REQUEST FOR ORDER FOR POSSESSION COMMONWEALTH OF PENNSYLVANIACOUNTY OF Mag. Dist. No: MDJ Name:Address:Telephone:v. Time Filed:Date Order Filed: Costs in Original LT Proceeding Judgment AmountCosts in this Proceeding Attorney FeesTotal $ $ $ $ $ TO THE MAGISTERIAL DISTRICT JUDGE: The Plaintiff(s) named below, having obtained a judgment for possession of real property located at:Address if any:Date:Plaintiff:Plaintiff Signature:1 311A www.pacourts.us/language-rights FREE INTERPRETER Requests that you issue an ORDER FOR POSSESSION for such property. American LegalNet, Inc. www.FormsWorkFlow.com