HomeMy WebLinkAbout01-5663COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
JUDICIAL DISTRICT
NOTICE OF APPEAL
FROM
DISTRICT JUSTICE JUDGMENT
COMMON PLEAS No.
NOTICE OF APPEAL
Notice is given that the appellant has filed in the above Court of Common Pleas an appeal from the judgment rendered by the
District Justice on the date and in the case mentioned below.
ADDRESS OF APPELLANT CITY STATE ZIP CODE
DATEOFJUDGMENT [ INTHECASEOF (PLAINTIFF) / (DEFENDANT~ ~ r~L~' ~ e ~ ~t~
. ,:r,-. vs.
CLAIM .
CVLT YEARyEAR 00(~0 ~'~/0 -- ~{ SIGNATURE OF APPELLANT OR HISF~ ORNEY OR AGENT '~.4 ,~
This block will be signed ONLY when this notation is required under PA. If appellant was Claimant (see PA R.C.P.J.P.
R.C.P.J.P. No. 1008B. No. 1001(6)) in action before district Justice, he
This notice of Appeal, when received by the District Justice, will operate as
A SUPERSEDEAS to the Judgment for possession in this case. MUST FILE A COMPLAINT within twenty (20)
days after filing his NOTICE of APPEAL.
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(This section of form to be used ONLY when appellant was DEFENDANT (see PA R.C.P.J.P. No. 1001(7) Jn action before District Justice.
IF NOT USED, detach from copy of notice of appeal to be served upon appellee.
PRAEClPE: To Prothonotary
Enter rule upon ~_l~(~ ~_._. ~"~ , d/"". ____, appellee(s), to file a complaint in this appeal
Name of appellee(s)
(Common Pleas No. ~)/--)'"4~ ~ within twenty (20)days after service of rule or suffer entry~,o~f~__l._~_.....~ non pros.
Sigeatur~o~appellant or his attorney or agent
RULE: TO (~/~'~' (~''' /~(~.~"~> '*~*'~'"', ,appellee(s)
/
Name o~ appellee(s)
Date:
White
Green
Yellow
Pink
Gold
(1) You are notified that a rule is hereby entered upon you to file a complaint in this appeal within twenty(20) days
after the date of service of this rule upon you by personal service or by certified or registered mail.
(2) I1 you do not file a compla'nt wit;3'n this times: a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST YOU
UPON PRAECIPE.
(3) The date of service of this rule if service was by mail is the date of the mailing.
/ '. V--si/dg~/t"~rothoh~)~ taty or Deputy
Prothonotary Copy
Court File Copy
Appelant's Copy
Appellee Copy
D. J. Copy Proth. - 7'6
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(This proof of service MUST BE FILED WITHIN TEN (10) DAYS AFTER filing the notice of appeal. Check applicable boxes)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ; ss
AFFIDAVIT: I hereby swear or affirm that I served
[] a copy of the Notice of Appeal, Common Pleas No. , upon the District Justice designated therein on
(date of service) ., year ., [] by personal service [] by (certified) (registered) mail, sender's
receipt attached hereto, and upon the appellee, (name ..... on
....... year ..... [] by personal service [] by (certified) (registered) mail, sender's receipt attached hereto.
[] and further that I served the Rule to File a Complaint accompanying the abov~ Notice of Appeal upon the appellee(s) to
whom the Rule was addressed on ___ .... , year .... , [] by personal service [] by (certified) (registered)
mail, sender's receipt attached hereto.
SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME
THIS DAY OF , YEAR _.
Signature of Affiant
My commission expires on _,year. ~ ~ } ~' ~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF: CUMBERLAND
09-1-01
CHARLE~ A. CLEMENT,
1106 CA~LISLE ROAD
CAMP HILL, PA
(717) 761-4940
17011
MICHAEL L. MARTIN
584
GP. ANDVI EW DRIVE
L~WI~BRP~Y, PA 17339
NOTICE OF JUDGMENT/TRANSCRIPT
CIVIL CASE
8420 BULL ROAD
LEWIBBEP~Y, PA 17339
m
L~MOY~T~, PA 17043
DocKet No. 0V-0000410-01
Date F ed 7/23/01
THIS IS TO NOTIFY YOU THAT:
Judgment:
] Judgment was fNamel
entered
for:
[~ Judgment was entered against; (Name)
t~X~TTN: MI~M&~T, T,
in the amount ors
On:
'Date et auogment)
Defendants are ]o!ntJy and severe ly liabJe,
(Date & T ma
Damages wi l be assesseo on: Amount of Judgment $ 1.772.00
Judgment Costs $. 153.50
meres'; Onduagment $ , ~0~
Th s case dismissed w tnout orejua ce. Attorney Fees $ . O0
Tote $~
r~ Amount of Judgment Sul~ject to
Attachment/Act 5 of 1996 $ Post Judgment Credits $
Post Judgment Coats $ ,
Levy is stayed for days or ~ generany stayed. ============
ICertlfled Jud~ rnent Total $.
[~ Objection to levy has been filed and near ng w lice held
Date: / P ace;
Time:
ANY PARTY HAS THE RIGHT TO APPEAL WITHIN 80 DAYS AFTER THE ENTRY OF JUDGMENT BY FILING A NOTICE
OF APPEAL WITH THE PROTHONOTARY/CLERK OF THE COURT OF COMMON,PLEAS, CIVIL DIV]$ION; YOU
MU$~,INCLUDE A COPY OF THIS NOTICE OF JUDGMENT/TRAc:~_T FORM.~NITH YOUR NOTICE OF APPEAL,
I certify that this is a true and correct copy of the record of the proceedings c~ntaJnirlg [he judgment,
Date , District Jus¢ce
My commission expires first Monday of Jenusry, 2002 SEAL
AO~C 315.99
~ d ~OSS'oN 3NI NIJNV~] qqYH,'},iV~] V~¥fll:/ IOl~z
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(This proof of service MUST BE F. ILED WITHIN TEN (10) DAYS AFTER filing the notice o! appeal Check applicable boxes)
COMMONWEALTH OF PENNSYLVANIA
COUNTY Of j~',v¢.~l.~,~ ; ss
AFFIDAVIT: ~ hereby swear or affirm that I served
~,.a copy of the Notice of AppeaI, Common Pleas No. O.'/'- ~-~.,~ ~___~1~'. [~_ , upon the District Justice designated therein on
(date of service) ~_..~%~/' } , year _'~'~ I , [~]_by personal service [~ by (certified) (registered) maiJ, sender's
receipt attached hereto, and upon the appellee, (name ~'_ ¢ ,',t ~' ~'". ~/~ xl..~/~, ............ on
~-~ ~'~ E.~ ! , year '~ , [] by pers~"~onal service [] by (caVilled) (registered) mail, sender's receipt attached hereto.
]and further that I served the Rule to File a Complaint accompanying the ab0v~.Notice of Appeal upon the appellee(s) to
whom the Rule was addressed on ~)(%'~_~_ ~_¢_~ _ ) , year "~ _~-~?._~__, [] by personal service [~ by (cedified)(registered)
mail, sender's receipt attached hereto.
SWORN (AFFI.RMED)AND SUBSCRIBED BEFORE ME
THIS \~"~"-~ DAY OFOQ-~I3'~ , YEAR
My commission expires on ~ v . ~) , year ~
Signature of Affiant
....NOTARIAL SEAL
JOOY GOLDRING, Notary Public
Harrisburg, Dauphin County PA
My Commission Expires Nov 03, 2001
· Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
· Pdnt your name and address on the reverse
so that we can return the card to you.
· Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
' p,4
A, Received
D. Is delivery address different from i
If YES, enter delivery address below:
~ of Delivery
I-1 Agent
[] Addressee
[] Yes
[] No
[] Insured Mail [] C.O.D.
t for Merchandise
4. Restricted Delivery? (Extra Fee) [] Yes
PS Form 3811, July 1999
i02595-99-M-1789
Dorne~t~ .Re,urn Receipt :, .
~ x
~ Ps Form 3811, December1994
(Only
102595-97-B~179 Domestic Return Receik~t~
~ Postage
r
E~I Certified Fee
ru
Return Receipt Fee
GV