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Notice Of Appeal From Summary Criminal Conviction - Pennsylvania
| Notice Of Appeal From Summary Criminal Conviction Form. This is a Pennsylvania form and can be used in Criminal Lehigh Local County . |
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IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY Notice of Appeal from Summary Criminal Conviction Name and Address of Defendant Date: Issuing Authority Docket No. Citation No. (zip) Magisterial District No. Appeal from sentence of ____________________________________________________________ Date of Sentence: Offense(s) of which convicted _____________________________ ________________________________________________________________________________ Name and mailing address of affiant as shown on complaint If sentence includes fine and costs, amount of which paid: Type or amount of bail furnished, if any: Name and address of issuing authority: Name and address of Attorney for defendant: (signature) (print name) (street) Phone Zip Zip Phone Date of Birth: Phone Number: Driver's License Number: (address) Attorney Identification No. AOPC 415-80 American LegalNet, Inc. www.USCourtForms.com
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