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Notice Of Appeal From Summary Conviction- Traffic - Pennsylvania

Notice Of Appeal From Summary Conviction- Traffic Form. This is a Pennsylvania form and can be used in Traffic Court Philadelphia Local County .
 Fillable pdf Last Modified 8/9/2011
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FIRST JUDICIAL DISTRICT OF PENNSYLVANIA COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY Notice of Appeal from Summary Conviction - Traffic Nunc Pro Tunc NAME AND ADDRESS OF DEFENDANT/APPELLANT LAST NAME FIRST NAME APPELLANT'S DRIVER'S LICENSE NO. ADDRESS COURT OF COMMON PLEAS MOTION NO. DATE APPEAL FILED CITY STATE ZIP CODE By Order of the Court of Common Pleas dated , which is attached, Appellant was granted leave to file an Appeal Nunc Pro Tunc of the following traffic citations, which were issued by the PHILADELPHIA TRAFFIC COURT, 800 Spring Garden Street, Philadelphia, PA 19123: CITATION NO. ISSUE DATE BADGE NO. OFFENSE DISPOSITION DATE DISPOSITION DATE OF ORDER APPEALED ATTORNEY'S NAME PHONE NO. ADDRESS SUPREME COURT I.D. NO. CITY STATE ZIP CODE Appellant's/Attorney's Signature: FOR COURT USE ONLY Date: A hearing is scheduled for , at Criminal Justice Center, 1301 Filbert Street, Philadelphia, PA 19102. AM/PM in Courtroom , APPELLANT/DEFENDANT PLEASE NOTE: YOUR APPEAL WILL BE DENIED OR DISMISSED IF YOU FAIL TO APPEAR. RECEIPT OF THIS COPY OF THE NOTICE OF APPEAL NUNC PRO TUNC IS YOUR PERSONAL SERVICE. For the Court: Date: American LegalNet, Inc. www.FormsWorkFlow.com
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