IN THE COURT OF COMMON PLEAS OF ___________________________ COUNTY, PENNSYLVANIA CIVIL DIVISION : : : File No. ___________________________ Plaintiff(s) Name & Address: ______________________________________________________________ Defendent(s) Name(s) & Address(es):_______________________________________________________ Terre-Tenant(s) Name(s) & Address(es):_____________________________________________________ : : : PRAECIPE FOR WRIT OF REVIVAL TO THE PROTHONOTARY/CLERK OF SAID COURT: Issue Writ of Revival of Judgment entered to No. ________________________________________________ and index it in the Judgment Index against _______________________________________________________________________________________ _______________________________________________________________________________________ Defendant(s) and _______________________________________________________________________________________ _______________________________________________________________________________________ Terre-Tenant(s) in the amount of $____________________________ with interest from ___________________________________ Signature: _________________________________ Print Name: ________________________________ Attorney for: ________________________________ Telephone: _________________________________ Supreme Court ID No.: ________________________ WRIT OF REVIVAL TO: ___________________________________________________________________________________ DEFENDANT(S) and____________________________________________________________________________________ TERRE TENANT(S) (1) You are notified that the plaintiff has commenced a proceeding to revive and continue the lien of the judgment entered to ________________________ (2) The plaintiff claims that the amount due and unpaid is $_______________________ with interest from ________________________________ (3) You are required within twenty (20) days after service of this writ to file an answer or otherwise plead to this writ. If you fail to do so, Judgment of Revival will be entered. Date: ______________________ _________________________________________ Prothonotary/Clerk, Civil Division by: ______________________________________ Deputy (File Original and sufficient copies for all parties.) M-9F-1 (Rev. 4/00) American LegalNet, Inc. www.FormsWorkflow.com