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SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME
. THIS DAY OF ,197_,
01 Ihe writ lor service)
(Check applicable boxes)
C Iv.l1Q".
AF,.&.I9,AV To) ,reby swear or affirm that I served the Writ of Certiorari, Common Pleas No, q'l .. .2/ oS-,4 . upon the
" "" oJ "eo to whom it was directed on ~I"/ ,.'l;). , 191.:JlL, 0 by personat:i!rvice, \t31Sy (certified)
(1~"L.~~J) mail, sender'1 receipt allached hereto, and that I served a copy of the writ upon the opposite party(ies) (nome
or names): C <,/'$ CU~. 1,,(, on A....,/ ..P,.. '19~, 0 by personal
service [8-try (certiliec!l:!'agi"..ed) mail. sender's receipt allached hereto, ' '
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197_, 4nC"'_'r'l, {!.,/.,"{iro/:.., '/-0 q".;hvr'f'''S. ~
TO BE FILED WITH PROTHONOT ARY {ruLr (
PROOF OF SERVICE
(This prool 01 service MUST BE FILED WITHIN
COMMONWEALTH OF PENNSYLVANIA
COU NTY OF C 1.1 ..n~,16MI ; ss
OF WRIT OF
FIVE (5) DAYS
CERTIORARI
AFTER delivery
(Signalure of olticio/ b.lor. whom otlidavi' wos mode)
(Till. 01 olticio/)
My commission expires on
JPCIV FORM 75.71
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COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
TH JUDICIAL DISTRICT
{odd,e..}
NAM F PARTY fiLING THIS PAAE IP AN
PRAECIPE
81AINING1H1SWAIT
WRIT OF CERTIORARI
TO
~CU:S~l(ccx~fXXxWxx~ E District
Justice
COMMON PLEAS NO, till-Ol/OS C~~
FOR WRIT OF CERTIORARI
Sheri Koberlein
DATE JUDGMENT RENDERED IN THE CASE Of 'P'oilll,II,
8-31-93 Cal' sCars. Inc. vs. Sheri
The party named aliove claims that with respect to the above proceedings there was,
C'AIM NO CV-OOOO
IA 191
II 191
(o.',ndonll
Koberlein
(Check opplicable box or boxes)
VI
[i] lack of iurisdrct~n over the subject matter
o improper venUe'"
,
D lock a. jurisdiction over
o
tNom.of po"y}
such gran irregularity of procedure as to make the judgment void
"'.:...
PRAECIPE, To the Prp,!!lonotary District Justice
Issue Writ itCertia'rari directing Susan K, Day , .lmtill.lOIx1hecRactae,
to transmit to you G:W:ertified true copy of the record of the proceedings nomed obave, I. ",f~/ $fM''''. AV. (7/7)
A 'i" IIV'~~ t>,..... 4'1J-9't<<>
/l4I . Jt,J/ { 1:W1.!
( "y liling praecipe or his otlornev or agenf)
TO,
Susan K, Day
WRIT OF CERTIORARI
,Mli~l~n~Ill!~l:'e, District Justice
1, You ore hereby directed by this writ to transmit to the Prothonotary of this Court of Cammon Pleas, within ten
(10) days alter you receive this writ, 0 ce,tified true copy of the ,ecard of the proceedings named above,
02, This writ, when received by you, will operate as a SUPERSEDEAS to the judgment for possession in
this case,
This black will be checked ONLY when this notation is required under Po, R,C.P,J,P, No, 10138.
Dote delivered far service /1..,,;,/,::D .J$.~. A" "V~iL'v ~-'~ (J1Jt'1(;k
-,- -. (Signa'u,e af P,athJnato,yl6, De"jlty)
COURT FILE
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CAL'S CARS, INC. IN THE COURT OF COMMON PLEAS OF
Plaintiff
v,
: CUMBERLAND COUNTY, PENNSYLVANIA
NO, 94- .;;JJ05 CIVIL TERM
SHERI KOBERLEIN,
Defendant
PRAECIPE TO PROCEED IN FORMA PAUPERIS
To the Prothonotary:
Kindly allow, Sheri Koberlein, Defendant, to proceed in
forma DauDeris.
I, Philip C, Briganti, attorney for the party proceeding in
forma DauDeris, certify that I believe the party is unable to pay
the costs and that I am providing free legal services to the
party, The party's affidavit showing inability to pay the costs
of litigation is attached hereto.
tf;: ~ r:
Philip ,Brigant
Attorney for Defendant
LEGAL SERVICES, INC,
8 Irvine Row
Carlisle, PA 17013
(717) 243-9400
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CAL'S CARS, INC,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v,
NO. 94-
CIVIL TERM
SHERI KOBERLEIN,
Defendant
AFFIDAVIT IN SUPPORT OF PRAECIPE
FOR LEAVE TO PROCEED IN FORMA PAUPERIS
1. I am the defendant 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:
Sheri Koberlein
Address: 409 Pitt Street
Enola. PA 17025
Social Security Number:
173-54-3969
(b)
If you are presently
employed, state
Knud{n Corooration
Employer:
Address:
Morrison
180 Kost Road
Mechanicsburg, PA 17055
Salary or wages per month: $878,00 net
,
Business or profession: none
Other self-employment: none
Interest: none
Dividends: none
Pension and annuities: none
Social Security benefits: none
Support payments: none
Dieability payments: none
Unemployment compensation and
supplemental benefits: S448.00 Der month
Workman's compensation: none
Public Assistance:
S205.00 Der month for 2 mos,
Other: none
(d) Other contributions to household support
(Wife)(Husband) Name: nla
If your (husband) (wife) is employed, state
Employer: n/a
Salary or wages per month: nla
Type of work: nla
Contributions from children:
none
(e) Property owned
Cash:
S5.00
Checkin9 Account: none
Savings Account: none
Certificates of Deposit: none
Real Estate (i nc 1 ud i ng home): none
Motor vehicle: Make Buick
Cost 5300.00
Year
1987
Amount owed S4300.0~
Stocks; bonds: none
Other: none
(f) Debts and obligatione
Mortgage: nla
Rent: $84.00 oer month
Loans: Car oayment - $600.00 oer month (current
oayment clue arrears)
Monthly Expenses: Food/Qroceries S200,OO: elect~
$60,00: Qas S60,OO: Qasoline $60,00: car insurance
$27,00: and childcare $60.00:
(g) Persons dependent upon you for support
(Wife) (Husband) Name: none
Children, if any:
Name: Melissa Bretz
Name: Jeffery Bretz
Age:
Age:
2 yrs, old
1 vr, old
4, I understsnd 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,
6. 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: J...} -.;/ 1-1"1
\)})"f: llik&:-
Sheri Koberlein, Defendant
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