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Cour t tiof Common Pleas For Prothonotary Use Only
Civil hover Sh et
Docket No
County
The information collected on this form is used solely for court administration purposes. This form does not
supplement or replace the filing and service ofpleadings or other papers cis required by Imv or rules of court.
Commencement of Action:
0 Complaint 0 Writ of Summons 0 Petition
` 0 Transfer from Another Jurisdiction Declaration of Taking
Lead Plaintiff's Name: /I Lead Defendant's 'ae:
m V j
I Are money damages requested? 0 Yes No Dollar Amount Requested: Dwithin arbitration limits
(check one) E]outside arbitration limits
Is this a Class Action Suit? 0 Yes No Is this an IYJDJAppeal? Yes D No
Name of Plaintiff /Appellant's Attorney:
" Check here if you have no attorney (are a Self - Represented [Pro Se] Litigant)
Nature of the Case Place an "X" to the left of the ONE case category that most accurately describes your
PRDDTARY CASE. If you are making more than one type "of claim check the onz that
you consider most important.
TORT (do not include .Mass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS
El Intentional Buver Plaintiff Administrative Agencies
El Malicious Prosecution Debt Collection: Credit Card 0 Board of Assessment
0 Motor Vehicle 0 Debt Collection: Other Board of Elections
Nuisance 0 Dept. of Transportation
0 Premises Liability Statutory Appeal: Other
0 Product Liability (does not include
D Employment Dispute: tort)
Slander/Libel/ Defamation Discrimination
C' Other: Employment Dispute: Other 0 Zoning Board
' 0 Other:
0 Other:
MASS TORT
' 0 Asbestos
Tobacco
Toxic Tort - DES
0 Toxic Tort - Implant REAL PROPERTY MISCELLANEOUS
0 Toxic Waste
E] Other: El Ejectment 0 Common Law /Statutory Arbitration
B.'
0 Eminent Domain/Condemnation Declaratory Judgment
0 Ground Rent 0 Mandamus
Landlord /Tenant Dispute 0 Non - Domestic Relations
0 Mortgage Foreclosure: Residential Restraining Order
PROFESSIONAL LIABLITY Mortgage Foreclosure: Commercial El Quo `Varranto
n Dental 0 Partition 0 Replevin
0 Legal Quiet Title 0 Other:
0 Medical 0 Other:
0 Other Professional:
Updated 111/1011
COURT OF COMMON PLEAS NOTICE OF APPEAL
Judicial District, County Of FROM
MAGISTERIAL DISTRICT JUDGE JUDGMENT /
COMMON PLEAS No. D - .?3� 7 �Ur L
NOTICE OF APPEAL /eHI
Notice is given that the appellant has filed in the above Court of Common Pleas an appeal from the judgment rendered by the Magisterial District
Judge on the date and in the case referenced below.
NAME OF AP i MAG. 015T. NO. Zwo
jjI �n 1 � j� ,� 2 F MO J C �
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ADDRESS OF P P f I T�V U — VL — b - 3 - 6 C Y� - 1 Imo- -
G! Ty 5 TATE ze= cods
11 b W o (S ( PA
DATE F JUL -:MaNT E CASE OF (RainiTl (Cef =,taA1)'
1 Zt) 13 t C � f ur i o 5 S� Wav
DOCK - i N° SfGN„� U t Cr ArP ELIAN t OR A � ORNE'Y Cr: A. GcNT
1l)— ��v3—GU DOObbl� - 2013
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This block will be signed ONLY when this notation is required under Pa. f appellant was claimant (see Pa. R.C.P.D.J. No. 1001(0) in action
R.C.P.D.J. No. 10088.
This Notice of Appeal, when received by the Magisterial District Judge, will before a Magisterial District Judge, A COMPLAINT MUST BE FILED
operate as a SUPERSEDEAS to the judgment for possession in this case. within twenty
(20) days after filing the NOTICE of APPEAL.
Sicnz`.re a`Prt �orctarycrGeputy
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.D.J. No. 1001(7) inaction before Magisterial Distract
Judge. IF NOT USED, detach from copy of notice cf appeal to be ser✓ed upon appellee.
PRAECIPE: To Prothonotary n
Enter rule upon (�tnC� /ra p ! ,�( �� '/ cppellae(S), tC The a complaint in this appeal
Name�crl=p'pe e e(`)
(Common Pleas No.1� —.w / 6�f ) ,;ithin twenty (20) days service of rule or surfer entry of judgment of non pros.
G� I-Y?
bp Signature of appellant or attorney or agent
RULE: To / , IY� w'A'A e I�/ ��) ]CLI�IJL! ► appellees)
Name of pp_//ee(s)
(1) You are notified th at 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) If you do not file a complaint within this time, a JUDGMENT OF NON PROS MAY BE ENTERED AGAINST YOU.
(3) The date of seriice of this rule if service was by mail is the date of the mailing.
Date: � . 20 3.
/ Sicn2 reo`r ^ro�?�oncizrycrDe �h
YOU MUST INCLUDE A COPY OF THE NOTICE OF JUDGMENT/TRANSCRIPT FORM WITH THIS NOTICE OF APPEAL.
VINVAIASNUd
Aorc 312 -05 103. Jc - U pd pla er
Cgs ti
Al 41
COMMONWEALTH OF PENNSYLVANIA Notice of Judgment/Transcript Civil
COUNTY OF CUMBERLAND z °' Case
Mag. Dist. No: MDJ- 09 -3 -03 American Express Centurion Bank
MDJ Name: Honorable Susan K. Day V.
Address: 229 Mill Street Lisa Warner
P.O. Box 167
Mount Holly Springs, PA 17065
Telephone: 717- 486 -7672
Lisa Warner Docket No: MJ- 09303 -CV- 0000013 -2013
116 Meals Drive Case Filed: 2/5/2013
Carlisle, PA 17015
Disposition Summary
Docket No Plaintiff Defendant Disposition Disposition Date
MJ- 09303 -CV- 0000013 -2013 American Express Centurion Lisa Warner Default Judgment for Plaintiff 04/01/2013
Bank
Judgment Summary
Participant Joint/Several Liability Individual Liability Amount
American Express Centurion Bank $0.00 $0.00 $0.00
Lisa Warner $0.00 $3,656.10 $3,656.10
Judgment Detail ( * Post Judgment)
In the matter of American Express Centurion Bank vs. Lisa Warner on 4/01/2013 the judgment was awarded as follows:
Judgment Component Joint /Several Liability Individual Liability Deposit Applied Amount
Civil Judgment $0.00 $3,515.97 $3,515.97
Filing Fees $0.00 $105.50 $105.50
Server Fees $0.00 $34.63 $34.63
Grand Total: $3,656.10
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 COURT OF COMMON PLEAS, CIVIL DIVISION. YOU MUST INCLUDE A COPY OF THIS NOTICE OF
JUDGMENT /TRANSCRIPT FORM WITH YOUR NOTICE OF APPEAL.
EXCEPT AS OTHERWISE PROVIDED IN THE RULES OF CIVIL PROCEDURE FOR MAGISTERIAL DISTRICT JUDGES, IF THE JUDGMEN
HOLDER ELECTS TO ENTER THE JUDGMENT IN THE COURT - OF °COMMON PLEAS, ALL - FURTHER PROCESS MUST COME
COURT OF COMMON PLEAS AND NO FURTHER PROCESS MAY BE ISSUED BY THE MAGISTERIAL DISTRICT JUDGE.
UNLESS THE JUDGMENT IS ENTERED IN THE COURT OF COMMON PLEAS, ANYONE INTERESTED IN THE JUDGMENT MAY FILE A
REQUEST FOR ENTRY OF SATISFACTION WITH THE MAGISTERIAL DISTRICT JUDGE IF THE JUDGMENT DEBTOR PAYS IN FULL, SETTLES,
OR OTHERWISE COMPLIES WITH THE JUDGMENT.
Date Magisterial District Judge Susan K. Day W:
certify that this is a true and correct copy of the record of the proceedings containing the judgment.
t Date Magisterial District Judge
MDJS 315 Page 1 of 2 Printed: 04/05/2013 9:49:28AM
American Express Centurion Bank Docket No.: MJ- 09303 -CV- 0000013 -2013
V,
Lisa Warner
Participant List
Private(s)
Attorney Michael F. Ratchford, Esq.
Edwin A Abrahamsen & Associates PC
120 N Keyser Avenue
Scranton, PA 18504
Plaintiff(s)
American Express Centurion Bank r .
4315 S 2700 W
SALT LAKE CITY, LIT 84184
Defendant(s)
Lisa Warner
116 Meals Drive
Carlisle, PA 17015
MDJS 315 Page 2 of 2 Printed: 04/05/2013 9:49:28AM