COMMONWEALTH OF PENNSYLVANIA NOTICE OF COUNTY OF: SETTLEMENT/WITHDRAWAL Mag. Dist. No.: PLAINTIFF: NAME and ADDRESS MDJ Name: Hon. Address: VS . Telephone: ( ) DEFENDANT: NAME and ADDRESS Docket No.: Date Filed: THIS IS TO NOTIFY YOU THAT: On ______________, this case was settled between _______________________ and _______________________________________. On , the (complaint and/or cross-complaint) filed in this case was ________________________________________________________________________ ________________________________________________________________________ _________________ withdrawn as against ___________________________________. As a result, the hearing scheduled for the above individual has been cancelled. If you have questions regarding this notice, please contact the Magisterial District Court at the address and telephone number provided above. DATE , Magisterial District Judge - _______________________________________________________________________ ____________________________________________________________________ _________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ______________________________________________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ____________________ SEAL My commission expires first Monday of January, . AOPC 733-05 American LegalNet, Inc. www.USCourtForms.com