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COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
Judicial District, County Of c...c...."""b~( \"'^c.l
NOTICE OF APPEAL
FROM
DISTRICT JUSTICE JUDGMENT
COMMON PLEAS No. 01.0- P-II_1 p,~;, (~/I..'1
NOTICE OF APPEAL
Notice is gi,ven 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 referenced below.
S94::, L-u.l'--e,. ~T
DATE OF JUDGMENT IN THE CASE OF (Plaintiff)
3-. I (,. 10 tv k.', \ /Y1.Ol-(.. E.
DOCKE No
NAME OF D.J.
c.~r\e.'" ().,. C\e."'-L",t-- il.
STATE ZIP CODE
{Jf\ II/I
(Defendant)'
~~'6C<.-',^-~," ~ c..~r\e.~ Lo..V\V\-
SIGNATURE OF APPELLANT OR ATTORNEY OR AGENT
NAME OF APPEll...\NT
'N>.-. \e. '':;, L- c...J\ L C,- TI.
ADDRESS OF APPELLANT
MAG. OIST. NO.
0'1-1-0
c..\;-OOOO'757-0~
QU
~ .'tk:
This block will be signed ONLY when this notation is required under Pa. If appellant was Claimant (see Pa. R.C.P.D.J. No. 1001(6) in action
R.C.P.D.J. No. 10088.
This Notice of Appeal, when received by the District Justice, will operate as a before a District Justice. A COMPLAINT MUST BE FILED within twenty
SUPERSEDEAS to the judgment for possession in this case.
(20) days after filing the NOTICE of APPEAL
Signature of Prothonotary or Deputy
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(This section of form to be used ONL Y when appellant was DEFENDANT (see Pa.R.CPDJ 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 Prothonotary
Enter rule upon ~"^<).-<.... ~.!:..,J\<:>SO(.\(\. ~_____"__.__ appellee(s), to file a complaint In this appeal
J Name of appel/se(s)
(Common Pleas No. D0 _ I t..JL,3 ___gDL--~hln twenty (20) days after se~~ .?f rule or sUffe~)lry of judgment of non pros.
-~ ~~~
Signature of appellant or attorney or agent
RULE: To _V~0:":''O !~~,",~....At>SOC;'(' l.e '~ ,appellee(s)
Name of apjill/ee(s)
(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) II you do not file a complaint within this time, a JUDGMENT OF NON PROS MAY BE ENTERED AGAINST YOU.
(3) The date of service of this rule if serv!~e was by mail is the date of the mailing. iJJ ~
Date: rv'L /11 .20/\1 , ;;?,,?~ P~~A'K'_ _ ~
'--.:_~ k2: Uf!2: ~. tureofProthon tary eput
YOU MUST INCLUDE A COPY OF THE NOTICE OF JUDGMENTfTRANSCRIPT FORM WITH THIS NOTICE OF APPEAL.
AOPC 312-02
WHITE - COURT FILE TO BE FILED WITH PROTHONOTARY GREEN - COURT FILE YELLOW - APPELLANT'S COPY
PINK - COPY TO BE SERVED ON APPELLEE GOLD - COPY TO BE SERVED ON DISTRICT JUSTICE
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF: CUMBPT.lL1IlI)
09-1-01
NOTICE OF JUDGMENTITRANSCRIPT
CIVIL CASE
PLAINTIFF: NAME ana ADDRESS
~ILMORB BYE ASSOCIATBS I
890 C,uuuaY DaIVE
KBCBARICSBURG, PA 17055
L -.J
VS.
Mag_ Disl No
MDJ Name: Hon
CBARLBS A. CLBIODIT, J1t
Add"" 400 BB.IDGE ST
OLDE TONRB COMKORS -SUITE 3
lRW CUMBB1l.LIl1lll), PA
r,,,,"oo, (717) 774-5989 17070
DEFENDANT:
1z.uzA, CIIAlI.LBS
5943 LARPU STRBBT
BAB.B.ISBURG, PA 17112
L
NAME anu ADDRfSS
I
CIIAlI.LBS LAJIZA
5943 LARPU STREET
BAB.B.ISBURG, PA 17112
Docket No.: CV-0000757-05
Date Filed: 12/13/05
"\...
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THIS IS TO NOTIFY YOU THAT:
Judgment:
DBI'AULT .mDmnnrr PLTI!'
[!]
[!]
Judgment was entered for:
(Name)
rTT.vnVR RVR aAAn~Ta~
RfI
Judgment was entered against: (Name)
T~"~a., t"RaVT..t:i
in the amount of $
1o;!ii 42 on:
(Date of Judgment)
2/1 Ei/OEi
o
o
o
Defendants are jointly and severally liable.
,'- t'1
'~f
(Date & Time)
Damages will be assessed on:
,[,{
Amount of Judgment
Judgment Costs
Interest on Judgment
Attorney Fees
Total
$
$
$
$
$
66.42
89.00
.00
.00
155.42
n
ThiS case dismissed without prejudice.
O Amount of Judgment Subject to
Attachment/42 Pa.C.S. 98127 $
o Portion of Judgment for physical
damages arising out of residential
lease $
Post Judgment Credits $
Post Judgment Costs $
------------
------------
Certified Judgment Total $
ANY PARTY HAS THE RIGHT TO APPEAL WITHtN 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
MUST INCLUDE A COPV OF THIS NOTICE OF JUDGMENTrrRANSCRIPT FORM WITH YOUR NOTICE OF APPEAL
EXCEPT AS OTHERWISE PROVIDEO IN THE RULES OF CIVIL PROCEDURE FOR MAGISTERIAL DISTRICT JUDGES, IF THE
JUDGEMENT HOLDER elECTS TO ENTER THE JUDGMENT IN THE COURT OF COMMON PLEAS, ALL FURTHER PROCESS MUST
COME FROM THE COURT OF COMMON PLEAS AND NO FURTHER PROCESS MAYBE ISSUED BY THE MAGISTERIAL DISTRICT JUDGE.
UNLESS THE JUDGMENT IS ENTERED IN THE COURT OF COMMON PLEAS, ANYONE INTEREST~pJN THI: JUDGMENT MAY FILE
A REOUEST FOR ENTRY OF SATISFACTION WITH THE MAGISTERIAL DISTRICT JUDGE IF TH~dtlPGMEkT oeBTOR PA YS IN FULL
SETTLES, OR OTHERWISE COMPLIES WITH THE JUDGMENT. ~/. ,. .
, .
. ...
, ""J
2/1fj/f1f}
Date
~
~-
': MagisteriafDistrict Judge
I certify that tbis is a true and correcl copy of the record of the proceedings containing the judgment.
Date
, Magisterial District Judge
My commission expires first Monday of January, 2008
SEAL
AOPC 315-05
DATE pB.rRTBD:
2/16/06
3:40:11 PM
,
~Mbu~Nl
IN -,:':2 cau?, OF co:.:c:m, ?LE.~.S OF ~ com;,y, ?2,;-:;SYL','':.2;Ii'.-
\\ \ \ /IILO~ ~c 1*c-;,.>oc,C"-te <"
NO. 0'- -1l/fc6 r3~~L~~
C-u- c.:ooo 7 '57- o~- I
VS
~(\€.:::. \.-c..(\~c.. 'lC
"PSTITI2~i F02 r..::..:.\~ 70 FIr...:::. SU'l":'h.R': COt\vrC:ION ;'.E?"i-=-:'" Il< ?0?,,":'; ?::'.IJ?'::?J:S
AND N.::)",.r, CO:T;e the Defendant,
C~ \~":>\,.c,.f'2c... -n-
and alleges as follo.....s:
1.. Defendant ~\"W.<;:, t-c.1\"Z..c...~ , is-a;] c.::'J
individual residing at 5"943 L.<>-rlA.... ~~' I--\i:;..tr\56v-.t~. PA
\ 7./t .::J.. ~~\':' lIa:r], County, !?ennsyl'vania.
2. Defendant is indigent and financially unable to pay th~
costs and fees necessury for filing and serving this action.
3.
Defendant's financial circumstances are more fully
so'
--
forth in that attached In For~a Pauperis Questionnaire
4. Defenda~t has a meritorious cause of ~c~ion and will be
denied access to the court and due process of law if not allowed
to proceed In Forma Pauperis.
QQ~ 4-~
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ll<:..tl'\",b~~:), Pf1-17JI,Dl.
.
IA
The... c.o~rt o~ L.CHY\N\.DI\ f:J\~C"'s. O~
C. v..N\. b<<...- \ c,-I\cl c..o..... rv\- p. . '
'\) 'Zf\(\0\1\ ~I\\G,.
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't\'\lY'-O 't"2... t:.~€.. ~ssoGC\.\-e~:
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C\)-OOOD'757-0S;
De. ~,,<iod'.\
C--"'.c....i \e"" Lu^7.C~ n::
?INkNC"~L A??=J~VI7
1.
I em the
~~d~-\- i n
t"he
above
j"';"lctt.er
=,:-jQ
beca\..:se
05 ~y financial condition a~ unabl~ to P2)' the ~e2s and casts
c: p~osecutin9 or defenaing the action or proceeding.
2. I am unable to obtain fl.1:lGS fro~ anyo71e, includi71g
~j family and associates, to pay ~he costs of li~igatio~.
3.
I represent that
. . - .I- . . ~ .
tne lnZO~ma~lO~ De~o~ ~elatlng to
~y ability to pay tl1e fees and costs is true and correct:
(a) Name:,
Q::'-'o- t \~..,. l-.o. (\ z..t~ 11
bG4-; i-o..r.....~ ~\
~J\:,b\,....t~ I P A If II ~
Social Security No.: _\<;0 bd- G\,8'
(b) Employment
If you are presently employed, st2.te:
Employer:
ADdress: _
,.
Salary or wages per montl1:
,
Type of work:
.".-:-:.'.-:=.-.=..:::'.c..
(
,
,
,.
--",-:;,,-:,,;,:-_,
If ~'ou a~e pres2~tly c::~~?lo}'e~ s~at€:
D2te c: last 2.'i19lo:-:-~c:: /51./6lDOd
~':2C]es or sal2.:-y
pe~ C2:1tn: d))!.DOJ""".,,1,h
{
~...k\v",^~.
'?ype 0: wor:';:
(c:, O:'".:er ir::::7ie \~''::':'-.:':; the ?2st t;'.:-:lve ;;.:);,,;::':15
B'.:sines.s or
- -
p::- ':;.:ess~:.-..:.":"':
C::ler :;:21f-e;-:,~::~o::'i7le:-:::
,-
.!- 'j I... t:: i' <2 3::' :
Divid~:1ds:
Pensio~ and ~~nuit:~~:
Social Secu~i,y be~2:its:
~
Suppo~t Pcy~~~ts:
Disability payments:
Unem?loymen~ comp~~~2.tion a~d
sup?lementcl benefi:s:
-..-
.
l~or%erls co~pensation:
Public assistance:
w:r. C- L, ~~p I (;:",<1 ~-r,^y,
-
Otl1er:-
(d) Other contrib~tions to household SUpport
^
(Wife) (Husband) N~~e:
Employer: -.
Salary or wages P2;: month: --
Type of "y.,'ol~k :--
Contributions fro~ children:
Contributions fro~ parents:
"
Ot.jler CO:1 t.r ibutioi1s...:----
..
~ .. ....::.:"':""; ~::::...-:';.:.:....-
1,:::,
Pre:::: :'ty
:""':€.':J
C=. 5':-".:
C.-.ec)~iI.S 2.CCOt.:.;-i~:
G.b. 00
::=....inas 2.CCOU:-.~:
~
:~~~ificates 0: deposi~:
~=~l Es~ate (~~clujing noms): ~ 4~jCCX)
::~:.or ';e':1ic12: Hake ~(... feer 'j8fJ
Cost
f..,rnour'! t o',':f2d -
.s~oc}:s; bonG5:
O~her:
~:) Debts a.ho obligations
:<::>rtgege:
c98S'.
CD / f'-'O/ll/n
!
?:ent ~
-
Loans:
,....--
Otner:
-
(g) Persons dependant upon you for support
(I'life) (Hus':land) Namec
Children, if any:
NaiTIe:
-KY'--~ ',;. cl ~ ~ Lo.,\t-. r
1<98:
~
-
-
Other persons:
N~i7le:
-
Relationship:
-
!
. .
I u~~:rsta~d that I have a continuing obligation to
infor~ tlle Co~rt of i~prove~e~t in ~y financial dircu~stances
which would p2rmit ~e to pay tlle costs l~curred herein.
5.
. f .'
I \'::'1. y ~j)2.,-
t'ne
st.ate:7.el1t.s in
t.his
affidavit
~_..~ ~~~ -~rrec~.
I ~~derst~nc th2.~ false statements
here':";-l are
-:;,..:,::.
,,,-~-
su~j<2ct 'to
:.:-::
,?2,-:el-:ies
O~
l8
Pa.
c.s.
~490':;'1 relat:';-'9 to L;:-:S\~'o:.-n :.cls:.:icatio;; ~o authori-c.iesl
whicl1 upon cC:1victio:-:. provides for 2. fine not to e>:ceeo.
$2/5001 or for impris8n~ent for 2. ter~ not to exceed one
year.
~ UG 100-
Date I
Pet.l.tloner
CMa .~~
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'In +h<- Ca:>"'-I -\ oQ c.orV\(VI.of\ p\.e.c_'::. oC'
G...,..~ r \c--^cl c..o~{\\ '"'\, ~(\(1""'J \ VC^,"I \ G\..
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(9'.......''1.. t.....~ I.-_:. \ I'
^~S OL ':"C,,- ~~::.
r' rSj'~';H"''L~TA:
de. - 1'1103
eo~l~~
No.
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CU - 0000 -, ;0;7 -0'S'
\'5
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TO \':IT. thi s 'Z";
&4ot
of. ""!l-III. " it is hereby ordered that
upon consideration of the
regoing petition, the petitioner is pe~nitted
to file a~ appeal
in fyma
/
pc..~peris .
BY THE COURT,
..
"0 " \1 \ \".,7 ""'\1 'Je'"
t.. :t.. ',:'~I 'v (;'.J". IjiJt,
1.,.l'-j\f- '
1\'_1\'_..);....... I \'......
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IN -T:-:::: COURT OF co>c-:mJ PLE.~.S OF -. COill;",Y, P:::J~;SYL'jA:;Ii'.-
\\. \ \ jVlo~ ~C W:--60C,(~\-e :~
NO. O~ -llffc3 r3~~C't~
GV ()C)Oc> 7'57- 0'-
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VS
~(\e.:' \__Cd'\~c... 11:-
'.PSTITI::-i F02 L.:..,.-.',;" 70 FILZ. SU'~'~~R: COl'i"1IC?ION J..p?=...'-:..., It; F:J?....~~ ?::'.T..i?::::=:.zS
AND K:r,'i, CO:i;:: the Defendant,
C~ \~."L-c,.f\2c.... -n-
and alleges as follo~s:
1.. Defendant ~(\.t'::.~,,'Z.-c... -n: , is 'a:1 2.:;'.2
individual residing at 043 Lo-r\A-~:" ~rb6"'-t~. PA
\ 7' J 1 ;;t ~~\',' ';lax], County, Pennsylvania.
2.
Defendant
is indigEDt end financially u~able to pay
" .
l...ne
costs and fees necessary for filing and serving this action.
3. Defendant's financial circumstances are more fully set
forth in that attached In For~a Pauperis Questionnaire
4. Defendant has a meritorious cause of action and will be
denied access to the court and due process of law if not allowed
to proceed In Forma Pauperis.
(~) r; /"
8Liwcd ~-=rr:
~r\"'"'> Lc..d'u(,rr.
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5"'(Lj<,.L"d~ 'vI
\-htr'''''~J' {JA \ 711/~
b 1'\-\(.. ~~r\ 0\ Lo'Y\/V\DI\
c.. '^ N\. b 'L'- \ "-I\cl c.o....L
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P l~c~s, 0 \-
P<ZJ\(\0\1' 1.)(,,(\ \0...
\.)\0.:.,(',,\\ ~~
\\'\f"'..O~ t~e.. A60CJC:.t~\-e';;,:
.
. 'We:,.
,
C \)- OOOD 7 -5'7- 0 S-
De- ~l'-<iQ..f'.\
<2-\""<\.! \e,=> Lu.f\l.C,- n::
?INANC"~L A??=O~VI?
1.
I em the
~~~!in
'torI:
2Dove
i7latt.e:r =':-10.
bece.\.,;S2
c~ ~y financial condition a~ unabl~ to pay the ~2es and costs
c: ?~osecuting qr defending the action or proceeding.
2. 1 am unable to obtain fu~ds from anyo~e( including
~y family and associates, to pay tne costs of litiga~io~.
3. I represent that the info=~atio~ belo~ =elating to
~y ability to pay tl1e fees and costs is true end correct:
(al Harne:,
~\N:;.. r \~"::> \.-.0.. (\ l..t~ It
5''143. i-c..r....<,. ~ T
~f,:::.\jv..S':l' P A \'111 ()
social Security No..: .. \<1. 0 0;;). G \, L
(b) Employment
If you are presently employed, state:
Employer:
Address: _
,
"
Salary or wages per montl1:
Typ" or work:
.--::'-'-<".-.::::...::::.- ."
--
r
,
,
~
~ ~.'-..:.- =-7-'~_"
---
-
If ~'ou a~e pres~~tly C::~~91o}'~: S~2t€:
Dat.e c: last 2CC1?10:-cc,:: -'3/ ~OO~
i:ages or sa2a:'y pe~ :-::1t.n: ~,t.OO J _o~\h
I
ccype Q:' Vlor\: ~....~\.v.r,^~,
(c; O::.'.:er ir::-'::7ie \~'i.:'-:.:-; the ;:;::st t.....'::lve i7".~;-,:','"1S
E~siness or F~~Eess:~~~::
C:.':1er ::21f-e~~:::o;7ii2:-;::
,-
.'-;j L t:: (';:;'3 ~:
Dividec:ds:
Pensio:l and c:-;nuit.i:;:;
Soci21 Securi~y be~~:~~s:
-
Suppo~t PaY~2~ts:
,
Dis2.8ilit.y payments:
Unew?loymen~ compel.~~tion a~d
suP?le~ent2~ benefi:s:
-,,-
.
Worker1s co~pensation:
-
Public assistance:
w:::c c-, L;., ~€.J:Lp I food ~t'^"-f'
-
Otl1er: --
(d) Other contribctions to household support
(Wife) (Husoand) Na~e:
Employer:
Sa2ary or Vlages per month: -.-
Type of ,,'ork:-
Contributions frc~ cnildren:
Contributions frc~ parents:
,
Ot.ller contributic;lS-;.--
.
~
~ .. ....:::."'"-""-.-..: :s2-.:.:......
--
~~ Pr=~2~t). :.,'~ed
C5. s~:. ;
C~2cklr.q 2CCOC~t:
8-0. 00
~ =.': ing 5 2.CCOt.;:-.:.:
c~~~ific2tes 0: aeposi~:
~~~l Es~~te (~~clujing home):
::~:.or ';e~lic12:
l-\ake ~(..
4S? OX)
(ear 'j5fJ
Cost
,.t.Jlloun t o',.,'ed
-
5~od;s; ':Joncs:
.0~her:
~:) Debts a,no obligations
:-:ortgage:
r9gs-.
CD / f'-O('IJt..
I
;:;ent:
-
Loans:
----
Other:
--
(9) Persons dependant upon you for support
(I-life) (Hus':land) Name~
Children, if any:
Na;ne:
_K0-~s.d~ ~ Lo.,~r
hge:~
-
Other persons:
Name:
-
Re la tionsl1ip.:
-
,
. .
.
I U~~2rsta~d that I have a continuing obligation to
infor~ tl1e Co~rt of i~prove~2nt in ~y financial dircu~stances
which ","'ould ?ermit ~.e to pe.;.' the cost.s i:1cu:-reo. 'herein.
5.
I \'e:-ify
the
l.n this
affid.avit
'-'1:::'-
st2.te;7,en~s
~_..~ =~~ -~rrec~.
I ~~cerst~nc that false statements
here:":-l are
-,~ .:.,::,
/>.-.....-
Sll':Jje~t to
:';-.2
::-2:-'.e.lties
c. s.
0=
18 ?a.
~490';, relct:':-,:j to L::--:S\~'o::n :als:.:ica'c.io;; -:'0 authorities/
whic11 upon cC:1victio:-:. pro';ides for 2. fili2 not to exceed
$2,500, or f0= imp=is8n~ent for a ter~ not to exceed one
year.
3Ii&./oCQ
Date '
Q{wI '~ 1P-
Petl.t.loner
,.
..
~. :'~':"-~:.7:';':::;_'5.::c;:."
U.S. Postal ServiceTM
CERTIFIED MAllTM RECEIPT
_ only; No Insurance Coverage ProvIded)
M
M
<r
fT1
~ [~~~~~':~~~:';:l:';;~'",lm.' ',""""""'"
o .
;;r
Postage $
$0.39
ru
CJ Certified Fee
o
o Return Receipt Fee
(Endorsement Required)
o Restricted Delivery Fee
o (Endorsement Required)
M
o
$0.00
$4.64
Total Postage & Fees $
JI
~ s~nt.1'~JMJ.~__~'1.:S.__/k,gS'~\S"~_:>._____n________.__________
Street. Apt. No.; ("7 .. ? \ . ] ~..
:~~?_~_~~_~~:_.___~lQ._._~::~~~_:1_____.~.~~S:-___........ ... .-.. j
City. St~te, ZIP+1 .~ _ ') '\ I
""cc...~"""":_:;>b...J.,- (..-h
.
Return Receipt Fee
(Endorsement AeQuired)
CJ Restricted Delivery Fee
o (Endorsement ReGuiredl $.0.00
M
o Total Postage & Fees $ $.4.64
JI
o
o
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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 of the notice of appeal. Check applicable boxes.)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF (' l.. ........b.,.. \o..^cl
; 55
AFFIDAVIT:
I hereby (swear) (affirm) that I served
~
a copy of the Notice of Appeal. Common Pleas Ob-I'1b3 ' upon the District Justice designated therein on
(date of service) ~'1 0 \. ~ ,20 D <.. ,0 by personal service Cl!l by (certified) (registered) mail,
sender's receipt attached hereto, and upon the appellee, (name) \<...\"""~ ~L I'\"",,(} ~"'-\{ , ,on
,;l.. 9 c \'. ~~'r- . 20 0,", 0 by personal service 1St by (certified) (registered) mail,
sender's receipt attached hereto.
(SWORN) (AFFIRMED)AJJ~D BEFORE ME
THIS . >-r- DAY OF ,2019h .
~ ct. -
Ignature of official before whom affidavit was made
NOTARIAL SEAL
KATlIrnlNEC. SUMMERS. NOnRYPIIP"c
Title ofofficiaf MY cOnMtSSION EXP"I"'" A'P~~~fl-"'Ui.;.~i2zJY.:.;
. ~"-" 7.2,,01
My commission expires on --'_'
()QA(L Q - ,
I.J "'~ture of affiant
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COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
Judicial District, County Of
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 referenced below.
NAME OF APPELLANT
MAG, CISl. NO
NAME OF D.J,
"'.c";
AD 55 OF APPELLANT
CITY
STATE
ZIP CODE
DATE OF JUDGMENT
IN THE CASE OF (Plaintiff)
(Defendant)'
<~ > .l- J ;
DOCKE No.
Vll. ''-'.',
SIGNATURE OF APPELLANT OR ATTORNEY OR AGENT
This block will be signed ONLY when this notation is required under Pa.
R.C.P.D.J. No. 10088.
This Notice of Appeal, when received by the District Justice. will operate as a
SUPERSEDEAS to the judgment for possession in this case.
If appellant was Claimant (see a. R.C.P.D.J. No. 1001(6) in action
before a District Justice, A COMPLAINT MUST BE FILED within twenty
(20) days after filing the NOTICE of APPEAL.
Signature of Prothonota/y or Deputy
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(This section of form to be used ONL Y when appellant was DEFENDANT (see Pa.R.C.P.D.J. No. 1001(7) in action before District Justice. /F
NOT USED, detach from copy of notice of appeal to be served upon appellee.
PRAECIPE: To Prothonotary
Enter rule upon
appellee(s), to file a complaint in this appeal
Name of appeflee(s)
(Common Pleas No.
) within twenty (20) days after service of rule or suffer entry ot judgment of non pros.
, <.."".
Signature of apPelfant or attorney or agent
RULE: To
'0 \-_ \_. " i\
Name of a~II96(s) ,
(1) You are notifi~d that ai1.Jle 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 p6rsonal selVige or by certified or registered mail.
(2) Ifyou,Lio not file a complainl within this time, a JUDGMENT OF NON PROS MAY BE ENTERED AGAINST YOU.
: "
(3) The;date of service of this rule if service was by mail is the date of the mailing.
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, appellee(s)
Date. "V;"~ 20}
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$ig~ature of Pii5ffionotaf)' , Deputy
YOU MUST IIlCLUOE A COPY OF THE NOTICE OF JUOGMENTfTRANSCRIPT FORM WITH THIS NOTICE OF APPEAL.
AOPC 312-02
WHITE - COURT FILE TO BE FILED WITH PROTHONOTARY GREEN - COURT FILE YELLOW ~ APPELLANT'S COPY
PINK - COPY TO BE SERVED ON APPELLEE GOLD - COpy TO BE SERVED ON DISTRICT JUSTICE
,
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
Kilmore Eye Associates,
Plaintiff - Appellee
06 - 1463 Civil Term
CV - ??oo757 - 05
VS
Charles Lanza, II,
Defendant - Appellant
PRAECIPE FOR NON PROS
To: Tbe Cumberland County Prothonotary
Please enter a non pros against Plaintiff-Appellee, Kilmore Eye Associates, for the reason that the Plaintiff-
Appellee has failed to tile a Complaint and more than 20 days have elapsed since the Notice of Appeal and
Rule to File Complaint were served upon the Plaintiff. Appellee, as shown by the Proof of Service filed in
this case.
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Charles Lanza, II
5943 Larue St
Harrisburg, PA 17112
(717) 651-1301
Dated:
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
KiImore Eye Associates,
Plaintiff - Appellee
06 - 1463 Civil Term
CV - 0000757 - 05
VS
Charles Lanza, II,
Defendant - Appellant
To: Kilmore Eye Associates
Date of Notice: 'i / i 8/ 010
,
IMPORTANT NOTICE
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO FILE A COMPLAINT IN THE CASE.
UNLESS YOU ACT WITIIIN TEN DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY
BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR RIGHT TO
SUE THE DEFENDANT AND THEREBY LOSE PROPERTY OR OTHER IMPORTANT RIGHTS.
YOU SHOULD TAKE THIS NOTICE TO A LAWYER AT ONCE. IF YOU DO NOT HAVE A
LAWYER OR CANNOT AFFORD ONE. GO TO OR TELEPHONE THE FOLLOWING OFFICE TO
FIND OUT WHERE YOU CAN GET LEGAL HELP:
Cumberland County Bar Associates
32 S Bedford St.
Carlisle, Pa 17013
(717) 249-3166
)
(lk4
Charles Lanza, II
5943 Larue St
Harrisburg, PA 17112
(717) 651-1301