Free Document1 - Pennsylvania

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
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; ss

AFFIDAVIT:

I hereby (swear) (affirm) that I served a copy of the Notice of Appeal, Common Pleas No.
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, upon the Magisterial District Judge designated therein on by personal service , on by (certified) (registered) mail, by (certified) (registered) mail,

(date of service)

, 20

,

sender's receipt attached hereto, and upon the appellee, (name) , 20 by personal service

sender's receipt attached hereto. (SWORN) (AFFIRMED) AND SUBSCRIBED BEFORE ME THIS DAY OF , 20

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Signature of official before whom affidavit was made

Signature of affiant

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Title of official

My commission expires on

, 20

AOPC 312A - 05