HomeMy WebLinkAbout01-6783COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
JUDICIAL DISTRICT
NOTICE OF APPEAL
FROM
DISTRICT JUSTICE JUDGMENT
NOTICE OF APPEAL
Notice is given that the appellant has filed in the above Court of Common Pleas an appeal from the judgment ~'endered by the
District Justice on the date and in the case mentioned below.
NAME OF APPELLANT
HCC of Carlisle d/b/a Herman Chiropractic
ADDRESS OF APPELLANT CITY
1 Valley Street, Suite 106, Carlisle, PA, 17013
DATEOFJUDGMENT I IN THE OASE OF (PLAINTIFF) d/b/a He~T~.,'3.
11/1/01 I HOC of Carlisle ChJ_ropractic
CLAIM NO. SIGNAT
This block will be signed ONLY when this notation is required under PA.''~'-.~
[ MAG. DIST. NO. OR NAME O~ D,J.
Day/09-3-03 I
R.C.P.J.P. No. 1008B.
This notice of Appeal, when received by the District Justice, will operate as
A SUPERSEDEAS to the Judgment for possession in this case.
Sk2nature of Prothonotary or Deputy
STATE ZIP CODE
(1)
(2)
(3)
(DEFENDANT)
vs. ~h King .
J~/PPE NI OR HIS ATTO O
It'-appellant ~as Claimant (~.
ee PA R.C.P.J.P.
district Justice, he
No. 1001(6)) in action befor~
MUST FILE A COMPLAIN7 within twenty (20)
days after filing his NOTICE )f 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) in action beforeI~ist~ict Justice.
IF NOT USED, detach from (~opy of notice of appeal to be served upon appellee.
PRAEClPE: To Prothonotary
Enter rule upon , appellee(s), to file a coml~laint in this appeal
Name of appellee(s) .,
(Common Pleas No. ) within twenty (20) days after service o1' rule0
t ry~.of, jj,~ s.
.., - ~g e o~ppella, ~'~ his attorney or agent
RULE: To , appellee(s)
Name of appellee(s)
;nty(20) days
i AGAINST YOU
You are notified that a rule is hereby entered upon you to file a complaint in this appeal within tw,
after the date of service of this rule upon you by personal service or by certified or registered mai
If you do not file a complaint within this time, a JUDGMENT OF NON PROS WILL BE ENTERE[
UPON PRAECIPE.
~thonotary or Deputy
The date of service of this rule if servi~:e was by mail is the date of the mailing.
Date: , Year
White - Prothonotary Copy
Green - Court File Copy
Yellow - Appelant's Copy
Pink - Appellee Copy
Gold - D. J: Copy
Signature of Pr,
Proth. - 76
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
(This proof o! service MUST BE FILED WITHIN TEN (10) DAYS AFTER filing the notice of appeal. Check applicable boxes)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
AFFIDAVIT: I hereby swear or affirm that I served
[] a copy of the Notice of Appeal, Common Pleas No.
(date of service) , year
receipt attached hereto, and upon the appellee, (name
, year __
; ss
, upon the District Justice designated therein on
__., [] by personal service []by (certified) (registered) mail, sender's
on
, [] 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 above 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
Signature of official before whom affidavit was made
Tit~ of official
My commission expires on
COMMONWEALTH OF PENNSYLVANIA
COUN'I Y OF:
Mag. Di!:. No.:
09-3-03
DJ Nam: Hon.
SUSAN K. DAY
~ress 229 MILL STREET, BOX 167
MT. HOLLY SPRINGS, PA
(717) 486'7672 17065
ATTORNEY FOR PLAINTIFF :
ROBERT B. MACINTY~E, ESQ.
P.O. BOX 6656
HAP~£SB~G, PA 17112
NOTICE OF JUDGMENT/TRANSCRIPT
CIVIL CASE
PLAINTIFF: NAME and ADDRESS
FHCC. OF CARLISLE DBA HEP, MAN CHIHO.
i VALLEY ST.
SUITE 106
~RLISLE, PA 17013
VS.
DEFENDANT: NAME and ADDRESS
FKING, JOSEPH
3215 SPRING ROAD
CARLISLE, PA 17013
Date Filed: 8/20/01
THIS IS TO NOTIFY YOU THAT:
JJdgment:
· Judgment was entered for: (Name)
JJdgment was entered against: (Name)
i. the amount of $ _ on on:
I-,efendants are jointly and severally liable,
Damages will be assessed on:
(Date of Judgment)
(Date & Time)
'fhis case dismissed without prejudice.
Amount of Judgment Subject to
Attachment/Act 5 of 1996 $.
L~vy is stayed for days or r-'] generally stayed.
Objection to levy has been filed and hearing will be held:
Amount of Judgment
Judgment Costs
Interest on Judgment
Attorney Fees
Total
$ .00
$ .00
$ .00
$ .00
$ .00_
Post Judgment Credits $
Post Judgment Costs $
Certified Judgment Total $
Date:
Time:
Place:
ANY PARTY HAS THE RIGHT TO APPEAL WITHIN 30 DAYS AFTER THE ENTRY OF JUDGMENT BY FILING A NOTICE
OF APPEAL WITH THE PROTHONOTARY/CLERK OF THE COURT OF COMMON PLEAS, CIVIL DIVISION. YOU
//--,/--~/ Date J ~-~ ~ , District Justice
I certif)' that this is a true ~/~d correct copy of the recojd of th~proceedings containing the judgment. I
Date , DistriI JusticeIi
200~ SEAL ~
My commission expires first Monday of January,
AOPC 3; 5-99
PROOF OF SERVICE OF NOTICE OF AI~EAL 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
AFFIDAVIT: I hereby swear or affirm that I served
[~ a copy of the Notice of Appeal, Common Pleas ~o. (~,.,~/~ ?). ~ .~f'~ L'~ , upon the District Justice designated therein on
i ~'1 ~'~ ; year .__o,.~ , ' '. [.J by personal service [] by ~ (registered) mail, sender's
(date
Of
service)
receipt attached hereto, ~ upon the~ .appe~e~, ,,{llalm~. ~;~ ~'3 ~._.4~/'~ ~ .... on
~.[ 3 ' , year~, [] by.rsonal ~el~lce ~ by (~(registered) mail, sender's receipt attached hereto,
[] and further that I served the Rule to File a Complaint accompanying the above 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
/ i