HomeMy WebLinkAbout95-06126
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Support payments: $100.00 - $150,00 per month
Disability payments: none
Unemployment compensation and supple menial benefits: none
Workman's compensation: none
Public Assistance: none
Other:
(d) Other contributions to household support
(Wlfe)(Husband) Name: None
If your (wlfe)(husband) Is employed, state
Employer:
Salary or wqes per month:
Type of work:
Contributions from children:
Contributions from parents:
Other contributions:
(e) Property owned
~h: none
Checking account: $13.00
Savings account: none
Certificates of deposit: none
Real estate (Including home): none
Motor vehicle: Make , Year none
Cost , Amount Owed $ none
Stocks; bonds: none
Other: none
(I) Debts and obligations
Mortgqe: none
Rent: $425,00 per month
Electric: $80,00 per month
Gu: $21.00 per month
Sewer: $21.00 per month
Telephone: $45,00 per month
Groceries: $180,00 per month
Car loan payment: $100,00 per month
Other:
(g) Persons dependent upon you for support
(Wlfe)(Husband) Name:
Children, If any:
Name: Anthony Adams Age: 7
Name: Vincent Adams Age: 3
Other persons: Nt A
Name:
Relationship:
4, I understand that I have a continuing obligation to Inform the court of
Improvement In my financial circumstances which would permit me to pay the
LESLIE A, ADAMS.
Plaintiff
: IN TilE cOUnT OF COMMON PLEAS OF
: CllMBERLAND COUNTY. PENNSYLVANIA
v.
: CIVIL ACTION . LAW
: IN DIVORCE
WESLEY ADAMS,
Defendant
: NO. 95.612(1 CIVIL TERM
!:ERTWICATE OF SERVICI~
I, John C, Stevens, Certified Legullnlern, Family LlIW Clinic, hcrehy certify that I have
served a troe and correct copy of suld Affidavilof Consenlllml Waiver of NOlice of Intenlion
to Request Entry of Divorce Decree, on Bradley Griffie, Esquire, 200 North Hanover Street.
Carlisle. Cumberland County, Pennsylvunia 17013, hy depositing 1I copy of the same in the
United States mull, First Class, postuge prepllid, this .2 7 duy of March 1996,
//) C
t:"./p/{ (7 ]~;i0
JOJ{N C, STEVENS
?rtllied Legallnlcrn
FAMILY LAW CLINIC
45 North 1'111 Slrect
Carlisle, PA 17013
717/243-2968
717/243-3639 FAX
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