IN THE COURT OF COMMON PLEAS OF MONTGOMERY COUNTY, PENNSYLVANIA : : VS. : : : NO. PRAECIPE FOR SUMMONS To the Prothonotary: Issue Summons in Civil Action in the above case. Writ of Summons shall be forwarded to Attorney / Sheriff Date: Signature/ID Number Print Name Address WRIT TO: You are notified that the Plaintiff(s) has / have commenced an action against you. SEAL Date: Mark Levy Prothonotary, Montgomery County By: Clerk / Deputy Addresses must be included for all parties. (6/02) American LegalNet, Inc. www.FormsWorkFlow.com