IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVANIA CIVIL DIVISION : : Plaintiff vs. : : File No. : : Defendant : PRAECIPE FOR JUDGMENT To The Clerk of Judicial Records - Civil Division: Enter Judgment in favor of Plaintiff/Defendant and against: for want of Assess damages as follows: Debt Interest from Attorney's Commission TOTAL $ $ . I certify that the foregoing assessment of damages is for specified amounts alleged to be due in the complaint and is calculable as a sum certain for the complaint. (Rev 2/12) American LegalNet, Inc. www.FormsWorkFlow.com 1 Pursuant to Pa.R.C.P. 237 (notice of praecipe for final judgment or decree), I certify that a copy of this praecipe has been mailed to each other party who has appeared in the action or to his/her Attorney of Record. Pursuant to Pa.R.C.P. 237.1, I certify that written notice of the intent to file this praecipe was mailed or delivered to the party against whom judgment is to be entered and to his/her Attorney of Record, if any, after the default occurred and at least ten days prior to the date of the filing of this praecipe and a copy of the notice is attached. Date: Signature: Print Name: Attorney for: Address: Telephone: Supreme Court ID No. NOW, , 20 , JUDGMENT IS ENTERED AS ABOVE. Clerk By Andrea E. Naugle of Judicial Records Civil Division Deputy (Rev 2/12) American LegalNet, Inc. www.FormsWorkFlow.com 2