Allegheny County, Pennsylvania Department of Court Records Civil Division PRAECIPE FOR JUDGMENT ON A VERDICT Plaintiff Case Number - - Ex : AR-02-000123 (Type-Year-Number) Vs Defendant Is this a motor vehicle case : Yes No ______________________________________________________________________________________________ To : Director, Department of Court Records, Civil Division Please enter a judgment on the verdict in the above captioned case against ____________________________________________________________________________________ , in the amount of $ __________________. Space for Additional Information I certify that a true copy of the praecipe for judgment on the verdict was mailed to all parties. Attorney Pro Se Signature : ___________________________________ Name : ___________________________________ Save Form Print Form Date : _________________________ (MON-DD-YYYY) Clear Entire Form American LegalNet, Inc. www.FormsWorkFlow.com [jverd]