COMMONWEALTH OF PENNSYLVANIA COUNTY OF:
Magisterial District Number: MDJ Name: Hon. Address: PLAINTIFF:
NOTICE OF ASSIGNMENT OF JUDGMENT
NAME and ADDRESS
Telephone:
(
)
DEFENDANT:
VS.
NAME and ADDRESS
Docket No.: Date Filed:
TO THE MAGISTERIAL DISTRICT JUDGE:
Please be advised that the judgment in the above referenced matter was assigned to:
(Name) (Address) (City, State, Zip) (Phone)
I certify that this judgment has not been entered in a court of common pleas as allowed by Pa. R.C.P.M.D.J. No 402D.
__________________________________ Signature Assignor/Original Plaintiff (Signature Must be Notarized)
Sworn to and Subscribed Before me this day Of , 20 .
AOPC 314-06