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Affidavit Of Service 10-289 - Pennsylvania

Affidavit Of Service Form. This is a Pennsylvania form and can be used in Civil Trial Philadelphia Local County .
 Fillable pdf Last Modified 8/8/2011
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FIRST JUDICIAL DISTRICT OF PENNSYLVANIA COURT OF COMMON PLEAS OF PHILADELPHIA CIVIL TRIAL DIVISION __________________________________ __________________________________ Court Term __________, _________ (month) (year) & No. _____________________ Plaintiff(s) vs. __________________________________ __________________________________ Defendant(s) AFFIDAVIT OF SERVICE I, _________________________ , hereby certify that on ___________ a copy of the following: Notice of Appeal Complaint / Statement of Claim Rule to File Complaint was served upon the following: Plaintiff(s): ______________________ Defendant(s): ____________________ Municipal Court Administration by the following method: Certified Mail Regular Mail Personal Delivery ___________________________________ (Signature) ___________________________________ (Print Name) American LegalNet, Inc. www.FormsWorkFlow.com 10-289
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