FIRST JUDICIAL DISTRICT OF PENNSYLVANIA COURT OF COMMON PLEAS OF PHILADELPHIA CIVIL TRIAL DIVISION __________________________________ Court Term __________, _________ (month) (year) __________________________________ & No. _____________________ Plaintiff(s) vs. __________________________________ __________________________________ Defendant(s) AFFIDAVIT OF SERVICE I, _________________________ , hereby certify that on ___________ a copy of the following:  Notice of Appeal  Complaint / Statement of Claim  Rule to File Complaint was served upon the following:  Plaintiff(s): ______________________  Defendant(s): ____________________  Municipal Court Administration by the following method:  Certified Mail  Regular Mail  Personal Delivery ___________________________________ (Signature) 10-289 ___________________________________ (Print Name) American LegalNet, Inc. www.FormsWorkFlow.com