COMMONWEALTH OF PENNSYLVANIA COUNTY OF:
Mag. Dist. No.:
NOTICE OF SETTLEMENT/WITHDRAWAL
PLAINTIFF:
NAME and ADDRESS
MDJ Name: Hon
.
Address:
VS.
Telephone:
(
)
DEFENDANT:
NAME and ADDRESS
Docket No.: Date Filed:
THIS IS TO NOTIFY YOU THAT: On ______________, this case was settled between _______________________ and _______________________________________. On , the (complaint and/or cross-complaint) filed in this case was withdrawn as against ___________________________________.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _________________
As a result, the hearing scheduled
for the above individual has been cancelled.
If you have questions regarding this notice, please contact the Magisterial District Court at the address and telephone number provided above.
DATE
____________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
, Magisterial District Judge
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
My commission expires first Monday of January,
.
SEAL
AOPC 733-05