Loading...
HomeMy WebLinkAbout94-07180 09-3-02 PETITION FOR EMERGENCY PLAINTIFF ,RELIEF FROM ABUSE r 1\.... NAME and AOOAESS Susan Stambaugh ~O r; -, ~- r -.(""~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF: CUMBERLAND Mag, Ot.l: No OJ NarM. Hon HELEN B. SHULENBERGER Add_ P.O. BOX 155 27 W. BIG SPRING AVENUE NEWVILLE, PA ,_ 17171 776-3187 17241 L .J DEFENDANT: r VS. NAMe AIId AOORESS -, Mark Douglas Stambaugh - DOS 06-10-60 700 Salem Road - Lot 54 ETTERS, PA 17319 717-932-7794 L SSN 205-56-1003 Docket No,: Dale Flied: .J I, Susan Stambaugh IN,," of Pldmtllf . please 1yJX') r::l. PLAINTIFF REQUESTS CONFIDENTIALITY OF L19' PERMANENTITEMPOAAAY ADDRESS, PETITION OF THE PLAINTIFF , hereby petition for emergency relief from abuse XI on behalf of myself o on behalf of the following (child) (children) to whom I am a (parent) (adult household member) (guardian) o on behalf of the following incompetent adult to whom I am guardian INsm'l (AddnN.j (Name' (Add!..) Emergency relief from abuse Is required becaus", there Is Immediate and present danger of abuse by the defendant to (me) and to the above listed (child) (children) (Incompetent adult). (Type addItIonal namos/oddroues on a separato ~ aheet 01 peper and attach hereto.) ISlgnalureotPlalnbtfl ~DINGS OF ISSUING AUTHORITY At an ex parte hearing on - ~ 19,2...t JS. I have found upon good cause that it is necessary to protect the (plaintiff) and above listed (child) (children) (Incompetent adult). o I have NOT found that it is necessary to issue a protective order, 4_ I nllfUrtlofluuln Author ACTION OF ISSUING AUTHORITY Having found upon good cause shown that it is necessary to protect the (plaintiff) and above listed (child) (children) (Incompetent adult), I have taken the following action on this petition: ;& Ordered the defendanllo refrain from abusing the plaintiff and/or minor child, children, incompetent adu~. o Ordered the eviction of the defendant from the (household) (residence) at o Ordered restoration of possession to the (household) (residence) at o Allowed the defendant to provide suitable, alternate housing by co lAddlfll' (and) (or) -k . (Sign.lu,," of Isalling Aut f I ORDERS OF 0 EVICTION AND 0 RESTORATION OF POSSESSION To: (Sheriff) (Constable) (Police Officer) (Police Department). In compliance with the order(s) appearing above, you are hereby directed 0 to evict from the premises al tName of Oelendant) (and) 0 to restore premises (Addle"l at to (AUdlt-totl (Name of Plalntlfr'j (S'qlllltUltI01 InuinQAutllolityl NOTICE TO DEFENDANT Ordorslaauod or" pursuant to tho Protection from AbuGO Act. Act No. 218 (1916). as amended. Failure to obey thoGO ordors may subject you to charge. of crimInal contempt. Theso ordors oxplre ot tho stnrt of tho noxt buslneas day In tho Court of Common Ploas of this County, These ordere will be Immediately certified to the Court 01 Common Ploe., WHICH HAS THE EFFECT OF COMMENCING PROCEEDINGS AOAINST YOU UNDER THE ABOVE MENTIONED ACT. "'PC 307A.Q3 COMMONWEALTH OF PENNSYLVANIA COUNTY OF: CUMBERLAND 09-3-02 PETITION FOR EMERGENCY RELIEF FROM ABUSE PLAINTIFF r NAME and ADOBESS I Mag. CMt. No: OJ NAIM HOt'! HELEN B. SHULENBERGER Add.... P .0, BOX 155 27 W. BIG SPRING AVENUE NEWVILLE, PA 10_ (717) 776-3187 17241 L .J DEFENDANT: r VS. NAME and ADDRESS I ",. ~. t.: . ,,,1,,. .,.,' ..," .. :; t, .Il . 7!:. L ,.'., ') .J Docket No.: Date Filed: I, .,'l.j'l%j ,t...,,1I ;,;\ILll1 (Name 01 PI.mllft. plea.. tv~] D. . PLAINTIFF REQUESTS CONFIDENTIALITY OF . PERMANENTITEMPOAARY ADDResS, PETITION OF THE PLAINTIFF , hereby petilion for emergency relief from abuse ~ on behslf or myself o on behalf of the following (child) (children) to whom I am a (parent) (adult household member) (guardian) o on behalf of the following Incompetent adult to whom I am guardian (Name) tAddr...' (Name) (Addrn'l Emergency relief from abuse Is required because there Is Immediate and present danger of abuse by the defendant to (me) and to the above listed (child) (children) (Incompetent adult). (Type additional namea/addreues on 8 separate eheet of peper and attach heroto,) $lQnanlt of PI.lnbtl) FINDINGS OF ISSUING AUTHORITY At an ex parte hearing on 19,_ p. I have found upon good cause that it is necessary to protect the (plaintiff) and above listed (child) (children) (Incompetent adult). - _ : o I have NOT found that it Is necessary to Issue a protective order, i M'u",oIluul" "'utho ACTION OF ISSUING AUTHORITY Having found upon good cause shown that it Is necessary to protect the (plaintiff) and above listed (child) (children) (Incompetent adult), I have taken the following action on this petition: o Ordered the defendant to refrain from abusing the plaintiff and/or minor chi~d, children. Incompetent adu~. , ' o Ordered the eviction of the defendant from the (household) (residence) at o Ordered restoralion of possession to the (household) (residence) at I (Addl"'l o Allowed the defendant to provide suitable, alternate housing by consent agreement. (Add,..I' (and) (or) IS,gnatu"of IuulnuAut!lOl"11y1 ORDERS OF 0 EVICTION AND 0 RESTORATION OF POSSESSION To: (Sheriff) (Constable) (Police Officer) (Police Department). In compliance with the order(s) appearing above, you are hereby directed 0 to evict from the premises at at (A(lllnt"'l tNama 01 Detendant) (and) 0 to restore premises 10 (A<ldfnll \Nameof Pl.lntlffl IGI\ln.IWllof Iltljlna AtJlhofllyl NOTICE TO DEFENDANT Ordersllluod lue pursuanllo tho Protoction from Abu60 Act, Act No. 218 (1976), PI amondod. Falluro to oboy tholo Older. may subJoct you to chargo. o' criminal contempt. Those ordora oxplro 01 tho atnr1 of tho noxt buslnoss day In tho Cour1 01 Common Ploaa of this County. Those ordoll will be Imm.dl.t,ly c.rtlfl.d 10 th. Court 01 Common Pl..., WHICH HAS THE EFFECT OF COMMENCING PROCEEDINGS AGAINST YOU UNDER THE ABOVE MENTIONED ACT, AOPC 307M3