Notice Of Appeal From Summary Conviction- Traffic Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Notice Of Appeal From Summary Conviction- Traffic Form. This is a Pennsylvania form and can be use in Philadelphia Local County.
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Tags: Notice Of Appeal From Summary Conviction- Traffic, Pennsylvania Local County, Philadelphia
FIRST JUDICIAL DISTRICT OF PENNSYLVANIA
COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY
Notice of Appeal from Summary Conviction - Traffic
Nunc Pro Tunc
COURT OF COMMON PLEAS MOTION NO.
NAME AND ADDRESS OF DEFENDANT/APPELLANT
LAST NAME
FIRST NAME
APPELLANT’S DRIVER’S LICENSE NO.
ADDRESS
DATE APPEAL FILED
CITY
STATE
ZIP CODE
By Order of the Court of Common Pleas dated
, which is attached, Appellant was granted leave to file
an Appeal Nunc Pro Tunc of the following traffic citations, which were issued by the PHILADELPHIA TRAFFIC COURT, 800 Spring
Garden Street, Philadelphia, PA 19123:
CITATION
NO.
ISSUE
DATE
BADGE
NO.
DISPOSITION
DATE
OFFENSE
ATTORNEY’S NAME
PHONE NO.
ADDRESS
DISPOSITION
DATE OF
ORDER
APPEALED
SUPREME COURT I.D. NO.
CITY
STATE
ZIP CODE
Appellant’s/Attorney’s Signature:
Date:
FOR COURT USE ONLY
A hearing is scheduled for
, at
Criminal Justice Center, 1301 Filbert Street, Philadelphia, PA 19102.
AM/PM in Courtroom
,
APPELLANT/DEFENDANT PLEASE NOTE:
YOUR APPEAL WILL BE DENIED OR DISMISSED IF YOU FAIL TO APPEAR.
RECEIPT OF THIS COPY OF THE NOTICE OF APPEAL NUNC PRO TUNC IS YOUR PERSONAL SERVICE.
For the Court:
Date:
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