HomeMy WebLinkAbout01-5860COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
JUDICIAL DISTRICT
NOTICE OF APPEAL
I:KO~
DISTRICT JUSTICE JUDGMENT
COMMON PLEAS NO. 4~ / ° ~:~I'~
NOTICE OF APPEAL
Notice is gi~m that the appellant has filed in the above Court of Commo~ Pleas an appeal from the judgment rendered by the District Justice o~ the
date and in the case meetiomd below.
1008B.
This Notice of Appeal, when received by the District Justice, will operate as a
SUPERSEDEAS to the judgment for possession in this case~
Signature of ProtHonotary o~ Del~ty
1001 ( 6 ) in action before District Justice, he 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 fora3 to be used ONLY when appellant was DEFENDANT (see Pa. R.C.P.J.P. No. 1001(7) in action before District Justice.
IF NOT USED, detach from copy of notice of appeal to be served upon appellee).
PRAECIPE: To Prothor~otory /.. -- ~ *,'~ ,
(1) You are notified that a rule is hereby enteeed upon you to fib a complaint in this appeal within twenty (20) days after the date of
service of Ifils rub upon you by personal service or by certified or registered mail
(2) If you do not file a complaint within this time, a JUDG/v~NT OF ~ PROS ~NILL BE ENTERED AGAINST YOU.
(3) The date of service of this rule if service was by mail is the date of mailing.
10 . ' ..___
Date:
COURT FILE TO BE FILED WITH PROTHONOTARY
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(This proof of service M~JST BE FILED WITHIN TEN (10) DAYS AFTER filing the notice of appeal. Check applicable boxes)
COMMONWEALTH OF PENNSYI.VANIA
COUNTY OF.. ; ss
AFFIDAVIT: I hereby swear or affirm that I served
[] a copy of the Notice of Appeal, Common Pteas NO.
(date of service)
receipt attached hereto, and upon the appellee, (name)
, upon the District Justice designated therein on
[] by personal service [] by (certified) (registered) mail, sender's
, 19 [~] by personal service [] by (certified) (registered) mail, sender's receipt attached hereto.
[] and further that I servedtheRuteto FileeCompiaintaccompanyingtheaboveNoticeofAppeal upon the appellee(s) towhom
the Rule was addressed on , 19 , [] by personal service [] by (certified) (registered)
mail, sender's receipt attached hereto~
SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME
THIS DAY OF -- _ , 19__
Signature of affiant
'~MMONWEALTH OF PENNSYLVANIA
COUNTY OF:~COM~ERLA_N~
Mag, Dist. NO.:
09-1-01
DJ Name; Hon.
CHARLES A. CLEM]~'T, j~.
~ores~: 1106 CAP'T'ISLE ROAD
CAMp HILL, PA
(717) 761-4940
17011
ELMER SLASEMAND/B/A R.S.I.
120 4TH STI~ET
NEW CUMBERLAND, PA 17070
THIS IS TO NOTIFY YOU THAT:
Judgment:
[] Judgment was entered for: (Name)
[] Judgment was entered against: (Name)
in the amount of $ ~'~. ~n on:
[]Defendants are jointly and severally liable.
~-] Damages Will be assessed on:
[] This case dismissed without prejudice.
Amount of Judgment Subject to
[~ AttachmenVAct 5 of 1996 $
[] Levy is stayed for_ days or [] generally stayed.
]Objection to levy has been filed and hearing will be held:
NAME a~ ADDRESS
~DA~YL EVANS/TWIN KISS RESTAURANT
695 2ND. STREET
HIGHSPIP, E, PA 17034
DEFENDANT: VS.
NAMEandADDRESS
120 4TH STREET
NEW =uMBEPJ~AND, PA 17070
L
IOocketNo.:
5/21/01
lDate Filed: CV-0000276-01
NOTICE OF JUDGMENT/TRANSCRIPT
PLAINTIFF: CIVIL CASE
DR]~A~LT ~M]~Pp PLTI~'
(Date of Judgment)
(Date & Time)
?
Amount of Judgment $ 200.0 g
Jbdgment Costs $ 63.50
Interest on Judgment $ .00
Attorney Fees $. . O(
Total $ 263.5~
Post Judgment Credits $__
Post Judgment Costs $
Certified Judgment Total $_
ANY PARTY HAS THE RIGHT TO APPEAL WITHIN 30 DAYS AFTER THE ENTRY oF .~UDGMENT BY FILING A NOTICE
OF APPEAL WITH ']=HE PROTHONOTARY/CLERK OF THE COURT OF COMMON P~EAS, CIVIL DIVISION. YOU
MUST INCLUDE A COPY OF THIS NOTICE OF JUDGMENT/TRA~NSCRJPT FORM WITH YOUR NOTICE OF APPEAL.
~ Date ~, District Justice
I certify that this is a true and correct copy of the record of the proceedings containing the judgment.
-- _ Date
~ , District JusticeJ
My commission expires first Monday of January, 2002 SEAL
AOPC 315-99
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(This proof of service MUST BE FILED WI THIN TEN (1 O) DA YS AFTER filing the notice of appeal, Check applicable boxee}
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF.~_(~r~- ~. ; ss
AFFIDAVIT: ~ hereby swear or affirm that I served
[~ a copy of the Notice of Appeal, Commgr~ Pleas NO. ~/' - ~ , upon the District J.stice d;;[g.ated ,herei~ on
('date of service} /.~ , /~ ', ~/ , ~by personal servi~e D ~y (certified)(registered) mail, sender's
receipt attach~ hereto, and upon the appellee, {name) -~~_ · ~ H ~ ~ ~ , on
' ~ -- ~ ()/ ~ by persona se~ oe~c;~Ged) (,egi[tered) ma, se~der's r;oe pt a.ached hereto
~ and further that I served the Ru~ to File a Comp la iht acco~panyin~ the ~o2¢ Notice of App~he a~llee(e) to whom
. / ,, ,,. /,- / , -- ,
mad, sende, s fete,pt attached hereto. ~ . ~ (¢.'-'~ ~
SWORN (AFFIRMED)AND SUBSCRIBED BEFORE ME ~'*"~ ~
--, /7
Notarial Se. al
Patricia A. Go~don, No~iy Public
Fairview Twp., York County
My Commission Bxpires July 31, 2005
IT" Postage
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