IN THE COURT OF COMMON PLEAS OF BUCKS COUNTY, PENNSYLVANIA CIVIL DIVISION Plaintiff(s) & Address(es): : : : : File No. : vs. : : : : Civil Action - Defendant(s) & Address(es): : : : : : PRAECIPE FOR SUMMONS TO THE PROTHONOTARY/CLERK OF SAID COURT: Issue summons in in the above case. Writ of Summons shall be issued and forwarded to Attorney/Sheriff. Date: Signature of Attorney Print Name: Address: Telephone: Supreme Court ID No.: * * * * * SUMMONS IN CIVIL ACTION TO: YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF(S) HAS/HAVE COMMENCED AN ACTION AGAINST YOU. JUDITH J. REISS, PROTHONOTARY Date: by: Deputy SEAL OF THE COURT E-4F-1 (Rev. 12/17) American LegalNet, Inc. www.FormsWorkFlow.com