Praecipe For Notice Of Intent To Attach Wages Form

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:
IN THE COURT OF COMMON PLEAS
:
OF ERIE COUNTY, PENNSYLVANIA
:
Judgment Creditor-Landlord Plaintiff:
:
NO.
vs.
:
:
:
Defendant
:
PRAECIPE FOR NOTICE OF INTENT TO ATTACH WAGES
TO THE PROTHONOTARY:
Issue a Notice of Intent to Attach Wages in the above matter
(1)
against ___________________________________________________, defendant,
(2)
against _____________________________________, employer of the defendant.
Date: _________________
_____________________________________________
Signature of Attorney for Judgment Creditor-Landlord
Print Name: ___________________________________
OR
_____________________________________________
Signature of Judgment Creditor-Landlord (unrepresented)
Print Name: ____________________________________
Address: ______________________________________
______________________________________________
Telephone: _____________________________________
CERTIFICATION BY JUDGMENT CREDITOR-LANDLORD
I certify that
1. The Plaintiff Judgment-creditor is ________________________________________
_________________________________________________________________________
Name and Address
2. The defendant judgment-debtor is ________________________________________
_________________________________________________________________________
Name and Address
3. The employer garnishee is ______________________________________________
_________________________________________________________________________
Name and Address

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