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Home My WebLink About02-2790IN THE'COURT OF COMiVION PLEAS OF CUMBERLAND coUNTy, PENNSYLVANIA CIVIL ACTION - LAW Plaintiff ': Defendant : Civil Term NOTICE TO DEFEND AND CLAIM RIGHTE 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, 1 Courthouse Square, Carlisle, Pennsylvania. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION 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, PA 17013 ........... (.717) ~49-3166 Ee hah demandado a usted a la cone. Si usted quiere defenderse en contra estas demandas expuestas en las paginas siguientes, usted tiene veinte (20) dias de plazo al partir de la feeha de la demanda y la notificaeion. Usted debe presentar una apariencia escrita o en persona o por abogado y archivar en la cone en forma eserita sus defensas o sus objeeiones a las 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 o notificacion y por cualquier que ja o alivio que es pedido en la petition do demanda. USTED PUEDE PERDER DINERO O PROPIENDADES O OTROS DERECHOS IMPORTANTES PARA USTED. LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI USTED NO TIENE O CONOCES UN ABOGADO, VAYA EN PERSONA O LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABA JO PARA AVERIGUAR 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 with 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. Ail 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 Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : v. : No. 2oo - O f~h I ]/!/l p~.' CIVIL ACTION - LAW Defendant : : IN DIVORCE COMPLAINT UNDER §3301(c) or (d) OF THE DIVORCE CODE Plaintiff is ?~,-.~'~ /'2~ it ~//j, ff 5 .who currently resides at Cumberland County, Pennsylvania. 2. Defendant is ,]~-A/~¢5~ t~ f)~ //~/zll ~, who c~ently resides at 3. Pl~ntiff ks been a bonafide resident of ~e Co~onweal~ of Pc~sylv~a for at o least the six months prior to the filing of this Complaint. Plaintiff and Defendant were married on ~ at 5. The marriage is irretrievably broken, and the parties separated on 6. There have been no prior actions of divorce or annulment between the parities. 7. Plaintiff, to the best of his/her 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. Date Plaintiff, Pro Se I, ~°trr~o~- /~. Pix, I} ~ps , verify that the statements made in this Complaint are hue and correct to the best of my lmowledge, information, and belief. I understand that false statements made herein are subject to the penalties for unswom falsification to authorities as provided in 18 Pa. C.S. {}4904. Date Plaintiff Assisted by:/~ MIDPENN PRO SE DIVORCE CLINIC 8 Irvine Row Carlisle, Pennsylvania 17013 (7 ! 7) 243-9400 Plaintiff v : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : :NO. 2002- : : CIVIL ACTION - LAW : IN DIVORCE PETITION TO PROCEED IN FOP, MA PAUPERIS The Pet~Uoner, P~',"t ! d,I/P ,,tc~7,/'l I//~,,/t -i05 , is the Plaintiff in this action. On her behalf, I, Joan Care}, attomey for MidPenn 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 casepro se. The Petitioner's Financial Affidavit showing inability to pay the costs of litigation is attached hereto. Petitioner requests leave to proceed without payment of fees or costs. ~gA~S~ee/-~Respectfully s~.tted: Pro Se Divorce Clinic 8 Irvine Row Carlisle, PA 17013 ~ /~/'1 ?~ ~ co~:r o~ co~vmoN e~E,~S O~ Plaintiff : : CUlViBERLAND COUNTY, PENNSYLVANIA VS. : : N0.~I~2- Crv-IL T~aM ' ~ 5 :: AFFIDAVIT IN SUPPORT OF PETITION FOR LEAVE TO PROCEED IN FORMA PAUPEKIS 1. I am the~/~,~/l~.~! (~i~the above matter and because of my financial condition unable am 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 infomafion below relating to my ability to pay the fees and costs is tree and (b) S~ S~ufi, Number: If you ~e presently employS, state Employer: Addr~s: ~ Salary or wages per month: Type of work: ~ tx~Bte- If you are presently unemployed, state Date of last employment: ~ Salary or wages per month: .,~ Type of work: ~-~ (c) Other income within the past twelve months Business or profession:/~ Other self-employment: Interest: Dividends: ~ Pension and annuities: ~ Social Security benefits: ~ Support payments: ~ Disability payments: Unemployment compensation and supplemental benefits: ~ Workman's compensation: Public Assistance: ~ Other: ~ (d) Other contributions to household support ~ (Wife)(I-Iusband) Name: If your (husband) (wife) is employed, state Employer: ~ Salary or wages per month: ~ Type of work: Contributions from children: (e) Property owned C~sh: ~ Checking Account: Savings Account: ~ Certificates of Deposit: Real Estate (including home): Uotor vehiole: ~ke6 h~ Cost Stocks; bonds: ~ Other: (f) Debts and obligations Mortgage: ~ Rent: Loans: ~ (g) Persons dependent upon you for support (Wife) (Husband) Name: Children, if any: Name: Age: 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 tree 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:~ SOCIAL SECURITY INFORMATION SHEET PURSUANT TO 23 Pa.C.S.A. SECTION 4304. i (a) (3) ALL DIVORCES MUST INCLUDE THE PARTIES SOCIAL SECURITY NUMBER PLEASE FILL IN THE PROTHONOTARY'S APPROPRIATE INFORMATION AND RETURN TO THE OFFICE DATE: J~_ q - 0 ~ DOC=T NVMSER: PLAINTIFF/PETITIONER NAME: ~a~ R ~ 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: DATE OF MARRIAGE: