HomeMy WebLinkAbout94-07180
09-3-02
PETITION FOR EMERGENCY
PLAINTIFF ,RELIEF FROM ABUSE
r 1\.... NAME and AOOAESS
Susan Stambaugh ~O r;
-,
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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
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t.:
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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