Form Of Cover Sheet For Complaint
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Form Of Cover Sheet For Complaint Form. This is a Pennsylvania form and can be use in Beaver Local County.
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Tags: Form Of Cover Sheet For Complaint, Pennsylvania Local County, Beaver
FORM OF COVER SHEET FOR COMPLAINT
Court of Common Pleas of Beaver County
Civil Division
For Prothonotary Use Only (Docket Number)
Civil Cover Sheet
PLAINTIFF’S NAME
DEFENDANT’S NAME
PLAINTIFF’S ADDRESS
DEFENDANT’S ADDRESS
PLAINTIFF’S NAME
DEFENDANT’S NAME
PLAINTIFF’S ADDRESS
DEFENDANT’S ADDRESS
PLAINTIFF’S NAME
DEFENDANT’S NAME
PLAINTIFF’S ADDRESS
DEFENDANT’S ADDRESS
TOTAL NO. OF PLAINTIFFS
TOTAL NO. OF DEFENDANTS
COMMENCEMENT OF ACTION
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AMOUNT IN
CONTROVERSY
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$25,000 or Less
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Over $25,000
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Complaint
Writ of Summons
Notice of Appeal
Transfer From Other Jurisdictions
CASE TYPE
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Motor Vehicle
Medical Malpractice
Other Professional Liability
Product Liability
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Mortgage Foreclosure
Ejectment
Statutory Appeals
Quiet Title
Other ___________________
Partition
Declaratory Judgment
Replevin
Asbestos
Domestic Relations
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Divorce
Custody
TO THE PROTHONOTARY:
Kindly enter my appearance on behalf of Plaintiff/Petitioner/Appellant: (or Pro Se Litigant)
Papers may be served at the address set forth below
NAME OF PLAINTIFF’S/PETITIONER’S/APPELLANT’S ATTORNEY (OR PRO SE LITIGANT)
PHONE NUMBER
SIGNATURE
FAX NUMBER
ADDRESS (SEE INSTRUCTIONS)
EMAIL ADDRESS
SUPREME COURT IDENTIFICATION NO.
DATE
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