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Notice Of Appeal (Department Of Transportation) 10-253 - Pennsylvania

Notice Of Appeal (Department Of Transportation) Form. This is a Pennsylvania form and can be used in Civil Trial Philadelphia Local County .
 Fillable pdf Last Modified 8/9/2011
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ATTORNEY: _________________________ ID#: _________________________________ ADDRESS: ___________________________ PHONE NO: ( ) _________________ ATTORNEY FOR APPELLANT _____________________________ NAME: _____________________________ (Appellant) ADDRESS: __________________________ CITY: ___________________ STATE: ______ ZIP CODE: ______________ PHONE NO: ( ) ____________________ COURT OF COMMON PLEAS Philadelphia County _____________ ____________ vs. COMMONWEALTH OF PENNSYLVANIA NOTICE OF APPEAL Appellant (Please Print) ____________________________________ hereby appeals from the adjudication of the DEPARTMENT OF TRANSPORTATION made on ___________________. (Date) A Copy of Order is attached marked Exhibit "A" _________________________________ (Date) ___________________________________ (Appellant or Attorney) PLEASE TAKE NOTICE all parties that entered an appearance in the proceeding before the agency may intervene as right in this appeal by filing a praecipe to intervene within (30) days of this notice. 10-253 American LegalNet, Inc. www.FormsWorkFlow.com
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