Carbon County Court
Rules of Court

Updated 8/19/16

 

Click any rule to view

 

Effective date of amendment is noted at the end of the rule.

 

RULE 51                              Title and Citation of Rules

RULE 105                              Bonds

RULE 106                              Continuances in Summary and Court Cases

RULE 205.2(a)                      Filing of Legal Papers with the Prothonotary

RULE 205.2(b)                      Filing Legal Papers with the Prothonotary

RULE 206.4(c)                      Rule to Show Cause. Alternative Procedures

RULE 208.2(c)                      Motion. Form. Content.

RULE 208.2(d)                      Motion. Form. Content.

RULE 208.2(e)                      Motion. Form. Content.

RULE 208.3(a)                      Alternative Procedures.

RULE 210                              Form of Briefs

RULE 212.1                           Civil Actions to be Tried by Jury. Notice of Earliest Trial Date. Time for Completing Discovery and Filing Pre-Trial Statement.    

RULE 212.3                           Pre-Trial Conference

RULE 216                              Grounds for Continuance

RULE 430                              Service Pursuant to Special Order of Court Publication.

RULE 1012                            Entry of Appearance. Withdrawal of Appearance. Notice.

RULE 1018.1                         Notice to Defend  Form

RULE 1028(c)                       Preliminary Objections

RULE 1034(a)                       Motion for Judgment on the Pleadings

RULE 1035.2(a)                    Motion for Summary Judgment

RULE 1301                            Scope

RULE 1302                            List of Arbitrators. Appointment to Board. Oath

RULE 1303                            Hearing. Notice.

RULE 1361                            Form of Notice to Plead

RULE 1501                            Conformity to Civil Action

RULE 1530                            Special Relief. Accounting.

RULE 1901.5                         Enforcement

RULE 1905                            Forms for Use in PFA Actions. Notice and Hearing. Petition. Temporary Protection Order. Final Protection Order.

RULE 1910.10                       Alternate Hearing Procedures

RULE 1910.12                       Office Conference. Hearing. Record. Exceptions. Order.

RULE 1915.3                         Commencement Of Action. Complaint. Order.

RULE 1915.4                         Prompt Disposition Of Custody Cases. Disposition by Hearing Officer

RULE 1915.7                         Consent Order

RULE 1915.16(a)                  Form of Order and Notice. Joinder. Intervention.

RULE 1915.16(b)                  Order for Notice. Right to Intervene.

RULE 1920.12                       Complaint

RULE 1920.51                       Hearing by the Court. Appointment of Master. Notice of Hearing.

RULE 1920.71                       Form of Notice.

RULE 2102(b)                       Style of Action

RULE 2974.2                         Notice of Judgment and Execution Required by Rule 2973.2. Form.

RULE 2974.3                         Notice of Judgment and Execution Required by Rule 2973.3. Form.

RULE 3252                            Writ of Execution. Money Judgments.

RULE 3256                            Praecipe for Writ. Mortgage Foreclosure.

RULE 4005                            Written Interrogatories to a Party.

RULE 4014                            Request for Admission

RULE L2039                         Compromise, Settlement, Discontinuance and Distribution

RULE L2206                         Settlement Compromise, Discontinuance and Judgment

 

 


 

 

RULE 51 – TITLE AND CITATION OF RULES.

 

            All local civil procedural rules adopted by the Court of Common Pleas of Carbon County under the authority of Pa.R.C.P.239 shall be known as the Carbon County Local Rules of Civil Procedure and shall be cited as “CARB.R.C.P. _______.”

 

Effective 7/26/04

 

    RULE 105 - BONDS.

 

(1)        When a bond with approved security is required, the surety shall be a certified surety company in accordance with a list thereof maintained in the Prothonotary's Office, or in lieu thereof, at least one responsible surety or a deposit of cash.

 

(2)        In all cases the form of the bond and the surety thereon shall be subject to review by the Court upon the filing of a motion stating specifically the objections thereto, together with notice to the adverse party and/or attorney in accordance with CARB.R.C.P.208.3(a).

 

Effective 7/26/04

 

 

RULE 106 – CONTINUANCES IN SUMMARY AND COURT CASES       

 

            All Motions for Continuance shall be filed at least three (3) working days before the scheduled event.

 

            Any motion filed that is not in compliance with this rule shall be entertained only if the opportunity to timely file it did not exist previously or the interest of justice requires it.

 

Effective 7/1/05

 

 

RULE 205.2 (a) - FILING OF LEGAL PAPERS WITH THE PROTHONOTARY.

 

All papers filed in the Prothonotary's Office shall conform to the following requirements:

 

            1          The use of backers and/or toppers is prohibited.

2.                  Original pleadings shall be held together by paper clip or expandable spring-loaded clip.

3.                  Original pleadings shall not be highlighted by the use of colored markers.  Highlighting of text can be done on the computer by bolding or using a different shape and size of font.

4.                  All documents shall be single-sided, double spaced and the font size shall be no less than 12 points.

5.                  Paper size shall not exceed 8 ½” x 11” and shall be on good quality paper.

6.                  Attachments smaller than 8 ½” x 11” paper shall be attached to regular size paper by using scotch tape.

7.                  All exhibits shall be identified and marked on the bottom center of each exhibit.  No exhibit tabs shall be allowed.

8.                  Pages must be consecutively numbered beginning with page 2 and said number shall appear in the upper right hand corner of the pleading.

9.                  All copies attached to the pleadings must be clear and legible.

10.              Any documents presented for filing referring to social security numbers, driver's license/vehicle identification numbers, and any financial account numbers shall list only the last four digits.  Birth dates shall be limited to the year of birth only.  When reference is made to a minor child (i.e., individuals less than 18 years of age), the names shall not be given, only their initials.  The complete social security numbers, account numbers, dates of birth and full names of minors shall be submitted on the Court's “CONFIDENTIAL INFORMATION FORM” attached hereto. The Prothonotary's Office shall record the Confidential Information in the Court Computer Database and, upon verification of proper entry, shall shred the form containing the Confidential Information.  This information shall remain confidential in that it will only be visible to internal personnel and cannot be accessed through the public access programs.

11.              The parties and their attorneys are solely responsible for complying with the provisions of number 10 above.  The court staff is not responsible for reviewing any document filed as a public record for compliance with number 10 above.  A party's or attorney's failure to comply with the provisions shall not affect access to case records that are otherwise accessible.

Effective 7/26/04

Revision effective 5/1/14

 

 

COMMONWEALTH OF PENNSYLVANIA                                                           Confidential Information Form

Carbon County Court of Common Pleas

Carbon County Courthouse

P.O. Box 131

Jim Thorpe, PA  18229-0131

Telephone:  (570) 325-8556

 
COUNTY OF CARBON                                                                   

                                                                                                            ______________________________________

                                                                                                                                    VS.

                                                                                                            ______________________________________       

                                                                                                            Docket No. ____________________________

 

CONFIDENTIAL INFORMATION

 

Name:

                                               

    Plaintiff        Defendant

     Other:                            

Social Security Number

Financial Information/Driver’s License Number/VIN

Name:

                                               

 

    Plaintiff        Defendant

     Other:                            

Social Security Number

Financial Information/Driver’s License Number/VIN

Name:

                                               

 

   Plaintiff        Defendant

     Other:                            

Social Security Number

Financial Information/Driver’s License Number/VIN

Name:

                                               

 

   Plaintiff        Defendant

     Other:                            

Minor Child(ren) Names/Dates of Birth

 

 

Name: _________________________________       Signature: ______________________________________

Attorney #:  _____________________________      Telephone:  __ (___) ______________________________

Address:  __________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

 

 

 

RULE 205.2(b) - FILING LEGAL PAPERS WITH THE PROTHONOTARY.

 

            Pursuant to this rule and in addition to the mandatory Supreme Court Civil Cover Sheet, a Civil Cover Sheet marked Form “A”, shall be attached to any document commencing an action (whether the action is commenced by Complaint, Writ of Summons, Notice of Appeal, or by Petition) in the Prothonotary's office.

            A Motion Cover Sheet, marked Form “B”, shall be attached to any motion or petition being filed.

 

Effective 7/26/04

Revision effective 7/1/10

 

Court of Common Pleas of Carbon County

 

Civil Cover Sheet

 

 

For Prothonotary Use only (Docket Number)

 

PLAINTIFF’S NAME:  Enter names (last, first, middle initial) of plaintiff. If the plaintiff is a government agency or corporation, use the full name of the agency or corporation. In the event there are more than two plaintiffs, list the additional parties on a separate sheet of paper. Husband and wife should be listed as separate parties.

 

 

 

 

DEFENDANT’S NAME:  Enter names (last, first, middle initial) of defendant.  If the defendant is a government agency or corporation, use the full name of the agency or corporation. In the event there are more than two defendants, list the additional parties on a separate sheet of paper. Husband and wife should be listed as separate parties.

PLANTIFF’S ADDRESS & TELEPHONE NUMBER: Enter the address and telephone numbers of the parties at the time of filing of the action. If any party is a corporation, enter the address and telephone number of the registered office of the corporation.

 

 

 

DEFENDANT’S ADDRESS AND TELEPHONE NUMBER: Enter the address and telephone numbers of the parties at the time of filing of the action. If any party is a corporation, enter the address and telephone number of the registered office of the corporation.

 

 

 

 

ADDITIONAL PLAINTIFF’S NAME:

ADDITIONAL DEFENDANT’S NAME:

 

 

 

ADDITIONAL PLANTIFF’S ADDRESS/ TELEPHONE NO:

 

 

ADDITIONAL DEFENDANT’S ADDRESS /TELEPHONE NO:

 

 

 

TOTAL NUMBER OF PLAINTIFFS:  Indicate the total number of plaintiffs and the total number of defendants in the action.

TOTAL NUMBER OF DEFENDANTS:   Indicate the total number of plaintiffs and the total number of defendants in the action.

 

 

STATUTORY BASIS FOR CAUSE OF ACTION  If the action is commenced pursuant to statutory authority ("Petition Action"), the specific statute must be cited

 

 

RELATED PENDING CASES:  (All previously filed related cases must be identified by docket number. Indicated whether they have been consolidated by Court Order or Stipulation.)

 

 

TO THE PROTHONOTARY:

        Kindly enter my appearance on behalf of Plaintiff/Petitioner/Appellant. Papers may be served at the address set forth below.

       

NAME OF PLAINTIFF’S/APPELLANT’S ATTORNEY:   Unrepresented filers must provide their name, address, telephone number and signature.  

 

 

ADDRESS

 

 

 

 

PHONE NUMBER

 

 

 

SUPREME COURT IDENTIFICATION NUMBER

 

E-MAIL ADDRESS:

 

_________________________________________________________________

FAX NO. (OPTIONAL – FOR SERVICE):  Providing the fax number shall authorize the service of legal papers by facsimile transmission.  See Pa.R.CP.440(d)

 

 

 

 

DATE: _____________________________                                       SIGNATURE:  _____________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form A

 


 

CARBON COUNTY COURT OF COMMON PLEAS

CIVIL DIVISION

MOTION COVER SHEET

 

                                                                                                            NO.                                        

                                                vs.                               

 

                                                                                               

FILING OF:

Movant (   )                            Respondent (   )

      

TYPE OF FILING (check one):

 

(   )  1. Pretrial Discovery Motion (432)

(   )  2. Motion for Discovery in Aid of Execution (480)

(   )  3. Preliminary Objections to (576)                                                                                   

(   )  4. Motion for Summary Judgment (306)

(   )  5. Motion for Judgment on Pleadings (294)

(   )  6. Motion for Leave to Join Additional Defendant (403)

(   )  7. Motion for TRO or Preliminary Injunction (438)

(   )  8. Petition to Open or Strike Judgment (498)

(   )  9. Motion for Alternative Service (409)

(   )10. Motion for Leave to Amend (465)                                                                               

(   )11. Motion to Consolidate Actions (424)

(   )12. Petition to Compromise Minor's Action (435)

(   )13. Motion for Leave to Withdraw (510)

(   )14. Motion for Reconsideration (441)

(   )15. Motion for Advancement on Trial List (404)

(   )16. Other Motion or Petition (specify):                                                                            

 

                                                                                                                                                 

 

                                                                                    OTHER PARTIES:   

                                                                                                                                               

 

                                                                                                                                               

 

                                                                                                                                                 

 

 

Attorney's Name (Typed)                                                                                                        

 

Attorney for:                                                                                                                          

                                    (   )Movant                                   (   )Respondent

 

N.B.    The numbers after the Motion or Petition above are docket codes used in the Court Computer System.  Please be precise when checking your Motion or Petition.

 

Form B

 

Effective 7/26/04

Revision effective 7/1/10

 

 

RULE 206.4 (c) - RULE TO SHOW CAUSE.  ALTERNATIVE PROCEDURES.

 

            1.         Carbon County adopts the procedure under Pa.R.C.P.206.6.

 

2.         The order shall be pursuant to Pa.R.C.P.206.6(c) except that it shall be modified by deleting paragraphs (4) and (5) and substituting a new paragraph (4) which shall state:  an evidentiary hearing on disputed issues of material fact shall be held on ________________ day of _____________, 20__, at _________ time, in Courtroom No. _______ of the Carbon County Courthouse.  Paragraph number 6 shall be renumbered to number 5.

 

Effective 7/26/04

Revision effective 6/1/08

 

 

RULE 208.2(c) -  MOTION.  FORM.  CONTENT.

 

            Motions shall include a brief statement identifying the applicable procedural rule, statute, or other authority relied upon for the relief requested.

 

Effective 7/26/04

 

 

RULE 208.2(d) -  MOTION.  FORM.  CONTENT.

 

            When uncontested, motions shall include a certification stating that the motion is uncontested. 

 

Effective 7/26/04

 

 

RULE 208.2(e) -  MOTION.  FORM.  CONTENT.

 

            Every motion relating to discovery shall include a certificate signed by counsel for the moving party that counsel has conferred or attempted to confer with all interested parties to resolve the matter and are unable to resolve the dispute without court action.

 

Effective 7/26/04

 

 

RULE 208.3(a) - ALTERNATIVE PROCEDURES.

 

(A) MOTIONS

 

(1)    Pa.R.C.P.208.4 shall govern motion procedure in Carbon County.

 

(2)    All motions shall be in writing, except as permitted by the court or when made in open court during a trial or hearing and shall comply with Pa.R.C.P. 208.2.

 

(3)    A motion shall comply with the following requirements:

 

(a)     A brief statement of applicable authority pursuant to CARB.R.C.P.208(c);

 

(b)    If uncontested, a certification pursuant to CARB.R.C.P.208.2(d);

 

(c)     In discovery motions, a certification that counsel has conferred or attempted to confer with all interested parties to resolve the matter without court action pursuant to CARB.R.C.P.208.2(e); and

 

(4)    The failure, in any motion, to state a type of relief or a ground therefore shall constitute a waiver of such relief or ground.

 

(5)    Any motion may request such alternative relief as may be appropriate. 

 

(B) FILING

 

(1)    All written motions and any written answers, and any notices, or documents for which filing is required, shall be filed with the Prothonotary.

 

(2)    Self-addressed, stamped envelopes for each attorney and unrepresented party shall be provided with the filing of the motion to the Prothonotary’s Office for service of the Order of Court.

 

(3)    Filing shall be by:

 

(a)     personal delivery to the prothonotary; or

 

(b)    mail addressed to the prothonotary.  Except as provided by law, filing by mail shall be timely only when actually received by the prothonotary within the time fixed for filing.

 

(4)    The prothonotary shall accept all written motions, answers, notices, or documents presented for filing.  When a document, which is filed pursuant to paragraph (A)(1), is received by the prothonotary, the prothonotary shall time stamp it with the date of receipt and make a docket entry reflecting the date of receipt, and promptly shall place the document in the case file.

 

(5)    If a pro se party submits a document to a judge without filing it with the prothonotary, and the document requests some form of cognizable legal relief, the judge promptly shall forward the document to the prothonotary for filing and processing in accordance with this rule.

 

(C) SERVICE

 

(1)    All written motions and any written answers, and notices or documents for which filing is required, shall be served upon each party and the district court administrator concurrently with filing.

 

(2)    Service on the parties shall be by:

 

(a)    personal delivery of a copy to a party’s attorney, or the party if unrepresented; or

 

(b)    personal delivery of a copy to the party’s attorney employee at the attorney’s office; or

 

(c)    mailing a copy to a party’s attorney or leaving a copy for the attorney at the attorney’s office; or

 

(d)   in those judicial districts that maintain in the courthouse assigned boxes for counsel to receive service, when counsel has agreed to receive service by this method, leaving a copy for the attorney in the attorney’s box; or

 

(e)    sending a copy to an unrepresented party by certified, registered, or first class mail addressed to the party’s residence, business, or confinement; or

 

(f)     sending a copy by facsimile transmission or other electronic means if the party’s attorney, or the party if unrepresented, has agreed to this type of service or the attorney has provided a facsimile signature on any pleading authorizing this method of service for the document; or

 

(g)    delivery to the party’s attorney, or the party if unrepresented, by carrier service.

 

(3)    Service on the district court administrator shall be by:

 

(a)    mailing a copy to the district court administrator; or

 

(b)    leaving a copy for the district court administrator at the district court administrator’s office; or

 

(c)    delivery to the district court administrator by carrier service.

 

Effective 7/26/04

 

 

RULE 210 - FORM OF BRIEFS

 

1.      Each brief shall contain:

 

(a)    A history of the case;

(b)   A statement of the pertinent facts;

(c)    A statement of the questions involved;

(d)   An argument; and

(e)    A short conclusion stating the precise relief requested.

 

2.      The statement of questions involved shall be so drawn that the Court may quickly determine all the legal questions requiring determination.

 

3.      The argument shall be divided into as many parts as there are questions involved.  Opinions of an appellate court, of this or any other jurisdiction shall be cited from the National Reporter System if reported therein, otherwise to the official reports of the applicable state appellate courts, if reported therein.

 

4.      Briefs shall refer specifically, by page number or other appropriate designation, to any portion of the record relied upon in support of the argument.

 

5.      Copies of any state or federal case relied upon not published in the official reports of that court shall be attached as Exhibits to the Brief.

 

6.      Counsel for the moving party shall in all matters file an original and two (2) copies of a supporting brief in the Office of the Prothonotary and forthwith serve one (1) copy of the brief upon each adverse party or counsel of record.  Pa.R.C.P.440 governs service.  Service shall be required on the District Court Administrator.

 

7.      Each adverse party or his counsel of record shall file in the Office of the Prothonotary an original and two (2) copies of a brief in answer, within thirty (30) days of service of the motion and forthwith serve a copy thereof upon all opposing parties or their counsel of record.  Pa.R.C.P.440 governs service.  Service shall be required on the District Court Administrator.

 

Effective 7/26/04

Revision effective 5/1/13

 

 

RULE 212.1 - CIVIL ACTIONS TO BE TRIED BY JURY.  NOTICE OF EARLIEST TRIAL DATE.  TIME FOR COMPLETING DISCOVERY AND FILING PRE-TRIAL STATEMENT. 

 

Every party shall simultaneously file and serve upon opposing counsel a Pre-Trial Statement on or before the date established in the management review order or the order of court granting a motion to extend milestones.

 

            Any motion to extend milestones shall be in compliance with CARB.R.C.P.208.2(d) and CARB.R.C.P.208.3(a).  The proposed order shall list the current milestones and the recommended milestones to be established.

 

Effective 7/26/04

 

 

RULE 212.3 - PRE-TRIAL CONFERENCE

 

            At the Pre-Trial Conference, the parties or representatives of their insurance carriers are expected to attend having realistic settlement authority.

 

Effective 7/26/04

 

 

RULE  216 - GROUNDS FOR CONTINUANCE

 

            All Motions for Continuance shall be filed at least three (3) working days before the scheduled event.

 

            When a Motion for Continuance is requested because of an attachment of another Court, the Attorney shall provide a copy of said attachment with the Motion for Continuance.

 

            Any motion filed that is not in compliance with this rule shall be entertained only if the opportunity to timely file it did not exist previously or the interest of justice requires it.

 

Effective 12/1/12

 

 

RULE 430 - SERVICE PURSUANT TO SPECIAL ORDER OF COURT.  PUBLICATION.

 

The Carbon County Law Journal shall be designated by the Carbon County Court of Common Pleas to be the legal publication for service of process by publication.

 

Effective 7/26/04

 

 

RULE 1012 – ENTRY OF APPEARANCE.  WITHDRAWAL OF APPEARANCE. NOTICE.

 

  1. A party representing himself or herself shall enter a written appearance which shall state an address, which need not be his or her home address, where the party agrees that pleadings and other legal papers may be served, and a telephone number through which the party may be contacted, as attached hereto.  The entry of appearance may include a facsimile number as provided by Pa.R.C.P. No. 440(d).
  2. A self-represented party is under a continuing obligation to provide current contact information to the Court, to other self-represented parties, and to attorneys of record.
  3. The self-represented party shall provide a copy of the entry of appearance to all self-represented parties and attorneys of record.
  4. The assertion of self-representation shall not delay any stage of the proceeding.

Effective 12/16/13


IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA

CIVIL DIVISION

 

 

 

ENTRY OF APPEARANCE

 

 

In accordance with Carbon County Rule of Civil Procedure CARB.R.C.P. 1012 governing a Self-Represented Party: 

 

I ____________________________________________, Plaintiff or Defendant (circle one)

 

choose to represent myself and provide the following address where pleadings and other legal papers can be served and a telephone number through which I can be contacted.  This Entry of Appearance shall remain in full force and effect unless superseded with an Entry of Appearance by an attorney.

 

 

 

___________________________________       ________________________________

Street Address                                                               Telephone Number

 

___________________________________       ________________________________

City, State, Zip Code                                                  Facsimile Number (Governed by PA Rule of Civil Procedure 440 (d))

 

 

 

In accordance with Carbon County Rule of Civil Procedure 1012, a self-represented party is under a continuing obligation to provide current contact information to the court, to other self-represented parties, and to attorneys of record.

 

 

 

 

 

__________________________________    ___________________________________

Signature                                                                                        Date

 

Effective 12/16/13

 

 

IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA

 

(CIVIL ACTION/DOMESTIC RELATIONS)

 

                                                                        :

Plaintiff                                                          :

                                                                        :

vs.                                                                    :           NO. 

                                                                        :

                                                                        :

Defendant                                                      :

 

 

 

PRAECIPE FOR ENTRY OF LIMITED APPEARANCE

 

            To the Prothonotary: 

 

            Kindly enter my Limited Appearance for _________________________________ (Plaintiff’s/Defendant’s Name), the Plaintiff/Defendant in the above-captioned matter.

 

            This Appearance is limited to providing representation on behalf of this party at the Custody Conference/Support Conference/Support Hearing.

 

 

                                                                                    ______________________________________

                                                                                    Name of Attorney for (Plaintiff/Defendant)

 

                                                                                    _____________________________________

                                                                                    Firm

 

                                                                                    ______________________________________

                                                                                    Address

 

                                                                                    ______________________________________

                                                                                    City, State, Zip

 

                                                                                    ______________________________________

                                                                                    Telephone Number

 

                                                                                    _____________________________________

                                                                                    Supreme Court ID Number

 

Effective 12/1/12

Exhibit “A”


 

IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA

 

(CIVIL ACTION/DOMESTIC RELATIONS)

 

                                                                        :

Plaintiff                                                          :

                                                                        :

vs.                                                                    :           NO. 

                                                                        :

                                                                        :

Defendant                                                      :

 

 

PRAECIPE FOR WITHDRAWAL OF LIMITED APPEARANCE

 

            To the Prothonotary: 

 

            Kindly withdraw my Limited Appearance for ______________________________ (Plaintiff’s/Defendant’s Name), the Plaintiff/Defendant in the above-captioned matter.

 

            Withdrawal of this Limited Appearance is permitted pursuant to Carbon County Local Rule of Civil Procedure CARB.R.C.P. 1012.  All future notices should be sent directly to (Plaintiff’s/Defendant’s Name), the Plaintiff/Defendant, at ___________________________________________ (set forth last-known address for this party).

 

                                                                                    ______________________________________

                                                                                    Name of Attorney for (Plaintiff/Defendant)

 

                                                                                    _____________________________________

                                                                                    Firm

 

                                                                                    ______________________________________

                                                                                    Address

 

                                                                                    ______________________________________

                                                                                    City, State, Zip

 

                                                                                    ______________________________________

                                                                                    Telephone Number

 

                                                                                    _____________________________________

                                                                                    Supreme Court ID Number

 

Effective 12/1/12

Exhibit “B”

 

 

RULE 1018.1 - NOTICE TO DEFEND.  FORM

 

            As required by Pa.R.C.P.1018.1(c), the following shall be designated in the notice to defend as the person from whom legal referral can be obtained:

 

North Penn Legal Services

101 West Broad Street, Suite 513

Hazleton, PA  18201

Phone 1-877-953-4250

Fax (570) 455-3625

 

or

 

Carbon County Lawyer Referral

811 Blakeslee Blvd. Dr. East, Suite 130

Lehighton, PA  18235

Phone 1-610-379-4950

Fax (610) 379-4952

 

            Every Notice to Defend shall be prepared in English and Spanish.  Below is the Spanish version of the Notice to Defend.

 

AVISO

 

Le ban demandado a usted en la corte. Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene veinte (20) dias de plazo al partir de la fecha de la demanda y la notificacion. Hace falta ascentar una comparencia escrita o en persona o con un abogado y entregar a la corte en forma escrita sus defensas o sus objeciones a las demandas en contra de su persona. Sea avisado que si usted no se dafiende, la corte tomara medidas y puede continuar la demanda en contra suya sin previo aviso o notificacion. Ademas, la corte puede decidir a favor del demandante y requiere que usted cumpla con todas las provisiones de esta demanda. Usted puede perder dinero o sus propiedades u otros derechos importantes para usted.

 

LLEVE ESTA DEMANDA A UN ABOGADO IMMEDIATAMENTE, SI NO TIENE ABOGADO O SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA O LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL.

 

North Penn Legal Services

101 West Broad Street, Suite 513

Hazleton, PA  18201

Phone 1-877-953-4250

Fax (570) 455-3625

 

or

 

Carbon County Lawyer Referral

811 Blakeslee Blvd. Dr. East, Suite 130

Lehighton, PA  18235

Phone 1-610-379-4950

Fax (610) 379-4952

 

Effective 7/26/04

Revision effective 10/14/15

 

 

RULE 1028(c) - PRELIMINARY OBJECTIONS

 

1        A proposed order shall be attached to all preliminary objections.

 

2        The moving party shall simultaneously file a brief in support of the preliminary objections.  See CARB.R.C.P.210 for form, content of brief, service and filing requirements.

 

3        The adverse party shall file an answer when endorsed with a Notice to Plead.

 

4        If an amended pleading is not filed within twenty (20) days of service of the preliminary objections, the matter shall be decided on briefs unless the assigned Judge requests that argument be scheduled.  If a party desires argument, a Praecipe for Argument shall accompany the motion or be filed by the respondent within twenty (20) days of service of the preliminary objections.  A respondent briefing schedule will be issued by the Court contemporaneous with the scheduling of argument, if so ordered by the Judge.  If the matter is to be decided on briefs, a respondent briefing schedule will be issued.

 

5        If the Preliminary Objections raise issues of fact not of record, evidence by way of depositions or otherwise shall be filed of record to enable the objections to be properly decided.

 

Effective 7/26/04

Revision effective 4/1/16

 

 

RULE 1034(a) - MOTION FOR JUDGMENT ON THE PLEADINGS.

 

1        A party moving for judgment on the pleadings shall simultaneously file with the motion a proposed order and supporting brief. If a brief is not filed with the motion, the motion shall be deemed withdrawn, without prejudice, upon motion of the opposing party.  A certificate of service in conformance with Pa.R.C.P.208.2 (a) (5) shall be attached to the motion.  Pa.R.C.P.440 governs service.  Service shall be required on the District Court Administrator.  For form of briefs, see CARB.R.C.P.210.

 

2        A response shall be filed within twenty (20) days after service of the motion.

 

3        If a party desires argument, a Praecipe for Argument shall accompany the motion or response.  However, the Court may dispose of any motion without oral argument.

 

4        A respondent briefing schedule will be issued by the Court contemporaneous with the scheduling of any argument ordered by the Judge.  If the matter is to be decided on briefs, a respondent briefing schedule will be issued.

 

5        A party who fails to respond to the motion may be deemed to have no opposition to its grant.

 

6        A party who fails to file a brief shall not be permitted to argue.

 

Effective 7/26/04

Revision effective 4/1/16

 

 

RULE 1035.2(a) – MOTION FOR SUMMARY JUDGMENT

 

1        A party moving for summary judgment shall simultaneously file with the motion a proposed order and supporting brief. If a brief is not filed with the motion, the motion shall be deemed withdrawn, without prejudice, upon motion of the opposing party.  A certificate of service in conformance with Pa.R.C.P.208.2 (a) (5) shall be attached to the motion.  Pa.R.C.P.440 governs service.  Service shall be required on the District Court Administrator.  For form of briefs, see CARB.R.C.P.210.

 

2        Any party opposing the motion shall file a response within thirty (30) days of service of the motion, together with a certificate of service evidencing service in accordance with number one above.  Service shall be required on the District Court Administrator. A party who fails to respond to the motion shall be deemed to be unopposed to the granting of the motion without contest.

 

3        Upon service of the motion and response on the District Court Administrator, the matter shall be decided on briefs unless the assigned Judge orders that argument be scheduled.  If a party desires argument, a Praecipe for Argument shall accompany the motion or response.  However, the Court may dispose of any motion without oral argument.

 

4        A respondent briefing schedule will be issued by the Court contemporaneous with the scheduling of any argument ordered by the Judge or requested by the filing of the Praecipe for Argument.  If the matter is to be decided on briefs, a respondent briefing schedule will be issued.

 

5        A party who fails to file a brief shall not be permitted to argue.

 

Effective 7/26/04

Revision effective 4/1/16

 

 

RULE 1301 – SCOPE

 

            All civil cases where the amount in controversy (exclusive of interest and costs) shall be Fifty Thousand ($50,000.00) Dollars or less, except those involving title to real estate, shall first be submitted to a Board of Arbitrators in accordance with Section 7361 of the Judicial Code, 42 Pa.C.S.A. §7361.  The amount in controversy shall be determined from the pleadings.  The Court may on its own motion or upon the motion of any parties strike from the trial list and certify for arbitration any case which should have been arbitrated in the first instance.

 

Effective 3/23/06

Revision effective 9/15/06

 

 

RULE 1302 - LIST OF ARBITRATORS.  APPOINTMENT TO BOARD.  OATH.

 

            Any attorney who is actively engaged in the general practice of law primarily in Carbon County who is interested in serving on Arbitration cases shall complete and return to the District Court Administrator a “Consent to Serve as Arbitrator” as attached hereto.

 

            This information shall be entered into the Court database for maintenance and selection of available arbitrators..

 

Effective 7/26/04

Revision effective 7/1/10


CONSENT TO SERVE AS ARBITRATOR

 

The undersigned hereby consents to serve as an Arbitrator under the Pennsylvania Rules of Compulsory Arbitration, and asks that his/her name remain on the active roll of Arbitrators to continue to serve in such capacity when called upon until further notice.

 

___________________________________________                               _______________________________

                  SIGNATURE                                                                                             DATE                      

PLEASE TYPE OR PRINT CLEARLY:

 

NAME:  ______________________________________________________________________________________

 

Date Admitted to the Carbon County Bar  _____________  Email: ____________________________

 

FIRM:                               ___________________________________________________________

 

ADDRESS:                      ___________________________________________________________

 

___________________________________________________________________________________

 

MAILING ADDRESS:  (if different than above)_                                _________________________

___________________________________________________________________________________

 

Telephone No.  _____________________________  Fax No.  ______        ___________________

 

Identification No.  _____________________________   __________________________________

(This number appears on the lower left corner of card issued by the State Court Administrator)

 

 

I am associated in the Practice of Law with:  (Please indicate associates Identification No.)

___________________________________________________          #  ____________________

 

___________________________________________________          #  ____________________

 

___________________________________________________          #  ____________________

 

___________________________________________________          #  ____________________

 

 

I am related to the following members of the Bar who are not associated with me in the Practice of Law.

___________________________________________________         #  _____________________

 

___________________________________________________         #  _____________________

 

 

NOTE: Any change in your status of practicing with or being associated with any other lawyer or lawyers shall immediately be reported to the District Court Administrator.

 

Effective 7/26/04

Revision effective 7/1/10

 

 

RULE 1303 – HEARING.  NOTICE.

 

            Notice of the appointment of arbitrators and the date, time and place of arbitration in accordance with Pa.R.C.P.1303 shall be made by the Prothonotary’s Office.  The Notice shall include the following language:  “The matter will be heard by a board of arbitrators at the time, date, and place specified but, if one or more of the parties is not present at the hearing, the matter may be heard at the same time and date before a judge of the court without the absent party or parties. There is no right to a trial de novo on appeal from a decision entered by a judge.”

 

            All continuance requests must be filed no later than seven (7) days before the scheduled Arbitration hearing.  The attorney/self-represented party must notify all other attorneys/self-represented parties and members of the panel of the granting of the continuance motion.  In the event such notice is not provided and a panel member appears, the defaulting party shall be responsible for payment of that panel member's current arbitration fee, which is currently set at $150.00, said payment to be made by the defaulting party to the Prothonotary of Carbon County.  Any continuances requested within the seven (7) days of the scheduled Arbitration hearing shall require the personal appearance of the attorney/self-represented party before the Judge to explain the extenuating circumstances necessitating the late filing.

 

            Except as qualified by the next sentence, any appointed arbitrator must notify Court Administration of their inability to serve within ten (10) days of the scheduled event so that a suitable replacement can be secured by Court Administration.  An arbitrator who is unable to attend but for whom another member of the arbitrator's firm is able to attend should notify Court Administration no less than three (3) days before the arbitration hearing if an attorney within the same firm is going to appear for the Arbitration in place of the appointed arbitrator.

 

            If a case is settled less than three (3) days before the Arbitration hearing, one of the attorneys/self-represented parties must appear before the Board of Arbitrators and have an Award entered by agreement.  If the case is discontinued less than three (3) days before the arbitration hearing, one of the attorneys/self-represented parties must appear before the Board of Arbitrators and provide a copy of the filed Praecipe to Discontinue.  If the case is settled three (3) days or more before the Arbitration hearing, Plaintiff’s attorney/Plaintiff must file at least three (3) days prior to the scheduled Arbitration, a praecipe to strike the case from the arbitration list because the case is settled and must notify all other attorneys/self-represented parties and the panel members.  If the case is discontinued three (3) or more days before the Arbitration hearing, Plaintiff's attorney/Plaintiff must file at least three (3) days prior to the scheduled Arbitration a Praecipe to Discontinue and provide a copy of the filed Praecipe to Discontinue to all other attorneys/self-represented parties and the panel members.  In the event counsel/self-represented party fails to appear and advise the Board of the settlement award or discontinuance, or to provide such notice or copy, and a panel member appears, the defaulting party shall be responsible for payment of that panel member's current arbitration fee, which is currently set at $150.00, said payment to be made by the defaulting party to the Prothonotary of Carbon County.

 

Effective 7/26/04

Revision effective 1/1/15

 

 

RULE 1361 – FORM OF NOTICE TO PLEAD

 

As required by Pa.R.C.P. 1361, each Notice to Plead shall be prepared in English and Spanish.  Below is the Spanish version of the Notice to Plead.

 

NOTIFICACION PARA HACER UN ALEGATO DE DEFENSA

 

 

A: _______________________________

            (Nombre de la parte contraria)

 

 

Por este medio se le notifica que tiene que presentar una respuesta por escrito al documento adjunto dentro de veinte dias (20) a partir de la fecha en que fue notificado del mismo o de lo contrario se dispondrá un fallo en su contra.

 

                        _______________________________

                        (Parte que asienta el documento o el abogado que la representa)

 

Effective 3/1/15

 

 

RULE 1501 – CONFORMITY TO CIVIL ACTION.

 

When a praecipe for a writ of summons, a complaint or a counterclaim is filed, the Prothonotary shall index the action as a lis pendens against real property, if, but only if, the party filing the praecipe, the complaint or the counterclaim, or his attorney:

 

(1)        files a separate praecipe describing said real property by metes and bounds or a sufficient description to identify it, and the volume and page in the Recorder of Deeds Office of this county where a recorded description of said property appears;

 

(2)        directs in said separate praecipe that the action shall be listed on a lis pendens against said real property; and

 

(3)        files in said separate praecipe a certification that said action:

 

(A)       is a proceeding to revive and continue the lien of debts against a decedent's property; or

 

(B)       is a proceeding conveying or vesting title to real property in this Commonwealth; or

 

(C)       is a proceeding of which purchasers of the described real property should have constructive notice; and

 

(4)        files with said separate praecipe, a written verified statement, as verified as defined in Pa. R.C.P. 76, setting forth the basis and subject matter of the cause of action and that said action affects the title to the real property so described or of any interest in said real property.

 

Effective 7/26/04

 

 

RULE 1530 – SPECIAL RELIEF.  ACCOUNTING.

 

1.         If an auditor is appointed pursuant Pa.R.C.P.1530(d), the following procedures shall govern:

 

(A)       The auditor shall give two weeks notice in writing to the parties or their attorneys of record of the time and place fixed for hearing the matter.

 

(B)       Testimony taken by the auditor at the hearing shall be recorded stenographically.  The notes of the testimony shall not be transcribed unless exceptions are filed to the auditor's report.

 

(C)       Within forty-five (45) days after the conclusion of the hearing the auditor shall file a written report which insofar as it is practicable shall contain (i) a history of the proceedings before the auditor, (ii) findings of fact, numbered consecutively, (iii) a concise discussion of the evidence presented and the legal issues involved, (iv) conclusions of law, numbered consecutively, and (v) a statement of the account.

 

(D)       Upon filing of the report the auditor shall serve a copy of the same on the parties in accordance with Pa.R.C.P. 440.

 

(E)       Exceptions to the report of the auditor may be filed by any party within ten (10) days after service of a copy of the report upon him.  If such exceptions are filed, the Court shall hear argument on the same and shall enter such order or judgment as may be appropriate.  If no timely exceptions are filed, the account stated in the report of the auditor shall be final and judgment may be entered thereon upon praecipe.

 

(F)       The Court shall determine the compensation and reimbursement for expenses to be allowed the auditor and stenographer, and shall direct that such items be taxed in whole or in part against the fund available for distribution or against any party or parties to the action as may be just and equitable in the circumstances.  Upon the appointment of an auditor the moving party shall promptly deposit with the Prothonotary such sum as the court may direct for the compensation and expenses of the auditor and stenographer, and the moving party shall deposit such additional sums for such purpose as the Court may from time to time direct.  Any sum so deposited which is not required for such purposes shall be refunded to the moving party upon the entry of the final order or decree.

 

Effective 7/26/04

 

 

RULE 1901.5 - ENFORCEMENT.

 

                        If an emergency order of a District Justice or a temporary or final order of a Judge is violated, it shall be presumed that the Court of Common Pleas is unavailable and the arresting police officer shall take the defendant before a District Justice in the magisterial district in which the abuse for which relief is requested occurred.

 

Effective 7/26/04

 

 

RULE 1905 – FORMS FOR USE IN PFA ACTIONS.  NOTICE AND HEARING. PETITION.  TEMPORARY PROTECTION ORDER.  FINAL PROTECTION ORDER.

 

The forms attached hereto shall be used to commence or amend an action pursuant to Pa.R.C.P.1901.3(a).

 

Effective 7/26/04

 

IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA

CIVIL ACTION - LAW

 

 

            _____                                                                          :

               (Plaintiff)                                                                 :

                                                                                                :

                        vs.                                                                    :                       No._____________________

                                                                                                :

                                                                                                :

                                                                                                :

               (Defendant)

 

 

NOTICE OF HEARING AND ORDER

 

 

     YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following papers, you must appear at the hearing scheduled herein. If you fail to do so, the case may proceed against you and a FINAL order may be entered against you granting the relief requested in the Petition.  In particular, you may be evicted from your residence and lose other important rights.  Any protection order granted by a court may be considered in subsequent proceedings under Title 23 (Domestic Relations) of the Pennsylvania Consolidated Statutes, including child custody proceedings under Chapter 53 (relating to custody).

 

     A hearing on the matter is scheduled for the                  day of                                , 20_____, at              . M., in Courtroom                 at Carbon County Courthouse, Jim Thorpe, Pennsylvania.

 

     You MUST obey the Order that is attached until it is modified or terminated by the Court after notice and hearing. If you disobey this Order, the police may arrest you. Violation of this Order may subject you to a charge of indirect criminal contempt, which is punishable by a fine of up to $1,000.00 and/or up to six months in jail under 23 Pa.C.S. § 6114. Violation may also subject you to prosecution and criminal penalties under the Pennsylvania Crimes Code. Under federal law, 18 U.S.C. § 2265, this Order is enforceable anywhere in the United States, tribal lands, U.S. Territories and the Commonwealth of Puerto Rico. If you travel outside of the state and intentionally violate this Order, you may be subject to federal criminal proceedings under the Violence Against Women Act, 18 U.S.C. §§ 2261-2262. 

 

     YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. YOU HAVE THE RIGHT TO HAVE A LAWYER REPRESENT YOU AT THE HEARING. THE COURT WILL NOT, HOWEVER, APPOINT A LAWYER FOR YOU. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.  IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FREE OR NO FEE.  IF YOU CANNOT FIND A LAWYER, YOU MAY HAVE TO PROCEED WITHOUT ONE.

 

COUNTY LAWYER REFERRAL SERVICE

NORTH PENN LEGAL SERVICES

122-124 IRON STREET

LEHIGHTON, PA 18235

(610) 377-5400

www.northpennlegal.org


 

IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA

CIVIL ACTION - LAW

 

 

                                                                                                :

                        (Plaintiff)                                                        :

                                                                                                :

                         vs.                                                                   :                       No. ______________________

                                                                                                :

                                                                                                :

                        (Defendant)

 

 

TEMPORARY PROTECTION FROM ABUSE ORDER

 

Defendant's Name:__________________________________________________________________________

Defendant's Date of Birth:____________________________________________________________________   

Defendant's Social Security Number:_________________________________________________________   __

Name of All Protected Persons, including Plaintiff and minor child/ren:_______________________________         _

            ___________________________________________________________________________________

            ___________________________________________________________________________________

            ___________________________________________________________________________________

                                                                                                                                                                                                                                                                            

     AND NOW, this___________ day of  ____________________, 20_____, upon consideration of the attached Petition for Protection from Abuse, the court hereby enters the following Temporary Order:

 

(      ) 1. Defendant shall not abuse, harass, stalk or threaten any of the above persons in any place where they might be found.

 

(      ) 2. Defendant is evicted and excluded from the residence at ____________________________________    __

         ____________________________________________________________________________________

                        (NONCONFIDENTIAL ADDRESS FROM WHICH DEFENDANT IS EXCLUDED)

           or any other permanent or temporary residence where Plaintiff or any other person protected under this Order may live.  Plaintiff is granted exclusive possession of the residence. Defendant shall have no right or privilege to enter or be present on the premises of Plaintiff or any other person protected under this Order.

 

(     ) 3. Except as provided in Paragraph 5 of this order, Defendant is prohibited from having ANY CONTACT with Plaintiff, or any other person protected under this Order, at any location, including but not limited to any contact at Plaintiff's school, business, or place of employment.   Defendant is specifically ordered to stay away from the following locations for the duration of this Order:

 

           ____________________________________________________________________________________                                           

           _____________________________________________________________________________________________________

           _____________________________________________________________________________________________________

 

(     ) 4. Except for such contact with the minor child/ren as may be permitted under Paragraph 5 of this Order, Defendant shall not contact Plaintiff, or any other person protected under this Order, by telephone or by any other means, including through third persons.

 

(     ) 5. Pending the outcome of the final hearing in this matter, Plaintiff is awarded temporary custody of the following minor child/ren:

             

              _____________________________________________________________                                         

             __________________________________________________________________________________

             __________________________________________________________________________________

Until the final hearing, all contact between Defendant and the child/ren shall be limited to the following:

___________________________________________________________________________________

The local law enforcement agency in the jurisdiction where the child/ren are located shall ensure that the child/ren are placed in the care and control of the Plaintiff in accordance with the terms of this Order.

 

 

(     ) 6. Defendant shall immediately relinquish the following weapons to the Sheriff's Office or a designated local law enforcement agency for delivery to the Sheriff’s Office. 

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

            Defendant is prohibited from possessing, transferring or acquiring any other weapons for the duration of this order.

 

(      ) 7. The following additional relief is granted: ___________________________________________________  

           ___________________________________________________________________________________

           ___________________________________________________________________________________

           ___________________________________________________________________________________

           

(      ) 8. A certified copy of this Order shall be provided to the police department where Plaintiff resides and any other agency specified hereafter [insert name of agency]:

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

 

(       ) 9. THIS ORDER SUPERSEDES

   (        ) ANY PRIOR PFA ORDER

                           AND

                        (        ) ANY PRIOR ORDER RELATING TO CHILD CUSTODY.


10.  THIS ORDER APPLIES IMMEDIATELY TO DEFENDANT AND SHALL REMAIN IN EFFECT UNTIL _____________________________________________________

           OR UNTIL OTHERWISE MODIFIED OR TERMINATED BY THIS COURT

           AFTER NOTICE AND HEARING.

 

 

 

NOTICE TO THE DEFENDANT

 

     Defendant is hereby notified that violation of this Order may result in arrest for indirect criminal contempt, which is punishable by a fine of up to $1,000.00 and/or up to six months in jail. 23 Pa.C.S. § 6114.  Consent of the Plaintiff to Defendant's return to the residence shall not invalidate this Order, which can only be changed or modified through the filing of appropriate court papers for that purpose. 23 Pa.C.S. § 6113.  Defendant is further notified that violation of this Order may subject him/her to state charges and penalties under the Pennsylvania Crimes Code and to federal charges and penalties under the Violence Against Women Act, 18 U.S.C. §§ 2261-2262.

 

 

NOTICE TO LAW ENFORCEMENT OFFICIALS

 

     This Order shall be enforced by the police who have jurisdiction over the plaintiff's residence OR any location where a violation of this order occurs OR where the defendant may be located. If defendant violates Paragraphs 1 through 6 of this Order, defendant shall be arrested on the charge of Indirect Criminal Contempt.  An arrest for violation of this Order may be made without warrant, based solely on probable cause, whether or not the violation is committed in the presence of law enforcement.

 

     Subsequent to an arrest, the law enforcement officer shall seize all weapons used or threatened to be used during the violation of this Order OR during prior incidents of abuse.  Weapons must forthwith be delivered to the Sheriff's office of the county which issued this Order, which office shall maintain possession of the weapons until further Order of this court, unless the weapon/s are evidence of a crime, in which case, they shall remain with the law enforcement agency whose officer made the arrest.

 

 

                                                                                                                                                                        BY THE COURT:

 

                                                                                    By:_______________________________________

                                                                                                                                                            Judge

 

                                                                                                                                                                 _______________________________________

                                                                                                                                                            Date


IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA

CIVIL ACTION - LAW

                                                

                                                                                   

                                                                                                                        :

                                      (Plaintiff)                                                                  :

                                                                                                                        :

                                     vs.                                                                               :                       No. __________________

                                                                                                                        :

                        ________________________                                                :

                                    (Defendant)               

 

PETITION FOR PROTECTION FROM ABUSE

 

 

1.  Plaintiff's name is:  _____________________________________________________________________________ 

 

2.  I am filing this Petition on behalf of:

         (        ) Myself    and/or       (        ) Another Person

                        If you checked "myself", please answer all questions referring to yourself as "Plaintiff".

                        If you checked "another person", please answer all questions referring to that person as the   

                        “Plaintiff", and provide your address here, unless confidential: _____________________________________

                        __________________________________________________________________________________  

                                                                                                                                                                  

                        If you checked "Another Person", indicate your relationship with Plaintiff:

 

                                 (     ) parent of minor Plaintiff(s)                                  (     ) applicant for appointment as guardian

                                                                                                                           ad litem of minor Plaintiff(s)

 

                                 (     ) adult household member with                             (     ) court appointed guardian of

                                          minor Plaintiff(s)                                                         incompetent Plaintiff(s)

 

3.  Name(s) of ALL person(s), including Plaintiff and minor children, who seek protection from abuse:

         _________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________                                                                   

_________________________________________________________________________________________

4. (      ) Plaintiff's address is confidential

                        or

    (      ) Plaintiff's address is:  _______________________________________________________________________

            ________________________________________________________________________________________

5.  Defendant is believed to live at the following address:                                                                      

      __________________________________________________________________________________________ 

 

     Defendant's Social Security Number (if known) is: ____________________________________________________   

 

     Defendant's date of birth is:  ______________________________________________________________________

 

     Defendant's place of employment is:________________________________________________________________

 

  [       ] Check here if Defendant is 17 years old or younger.


6. Indicate the relationship between Plaintiff and Defendant.

 

            (     ) Spouse                            (     ) Current or former                       (     ) Other relationship

                                                                    sexual/intimate partner                         by blood or marriage:

                                                                                                                                _________________________

            (     ) Ex-spouse                       (     ) Parent/Child                                         _________________________

 

            (     ) Persons who live             (     ) Parents of the same                    (     ) Brother/Sister

                    or have lived like                      children                 

                     spouses

 

7. Have Plaintiff and Defendant been involved in any of the following Court actions?

 

             (      ) Divorce             (     ) Custody              (     ) Support               (     ) Protection from Abuse

 

            If you checked any of the above, briefly indicate when and where the case was filed and the court number, if known:

                                                                                                                                                                                   

 

8. Has the Defendant been involved in any criminal court action?  ________________________________________

    If you answered yes, is the Defendant currently on probation?  ________________________________________

 

9. Plaintiff and Defendant are the parents of the following minor child/ren:

            Name(s)                                   Age(s)             who reside at (list address unless confidential):

            _______________________  _________      ____________________________________________

            _______________________  _________      ____________________________________________

            _______________________  _________      ____________________________________________

            _______________________  _________      ____________________________________________

             

10. If Plaintiff and Defendant are parents of any minor child/ren together, is there an existing court Order regarding

            their custody? _________________________________________________________________________

 

            If you answered yes, describe the terms of the Order (e.g., primary, shared, legal and/or physical custody):

       _____________________________________________________________________________________

           

       _____________________________________________________________________________________

 

            If you answered Yes, in what county and state was the order issued? ____________________________     __

       _____________________________________________________________________________________

             If you are now seeking an Order of child custody as part of this petition, list the following information:

 

            (a) Where has each child resided during the past five years?

            Child's Name                             Person(s) child lives with                      Address, unless confidential                     When

            _________________              ________________________            ________________________            ___________

            _________________              ________________________            ________________________            ___________

            _________________              ________________________            ________________________            ___________

            _________________              ________________________            ________________________            ___________

            (b) List any other persons who are known to have or claim a right to custody of each child listed above:

            Name                                                   Address                                                           Basis of Claim

            _______________________              _____________________________              ________________________

            _______________________              _____________________________              ________________________

            _______________________              _____________________________              ________________________

            _______________________              _____________________________              ________________________

 

11. The following other minor child/ren presently live with Plaintiff:

            Name(s)                                   Age(s)             Plaintiff's relationship to child/ren

            ______________________    _________            ___________________________________________________

            ______________________    _________            ___________________________________________________

            ______________________    _________             ___________________________________________________

            ______________________    _________            ___________________________________________________

 

12. The facts of the most recent incident of abuse are as follows:

            Approximate Date:  ____________________           Place:  _____________________________________________

            Approximate Time:  ____________________

 

Describe in detail what happened, including any physical or sexual abuse, threats, injury, incidents of stalking, medical treatment sought, and/or calls to law enforcement (attach additional sheets of paper if necessary):

___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________

 


13. If the Defendant has committed prior acts of abuse against Plaintiff or the minor child/ren, describe these prior incidents, including any threats, injuries, or incidents of stalking, and indicate approximately when such acts of abuse occurred (attach additional sheets of paper if necessary):

            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________            ___________________________________________________________________________________________

 

14. List the weapon(s) that Defendant has used or threatened to use against Plaintiff or the minor child/ren:

            ___________________________________________________________________________________________

            ___________________________________________________________________________________________

            ___________________________________________________________________________________________

            ___________________________________________________________________________________________

            ___________________________________________________________________________________________

            ___________________________________________________________________________________________

 

15. Identify the police department or law enforcement agency in the area in which Plaintiff lives that should be provided with a copy of the protection order:

                                                                                                                                                                                                _

             ______________________________________________________________________________________           

 

16. There is an immediate and present danger of further abuse from the Defendant.

 

            CHECK THE FOLLOWING BOXES ONLY IF THEY APPLY TO YOUR CASE AND PROVIDE THE REQUESTED INFORMATION

 

            (        ) Plaintiff is asking the Court to evict and exclude the Defendant from the following residence:

            __________________________________________________________________________________________

            __________________________________________________________________________________________

            __________________________________________________________________________________________

            (        ) owned by (list owners, if known): _____________________________________________________   ____

            __________________________________________________________________________________________

           

            (         ) rented by (list all names, if known):  _________________________________________________________

 

            (         ) Defendant owes a duty of support to Plaintiff and/or the minor child/ren.

 

            (         ) Plaintiff has suffered out-of-pocket financial losses as a result of the abuse described above. Those losses are:

            ___________________________________________________________________________________________

            ___________________________________________________________________________________________

            ___________________________________________________________________________________________

            ___________________________________________________________________________________________

 

FOR THE REASONS SET FORTH ABOVE, I REQUEST THAT THE COURT ENTER A TEMPORARY ORDER, and AFTER HEARING, A FINAL ORDER THAT WOULD DO THE FOLLOWING (CHECK ALL FORMS OF RELIEF REQUESTED):

 

            (     ) A.            Restrain Defendant from abusing, threatening, harassing, or stalking Plaintiff and/or

                                    minor child/ren in any place where Plaintiff may be found.

 

            (     ) B.            Evict/exclude Defendant from Plaintiff's residence and prohibit Defendant from

                                    attempting to enter any temporary or permanent residence of the Plaintiff.

           

            (     ) C.            Require Defendant to provide Plaintiff and/or minor child/ren with other suitable

                                    housing.

 

            (     ) D.            Award Plaintiff temporary custody of the minor child/ren and place the following

                                    restrictions on contact between Defendant and child/ren:

                                    ___________________________________________________________________

                                    ___________________________________________________________________

 

            (     ) E.            Prohibit Defendant from having any contact with Plaintiff and/or minor child/ren,

                                    either in person, by telephone, or in writing, personally or through third persons,

                                    including but not limited to any contact at Plaintiff's school, business, or place of

                                    employment, except as the court may find necessary with respect to partial custody

                                    and/or visitation with the minor child/ren.

 

            (     ) F.            Prohibit Defendant from having any contact with Plaintiff's relatives and Plaintiff's

                                    children listed in this Petition, except as the court may find necessary with respect

                                    to partial custody and/or visitation with the minor child/ren.

 

            (     ) G.            Order Defendant to temporarily turn over weapons to the Sheriff of this County and

                                    prohibit Defendant from transferring, acquiring or possessing any such weapons for

                                    the duration of the Order.

 

            (     ) H.                        Order Defendant to pay temporary support for Plaintiff and/or the minor child/ren,

                                    including medical support and [        ] payment of the rent or mortgage on the residence.

 

            (     ) I.             Direct Defendant to pay Plaintiff for the reasonable financial losses suffered as the

                                    result of the abuse, to be determined at the hearing.

 

            (     ) J.             Order Defendant to pay the costs of this action, including filing and service fees.

 

            (     ) K.            Order Defendant to pay Plaintiff's reasonable attorney's fees.


            (     ) L.            Order the following additional relief, not listed above:  __________________________

                                    ___________________________________________________________________

                                    ___________________________________________________________________

                                    ___________________________________________________________________

                                    ___________________________________________________________________

                                    ___________________________________________________________________

                                    ___________________________________________________________________

                                    ___________________________________________________________________

                                    ___________________________________________________________________

 

            (     ) M.           Grant such other relief as the court deems appropriate.

 

            (     ) N.            Order the police or other law enforcement agency to serve the Defendant with a

                                    copy of this Petition, any Order issued, and the Order for Hearing. The petitioner

                                    will inform the designated authority of any addresses, other than Defendant's

                                    residence, where Defendant can be served.

     

 

 

 

 

VERIFICATION

 

        I verify that I am the petitioner as designated in the present action and that the facts and statements contained in the above Petition are true and correct to the best of my knowledge.  I understand that any false statements are made subject to the penalties of 18 Pa.C.S. § 4904, relating to unsworn falsification to authorities.  

 

 

                                                                                                                                                                                    ____________________________________

                                                                                                                                                                                                SIGNATURE

 

 

                                                                                                                                                                                     ____________________________________

                                                                                                                                                                                                 DATE

 


 

PSP Data Sheet Information

 

Defendant Information: ____________________________________________________________________

                                                First                 Middle            Last                 Suffix (Jr, Sr,)

 

Defendant’s Alias: ______________________________________________________________________      _

 

Defendant’s Sex:        Male / Female                             Home Phone:  __________________________       _____

 

Defendant’s Race:        Caucasian / African American / Hispanic / Latino /

                                                     Asian American / Pacific Islander / Other ______________________________

 

                 Defendant’s Date of Birth:  __________      _________    __________       Age:  ________________           ___

                 Month             Day            Year (20___)       

                                                                                                                                                                                                           

Defendant’s Address (if known):                                                                                                                              

City/State/Zip__________________________________________________________________________  __

Defendant’s State of Birth:                                                                                                                                       

Defendant’s Skin Tone:          Fair / Light / Medium / Dark / Other ___________________________         _____

Defendant’s Height (approx.): ______________       Defendant’s Weight (in pounds):__________________            _

 

Defendant’s Eye Color: ___________________       Defendant’s Hair Color: ______________________      ___

 

Defendant’s Scars, Marks, Tattoos: _______________________________________________________   ___

 

Defendant’s Social Security Number:_____________________________________________________   ____

 

FBI Number: ____________________________________________________________________________

 

Defendant’s Miscellaneous Number:_______________________________________________________    __

Defendant Spends Time (Bars, Friends, etc.):                                                                                                ____

Defendant’s Operator’s License Number: ____________________________________________________   _

Defendant’s Operator’s License State: __________  Operator’s License Year: _______________________    _

                                                                                                                                                                                                           

Defendant’s Vehicle Registration Number: ____________________________________________________   

Defendant’s Vehicle Registration State: ______________________________________________________      

Defendant’s Vehicle Registration Year: ______________________________________________________     

Defendant’s Vehicle Registration Type: ______________________________________________________     

Defendant’s Vehicle Identification Number:                                                                                                 ___     

Defendant’s Vehicle Year: _________________________________________________________________      

Vehicle Model: __________________________________________________________________________ 

Defendant’s Vehicle Style: _________________________________________________________________  

First Color of Vehicle: ____________________________________________________________________   

Second Color of Vehicle: __________________________________________________________________  

 

Miscellaneous Information (vehicle): _________________________________________________________     

______________________________________________________________________________________

 

Defendant’s Place of Employment: ___________________________________________________________

Employer’s Address: ___________________________________________________________________                                                                                                                            

City / State / Zip Code

Employer’s Telephone Number: ________________________ Shift worked__________________________ 

 

Does Defendant have access to any weapons?   Yes  /  No

 

Is this an eviction?    Yes  /  No                                                          Hearing Date:                                             

           

Plaintiff Information:

 

_____________________________________________________________________________________

First                             Middle                                    Last                 Suffix (Jr, Sr, etc.)

 

Sex: Male / Female                  Race:   Caucasian / African American / Hispanic / Latino /

Asian American / Pacific Islander / Other _____________________    

 

Date of Birth: /           /          

 

Plaintiff Telephone Number: ______________________________________________________________  

____ Address is confidential

 

Address is: ___________________________________________________________________________

                                                                                                City /State /Zip Code

 

Attorney Name:                                                                      Phone No.:                                                          

Other Protected Person(s):

1.      _________________________________________________________________________________ 

First                         Middle                      Last                 Suffix (Jr, Sr, etc.)

 

Sex:  Male / Female                 Race:   Caucasian / African American / Hispanic / Latino /

Asian American / Pacific Islander / Other ____________________      

 

Date of Birth:  _____/______/________

Telephone Number: ____________________________________________________________________  

 

_________Same Address of Person Above

Address:  ____________________________________________________________________________  

                                                                                                            City / State / Zip Code

 

 

2. __________________________________________________________________________________  

            First                             Middle                        Last                 Suffix (Jr, Sr, etc.)

 

 

Sex: Male / Female                  Race: Caucasian / African American / Hispanic / Latino /

                                            Asian American / Pacific Islander / Other ______________________      

 

Date of Birth: _____/______/_________

 

Telephone Number: ____________________________________________________________________ 

____Address is same as the Person above.

 

Address:  ____________________________________________________________________________ 

                                                                                                            City /   State    / Zip Code


 

 

IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA

CIVIL DIVISION

 

 

 

PLAINTIFF NAME:  ________________________________

 

ADDRESS:                ________________________________

 

TELEPHONE NO.     ________________________________

 

DATE OF BIRTH:     ________________________________

 

                                                 VS.                                                                             NO:  ___________________                                                  

                                                     

 

DEFENDANT’S NAME:  ____________________________

 

ADDRESS:                _______________________________

    

TELEPHONE NO.     _______________________________                        

 

DATE OF BIRTH:     _______________________________                          

 

 

 

 

PROTECTION FROM ABUSE

 

     I understand if I fail to attend the final hearing, the PFA order will be dismissed and I will be required to pay the filing and service fees of approximately $170.00.

 

     It is understood the costs of this proceeding will be addressed by the Judge at the time of the final hearing.

 

     I further understand, in the event of my relocation, I am required to notify the Prothonotary's Office of such change in address.

 

 

 

 

DATE: ­­­­­­­­­­­­____________________________                                                    ___________________________________

                                                                                                                                                Plaintiff


IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA

CIVIL ACTION - LAW

 

 

                                                                                                            :

                                    (Plaintiff)                                                        :

                                                                                                            :

                                       vs.                                                                 :                      No. __________________

                                                                                                            :

                        ____________________________                            :

                                    (Defendant)               

 

FINAL ORDER OF COURT

 

Defendant’s Name:                                                                                                                                             

 

Defendant’s Date of Birth: _________________________________________________________________

 

Defendant’s Social Security Number: _________________________________________________________

 

Names and Dates of Birth of All Protected Persons, including Plaintiff and minor children:

 

            Names                                                                         Dates of Birth

            __________________________________                __________________________________

 

            __________________________________                __________________________________

 

            __________________________________                __________________________________

 

CHECK ALL THAT APPLY:

Plaintiff or Protected Person(s) is/are:

[           ]   spouse or former spouse of Defendant

[           ]   parent of a common child with Defendant

[           ]   current or former sexual or intimate partner with Defendant

[           ]   child of Plaintiff

[           ]   child of Defendant

[           ]   family member related by blood (consanguinity) to Defendant

[           ]   sibling (person who shares biological parenthood) of Defendant

[           ]   current or former cohabitant (person who lives with) Defendant

Defendant was served in accordance with Pa.R.C.P 1930.4 and provided notice of the time, date and location of the hearing scheduled in this matter.

 

AND NOW, this _______________ day of _______________, 20___, the court having jurisdiction over the parties and subject-matter, it is ORDERED, ADJUDGED AND DECREED as follows:

______________________________________________________________________________________________________

______________________________________________________________________________________________________

 

[           ]   Plaintiff’s request for a final protection order is denied.

 

OR

 

[           ]   Plaintiff’s request for final protection order is granted.

 

[           ]   1.     Defendant shall not abuse, stalk, harass, threaten or attempt to use physical force that would

reasonably be expected to cause bodily injury to the Plaintiff or any other protected person in any place where they might be found.

 

[           ]   2.     Defendant is completely evicted and excluded from the residence at (NONCONFIDENTIAL

ADDRESS FROM WHICH DEFENDANT IS EXCLUDED) or any other residence where Plaintiff or any other person protected under this Order may live.  Exclusive possession of the residence is granted to Plaintiff.  Defendant shall have no right or privilege to enter or be present on the premises of Plaintiff or any other person protected under this Order.

 

[           ]  On __________________________, 20____, at _________________a.m./p.m.,

Defendant may enter the residence to retrieve his/her clothing and other personal effects, provided that Defendant is in the company of a law enforcement officer when such retrieval is made and __________________________________________________________________.

 

[           ]  3.      Except as provided in Paragraph 5 of this Order, Defendant is prohibited from having ANY

CONTACT with the Plaintiff, or any other person protected under this Order, at any location, including but not limited to any contact at the Plaintiff’s school, business, or place of employment.  Defendant is specifically ordered to stay away from the following locations for the duration of this Order: _____________________________________________________

___________________________________________________________________________

___________________________________________________________________________.

 

[           ]  4.      Except as provided in Paragraph 5 of this Order, Defendant shall not contact the Plaintiff, or

any other person protected under this Order, by telephone or by any other means, including through third persons.

 

[           ]  5.      Custody of the minor children, ________________________________________________

___________________________________________________________________ shall be as follows: (state to whom primary physical custody awarded; state terms of partial custody or visitation, if any.)____________________________________________________________

__________________________________________________________________________ 

_________________________________________________________________________   .

 

[           ]  6.      Defendant shall immediately turn over to the Sheriff’s Office, or to a local law enforcement

agency for delivery to the Sheriff’s Office, the following weapons used or threatened to be used by Defendant in an act of abuse against Plaintiff and/or the minor child/ren: ________ _________________________________________________________________________

_________________________________________________________________________.

 

[           ]  7.      Defendant is prohibited from possessing, transferring or acquiring any other weapons for the

duration of this Order.  Any weapons delivered to the sheriff under Paragraph 6 of this Order

or under Paragraph 6 of the Temporary Order shall not be returned until further order of court.

 

[           ]  8.      The following additional relief is granted as authorized by § 6108 of the Act:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________.

 

[           ]  9.      Defendant is directed to pay temporary support for: (insert the names of the persons for whom

support is to be paid)__________________________________________________________

as follows: (insert amount, frequency and other terms and conditions of the support order)

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________.

This order for support shall remain in effect until a final order is entered by this Court.  However, this order shall lapse automatically if the Plaintiff does not file a complaint for support with the Domestic Relations Section of the court within two weeks of the date of this order.  The amount of this temporary order does not necessarily reflect the Defendant’s correct support obligation, which shall be determined in accordance with the guidelines at the support hearing.  Any adjustments in the final amount of support shall be credited, retroactive to this date, to the appropriate party.       

 

[           ]  10.    The costs of this action are waived as to the Plaintiff and imposed on Defendant.

 

[           ]  11.    Defendant shall pay $ _______________________ to Plaintiff as compensation for plaintiff’s

out-of-pocket losses, which are as follows:

 

OR

 

[           ]           Plaintiff is granted leave to present a petition, with appropriate notice to Defendant, to

____________________________________________________________ [insert the name of the Judge or Court to which the petition should be presented] requesting recovery of out-of-pocket losses.  The petition shall include an exhibit itemizing all claimed out-of-pocket losses, copies of all bills and estimates of repair, and an order scheduling a hearing.  No fee shall be required by the Prothonotary’s Office for the filing of this petition.

 

[           ]  12.    THIS ORDER SUPERCEDES [       ] ANY PRIOR PFA ORDER AND

[           ] ANY PRIOR ORDER RELATING TO CHILD CUSTODY.

 

13.      All provisions of this order shall expire in eighteen months, on ________________, 20_____.

 

 

NOTICE TO DEFENDANT

 

VIOLATION OF THIS ORDER MAY RESULT IN YOUR ARREST ON THE CHARGE OF INDIRECT CRIMINAL CONTEMPT WHICH IS PUNISHABLE BY A FINE OF UP TO $1,000 AND/OR A JAIL SENTENCE OF UP TO SIX MONTHS.  23 PA.C.S. § 6114.  VIOLATION MAY ALSO SUBJECT YOU TO PROSECUTION AND CRIMINAL PENALITIES UNDER THE PENNSYLVANIA CRIMES CODE.

 

            THIS ORDER IS ENFORCEABLE IN ALL FIFTY (50) STATES, THE DISTRICT OF COLUMBIA, TRIBAL LANDS, U.S. TERRITORIES AND THE COMMONWEALTH OF PUERTO RICO UNDER THE VIOLENCE AGAINST WOMEN ACT, 18 U.S.C. § 2265.  IF YOU TRAVEL OUTSIDE OF THE STATE AND INTENTIONALLY VIOLATE THIS ORDER, YOU MAY BE SUBJECT TO FEDERAL CRIMINAL PROCEEDINGS UNDER THAT ACT, 18 U.S.C. §§ 2261-2262.  IF YOU POSSESS A FIREARM OR ANY AMMUNITION WHILE THIS ORDER IS IN EFFECT, YOU MAY BE CHARGED WITH A FEDERAL OFFENSE EVEN IF THIS PENNSYLVANIA ORDER DOES NOT EXPRESSLY PROHIBIT YOU FROM POSSESSING FIREARMS OR AMMUNITION.  18 U.S.C § 922(g)(8).

 

 

NOTICE TO LAW ENFORCEMENT OFFICIALS

 

            The police who have jurisdiction over the plaintiff’s residence OR any location where a violation of this order occurs OR where the defendant may be located, shall enforce this order.  An arrest for violation of Paragraphs 1 through 7 of this order may be without warrant, based solely on probable cause, whether or not the violation is committed in the presence of the police.  23 Pa.C.S. § 6113.

 

            Subsequent to an arrest, the police officer shall seize all weapons used or threatened to be used during the violation of the protection order or during prior incidents of abuse.  The [insert appropriate name or title] ______________________________________ shall maintain possession of the weapons until further order of this Court.

 

            When the defendant is placed under arrest for violation of the order, the defendant shall be taken to the appropriate authority or authorities before whom defendant is to be arraigned.  A “Complaint for Indirect Criminal Contempt” shall then be completed and signed by the police officer OR the plaintiff.  Plaintiff’s presence and signature are not required to file this complaint.

 

            If sufficient grounds for violation of this order are alleged, the defendant shall be arraigned, bond set and both parties given notice of the date of hearing.

 

                                                                                                                                                                                    BY THE COURT:

 

 

_________________________________________

Judge

 

 

_________________________________________

Date

 

 

           

IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA

CIVIL ACTION - LAW

 

 

_________________________________________                                      :

                                                                        Plaintiff                                                           :

AND/OR (please circle one, if applicable) ON BEHALF OF                       :          

                                                                                                                                                :

_________________________________________                                      :           NO.

                                                                                                                                                :

                                                            vs.                                                                                :          

                                                                                                                                                :

_________________________________________                                      :          

                                                                        Defendant

 

 

PETITION TO AMEND PROTECTION FROM ABUSE ORDER

 

AND NOW COMES, Petitioner, ___________________________________________________, Plaintiff in the above referenced matter and respectfully offers the following:

 

  1. The Petitioner mostly has a Protection from Abuse order, issued against the above-noted defendant on ___________________________________________, entered under the above referenced docket number.

 

  1. A copy of the existing Protection from Abuse order is attached hereto.

 

  1. Petitioner seeks to modify his/her Protection from Abuse order in the following manner:

_________________________________________________________________________________________________

_________________________________________________________________________________________________

 

  1. Petitioner alleges that the following act(s) merit the Court’s modification/withdrawal of the existing Protection from Abuse order:

_________________________________________________________________________________________________
_________________________________________________________________________________________________

_________________________________________________________________________________________________

Wherefore, the Petitioner respectfully requests the Court to set a date for the hearing on the merits of the instant petition.

                       

                                                                                                            Respectfully submitted,

 

            ____________________________________                 _______________________________________________________

            Dated                                                                                      Plaintiff’s Signature

 

ORDER OF HEARING

 

                                                The Plaintiff(s) and Defendant(s) is/are ordered to attend a hearing on the Petition to amend the Protection from Abuse Order scheduled below:

 

            ____________________, ______, 20_____ at ______________ AM/PM, in Courtroom #____, Carbon County Courthouse.

                                    Month             Day     Year         Time

 

Dated _________________________                                                                                               BY THE COURT

 

                                                                                                                                                     ___________________________________________________

                                                                                                                                                                             J.

 

 

RULE 1910.10 – ALTERNATE HEARING PROCEDURES

 

            Pursuant to Pennsylvania Rule of Civil Procedure 1910.10, the Carbon County Court of Common Pleas hereby adopts the alternative hearing procedures set forth in Pennsylvania Rule of Civil Procedure 1910.12.

 

Effective 7/1/06

 

 

RULE 1910.12 – OFFICE CONFERENCE.  HEARING.  RECORD.  EXCEPTIONS.  ORDER

 

            When Exceptions are filed to the report of a Hearing Officer, the party filing the exceptions shall, within ten (10) days of the filing of the Hearing Officer’s report, arrange for the transcribing of the testimony of the hearing before the Hearing Officer in accordance with Carbon County Local Rule of Judicial Administration 5000.5 for filing with the Court.  Said party shall pay the stenographer for the transcript in accordance with Carbon County Local Rule of Judicial Administration 5000.7.  Absent good cause shown, failure of the excepting party to arrange for the transcript and pay the cost thereof, as provided herein, shall result in the dismissal of said Exceptions by the Court upon motion.

 

Effective 7/1/06

 

 

RULE 1915.3 – COMMENCEMENT OF ACTION. COMPLAINT. ORDER.

 

            The person to be designated in the notice to defend as the person from whom legal services can be obtained shall be the same as provided for in CARB.R.C.P.1018.1.

 

            A proposed order substantially in the same form as Form “A” following this rule shall be attached to the complaint or petition.

 

            Any party to a custody action, who is incarcerated and cannot attend any scheduled proceeding and wishes to participate by electronic means, shall request permission from Court Administration seven (7) days before the scheduled event.  Said party shall be responsible for making the arrangements with Court Administration and the Warden of said facility where the party is incarcerated.

 

Effective 7/26/04

Revision effective 10/1/14


"FORM A"

IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA

 

CIVIL ACTION - LAW

 

 

____________________________________,           :

                        Plaintiff                                               :

                                                                                    :

                                    vs.                                            :           NO.                      

                                                                                    :

____________________________________,           :

                        Defendant                                           :

 

 

_____________________________________          -           Counsel for Plaintiff

 

_____________________________________          -           Counsel for Defendant

 

 

ORDER OF COURT

 

                        AND NOW this        day of                   , 20     , it is hereby

                        ORDERED and DECREED as follows:

            1.         This Order of Court shall govern the custodial situation of the following children:

________________________________________________________________________

 

________________________________________________________________________

 

2.                  In accordance with the statutory laws of this Commonwealth, each party shall be provided all access to the medical, dental, religious and school records of the child(ren) involved.  Absent an emergency situation, each party shall be informed in regard to the medical and dental needs of the child(ren) involved.

 

3.                  Jurisdiction of the child(ren) and this matter shall remain with the Court of Common Pleas of Carbon County, Pennsylvania, unless or until jurisdiction would change under the Uniform Child Custody Jurisdiction Act.

 

4.                  The welfare of the child(ren) shall be the primary consideration of the parties in any application of the terms of this Agreement.  The parties shall exert every reasonable effort to foster a feeling of affection between the child(ren) of the other party.  Neither party shall do anything to estrange the child(ren) from the other party, to injure the opinion of the child(ren) as to the other party, or to hamper the free and natural development of the child(ren)'s love and respect of the other party.

 

5.                  Primary physical custody of the child(ren) shall be as follows:

 

                        __________________________________________________________

 

6.                  The Plaintiff/Defendant, Father/Mother, shall have partial physical custody/supervised physical custody in accordance with the following schedule:

 

            (a)        During the week: ______________________________________________

           

            (b)        Weekends: ___________________________________________________;

           

            (c)        Major Holidays: _______________________________________________;

 

            (d)       Minor Holidays: _______________________________________________;

 

(e)                Mother's Day and Mother's Birthday shall be with the Mother;       

 

(f)                Father's Day and Father's Birthday shall be with the Father.

 

(g)               Child(ren)'s Birthday(s):__________________________________________;

 

(h)               Vacation/Summers:_____________________________________________;

 

(i)                 Other times: ___________________________________________________.

 

7.         All other periods of partial physical custody/supervised physical custody shall be by mutual agreement of both parties after reasonable request, and such agreement shall not be unreasonable withheld.

 

8.         The retrieving party shall provide transportation unless otherwise agreed to by the parties as follows: _____________________________________________________

 

_________________________________________________________________________

 

_________________________________________________________________________.

 

9.         Each party agrees to keep the other advised of their current residential address and telephone number.  Each party shall be entitled to speak to the child(ren) by telephone at reasonable times and intervals when the child(ren) is/are in the custody of the other party.

 

10.       Each party agrees to give to the other a general itinerary of all vacations they plan to take with the child(ren).

 

11.       Each party shall endeavor to give at least twenty-four (24) hours prior notice to the other in the event that it will not be possible to exercise any of the rights herein identified.

           

            No party may make a change in the residence of any child which significantly impairs the ability of the other party to exercise custodial rights without first complying with all of the applicable provisions of 23 Pa.C.S. §5337 and Pa.R.C.P. No. 1915.17 regarding relocation.

 

            The attached "Appendix to Order" is incorporated herein and shall be part of this Order.

                                                                                   

                                                                                                                                                BY THE COURT:

 

 

                                                                                                                                                ____________________________________

                                                                                                                                                                                                             J.


APPENDIX TO ORDER

 

                        Certain rules of conduct generally applicable to custody matters are set forth below and are binding on both parties, the breach of which could become the subject of contempt proceedings before this Court, or could constitute grounds for amendment of our order.  If these general rules conflict with the specific requirements of our order, the order shall prevail.

1.

                        Neither party will undertake nor permit in his or her presence the poisoning of the minor child's mind against the other party by conversation which explicitly or inferentially derides, ridicules, condemns, or in any manner derogates the other party.

2.

                        The parties shall not conduct arguments or heated conversations when they are together in the presence of their child(ren).

3.

                        Neither party will question the child(ren) as to the personal lives of the other parent except insofar as necessary to insure the personal safety of the child(ren).  By this we mean that the child(ren) will not be used as a spy on the other party.  It is harmful to a child to be put in the role of "spy".

4.

                        Neither party will make extravagant promises to the minor child(ren) for the purposes of ingratiating himself or herself to the minor child(ren) at the expense of the other party; further, any reasonable promise to the child(ren) should be made with the full expectation of carrying it out.

5.

                        The parties should at all times consider the child(ren)'s best interests, and act accordingly.  It is in a child(ren)'s best interests to understand that he or she is trying desperately to cope with the fact of his parents' separation, and needs help in loving both parents, rather than interference of censure.

6.

                        The parties should remember that they cannot teach their child(ren) moral conduct by indulging in improper conduct themselves.  Children are quick to recognize hypocrisy, and the parent who maintains a double standard will lose the respect of his or her child(ren).

7.

                        Any period of custody shall be subject to the following rules:

 

A.        Arrangements will be worked out beforehand between the parties without forcing the child(ren) to make choices and run the risk of parental displeasure.  However, the child(en) shall be consulted as to the child(ren) schedule.

 

B.        Custodial rights should be exercised at reasonable hours and under circumstances reasonably acceptable to the other party and to the needs and desires of the minor child(ren).

 

C.        If a party finds him or herself unable to keep an appointment, he or she should give immediate notice to the other party, so as to avoid subjecting the child(ren) to unnecessary apprehension and failure of expectations.

 

D.        The party having custody of the child(ren) should prepare the child(ren) both physically and mentally for the custody with the other party and have the child(ren) available at the time and place mutually agreed upon.

 

E.         If either party or the child(ren) has plans which conflict with a scheduled period of custody and wish to adjust such period, the parties should make arrangements for an adjustment acceptable to the schedules of everyone involved.  Predetermined schedules are not written in stone, and both parties should be flexible for the sake of the child(ren).

 

F.         If a party shows up for their partial physical custody/supervised physical custody under the influence of alcohol or drugs, the period of partial physical custody/supervised physical custody may be considered forfeited on those grounds alone.

 

8.

                        During the time that the child(ren) is/are living with a party, that party has the responsibility of imposing and enforcing the rules for day-to-day living.  However, unless otherwise ordered, both parents should consult with one another on the major decisions affecting the child(ren)'s life, such as education, religious training, medical treatment, and so forth.

 

Effective 7/26/04

Revision effective 10/1/14

 

 

RULE 1915.4 - PROMPT DISPOSITION OF CUSTODY CASES.  DISPOSITION BY HEARING OFFICER

 

1        Upon the filing of any claim or modification petition for custody the moving party shall deposit with the Prothonotary in addition to the filing fee the sum of $150.00 unless excused by the Court.  If the Hearing Officer determines at the pre-hearing conference that the custody issues are complex and that additional sums should be deposited to cover the payment of the Hearing Officer’s fees, the Hearing Officer shall prepare an order for the Court directing the deposit of additional sums of money and allocating who shall be responsible for deposit of additional funds.

 

2        A pre-hearing conference shall be scheduled before a hearing officer no sooner than thirty (30) days but no longer than forty-five (45) days after the filing of the complaint or petition to modify.  This conference will focus on issues for resolution by the Court, any agreements of the parties and negotiated settlement of the case.

 

3        If the parties agree on a custodial arrangement, a consent order shall be entered pursuant to CARB.R.C.P.1915.7.

 

4        If the parties are unable to agree, the Hearing Officer shall prepare and forward to the Court within 10 days a recommended Interim Custody Order established in the best interest of the child(ren).  This order shall list the date and time of the custody trial before the Court and, if requested by one of the parties or ordered sua sponte by the Court, the date and time of the pretrial conference before a Judge.  If a pretrial conference is scheduled before a Judge, the pretrial procedures and requirements of the pretrial statement shall comply with Pa.R.C.P. 1915.4-4.  If a custody trial is scheduled before a Judge, the Interim Custody Order shall direct the parties to file a Pretrial statement at least seven (7) days prior to the trial, which shall contain:

 

a.       A clear concise statement of the issues to be resolved by the Court;

b.      Unresolved discovery matters;

c.       Name and address of each expert whom the party intends to call at trial as a witness;

d.      Name and address of each witness the party intends to call at trial, the relationship of that witness to the party and a statement by the party or the party’s counsel that he or she has communicated with each listed witness;

e.       Issues relating to expert witnesses;

f.       List of evidentiary disputes;

g.      List of exhibits;

h.      Any agreements of the parties;

i.        Proposed Findings of Fact; and

j.        Proposed Custody Order setting forth the custody schedule requested by the party.

 

5.  If the hearing is to be held before the Hearing Officer, the moving party shall be responsible to secure the services and attendance of an outside court reporter for said hearing and shall be responsible for payment of same unless the Court places the payment responsibility on the other party.

 

Effective 7/26/04

Revision effective 9/13/13

 

 

RULE 1915.7 - CONSENT ORDER

 

A proposed consent order substantially in the same form as Form "A" following this Rule shall be attached to the stipulation or agreement.

 

Effective 7/26/04

Revision effective 9/13/13


"FORM A"

IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA

CIVIL ACTION - LAW

 

____________________________________,           :

                        Plaintiff                                               :

                                                                                    :

                                    vs.                                            :           NO.                      

                                                                                    :

____________________________________,           :

                        Defendant                                           :

 

_____________________________________          -           Counsel for Plaintiff

 

_____________________________________          -           Counsel for Defendant

 

ORDER OF COURT

 

                        AND NOW this        day of                   , 20     , upon review of the attached Agreement between the parties regarding custody of the child(ren), it is hereby

 

                        ORDERED and DECREED that said Agreement is approved and shall be incorporated into this Order of Court as if more fully set forth herein.

 

                        No party may make a change in the residence of any child which significantly impairs the ability of the other party to exercise custodial rights without first complying with all of the applicable provisions of 23 Pa.C.S. §5337 and Pa.R.C.P. No. 1915.17 regarding relocation.

                       

The attached "Appendix to Order" is incorporated herein and shall be part of this Order.

 

                                                                                                                                                            BY THE COURT:

 

                                                                                                                                                            ____________________________________

                                                                                                                                                                                                                        J.

 

Effective 7/26/04

Revision Effective 9/13/13

 

           


IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA

CIVIL ACTION - LAW

 

____________________________________,           :

                        Plaintiff                                               :          

                                                                                    :

                                    vs.                                            :           NO.            

                                                                                    :

____________________________________,           :

                        Defendant                                           :

 

 

____________________________________            -           Counsel for Plaintiff

 

____________________________________            -           Counsel for Defendant

 

AGREEMENT FOR ENTRY OF CONSENT CUSTODY ORDER

 

            AND NOW, this        day of                     , 20__, the following agreement is entered into upon stipulation of the parties:

 

1.         This Agreement and ensuing Order of Court shall govern the custodial situation of the following children:

________________________________________________________________________

 

________________________________________________________________________

 

            2.         In accordance with the statutory laws of this Commonwealth, each party shall be provided all access to the medical, dental, religious and school records of the child(ren) involved.  Absent an emergency situation, each party shall be informed in regard to the medical and dental needs of the child(ren) involved.

 

            3.         Jurisdiction of the child(ren) and this matter shall remain with the Court of Common Pleas of Carbon County, Pennsylvania, unless or until jurisdiction would change under the Uniform Child Custody Jurisdiction Act.

 

            4.         The welfare of the child(ren) shall be the primary consideration of the parties in any application of the terms of this Agreement.  The parties shall exert every reasonable effort to foster a feeling of affection between the child(ren) of the other party.  Neither party shall do anything to estrange the child(ren) from the other party, to injure the opinion of the child(ren) as to the other party, or to hamper the free and natural development of the child(ren)'s love and respect of the other party.


            5.         Primary Physical custody of the child(ren) shall be as follows:

________________________________________________________________________

 

            6.         The Plaintiff/Defendant, Father/Mother, shall have partial physical custody/supervised physical custody in accordance with the following schedule:

 

            (a)        During the week:______________________________________________;

            (b)        Weekends:___________________________________________________;

            (c)        Major Holidays:________________________________________________;

            (d)       Minor Holidays:________________________________________________;

            (e)        Mother's Day and Mother's Birthday shall be with the Mother;       

            (f)        Father's Day and Father's Birthday shall be with the Father.

            (g)        Child(ren)'s Birthday(s):_________________________________________:

            (h)        Vacation/Summers:____________________________________________;

            (i)         Other times:_________________________________________________.

 

            7.         All other periods of partial physical custody/supervised physical custody shall be by mutual agreement of both parties after reasonable request, and such agreement shall not be unreasonably withheld.

 

8.         The retrieving party shall provide transportation unless otherwise agreed to by the parties as follows: __________________________________________

 

______________________________________________________________________

 

______________________________________________________________________.

 

            9.         Each party agrees to keep the other advised of their current residential address and telephone number.  Each party shall be entitled to speak to the child(ren) by telephone at reasonable times and intervals when the child(ren) is/are in the custody of the other party.

 

            10.       Each party agrees to give to the other a general itinerary of all vacations they plan to take with the child(ren).

 

            11.       Each party shall endeavor to give at least twenty-four (24) hours prior notice to the other in the event that it will not be possible to exercise any of the rights herein identified.

 

            12.       It is the intention of the parties that this agreement will be adopted into an Order of Court.

 

            13.       The filing fee for the stipulated order shall be paid by the ________________(Indicate Plaintiff or Defendant) to the Prothonotary of Carbon County simultaneous with the filing of the stipulated order.

 

            14.       No party may make a change in the residence of any child which significantly impairs the ability of the other party to exercise custodial rights without first complying with all of the applicable provisions of 23 Pa.C.S. §5337 and Pa.R.C.P. No. 1915.17 regarding relocation.

 

 

__________________________________    ______________________________

WITNESS AS TO PLAINTIFF                                             PLAINTIFF                           

 

__________________________________    ______________________________

WITNESS AS TO DEFENDANT                                         DEFENDANT           

 

 

APPENDIX TO ORDER

 

                        Certain rules of conduct generally applicable to custody matters are set forth below and are binding on both parties, the breach of which could become the subject of contempt proceedings before this Court, or could constitute grounds for amendment of our order.  If these general rules conflict with the specific requirements of our order, the order shall prevail.

1.

                        Neither party will undertake nor permit in his or her presence the poisoning of the minor child's mind against the other party by conversation which explicitly or inferentially derides, ridicules, condemns, or in any manner derogates the other party.

2.

                        The parties shall not conduct arguments or heated conversations when they are together in the presence of their child(ren).

3.

                        Neither party will question the child(ren) as to the personal lives of the other parent except insofar as necessary to insure the personal safety of the child(ren).  By this we mean that the child(ren) will not be used as a spy on the other party.  It is harmful to a child to be put in the role of "spy".

4.

                        Neither party will make extravagant promises to the minor child(ren) for the purposes of ingratiating himself or herself to the minor child(ren) at the expense of the other party; further, any reasonable promise to the child(ren) should be made with the full expectation of carrying it out.

5.

                        The parties should at all times consider the child(ren)'s best interests, and act accordingly.  It is in a child(ren)'s best interests to understand that he or she is trying desperately to cope with the fact of his parents' separation, and needs help in loving both parents, rather than interference of censure.

6.

                        The parties should remember that they cannot teach their child(ren) moral conduct by indulging in improper conduct themselves.  Children are quick to recognize hypocrisy, and the parent who maintains a double standard will lose the respect of his or her child(ren).

7.

                        Any period of custody shall be subject to the following rules:

A.        Arrangements will be worked out beforehand between the parties without forcing the child(ren) to make choices and run the risk of parental displeasure.  However, the child(ren) shall be consulted as to the child(ren) schedule.

 

B.        Custodial rights should be exercised at reasonable hours and under circumstances reasonably acceptable to the other party and to the needs and desires of the minor child(ren).

 

C.        If a party finds him or herself unable to keep an appointment, he or she should give immediate notice to the other party, so as to avoid subjecting the child(ren) to unnecessary apprehension and failure of expectations.

 

D.        The party having custody of the child(ren) should prepare the child(ren) both physically and mentally for the custody with the other party and have the child(ren) available at the time and place mutually agreed upon.

 

E.         If either party or the child(ren) has plans which conflict with a scheduled period of custody and wish to adjust such period, the parties should make arrangements for an adjustment acceptable to the schedules of everyone involved.  Predetermined schedules are not written in stone, and both parties should be flexible for the sake of the child(ren).

 

F.         If a party shows up for their partial physical custody/supervised physical custody under the influence of alcohol or drugs, the period of partial physical custody/supervised physical custody may be considered forfeited on those grounds alone.

 

8.

                        During the time that the child(ren) is/are living with a party, that party has the responsibility of imposing and enforcing the rules for day-to-day living.  However, unless otherwise ordered, both parents should consult with one another on the major decisions affecting the child(ren)'s life, such as education, religious training, medical treatment, and so forth.

Effective 7/26/04

Revision effective 9/13/13

 

 

RULE 1915.16(a).  FORM OF ORDER AND NOTICE.  JOINDER. 

                                                INTERVENTION.

           

            The order and notice joining a party in an action under Pa.R.C.P. 1915.6(a) shall be completed in English and Spanish.

           

            The English and Spanish versions are attached.


 

ORDER AND NOTICE

           

            A complaint has been filed in the Court of Common Pleas of Carbon County concerning custody of the following child(ren): ________________________________.

           

            The Court has learned you may have a legal interest in custody of the child(ren) named.

           

            A hearing will be held in Courtroom _____ of the Court of Common Pleas, 4 Broadway, Jim Thorpe, Pennsylvania, on ____________________________(Day and Date), at ________________ (Time), __.M.  If you wish to protect any legal interest you may have or wish to present evidence to the Court on those matters, you should appear at the place and time and on the date above.

           

            If you have the child(ren) in your possession or control, you must appear and bring them to the Courthouse with you.

           

            If you wish to claim a right of custody, you may file a counterclaim.

           

            If you fail to appear as provided by this order or to bring the child(ren), an order for custody may be entered against you or the Court may issue a warrant for your arrest.

           

            YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE.  IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW.  THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.

 

            IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.

 

North Penn Legal Services

101 West Broad Street, Suite 513

Hazleton, PA  18201

Phone 1-877-953-4250

Fax (570) 455-3625

 

or

 

Carbon County Lawyer Referral

811 Blakeslee Blvd. Dr. East, Suite 130

Lehighton, PA  18235

Phone 1-610-379-4950

Fax (610) 379-4952

 

AMERICANS WITH DISABILITIES ACT OF 1990

 

            The Court of Common Pleas of Carbon County is required by law to comply with the Americans with Disabilities Act of 1990.  For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact the Office of the District Court Administrator at (570) 325-8556.  All arrangements must be made at least seventy-two (72) hours prior to any hearing or business before the court.  You must attend the scheduled conference or hearing.

 

                                                                                    BY THE COURT:

 

 

Date:                                                                           ________________________________

                                                                                                                                                J.


 

ORDEN Y NOTIFICACION

 

            Una demanda ha sido asentada en el Tribunal de Causas Comunes del Condado de Carbon conerciente a la custodia del (los) siguiente(s) menor(es):

 

            El tribunal se ha enterado de que usted pudiera tener un interés legal en la custodia del (los) menor(es) nombrados.  Una audiencia tendrá lugar en la sala de tribunal _______del Tribunal del Condado de Causas Comunes, 4 Broadway, Jim Thorpe, PA 18229 el ______(Dia y Fecha), a las _______ (AM/PM) (hora).

 

            Si desea proteger cualquier derecho legal que pudiera tener o desea presentar pruebas al Tribunal sobre estos asuntos, deberá comparecer en el lugar,  a la hora y en la fecha antes indicada.

 

            Si tiene al (los) menor(es) en su poder y control, deberá comparecer y traerlo(s) al Tribunal con usted.

 

            Si desea reclamar un derecho a custodia, usted puede asentar una contrademanda.

 

            Si no comparece de acuerdo a esta notificación o no trae al (los) menor(es), una orden para custodia puediera ser asentada en su contra o el Tribunal puediera emitir una orden de arresto en contra suya.

 

            USTED DEBERA LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI USTED NO TIENE UN ABOGADO, VAYA O LLAME A LA OFICINA ALISTADA ABAJO. ESTA OFICINA PUEDE PROVEERLE LA INFORMACION NECESARIA PARA CONTRATAR UN ABOGADO.  SI USTED NO PUEDE CONTRATAR LOS SERVICIOS DE UN ABOGADO, ESTA OFICINA PUEDE DARLE INFORMACION SOBRE AGENCIAS QUE OFRECEN SERVICIOS LEGALES A PERSONAS ELEGIBLES PARA UNA CUOTA REDUCIDA O GRATIS.

 

North Penn Legal Services

101 West Broad Street, Suite 513

Hazleton, PA  18201

Phone 1-877-953-4250

Fax (570) 455-3625

 

or

 

Carbon County Lawyer Referral

811 Blakeslee Blvd. Dr. East, Suite 130

Lehighton, PA  18235

Phone 1-610-379-4950

Fax (610) 379-4952

 

ACTA DE 1990 PARA ESTADOUNIDENSES CON INCAPACIDADES

 

            La Ley requiere que el Tribunal de Causas Comunes del Condado de Carbon cumpla con el Acta de 1990 para Estadounidenses con Incapacidades.  Para información sobre locales accessibles y alojamiento disponibles a individuos incapacitados que tengan diligencias ante el tribunal, por favor comuníquese con nuestra oficina.  Todos los arreglos deberán hacerse al menos 72 horas antes de cualquier audiencia o diligencia ante el tribunal.

 

                                                                        POR EL TRIBUNAL:

                                                                        ________________________________

­­­­­­­­­­­

Fecha: ___________________________

 

 

Effective 7/1/15

Revision effective 10/14/15

 

 

RULE 1915.16(b).   ORDER FOR NOTICE.  RIGHT TO INTERVENE.

 

            The order for notice of the pendency of the action and the right to intervene required by Pa.R.C.P. 1915.6(b) shall be completed in English and Spanish.

           

The English and Spanish versions are attached.


 

ORDER AND NOTICE

           

            A complaint has been filed in the Court of Common Pleas of Carbon County concerning custody of the following child(ren): ________________________________.

           

            The Court has learned you claim custodial rights with respect to the child(ren) named.

           

            A hearing will be held in Courtroom _____ of the Court of Common Pleas, 4 Broadway, Jim Thorpe, Pennsylvania, on ____________________________(Day and Date), at ________________ (Time), __.M.  If you wish to assert your claim to custodial rights with respect to the child(ren) or wish to present evidence to the Court on those matters, you should petition the Court, on or before the date above, for leave to intervene in the proceedings.

           

            YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE.  IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW.  THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.

 

            IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.

 

North Penn Legal Services

101 West Broad Street, Suite 513

Hazleton, PA  18201

Phone 1-877-953-4250

Fax (570) 455-3625

 

or

 

Carbon County Lawyer Referral

811 Blakeslee Blvd. Dr. East, Suite 130

Lehighton, PA  18235

Phone 1-610-379-4950

Fax (610) 379-4952

 

AMERICANS WITH DISABILITIES ACT OF 1990

 

            The Court of Common Pleas of Carbon County is required by law to comply with the Americans with Disabilities Act of 1990.  For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact the Office of the District Court Administrator at (570) 325-8556.  All arrangements must be made at least seventy-two (72) hours prior to any hearing or business before the court.  You must attend the scheduled conference or hearing.

 

                                                                                    BY THE COURT:

 

 

Date:                                                                           ________________________________

                                                                                                                                                J.


 

ORDEN Y NOTIFICACION

 

            Una demanda ha sido asentada en el Tribunal de Causas Comunes del Condado de Carbon concerniente a la custodia del (los) siguiente(s) menor(es):

 

            El tribunal se ha enterado de que usted pudiera tener un interés legal en la custodia del (los) menor(es) nombrados.  Una audiencia tendrá lugar en la sala del tribunal ________ del Tribunal del Condado de Causas Comunes, 4 Broadway, Jim Thorpe, PA 18229 el ______(Dia y Fecha), a las _______ (AM/PM) (hora).

 

            Si desea hacer valer su demanda de derechos de custodia con respecto al (los) menor(es) o  desea presentar pruebas al Tribunal sobre estos asuntos, deberá hacer un pedimento al Tribunal a más tardar para la fecha antes indicada, para pedir permiso para intervenir en las diligencias judiciales.

 

            USTED DEBERA LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE. SI USTED NO TIENE UN ABOGADO, VAYA O LLAME A LA OFICINA ALISTADA ABAJO.  ESTA OFICINA PUEDE PROVEERLE LA INFORMACION NECESARIA PARA CONTRATAR UN ABOGADO.  SI USTED NO PUEDE CONTRATAR LOS SERVICIOS DE UN ABOGADO, ESTA OFICINA PUEDE DARLE INFORMACION SOBRE AGENCIAS QUE OFRECEN SERVICIOS LEGALES A PERSONAS ELEGIBLES PARA UNA CUOTA REDUCIDA O GRATIS.

North Penn Legal Services

101 West Broad Street, Suite 513

Hazleton, PA  18201

Phone 1-877-953-4250

Fax (570) 455-3625

or

Carbon County Lawyer Referral

811 Blakeslee Blvd. Dr. East, Suite 130

Lehighton, PA  18235

Phone 1-610-379-4950

Fax (610) 379-4952

 

ACTA DE 1990 PARA ESTADOUNIDENSES CON INCAPACIDADES

 

            La Ley requiere que el Tribunal de Causas Comunes del Condado de Carbon cumpla con el Acta de 1990 para Estadounidenses con Incapacidades.  Para información sobre locales accessibles y alojamiento disponibles a individuos incapacitados que tengan diligencias ante el tribunal, por favor comuníquese con nuestra oficina.  Todos los arreglos deberán hacerse al menos 72 horas antes de cualquier audiencia o diligencia ante el tribunal.

 

                                                                                                            POR EL TRIBUNAL:

                                                                                                            ________________________________

­­­­­­­­­­­

Fecha: ___________________________

 

Effective 7/1/15

Revision effective 10/14/15

 

 

RULE 1920.12 - COMPLAINT

 

1.   In every divorce or annulment complaint whether pending or new, the plaintiff shall complete Form "A" as set forth below this rule with the Social Security Number of each party to said action as required by 23 Pa.C.S.A. 4304.1(a)(3).  Said form shall not be attached to said complaint but shall remain separate from the complaint. 

 

a.   The Prothonotary's Office shall record the Social Security Numbers in the Court Computer Database and, upon verification of proper entry, shall shred the form containing the Social Security Numbers.  The Social Security Numbers shall remain confidential in that they will only be visible to internal personnel and cannot be accessed through the public access programs.

 

2.   The Social Security Number Disclosure Notice shall be attached to the divorce or annulment complaint.  Said notice shall be in the form set forth in Form "B ".

 

3.   The person to be named in the notice shall be pursuant to CARB.R.C.P.1018.1.

 

Effective 7/26/04

Revision Effective 9/15/14

 

Form "A"

 

Docket Number of Divorce/Annulment Case______________________________

 

Plaintiff Name: _____________________________________________________

 

Plaintiff Social Security Number: _______________________________________

 

Defendant Name: ___________________________________________________

 

Defendant Social Security Number: _____________________________________

 

Effective 7/26/04

Revision Effective 9/15/14

 

Form "B"

 

In the Court of Common Pleas of Carbon County, Pennsylvania

 

 

 

 

Social Security Number

Disclosure Notice

 

 

                        In accordance with section 7(b) of the Privacy Act, you are hereby notified that disclosure of your Social Security number is mandatory based on Section 466(a)(13) of the Social Security Act [42 U.S.C. 666(a)(13)], Pennsylvania Consolidated Statutes (23 Pa C.S.) §§4304.1 and 4353(a.2).  Additionally, you are notified that this information will be used solely in the divorce action.

 

Effective 7/26/04

Revision Effective 9/15/14

 

 

RULE 1920.51 - HEARING BY THE COURT. APPOINTMENT OF MASTER NOTICE OF HEARING.

 

1.   If the Master determines during the course of the proceedings that additional sums should be deposited for the payment of Master's fees, the Master shall request the parties to deposit such additional sums with the Prothonotary and shall allocate who shall be responsible for the depositing of said additional costs. In the event the parties object to the request of the Master, the party shall petition the Court and the Judge shall hold a hearing thereon and issue an appropriate Order.

 

2.   Hearings shall be stenographically recorded.  The moving party shall be responsible to secure the services of an outside Court reporter for said hearing and shall be responsible for payment thereof unless the Court places the payment responsibility on the other party.

 

Effective 7/26/04

 

 

RULE 1920.71.  FORM OF NOTICE.

 

            The notice required by Pa.R.C.P. 1920.12 (c) shall be completed in English and Spanish.

           

            The English and Spanish versions are attached.


 

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 at Carbon County Courthouse, 4 Broadway, Jim Thorpe, Pennsylvania 18229.

           

            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, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW.  THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.

           

            IF YOU CANNOT AFFORD THE HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.

 

North Penn Legal Services

101 West Broad Street, Suite 513

Hazleton, PA  18201

Phone 1-877-953-4250

Fax (570) 455-3625

 

or

 

Carbon County Lawyer Referral

811 Blakeslee Blvd. Dr. East, Suite 130

Lehighton, PA  18235

Phone 1-610-379-4950

Fax (610) 379-4952

 


 

NOTIFICACION AL ACUSADO Y DERECHOS DE DEMANDA

 

            Se le ha demandado en el tribunal.  Si desea defenderse de las demandas delineadas en las siguientes páginas, debe tomar acción prontamente.  Se le notifica que si no lo hace, el caso procederá sin usted y el tribunal pudiera asentar una orden de divorcio o anulamiento en su contra.  Una sentencia pudiera también ser asentada en su contra por cualquier otra queja o demanda o desagravio requerido por el demandante en estos documentos.  Usted pudiera perder dinero o propiedades u otros derechos importantes para usted, incluyendo la custodia o derecho de visita de sus hijos.

 

            Cuando la causal de divorcio es un rompimiento absoluto del matrimonio, usted puede solicitar consejería matrimonial.  Una lista de consejeros matrimoniales está disponible en la Oficina del Protonotario en el Tribunal del Condado de Carbon, 4 Broadway, Jim Thorpe, Pennsylvania 18229.

 

            SI USTED NO ASIENTA UNA DEMANDA POR MANUTENCION, DIVISION DE PROPIEDADES, HONORARIOS PROFESIONALES DEL ABOGADO O GASTOS ANTES QUE SE OTORGUE UN DIVORCIO O ANULACION, USTED PUEDE PERDER EL DERECHO A RECLAMAR CUALQUIERA DE ESTOS GASTOS.

 

            USTED DEBERA LLEVAR ESTE DOCUMENTO A SU ABOGADO INMEDIATAMENTE.  SI USTED NO TIENE UN ABOGADO, VAYA O LLAME A LA OFICINA ALISTADA ABAJO. ESTA OFICINA PUEDE PROVEERLE LA INFORMACION NECESARIA PARA CONTRATAR UN ABOGADO.  SI USTED NO PUEDE CONTRATAR LOS SERVICIOS DE UN ABOGADO, ESTA OFICINA PUEDE DARLE INFORMACION SOBRE AGENCIAS QUE OFRECEN SERVICIOS LEGALES A PERSONAS ELEGIBLES PARA UNA CUOTA REDUCIDA O GRATIS.

 

North Penn Legal Services

101 West Broad Street, Suite 513

Hazleton, PA  18201

Phone 1-877-953-4250

Fax (570) 455-3625

 

or

 

Carbon County Lawyer Referral

811 Blakeslee Blvd. Dr. East, Suite 130

Lehighton, PA  18235

Phone 1-610-379-4950

Fax (610) 379-4952

 

Effective 7/1/15

Revision effective 10/14/15

 

 

RULE 2102(b) – STYLE OF ACTION.

 

(1)        In all cases where an appeal is taken from a real estate assessment fixed by the Carbon County Board of Assessment and Appeals, the petition for allowance of appeal shall have attached to it a photocopy of the appealed from order of the said board and a proposed preliminary decree which shall provide:

 

(A)       The appeal is allowed.

 

(B)       Within 5 days from the date of the preliminary decree, appellant shall serve a copy of the petition and preliminary decree upon the said board, the governing body of the municipality, and the board of school directors of the school district in which the real estate is situate and upon the property owner, if he is not the appellant.  Said service shall be made by either personal service or certified mail, with proof of service thereof to be filed at the Carbon County Prothonotary’s Office.

 

(C)       The taxing authorities aforesaid and the property owner, if he is not the appellant, be and are hereby entitled to intervene as parties appellee; and

 

(D)       The Carbon County Board of Assessment and Appeals is directed to certify to the Court all evidence including photos, maps, and appraisals, submitted below to become part of the Court record.

 

2.      Within forty-five (45) days after required service of the petition and preliminary decree, all parties of record shall file pre-hearing statements and serve a copy on all other parties of record.  The pre-hearing statement shall include:

 

A.    A summary of the facts which will be offered by oral and documentary evidence at the hearing;

B.     A list of exhibits to be offered;

C.     A list of the names and addresses of all witnesses to be called;

D.    Copies of any appraisal reports, or if no report is available, a summary of the testimony of any expert who will be called as a witness;

E.     A statement of the current valuation which is the basis for the appeal;

F.      A statement setting forth the appellant’s position as to the correct valuation which shall include appellant’s position as to correct market value, assessment ratio, and assessment;

G.    A statement that there have been negotiations between the parties and a good faith attempt to settle the case; and

H.    The statement shall be signed by the parties or their counsel.

3.      Upon docketing of all pre-hearing statements, a pre-hearing conference shall be scheduled.  Notice pursuant to Pa.R.C.P.440 shall be given by the Prothonotary’s Office to all affected taxing authorities whether or not parties of record.  Each party of record shall either be personally present, or shall be represented by counsel authorized to act on behalf of the absent party of record with respect to the trial of the case or its settlement.

4.      At the pre-hearing conference, the parties of record shall consider:

A.    Possible stipulations as to evidence and facts;

B.     Simplification of the issue; and

C.     Settlement.

 

5.   Following the pre-hearing conference, the Court shall enter an appropriate order or schedule a hearing.

 

Effective 7/26/04

Revision effective 10/1/08

 

 

RULE 2974.2 –  NOTICE OF JUDGMENT AND EXECUTION REQUIRED BY RULE 2973.2.  FORM

 

The person to be named in the notice shall be pursuant to CARB.R.C.P.1018.1.

 

Effective 7/26/04

 

 

RULE 2974.3 –  NOTICE OF JUDGMENT AND EXECUTION REQUIRED BY RULE 2973.3.  FORM

 

The person to be named in the notice shall be pursuant to CARB.R.C.P.1018.1.

 

Effective 7/26/04

 

 

RULE 3252 - WRIT OF EXECUTION.  MONEY JUDGMENTS.

 

The person to be named in the notice shall be pursuant to CARB.R.C.P.1018.1.

 

Effective 7/26/04

 

 

RULE 3256 - PRAECIPE FOR WRIT.  MORTGAGE FORECLOSURE.

 

The praecipe for the writ shall state the volume and page of the recorded mortgage securing the obligation upon which the judgment was entered, as well as the volume and page of the deed conveying the real property to the debtor.

 

Effective 7/26/04

 

 

RULE 4005 – WRITTEN INTERROGATORIES TO A PARTY.

 

Interrogatories, as a matter of right, shall not exceed FORTY (40) in number.  Interrogatories inquiring as to the names and locations of witnesses, or the existence, location and custodian of documents of physical evidence each shall be construed as one (1) interrogatory.  All other interrogatories, including subdivisions of one numbered interrogatory, shall be construed as separate interrogatories.  If counsel for a party believes that more than FORTY (40) interrogatories are necessary, counsel shall consult with opposing counsel promptly and attempt to reach a written stipulation as to a reasonable number of additional interrogatories.  Counsel is expected to comply with this requirement in good faith.  In the event a written stipulation cannot be agreed upon, the parties seeking to submit additional interrogatories shall file a motion with the Court showing the necessity for relief.

 

Effective 7/26/04

 

 

RULE 4014 – REQUEST FOR ADMISSION.

 

Request for admission, as a matter of right, shall not exceed FORTY (40) in number.  Request for admission as to the names and locations of witnesses, or the existence, location and custodian of documents of physical evidence each shall be construed as one (1) admission.  All other request for admission, including subdivisions of one numbered request for admission, shall be construed as separate request for admission.  If counsel for a party believes that more than FORTY (40) admissions are necessary, counsel shall consult with opposing counsel promptly and attempt to reach a written stipulation as to a reasonable number of additional admissions.  Counsel is expected to comply with this requirement in good faith.  In the event a written stipulation cannot be agreed upon, the parties seeking to submit additional admissions shall file a motion with the Court showing the necessity for relief.

 

Effective 7/26/04

 

 

RULE L2039 – COMPROMISE, SETTLEMENT, DISCONTINUANCE AND DISTRIBUTION

 

A.        SETTLEMENTS:

 

(1)        Motions for Settlement of a case in which a minor or incapacitated person has an interest shall be filed and served pursuant to Carbon County Local Rule of Civil Procedure CARB R.C.P. 208.3(a).

 

(2)        The petition shall:

 

(A)       Set forth the factual circumstances of the case;

 

(B)       State the reasons why the settlement is a reasonable one; and

 

(C)       Be accompanied by the following:

 

(1)        A proposed order of distribution;

 

(2)        A written report of a physician setting forth the present condition of the minor or incapacitated person;

 

(3)        A statement under oath by a parent or guardian certifying (a) the present physical or mental condition of the minor or incapacitated person, and (b) approval of the proposed settlement and distribution thereof;

 

(4)        A statement of the professional opinion of counsel as to the reasonableness of the proposed settlement and the basis for such opinion;

 

(5)        In the event that the minor is fourteen years of age or over, his or her written approval of the proposed settlement and distribution thereof; and

 

(6)        If there is to be an allocation between parents and children or among children, the amounts allocated to each party

 

(3)        The Order of Distribution shall include an award of counsel fees.  The standard for the award of counsel fees in the representation of minors is that such fees must be reasonable in accordance with the guidelines set forth in Rule 1.5 of the Rules of Professional Conduct.  Under normal circumstances a counsel fee in the amount of twenty-five percent (25%) of the fund recovered shall be considered reasonable, subject to the approval of the Court.  The attorney fee determined shall be reduced by the amount of collateral payments received as counsel fees for representation involving the same matter from third parties such as Blue Cross/Blue Shield.

 

(4)        The approving Judge, to whom the Petition is submitted, may, at his or her discretion, require the personal appearance of the minor, guardians, physicians, or any other relevant party, as well as, the production of any other evidence deemed necessary for adjudication of the Petition.

 

B.        DISTRIBUTION:

 

(1)        Motions for Allowance of Distribution of funds in which a minor or incapacitated person has an interest shall be filed and served pursuant to Carbon County Local Rule of Civil Procedure CARB R.C.P. 208.3(a).

 

(2)        The petition shall include:

 

(A)       The facts and circumstances surrounding the origination of the minor's fund;

 

(B)       A chronological statement of all prior requests for allowance, including the reasons there for, the amounts thereof, and the disposition;

 

(C)       The age of the minor at the time the fund was created and the minor's present age;

 

(D)       The original amount of the minor's fund and the present balance of same; and

 

(E)       The circumstances and reasons supporting the request for allowance.

 

(3)        All petitions shall be accompanied by:

 

(A)       A proposed Order;

 

(B)       A copy of the Original Petition for Compromise and the Order of Distribution;

 

(C)       Copies of all prior requests for allowances and the Orders with respect to same;

 

(D)       Substantiating documentation to support the proposed request; and

 

(E)       A consent filed by the petitioner.

 

Effective 12/1/12

 

 

RULE L2206 - SETTLEMENT COMPROMISE, DISCONTINUANCE AND JUDGMENT         

 

(1)        Court approval of settlements in wrongful death cases shall be required only where a minor or incapacitated person has an interest.

 

(2)        Motions for Settlement of a case in which a minor or incapacitated person has an interest shall be filed and served pursuant to Carbon County Local Rule of Civil Procedure CARB R.C.P. 208.3(a).

 

(3)        The petition shall:

 

(A)       Set forth the factual circumstances of the case;

 

(B)       State the reasons why the settlement is a reasonable one;

 

(C)       Be accompanied by the following:

 

(1)        A proposed order approving the settlement and allocation between wrongful death and survival; the proposed order shall comply substantially with the prescribed format in Form A.

 

(2)        A statement of the professional opinion of counsel as to the reasonableness of the proposed settlement and the basis for such opinion;

 

(3)        A statement setting forth the proposed allocation between wrongful death and survival actions and the amount proposed to be allocated to each beneficiary;

 

(4)        A statement clearly identifying those parties believed to be beneficiaries under each of the actions, attaching a copy of the will of the decedent, if any;

 

(5)        A statement setting forth the following:

 

(a)        The time between the injury and death;

 

(b)        Whether or not the decedent was conscious, and the circumstances prior to his or her death;

 

(c)        The amount of the medical and funeral bills;

 

(d)       The amount of the decedent's wage loss; and

 

(e)        The age, employment and any other circumstances of any potential beneficiaries under the Wrongful Death Act.

 

(6)        A certification of service of notice and a copy of the petition to all parties with a possible interest, together with a list of those persons notified.

 

(7)        A letter from the Department of Revenue stating either their approval or objection to the proposed settlement.

 

Effective 12/1/12

 


                                                             

 

IN THE COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA

CIVIL ACTION - LAW

,                                                                       :

Plaintiff                                   :

:

vs.                                            :           NO.

:

,                                                                       :

Defendant                               :

 

ORDER OF COURT

 

AND NOW, this     day of                , 20   , upon consideration of the Motion to Compromise Wrongful Death and Survival Action filed on                     , 20 , it is hereby ORDERED that Petitioner is authorized to enter into a settlement with Defendant(s)                 in the gross sum of                                               

($      ).

 

It is further ORDERED and DECREED that the settlement proceeds be distributed as follows:

 

1.      To:___________________,Esq.                             $______________________

For Costs

2.      To:___________________,Esq.                             $______________________

Counsel Fees  

3.   The balance of the settlement, the  

                  sum of                                                                      $______________________

is apportioned as follows:

Wrongful Death Claim                                      $______________________

Survival Claim                                                   $______________________

a.      The Wrongful Death Claim

shall be paid as follows:            

I.  To: Spouse; and/or                                $____________________

ii. Adult Child(ren)                                   $____________________

iii. To: Minor Child(ren)1                          $____________________

  as provided hereunder

                                                                             

                        [1] In the event the beneficiary is an incapacitate person, appropriate changes are to be made. Counsel shall set forth in the Order a separate provision for each minor or incapacitated person.

Form “A”

Effective 12/1/12

OPTION 1

 

Counsel is hereby authorized to execute all documentation necessary to purchase saving certificate(s), from federally insured banks or savings institutions having an office in Carbon County, in the sum of  $                                    , each not to exceed the insured amount, with the funds payable to the minor upon majority.  The certificate shall be titled in the name of the minor and shall be restricted as follows:

 


       

                                                            , a minor, not to be redeemed except for renewal in its entirety, not to be withdrawn, assigned, negotiated, or, otherwise alienated before the minor attains majority, except upon prior Order of Court.

 

Counsel shall open a savings account in the sum of $                                    in the name of the minor.  The savings account shall be restricted as follows:

 

                                                      , a minor, not to be withdrawn, before the minor attains majority, except for the payment of city, state, and federal income taxes on the interest earned by the savings certificate and savings account, or upon prior Order of Court.

 

OPTION 2

 

To:                                                  , Guardian         $____________________

 

of the Estate of                                                           , a minor; provided, however, that no payment shall be made to the guardian until the guardian has posted additional security as may be required by the Orphans’ Court Division of Carbon County pursuant to 20 Pa.C.S. § 5121, et seq.  An appropriate Petition shall be filed with the Orphans’ Court within thirty (30) days.

OR

[To: Guardian of the Estate of   $_________________________

 

                                                                         , a minor, upon appointment by the Orphans’ Court Division of Carbon County and upon the posting of any security as required by the said Orphans’ Court pursuant to 20 Pa.C.S. § 5121, et seq.  An appropriate Petition shall be filed with the Orphans’ Court within thirty (30) days.  Counsel shall not make any Distribution to said Guardian upon appointment until this provision is fully complied with.]; and/or

iv.  To: Parent(s)                                    $____________________

 

b. The Survival Claim, in the sum of              $____________________

 

shall be paid to                                                , Administrator/Executor of the Estate of ______________________________, Deceased; provided, however, that counsel shall not distribute any funds to the said Administrator/Executor until additional security as may be required by the Register of Wills of Carbon County pursuant to 20 Pa.C.S. § 3323(b)(3) is posted.

 

Within thirty (30) days from the date of this Order, counsel shall file with the Motion’s Court an Affidavit from counsel certifying compliance with this Order.

 

            BY THE COURT:

 

 

            ________________________________

                                                                                                                                                            J.

 

Effective 12/1/12

 

 

















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