Civil Cover Sheet Page 5

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NAME OF FILING PARTY:
___________________________________
Name
___________________________________
Address
___________________________________
City, State, Zip
___________________________________
Telephone
THIS IS NOT AN
___________________________________
ARBITRATION CASE
______________________________
:
PHILADELPHIA COUNTY
:
COURT OF COMMON PLEAS
______________________________
:
TRIAL DIVISION - CIVIL
Plaintiff
:
:
vs.
:
_________ TERM, _____________
Month
Year
:
______________________________
:
:
No. ________________________
______________________________
:
Defendant
:
ACTION TO QUIET TITLE
(FRAUDULENT CONVEYANCE)
Plaintiff, hereby files this Complaint against the Defendant to Quiet Title with
respect to a certain parcel of real estate and in support thereof avers as follows:
1. Plaintiff(s) is/are:
_______________________________________________________________
_______________________________________________________________
2. Defendant(s) is/are:
_______________________________________________________________
_______________________________________________________________
2

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