REV 1-19 IN THE COURT OF COMMON PLEAS OF MONTGOMERY COUNTY, PENNSYLVANIA : : NO. : v. : Assessment of Damages Yes No : Only (Circle Yes or No) : : Jury Trial Yes No : (Circle Yes or No) TRIAL PRAECIPE TO THE PROTHONOTARY: Please have the above case scheduled for trial. Listed below are the names of all trial counsel. Counsel agree that all pre-trial motions have been disposed and discovery is completed. Agreements of counsel to continue discovery after the filing of the praecipe shall not be recognized by the Court as grounds for continuance of any cases listed for trial. Attorney for Plaintiff/ID Number Attorney for Defendant/ID Number Attorney for Plaintiff/ID Number Attorney for Defendant/ID Number Unrepresented Plaintiff/Telephone Number Unrepresented Defendant/Telephone Number Companion Case/Consolidated Case No. (s): (Please include date consolidated.) For Attorney Use Only: Option 1: It is hereby certified by filing counsel has received the affirmative consent, either in writing or verbally, of all counsel to have this matter scheduled for trial. Signature of Filing Attorney Date Option 2: The filing of this Trial Praecipe is authorized by Order dated: . Signature of Filing Attorney Date For Unrepresented Parties Only If all parties to an action are unrepresented, any such party can certify the case for trial. Signature of Unrepresented Party Date NOTE: If additional space is needed, please use a second page and include it with this filing. American LegalNet, Inc. www.FormsWorkFlow.com