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HomeMy WebLinkAbout94-05031 " I, " Ii '1, , ;,,'; If) J " iP " j ~ ~ !, ., , , / ( " , , ,Ii 1 .~ II - ", 'I " " J ;' " i ::r-: 0"( , '" LINDA SHELTON, PLAINTIFF V. MICHAEL JACKSON, DEFENDANT AND ENTERTAINER OF ENCINO, CA IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA 94.5032 CIVIL TERM ............................................ LINDA SHELTON, PLAINTIFF V, DR, DAVIS, Defendant of 117 No, Hanover St. Cilnlc of Carlisle Hosp, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA 94.5031 CIVIL TERM QBt)!;R OF COURT AND NOW, this 8th day of September, 1994, the petitions of plaintiff to proceed In forma pauperis on the above two clearly frivolous alleged causes of action, ARE DENIED, Linda Shelton, pro se P,O, Box 1039 Carlisle, PA 17013 :saa , I, I' , , I Interest I Dividendsl Pension and annuitiest Social security benefitst support payments: Disability paymentst Unemployment compensation and supplemental benefits: Workman's compensation: public Assistance: /i (,C, \, (( ((I \ r-'S/ilwJ(. .ft,. ('/1 Y Other: (d) Other contributions to household support (Wife) (Husband) Name: ,J:1.[ IV( If your (husband) (wife) is employed, state Employer: Salary or wages per month: Type of work: contributions from children: (e) Property owned Cash: I"J C ,,1 ( Checking Account:~ N ( ~,i CO '" ( Savings Account: I , 1\,( . N{ "';( . f-..: ( " Certificates of Deposit: Real Estate (including home) : Motor vehicle: Make " . , \ Year Cost Amount owed ~ . I L ;"tI(i~A(-~lhv' ( r~" ~, I,f! ) V'l /)jl AH'/', (n(I~ "''/0''(/ r,' ) /, I/.c, 1'1- rtl~) &.;...1 'r;~ I I f . I " I ~\I:.J I. I II", ! i II,' I ., i I.' I, , I" '/' (I I I( I ,".' I \ I" l I " I r I: I, I II,'" I! I ,i i I !, f (, f' j) II tic I (I; (I I /,. I \ 1/' I '<' I ,I I" , (- I' ! '.. .' /" ( l..; ,I t. 'I J~' 1 , It If' '-'.' (I J " .J \" 'I I' , (' , ' V~(( ('if." \.\}u,/-.,,';.j /I;" f ,I I/i I. (,.1/'/.:' ./e ',(,-/I,c' 'c'n',c \~inll)F!.((((,fl V',I/)/I"('! ~I: l( 1:11,,'/ (I lill/'I{I,I:"t-..,.{ i"",y /)(1 ( /\/1. 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SEP 0 7 ~ AFFIDAVIT IN SUPPORT OF PETITION FOR LEAVE TO PROCEED IN FORMA PAUPERIS I am the P hiNt/'Ff in the above matter and because 1. of my financial condition am unable to pay the fees and casto 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 Addresst fees and costs is true and correct, J.jl\Jda. ~/\elkN P,Q, BeX' C Well"S If> , , 1039 PI1 17015 19J -L/t/- Vf3-0 f.jO t-J€ ability to pay the (a) Name: social Security Number: (b) If you are presently employed, state Employer: Address: Salary or wages per month: _We Ifffp.e Type of work: If you are presently unemployed, state Date of last employment: Salary or wages per month: Type of work: (' (eRJcCl f (c) Other income within the past twelve months 1 c- 73 Business or profession: Other self-employment: , , ~,.""e.~ '. ,. 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(0) Namal i I II / /, I ..._.., _..~. --",-,-,-1 ..____.._ ....._._.. ..._-~..... _.._~--_.~-_._._~._-~......-.-..~...---- Addrr.Hllll ..,... ./...1__.1...,'._.'..".....:, .._.__,._.....,___,-'-_.._.____.,.. " ,;,', l,' 1/' / (,I .. -... -..-....-.--..... - -...---..--.-.--.-----------. 'I ' ," ! Ii I (I I 'r' social Sccudty t!\lmb'![': ,..,...:. ..,'.!....;...._...:..:...__.__.__.____, (b) If you arc presently employed, stote F~mp 10yo [' : II ( f'.! ( " -.-.--..-.-.-. -.. ..... -.--.- ..--- _.._.,._---._-~.- ._~-_.~--...._----- Addt'es~; : ...__.....'_ ._..v_..., ..__+-- ...... ._,_ . __. _.. H. . __w__.______.___..__.~._...._.___... I ,II . Sa l,,1'Y or \'",,1'-';; pCl" month: .....'..:;.., 'd;''''':..:.J._~__ .......--....- ,.-..-......-.. .., .-...--.. ,. .-.-._.......,. .. .----.-....-,. .._..-.-~-~.~--..--_...._._-_.~.~._._--- Typo of won:: _.. 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