HomeMy WebLinkAbout95-02615
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NICOL Y. DAY,
Plaintiff
: IN TIlE COllin OF COMMON I'I.EAS OF
: CUMBl!ltLANI> COUNTY, PENNSYLVANIA
v,
,
,
: CIVIL ACTION. LAW IN
I CUSTODY
BOWARD L, RIDDICK,
Defendant
: NO, 9.5. CIVil, TEltM
Af',IDA vir SUI'I'ORTING IIETI'I'ION IIOK u:m
10 PRo~E1m INF'ORMA I).MII'ERIS
1, I om Ihe pluimiff Inlhc IIhove nHlllcr und h~clluNC of my I1nuncllll condition 11m
UMble to pay th~ fecs und cOSls of pruseculinl! or defcndin!! Ihe uctlllJl or procecdlnl!.
2. I om unuhl~ loohluln funds from 11Ilyon~, Including my fllmily lInd lISS0cllll.t:S. 10
pay Ihe cosls of IIllgallon.
3. I represcnl lhul Ih~ Informullon below relullnl! 10 my lIhllllY 10 pllY Ihe feeS and
costs Is troe and correct.
(0) Nome: Nicol y, Duy
Address: 1.55 W. North Slreel, Curllsle, PA 17013
Social Security No,: 160..54.2018
(b) Employm~m
If you ure pr~senlly employcd, stule
Employer: unemployed
Address: nla
Salary or wages per munth: n/u
Type of work: n/u
If you are presenlly unemployed, slUle
Dole of lasl employmenl: Fehruury. 199.5
SuI or)' or wages p~r mUl\lh: $375,00
Type of work: HAP. Inc.; humun services
(c) Olher Income wllhllllhe pusltwelve mOlllhs
Business or profession: n/u
Other self-employment: n/u
Inlerest: nla
Dividends: nllI ,'1
Pension and annullles: n/a
Social securilY brneflts: nla
Support PUYItl~ltls: $23.40/wcck for 2 chlhJrc/I
Disability puymc/lls: /l/u
Urn:mpluYlIlcllI cultlpc/lslIllun unL! supplelll~llIuJ be/lel1ls: /l/a
Worklllull's coltlpCnsulltlll: /1/11
Public Asslslullce: nlll
Olh~r: fuod SllllllpS: $2I)O.OO/lllunlh
(II) Olher cultlrlbullu/lS III huus~holL! SUppo/'l
Numc: /1/11
ElIlpluyer: /I/u
Salury or wugcs pel' mOlllh: II/U
Type: of work: II/u
CUllIrlbmlons frolll chlldrclI: n/II
Contrlbullons 1'1'0111 purems: ELI11h DIlY (Itlolhcr) gives money for support of
chlldre/l
OIh~r cU/llrlbullo/ls: ELIwllrd L. Riddick gives vurled alllOUlIls of mO/ley for
supporl ut' Zaylr A. RIL!dlck (/lUI cuurl uUlhorlzed)
(e) Property uwncd
Cosh: nlll
Chccklng uccou/ll: /lIB
Savings IlCCOunl: II/u
Certlflcales of depusll: n/u
Real eSlllle <Including home): n/II
MOlor vehicle: Muke , Yeur: L1ues nol ownllulollloblle
Cost, Alllounl Owed $
SlockJl; bonds: II/U
Other: nlu
TOlallncom~: $293.60/mulllh <plus IlIcome she receives from parellls and
Edward L. Riddick)
(t) Debls anL! obllgullOlls
Mortgage: nlu
Rent: $SOO/mol1lh
Lollns: n/u
Olher: utillli~s: 011 $65.00
eleclrlc $62,00
phol\e $30,00
cuble $60,00
chlldr~II's expellscs $300.00
TOlal expenses: $1017/1110nth
(8) PersoJ1,~ dependent upon you for sUPllort
Name:
Children. If 811Y:
Name: Zyulr~ A, Riddick Age: 11 months
Turen R, Duy Age: 9 years
Tres J. Day Age: 7 years
Other persons: nla
Nome: nla I
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