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0013 1 199+
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MARTHA I. VICINSKI,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: CIVIL, ACTION - LAW
: IN DIVORCE
ROY W. VlCINSKI.
Defendant
G,.:l?:t
: NO. 94- CIVIL TERM
ORDER OF COURT
AND NOW, this t --1 day of ~ ~ \'/,h~994, on consideration of the attached
petitioner's Affidavit. leave is granted to the petitioner to proceed in fonna pauperis to the extent
that she is relieved of all costs in this action.
By the Court,
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OCT 311994
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MARTHA I. VICINSKI,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY . PENNSYLVANIA
v.
: CIVIL ACTION - LAW
: IN DIVORCE
ROY W. VlCINSKI,
Defendant
: NO. 94- CIVIL TERM
Pt:TITION TO PROCEED IN FORMA PAUPERIS
Martha I. Vicinski. plaintiff in the above titled action, respectfully requests this
Honorable Court to grant her leave pursuant to Pa.R.C.P. 1920.62 proceed in forma
pauperis to the extent thai she be relieved of all costs attendant to this action.
;.r
Date /ohlJ /q/
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THO~AS M. PLACE
ROBERT E. RAINS
LINDA l!. FISHER
Supervising Attorney
THOMAS L. PEELER
FAMILY LAW CLINIC
45 North Pitt Street
Carlisle. PA 17013
7171243-2968
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MARTHA I. VICINSKl,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: CIVIL ACTION . LAW
: IN DIVORCE
ROY W. VICINSKl.
Defendant
: NO, 94.
CIVIL TERM
~~::~ AFFIDAVIT SUPP08TING PETITION
TO PROCEED IN FORMA PAUPE,lS
I, Tara J. Kirkendall, of the Family Law Clinic, attonleY for the party petitioninl to
pl'lXeCd in fonna pauperis, certify that I believe petitioner is unable to pay the costs of instituting
this action and that I am providing free legal service to petitioner.
Plaiutiffs Affidavit showing inability to pay the costs of litigation is attached hereto.
Date
}()!91/9/
, ,
ddcJJ
('
~~)--
THOM S M. PLACE
ROBERT E, RAINS
LINDA E, FISHER
Supervising Attorney
THOMAS L. PEELER
Staff Attorney
FAMILY LAW CLINIC
4~ North Pill Street
Carlisle. PA 17013
717/243.2968
v.
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY , PENNSYLVANIA
: CIVIL ACTION - LAW
: IN DIVORCE
MARTHA I. VICINSKI,
Plaintiff,
ROY W. VICINSKI,
Defendant
: NO. 94-
CIVIL TERM
AFFIDAVIT ~UPPORTING PETITION FOR LEAVE
TO PROCF;ED INFOllMA PAUPERIS
I. I am the Plaintiff in the above maner and because of my financial condition am
unable to pay the fees and costs of prosecuting or defending the action or proceedill8.
2. I am unable to obtain funds from anyone, including my family and associates, to
pay the C03ts of litigation.
3, I represent that the infonnation below relating to my ability to pay the fees and
costs is true and correct.
I"
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(a) Name: Martha I. Vicinski
Address: P.O. Box 249, Boiling Springs, Cumberland County, PelUlSylvania
Social Security No.: 181-32-0589
(b) Employment
If you are presently employed, state
Employer:
Address:
Salary or wages per month:
Type of work:
If you are presently unemployed, state
Date of last employment: Approximately 1979
Salary or wages per month: Unknown
Type of work: Learned Practical Nurse
(c) Other income within the past twelve months
Business or profession: NONE
Other self-employment: NONE
Interest: NONE
Dividends: NONE
Pension and aMuities: NONE
Social security benefits: $321.00 per month
Support payments: NONE
, . I .
(b) To tI1.e best of my knowledge my husband Is not employed. has no money. does not
own an automobile, does not own real estate, or have any other personal property or assets.
(c) I have not brought action for child support payments because my husband and I have
no children together.
,
,. I understand that I have a continuing obligation to Infonn the court of
Improvement In my financial circumstances which would pennit me to pay the coslS 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. 14904.
relating to unsworn falsification to authorities,
Date/1~~~~
"-~iil_~l/~;4 '."~'
artha 1. Vicinski
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v.
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY . PENNSYLVANIA
: CIVIL ACTION . LAW
: IN DIVORCE
".:l7~
: NO. 94- CIVIL TERM
MARTHA I. VICINSKI.
Plaintiff
ROY W, VICINSKI.
Defendant
NOTICE TO DEFEND AND CLAIM RIGHTS
You have 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 the 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. 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,
Court Administrator
Cumberland County Courthouse
Carlisle. PA 17013
717/240-6200
plaintiff, his iqjured and Innocent spouse, u to render the condition of the plaintiff
Intolerable, and life burdensome,
9. Plaintiff has been advised that counseling Is available and that plaintiff may
have the right to request Wtthe court require the parties to participate in counsellna.
WHEREFORE, plaintiff requests the court to enter a decree In divorce dlssolvlna the
marriage.
Date JQ,/JI'J );4
~rz,rr
THOM . PLACE
ROBERT E. RAINS
UNDA E. FISHER
Supervising Attorney
THOMAS L PEELER
Staff Attorney
FAMILY LAW CUNIC
4' North Pitt Street
Carlisle, PA 17013
717/240-5204
. . .
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND: 55.
I verify that the statements made in this Divorce Complaint are true and correct to the
best of my personal knowledge and belief. I undentand that false statements herein are
made subject to the penalties of 18 Pa.C.S, 14904. relating to unsworn falsification to
authorities.
Date: L~~Y
~~~ 1/.';'/ .to~' '
ARTHA I. VlCINSKI
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MARTHA I. VICINSKI.
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY. PENNSYLVANIA
v.
: CIVIL ACTION - LAW
: IN DIVORCE
ROY W. VICINSKI.
Defendant
: NO. 94-6272
CIVIL TERM
CERTIFICATE 01<' SERVIC~
I. Tara J. Kirkendall. Certified Legallntem, Family Law Clinic. hereby certify that I
have served a true and correct copy of said Divorce Complaint on Roy W. Vicinski, incarcerated
at the Cumberland County Prison. Carlisle, Cumberland County, Pennsylvania, by personally
delivering a copy of the same to him at the Prison this 28th day of November. 1994,