitioner, U'/<;Tl r0? 4 M.UN'DLS ' is the Plaintiff in this action. On her behalf, I, Joan Carey,-;rttt;mey for MldPenn Legal Services, do hereby certify that the Petitioner is indigent according to the poverty guidelines of MidPenn Legal Services. MidPenn Legal Services is assisting the Petitioner in filing a divorce case pro se. The Petitioner's Financial Affidavit showing inability to pay the costs of litigation is attached ereto. Petitioner requests leave to proceed without payment of fees or costs. ey, Attorney idPenn Legal Services Pro Se Divorce Clinic 8 Irvine Row Carlisle, P A 17013 ~Ybf{~A,MlJ/JDIS Plaintiff : IN THE COURT OF COMMON PLEAS OF J1\'L-e. t. M lJ rJ 0 I 5 Defendants : CUMBERLAND COUNTY, PENNSYLVANIA : NO.;lOO.;l- CIVIL TERM vs. AFFIDAVIT IN SUPPORT OF PETITION FOR LEA VB TO PROCEED IN FORMA PAUPERIS 1. I am the,p,.;IlH.ff- 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: (i.p..YSTIWE A..MvNV 15 Address: ~,(, fIA'ILNlG,1+"I tit" ~l SLE; fA- 1706 (b) Social Security Number: lob. 52.. - g'3 '36 If you are presently employed, state Employer: FI5A&A Address: '2.01 N. V'of ~. H.M-lLISBI#-&- ~ non Salary or wages per month: 110(;).oD Typeofwork: S~~ If you are presently unemployed, state Date oflast employment: N!A Salary or wages per month: ~ Type of work: r4f\ (c) Other income within the past twelve months Business or profession: Nf;. Other self-employment: rJ1A Interest: ~j,<. Dividends: rJ/;. Pension and annuities: [JIll Social Security benefits: + Support payments: rfA Disability payments: (oJ (:Po Unemployment compensation and supplemental benefits: N/-A Workman's compensation: ~ Public Assistance: N/p. Other: rJ f? (d) Other contributions to household support (Wife)(Husband) Name: "'~ If your (husband) (wife) is employed, state + Employer: tiff Salary or wages per month: + Type of work:}llt Contributions from children: r1f (e) Property owned Cash: l~ ,,0 Checking Account: 100.00 Savings Account: tJ(A Certificates of Deposit: ~ Real Estate (including home): ~ Motor vehicle: Make V vV Year / 'tq 0 Cost I 000.0" Amount owed NINE Stocks; bonds: ~ Other:rf.. (f) Debts and obligations Mortgage: rJ~ Rent: /..f eo, 00 Loans: ]00.01> Monthly Expenses: 9l>O- ()1) (g) Persons dependent upon you for support (Wife) (Husband) Name: Children, if any: Name: 5t!l,M \IAN 1-1-. j'v\Vf'JOl.S Age: if 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 unsworn falsification to authorities . Date: ..lu..-t 4 ~ . ~-'~A,t" lie1,- f€ ~ 0 -..., ~UJ ~ =;:t fT) O!:: "- ::0 :JJ rn,- B3S; I -of? ;::>~,.. ....., ;~ s;lJ i!(,J "'T.> - -r, )>:8 ::ll:: '" -71 2:c 15M :sc ?J ,'""" C.11 ~ '" ,:..~., ~"r' SOCIAL SECURITY INFORMATION SHEET PURSUANT TO 23 Pa.C.S.A. SECTION 4304.1 (a) (3) ALL DIVORCES MUST INCLUDE THE PARTIES SOCIAL SECURITY NUMBER PLEASE FILL IN THE APPROPRIATE INFORMATION AND RETURN TO THE PROTHONOTARY'S OFFICE DATE: J vM; 4 J 2.0tJ1.- 0;;2 - :X'lgS- DOCKET NUMBER: PLAINTIFFIPETITIONER ss# 20&-1)"'2--1'-:330 NAME: Y-t<.YH({'1i. A-, MVJ'lDI5 DEFENDANT/RESPONDENT ss #,ll'1- In I..( -I Cf2-1 NAME: t).Au: ..."A)., jI/\ vf'Jl) \ ') : IN THE COURT OF COMMON PLEAS OF Id<.'fS1'INE AI /V'-vNVIS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA ; NO. 2002 - ~ {~5 QA-~ c. fV\vND15 : CIVIL ACTION - LAW Defendant v. ~{ ::'<:~/{ : IN DIVORCE ACCEYIANCE OF SERVICE I ~{l:-v~ (I~ f\f\ V NO 15 (name of person accepting service) , do hereby depose and say that, on behalf of and on the authorization of the Defendant, I personally received and accepted service of a true and correct copy ofthe Complaint in Divorce on the date written below. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. ~4904, relating to unsworn falsification to authorities. /~hz Date;' I Name of person accepting service (') c <" -otfi n. [!:, Z..1._' zr- (f) :> -/ / ~t. ?fc.> --={ ) );> (:':: ?:i -< o l'0 Q , ;= t :-:C' \.0 ,='" :J ....J DIVORCE INFORMATION SHEET PURSUANT TO ACT 2001-82, VITAL STATISTIC FORMS ARE NOT REQUIRED BY THE STATE EFFECTIVE JANUARY 1,2002. THE PROTHONOTARY IS REQUESTING THIS INFORMATION IN LIEU OF THE VITAL STATISTICS FORM. PLEASE FILL IN THE APPROPRIATE INFORMATION AND RETURN TO THE PROTHONOTARY'S OFFICE. DOCKET NUMBER: I\~-;) I ~S DATE OF MARRIAGE: ..J UNE:.- I 1 ,ll'll KR YSTINE A. MUNDIS, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYL VANIA v. NO. 2002-2785 CIVIL DALE C. MUNDIS, Defendant IN DIVORCE AFFIDA VIr OF CONSENT 4. A complaint in divorce under ~330I(c) ofthe Divorce Code was filed on June 7, 2002. 5. The marriage of plaintiff and defendant is irretrievably broken, and ninety days have elapsed from the date of filing and service of the Complaint. 6. I consent to the entry of a final decree of divorce after service of notice of intention to request entry of divorce. 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. Section 4904 relating to unsworn falsification to authorities. n,,", J~v8, ;".c, Signature, 'l:;1/." ~ ~ sti ,. A. MundIS 0 0 \-? c w ~ ,- -on::! :r.:~ ~-~ mr, : "7' :r, ~ N , z~ r-'.' (f) ,., c..) -<.,c, I~) r:c; :< -u .E~c.-. =~'.: (":; (""<:5 ~n -~c: r:- _~I. . Z :;::) ,> ~ --.!, .J:"" ~ -< KRYSTINE A. MUNDIS, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYL VANIA v. NO. 2002-2785 CIVIL DALE C. MUNDIS, Defendant : IN DIVORCE AFFIDAVIT OF CONSENT 4. A complaint in divorce under ~3301(c) ofthe Divorce Code was filed on June 7, 2002. 5. The marriage of plaintiff and defendant is irretrievably broken, and ninety days have elapsed from the date of filing and service of the Complaint. 6. I consent to the entry of a final decree of divorce after service of notice of intention to request entry of divorce. I verify that the statements made in this affidavit are true and correct. I understand that fa1" 'tatem""" herein M' made ,ubj," to the penalti" of 18 pa.C.S.7ec, tion 49-- ,elating to u",worn fa"ifi"tion to authont",;, /1 ~ / Date: "g.~~ Signature: /<< i. ~....c> / Dale C. Mundis 0 c 8 c c..: ? c_ ...;:"'" ""O(D ~ mq1 "~ zX' -'*- 7~ 1',) (Jjl:t L) -< ~ ~ c.:' -v ~ ...,. ZC:i -- -c-- )> ",' - c:: z :::> -'I"" ~ -..... .C:- =< KRYSTINE A. MUNDIS, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYL VANIA v. NO. 2002-2785 DALE C. MUNDIS, Defendant IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REOUEST ENTRY OF A DIVORCE DECREE UNDER &330l(c) OF THE DIVORCE CODE 4. I consent to the entry of a final decree of divorce without notice. 5. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 6. I understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the Prothonotary. I verifY that 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 unsworn falsification to authorities. Date:L)u .JJ1., ~.L Signature: /f~ld?- /c::1-~~ Kfystinf A. Mundis 0 CJ C C w -j " -y -"t.'{"r: (- mn" !:~ .. Z::J N ZC' Gi)/ '-', ~t, -0 ..;;; '--. ~ Z~ >U r. C ._, ~ :::::> ili r KRYSTINE A. MUNDIS, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYL VANIA v. NO. 2002-2785 DALE C. MUNDIS, Defendant : IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REOUEST ENTRY OF A DIVORCE DECREE UNDER &3301(c) OF THE DIVORCE CODE 4. I consent to the entry of a final decree of divorce without notice. 5. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 6. I understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the Prothonotary . I verify that 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 ~elating to ""'Worn fal';fioatioo to authotiti". . ~ Date: ~~ Signature: /!~~ Dale C. Mundis 0 0 c (.,.) S L.. "D (D )':1>> !!)nC ...~- :z: :\) N :z:C (f)P C.0 ~ -<., r-.-'- ~"-_c v 2C; :l;; be: )>- ,. c c:! z ::J ::2 "or1 .f;" =< KR YSTINE A. MUNDIS, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 2002- 2785 CIVIL DALE C. MUNDIS, Defendant IN DIVORCE PRAECIPE TO TRANSMIT RECORD To The Prothonotary: Transmit the record, together with the following information, to the Court for entry of a divorce decree: I. Ground for divorce: Irretrievable breakdown under Section 3301(c) ofthe Divorce Code. 2, Date and Manner of service of the Complaint: Defendant personally accepted service of the divorce, by agreement, on July 1,2002. 3. Complete either paragraph (a) or (b). (a) Date of execution of the Affidavit of Consent required by Section 3301(c) of the Divorce Code: by Plaintiff, December 28, 2002; by Defendant, December 28, 2002. (b)(I) Date of execution of the Plaintiffs Affidavit required by Section 3301(d) of the Divorce Code: N/A (2) Date of filing and service of Plaintiffs Affidavit upon Defendant: N/A 4. Related claims pending: There are no outstanding claims. 5. Complete either paragraph (a) or (b). (a) Date and manner of service of the notice of intention to file Praecipe to Transmit Record, a copy of which is attached: N/A. (b) Date Plaintiffs Waiver of Notice in Section 3301(c) Divorce was filed with the Prothonotary: January 23, 2003. (c) Date Defendant's Waiver of Notice in Section 3301(c) Divorce was filed with the Prothonotary: January 23,2003. Plaintiffs Social Security Number: 206-52-8330 Defendant's Social Security Number: 174-64-1929 // 0 n Carey Attorney for Plaintifi MidPenn Legal Services 8 Irvine Row Carlisle, P A 17013 (717) 243-9400 (") c' C) C c..) '.?'-'" -oi"'" e 92r;:' _~J_L r....,) Z..... c1J) fJ~; :<:,' r::'C' .-.:i :<. ~~t~ t- ".\"' ye :2: ::-.1 "." :.1. :.0 (Ii ....-:. ~ rz- /'tlrPW rrl!, >~ ';2 ~/- ~.7,r-:7 Ce?' ;(1 n? ',~C-/ ::,"'. .' ' , ; ..'