Free Rules - Pennsylvania


File Size: 196.6 kB
Pages: 1
File Format: PDF
State: Pennsylvania
Category: Court Forms - Local
Word Count: 81 Words, 575 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://courts.phila.gov/pdf/forms/civil/notice_of_appeal.pdf

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IN THE COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY CIVIL DIVISION SPECIAL DOCKET PROGRAM

Appeal of (name) from a decision of (name of agency)

No. 96_______SD______

NOTICE OF APPEAL

(Name) hereby appeals from the decision of (name of agency), dated ______________, 20____, a copy of which is attached hereto. The following persons entered an appearance in the proceeding below: (If "none", say so. Otherwise, list the name and address of each person using an extra page, if necessary).

Dated:_________________

_________________________________ (Appellant or Attorney)