IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA PROTHONOTARY CIVIL COVER SHEET PLEASE LIST NAMES AND ADDRESSES OF ADDITIONAL PARTIES ON A SEPARATE SHEET. ALL PARTY INFORMATION IS REQUIRED INCLUDING ZIP CODES. ALL PARTY INFORMATION MUST MATCH THE PLEADING. PLEASE DO NOT STAPLE THE COVER SHEET TO THE PLEADING. IF AN EVENT NEEDS TO BE SCHEDULED, A CAO SCHEDULING COVER SHEET MUST ALSO BE ATTACHED. For Prothonotary Use Only: TYPE OF ACTION: DOCKET No: CI - PARTY INFORMATION PLAINTIFF'S NAME: ADDRESS: If confidential, use 2nd sheet DEFENDANT'S NAME: ADDRESS: MUNICIPALITY: TWP/BOROUGH: DOB: (mm/dd/yyyy) (mm/dd/yyyy) MUNICIPALITY: TWP/BOROUGH: TELEPHONE #: (##########) (mm/dd/yyyy) DOB: (mm/dd/yyyy) (mm/dd/yyyy) TELEPHONE #: (##########) (mm/dd/yyyy) FILING ATTORNEY / FILING PARTY INFORMATION FIRM/OFFICE: FILING ATTORNEY/PARTY: ADDRESS: TELEPHONE #: (##########) (mm/dd/yyyy) AOPC: (Attorney ID) #: CITY: EMAIL: STATE: ZIP CODE: TAX LIEN INFORMATION MAP REFERENCE: DEED PAGE: TAX YEAR: DEED DATE: TAX LIEN AMOUNT: MUNICIPALITY: DEED BOOK: SALE PRICE: PROPERTY DESCRIPTION: PFA/SVPO/PFI INFORMATION HEARING DATE: POLICE DEPARTMENT: PREVIOUS PETITIONS: YES NO If `YES', File Date: American LegalNet, Inc. www.FormsWorkFlow.com SOCIAL SECURITY #: (Defendant ­ Last 4 digits) Page 1