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BETH A. MCGOWAN,
Plaintiff
v.
IN THE COURT or COMMON PLEAS or
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 94- :; ;'tY CIVIl, TERM
GREG A. MILLER,
Defendant
illIDAVIT IN SUI'I'ORT or PETITION
fila. LEAVE TO PROCEeD ..llLf.QRrtLI'AUl'.mllil
1. I am the plaintiff 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) Namel Beth 1\1_~oWan
Address: 903 Mt,-l~ock Road
-....CAr,lillle pA 17013._
Social security Numberl _ 205-58-7109
(b) If you are presently employed, state
Employer I _____.__
Address I _,_____._..
Salary or wages per monthl
Type of work I ......._______.
If you are presently unemployed, state
Date of last employment: 5/94
Salary or wages per month: .......llOO/mc, (grDII8)
Type of work I ..dbtIUY..aJde ___
(e) other income within the pnt twelve months
8usiness or professionl N/A
othsr self-employment: N/A
tnterellt:_______.__.... .. N/A
l>ivldends:_____ u.. ______" .....,.. N/A__..n.....
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