Praecipe To Assess Damages
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Praecipe To Assess Damages Form. This is a Pennsylvania form and can be use in Luzerne Local County.
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Tags: Praecipe To Assess Damages, M-2F-3, Pennsylvania Local County, Luzerne
IN THE COURT OF COMMON PLEAS OF _________________ COUNTY, PENNSYLVANIA
CIVIL DIVISION
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File No. __________________________
PRAECIPE TO ASSESS DAMAGES
(Pa. R.C.P. No. 1037(b)(1)(2))
TO THE PROTHONOTARY/CLERK OF SAID COURT:
Assess damages in favor of the Plaintiff(s) and against the Defendant(s) abovenamed, in the amount of $__________________________________ in accordance with the
affidavit of repairman and itemized repair bill filed herewith. Plaintiff(s) hereby waive(s) any
other damages under the judgment heretofore entered in this matter.
Date: _________________
Signature: _____________________________
Print Name: ____________________________
Supreme Court ID No.:____________________
Address: _______________________________
_______________________________
Telephone No.:__________________________
NOW, _____________________, __________, DAMAGES ASSESSED AS ABOVE.
______________________________________
Prothonotary/Clerk, Civil Division
by: ___________________________________
Deputy
(NOTE: File in Duplicate)
M-2F-3
(Rev. 4/04)
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