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COMMONWEALTH OF PENNSYLVANIA COURT OF COMMON PLEAS Judicial District, County Of

NOTICE OF APPEAL FROM MAGISTERIAL DISTRICT JUDGE 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 Magisterial District Judge on the date and in the case referenced below.
NAME OF APPELLANT MAG. DIST. NO. NAME OF MDJ

ADDRESS OF APPELLANT

CITY

STATE

ZIP CODE

DATE OF JUDGMENT

IN THE CASE OF ( Plaintiff)

(Defendant)` vs SIGNATURE OF APPELLANT OR ATTORNEY OR AGENT

DOCKET No.

This block will be signed ONLY when this notation is required under Pa. R.C.P.D.J. No. 1008B. This Notice of Appeal, when received by the Magisterial District Judge, will operate as a SUPERSEDEAS to the judgment for possession in this case.

If appellant was Claimant (see Pa. R.C.P.D.J. No. 1001(6) in action before a Magisterial District Judge, A COMPLAINT MUST BE FILED within twenty (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 ONLY when appellant was DEFENDANT (see Pa.R.C.P.D.J. No. 1001(7) in action before Magisterial District Judge. IF 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 appellee(s)

(Common Pleas No.
___________________________________________________________________________________

) within twenty (20) days after service of rule or suffer entry of judgment of non pros.

__________________________________________________ Signature of appellant or attorney or agent RULE: To
____________________________________________________________________________________________________________________________________

, appellee(s)
Name of appellee(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) If 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 service was by mail is the date of the mailing. Date: , 20 __________________________________________
Signature of Prothonotary or Deputy

YOU MUST INCLUDE A COPY OF THE NOTICE OF JUDGMENT/TRANSCRIPT FORM WITH THIS NOTICE OF APPEAL.

AOPC 312-05