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NOTICE OF APPEAL
COMMONWIALYH 0' ,.,.NSYLVANIA
----..-.---- . couaj'o,cOMMON'LiAS
fROM
JUDICIAL Dlltlle'
DISTRICT JUSTICE JUDGMENT
COMMON "'AS N.. q ftJ - 6 82-/ .~ L~r>V
NOTICE OF APPEAL
Notic. i, given rho, the ~kIn' hcn filed in the obove Court of Common Pleas on opp,ol from the judgment r.ndfred by the Oiltrid Justice on the
dole end In the ca.. montiaMd below.
=~~~;'I; 'IIHI.fl^R~I~I.I~~.M~ I:I.~R ..' . ...... m .. ..-----... F~I~~~~~~~I~I~~T J R-----
AI'fiIn~r' u,___,~___,,_,__'___'_____' ....orv.... ..-.. .m_.,_ ...sl"Ati----...----------... -.T.cOOl~--
) 17 Rth ST NE\, CmIllEI{I.ANll "A 17070
~~;,r .. ~];~;~N~~;:~~,~~~~yn n--~':N~"-'~ =i,f~~~~~,~~0;~~~"~~~:,~~.-~I~,~:f,;{---~--=
) ,,--- Lh(,AL SI'.RV leI'.S [NC
CV 19. [I [LIP C ~(,^N'I [ 8 IRVINE Rm,
__Un . LT 19 ~6 LT-0000523:-.?6 . . _. . _ ~/d/'h~I:;'f.l-'1.lJJ..'I.) C^~~I~I.:>LE. l~^ 1701~J
Tm. black will be .gned ONLY when thl> nataHan " r.quir.d und.r Po. RC/J,';.t-b If appellant was CLAIMANT (see Pa, RC P,J p, No~
10081!.
Thi. Notic. al Appeal, when received by the Di.hid Ju.tice, will op.rate 0> a 1001 (6) In action belore District Justice, he MUST
SUPERSEDEAS to the judgment Ia< pa.....an in thi. ca... FILE A COMPLAINT Within twenty (20) days aller
filing his NOTICE 01 APPEAL.
-.---'-.-----.---S;g;wtIJro-..();'ito;h;~j{);.~,.y 0,- Ot;puty'
..un-----.---.PRAECipETO ENTER RULE TO FILE COMPLAINY-AND"RULfTCf,iL'E
(This section 01 lorm to be used ONLY when aPlX'lIant was OEFENDI\NT (see P'J. RCPJP No. 100 I ( 7 ) III ilcllon before DIstrIct Jus/Ice
IF NOT USED, ,feraell from copy of nallce of aPlX'ill 10 be served upon ilPlX'lIee)
PRAECIPE. To Prothonotary
Enter rul. upon _._.'l~l'0I0.~.A.I'1.A~AVSKYu ..... ...._._..__.. _ .....___._._... ,aw-II..(.), ta Iii. a camplai"t in thi. _al
N;1I110{)',~>!It'I.>(S)
(Camman Plea> No..9JL - t,8ZL.~_1~ I within twenty (20) day. ~'P'iC. .pf rule or )'!ffer entry af judgment af non pro.
~r' ( 1t ~C"anl & h. a'"",, & agern
RULE. To THmlAS A PLANAVSKY
NalTle01 iIj.l)O/W')
._, appell..(.},
11) You ant naHfied that CI rule i. hereby ent...d upan you to fil. a complaint in this appeal within twellty (20) dny. afle< the date af
service of this IVIe upon you by personal servk:e 01 by certiMd Of registered moil
(2) If you do 001 file a camplaint within thi. time, a JUDGMENT Of NON PROS WILL 8E ENTERED AGAINST YOU,
(3) The date al _vice af Ihi. rl/le if ...vic. was by mGil i. the dale af mailing.
Date: ;.O~-<.. I~, 19.u, f'1t.~zL tl
-naliL,z.Ll ~
S/g18tln 01 PrJin..
.tOPe 312'"
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PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
( This /lllh)/1 "WI VII:" MI IS r tit: '-IL (- (J ~VII! fiN fiN I I ,) I f JA 'r.'i ,.\ I II II "/IO!I lI!t/ fl. II/f.e 0' dPPfl,ll Clwc" UpJJ/fc' .1/)/11 IJtJ_w.~
COMMONWEAL TH OF PEN'IS'LYANIA
COUNTY OF
;n
AFFIDAVIT:
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Titl" O'O"J(.,"I
M)I ("~lrnnWilill)11 l'-'CplrUf:I 011 __m______ ___._.__ 1 ')__'P ._.....
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COMMONWEALTH OF PENNSYLVANIA
C:.0UNIY OF: CUMBERLAND
NOTICE OF JUDGMENT/TRANSCRIPT
RESIDENTIAL LEASE
Ad~'",
CHARLES A. CLEMENT,
1106 CARLISLE ROAD
CAMP HILL, PA
JR.
PLAINTIFF NAMIi anu AODRUS
IpLANAVSKY, THOMAS A.
P.O. BOX 824
CAMP HILL, PA 17011
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Mao Dill. NQ
09-1-01
OJ NIlm. ~Icm
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17011
DEFENDANT
fMILLER, DAVID ~MMARTHA
317 8TH STREET
NEW CUMBERLAND, PA 17070
L
VS.
T.,.,,", 17171 761-4940
-,
.J
DAVID & MARTHA MILLER
317 8TH STREET
NEW CUMBERLAND, PA 17070
Docket No,: LT-0000593-96
Date Flied: 11/27/96
THIS IS TO NOTIFY YOU THAT:
Judgment: FOR PI,AINTIFF
~ Judgment was entered for: (Name) PLANA VSKY , THOMAS A.
o Judgment was entered against MILLER, DAVID & MARTHA
lXJ LandlordfTenant action in tile amount of $ 2 , 255 . 50 on 12/11/96
O The amount of rent pcr month, as established by the District ,Jus lice, Is $
Damages will be assessed on: (Date & Time)
The total amount or the Security Deposit Is $ .00
Ina
, (Dale of Judgment)
140.00.
o
o
[!] Possession granted,
o Possession granted II money judgment is not satisfied by time 01 eviction,
o Possession not granted,
o Levy is stayed for days Dr 0 generally stayed,
o Objection to Levy has been filed and hearing will be held:
Date: Place:
Total Amount Established by OJ Less Security Deposll Applied = Adjudicated Amount
Rent in Arrears $ 420.00 $ .00= $ 420.00
Physical Damages Leasehold Property $ L 760.00 - $ . 00 = $ L 760.00
Damages/Unjust Detention $ .00 - $ .0.0 = $ .00
Less Amt Due Defendant from Cross Complaint - $ .00
Interest (If provided by lease) $ .00
LfT Judgment Amount $ 2 I AO . 00
Judgment Costs $ 75 . 50
Anorney Fees $ .00
Total Judgment $ 2 .255. 50
Anachment Prohibited/
Victim of Abuse (Act 5, 1996)
This case dismissed without preJudice,
Time:
ANY PARTY HAS THE RIGHT TO APPEAL A JUDGMENT INVOLVING A RESIDENTIAL LEASE AND AFFECTING THE DIELIVERY OF POSSESSION
OF REAL PROPERTY WITHIN 10 DAYS AFTER THE DATE OF ENTRY OF JUDGMENT BY FILING A NOTICE OF APPEAL WITH THE
PROTHONOTARY/CLERK OF COURTS OF THE COURT OF COMMON PLEAS, CIVIL DIVISION. IN ORDER TO OBTAIN A SUPERSEDEAS, YOU
MUST DEPOSIT WITH THE PROTHONOTARY THE LESSER OF 3 MONTHS RElll OR THE RENT ACTUALLY IN ARREARS ON THE DATE THE
APPEAL IS FILED.
IF YOU WISH TO APPEAL THIi MONEY PORTION ONLY OF A JUDGMENT INVOLVIIlG A RESIDENTIAL LEASE"yOU HAVE 30 DAYS
AnER THE DATE OF ENTRY OF JUDGMENT IN WHICH TO FILE A !OTICE OF APPEAL WITH THE,PROTHONOTARY/CLERK OF COURTS OF
THE COURT OF COMMON ~~S, PVIL DIVISION. f ", .. .
YOU MUST INCLUDE A CO 9F nm; ~OTIC. of. OF JUDaMENTIRA S~fllPT FORM WIT~O~TI9l! OF 'fPEAL,
'-'I_l" Date f./\,Vo.r.x. . \i \.., ( \.~IL'V'J' iL~:J'-::----L){li:ltrictJustlce
I certify that this IS a true a~d correct copy of the record of the proceedingg~~~w?!u~gmenl.
". ' un ." Date ';'~.I I " '., '" I I.,: " ,j ..,.t~." "', District Justico
My commission expires first Monday at January, 2002. "':. ?;,.,' SEAL-'
AOPC 3'~A.96 . ~
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(f) Debts and obliqations
Mortqaqe: N I A
Rent: $600.00/mo.* tanticivated: debtors are movinal
Loans: NIA
Monthly Expenses: Electric $150.00: TeleDhone $39.00:
Water $60.00: car insurance $100.00: aas $40.00: aas
for home $38.00: oil $153.00: car Dayment $200.00: tv
cable $52.00:_Groceries $500.00:
(q) Persons dependent upon you for support
(Wife) (Husband) Name:
Children, if any:
Name: Courtnev Miller Aqe: 17 years
Joshua Miller 8 years
CodY Miller 6 years
stefanie Miller 4 years
Brittany Miller 2 years
4. W. understand that we have a continuinq obliqation to
inform the court of improvement in our financial circumstances
which would permit us to pay the costs incurred herein.
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COMMOHWIALJH O' PlHHIYLVAHIA
coUiioi COMMON-piIAS
NOTICI OF APPEAL
fROM
JUDICIAL OI".ICI
DISTRICT JUSTICE JUDGMENT
';::==:=:.::.__ __. _m___cOMMO~~LIAS No.1 h~0 8 21C<..~~1.1 TM/t>V
NOTICE OF APPIAL
NoM. i. iii- that the ~lant hat filed in the aba", Caurt af Cornman PI.a. an appeal fram the judgment render.d by the Di.trkt !v.tk. an the
date and In the c_ mentioned below.
::~':;:;:F.R ~nd MARTHA MI!~~~_._==~=_.~,~,_~==~~~};;NOt~:t~7.;~.JR
""1.I5IlIIb 01 APNu..AHf UIl ~ ..II; If COOl
~:"'~~(__.__ Me... "',_"" ____._NE~_~~MBEI{LAN1) PA '~I 17070
12/Hi96 Ji:HOMAS A PLANAVSKY '" DAVID MIl.LER 'Iud MARTHA M.ILLEIl
a....., --.------..--..~.YlifllJAWlITAI1I'llI1inl.-!!''''''''''''NI I.EGAL SERvtCI!S INC
CV 19 ___ PW;UP C 8~GANTI 8 IRVINE ROW
LT 19 96 LT-0000593-9.!' .. ._._.__I,1.Jr(>J-~~. 'I - 0 CARLlSLI.-: ~^ 17013 ___
Thi. black wiD be signed ONLY when thi. naloHan i. r.quir.d undet' Po. R,C7J1. No. /I appellant was CLAIMANT (see Pa. R.GP,JP, No,
100811.
Thi. Notice af Appeal, when ",,,",,,d by the Di.trkt !v.tic., will op.rat. a. a 1001(6) in act/on before DistrlclJustice, he MUST
SUPERseDEAS II> tile iudtln-t fat po....oian in thi. ca... FILE A COMPLAINT within twenty (20) days after
R::OOC .. ---'.--' I/ling his NOTICE of APPEAL.
S/f718Iu," 077f0Ihono.lIY or' ~y -.-
PRAECIPE ToENTEifil(fLETOfILECOMPLAUii,- ANififuLE TO FIL~--''''-
(Th/$ section 01 tonn 10 be used ONLY when appcll<1l1t was DEFENDANT (see 1"". HCP.JP No, 1001(7) ,n action before Disltict Justice.
IF NOT USED, delach from C<lJY 01 notice 01 appeal to bo selVed upon oppel/eo).
'!tAICIPI, Ta Prothanatary
.
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r,.... """ ""'" _..!=HOHAS_A..!'LANAVSJ~.v__.......______.__.._.___, ,appellee(.). ta fil. a complainl in tN. appeal
NoIoo 01 appclJoo( s J
'. No. _% - ~R2' CU;.<tl~) within twenty (201 day. a"-J,s;"vk.
RULli Ta THOMAS A PI.ANAVSKY
Nlme 01 ~sJ
- , oppeIIee(.),
( I) You en natffied thaI a rule i. hereby entened upon you to file a c"""""inl in tN. appeal within twenty (20) days aftet the dole af
...vk. of "". rule ""'" you by p....anal .ervic. at by certified at regi......d maiL
(2) W you da not file a camplah" within thi. time, a JUDGMENT OF NON PROS WILL BE ENURED AGAt/'lST YOU,
Datlt: ).01<. /]
..
(3) The date of ....yic. af thiJ rule if ...vice wo. by mail is the dale af maill'9. ; ...
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PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
1'''II~ proof 01 Sfifltlt;C} MUS r BE fILED WI ffUN T'f N ( Id) DA \'.', A( lfJI filII 11) ttll/ !/c)flr.'lJ 01 apPl1i.1l Clio,,,," dppllCdtJltJ bOUJ:J)
COUNTY Of
COMMONWEAL TH OF PENNSYLVANIA
Cumberland
.~--------------- ---- ; ,.
AFFIDAVIT: I hereby swell' 0' o"lrm that I servod
96-6821 Civil Term
[X n copy 01 Ihli Notice 01 Appl!itt, Common PIf'I'lS No . _.._ __. ...n. _" Ilpl)f1lhe District JUSlicel1oslQniJlI.>d n'("'!irl on
(tI"'. Of .,ome6) Dw:emb..r...17...., 19.96..., [J hy P"";<)Il," ",rw:e [')( by (certified' lj;It\lIQIUCl) mail, sender's
renPlpt AIIACh.fto horeto. And IIrO" Ihl' nppflll(!P. (f1.1mo) _._ Thomas.. P .Lanavs.ky _._ _..__h."_'__'__U_"_h ..__.._.__. on
U8.c~r.-.l.'l.._.~., 19._9..6fJ lJy ptH';OI1<J1 'il~rVIC:(: {XI by ((O"IIllld) (rlIlDUlHKi!) mail. !}tHllh~I'~ recolpl Hfla'.;hed hE!,cto
or: ~Hld twlhi!r that I :wrvf!d 11111 null_' lu f 111.\ it C'Jlllpl.lIlll ;1((' )(IlPdIlYlrlU PlI: ~lbO\lt' Notlt;e ljl Appeal upon ltltJapPlJllce(,) towhOrTl
ttllJ Rule WilS uddrlJ:1'5I.!1! (HI December 17 10. ?.~.." [) 11Y pt~ri;O:)r1:J1 SfH'IICtJ lX1 by (o,'/IIIip.d) (l)O]I:tOiIXa<<J
mad. sender's reC(llpt attncht1d hereIn
SWORN (AFFIRMED) AND SUBSCRIBED BU ORE ME
THIS ,,__.
DAY OF. .
.1q...._
..~.HtwttL____
Slgna/ure of ulfldnf
SlgnarUf. 01 01f0(;'111 tHtl')f' "",11';111 ..1I,,1,'~11 Wll~ mdtfe
Tltl.o'OIfICi"
MV comml.sion oxplre!! on ._
_,___. 1~~_.
I verify that the statements made in this affidavit are true and correct. I understand
that false statements herein are made subject to the penalties of 18 Pa. C.S. 4904,
relating to unsworn falaification to authorities.
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