IN THE COURT OF COMMON PLEAS OF ____________________________ COUNTY, PENNSYLVANIA
CIVIL DIVISION
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File No.________________________________
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PRAECIPE FOR JUDGMENT
Enter Judgment in favor of Plaintiff / Defendant and against:
_______________________________________________________________________________________
for want of ________________________________________.
(_____)
Assess damages as follows:
Debt----------------------------------------
$___________________
Interest from ________________
___________________
Attorney's Commission -------------
___________________
0
TOTAL -----------------------------------
$___________________
(_____)
I certify that the foregoing assessment of damages is for
specified amounts alleged to be due in the complaint and is calculable as a sum certain from the complaint.
(____ ) Pursuant to Pa. R.C.P. No. 237 (notice of praecipe for final judgment or decree), I certify that a
copy of this praecipe has been mailed to each other party who has appeared in the action or to his or her
Attorney of Record.
(_____) Pursuant to Pa. R.C.P. No. 237.1, I certify that written notice of the intention to file this praecipe
was mailed or delivered to the party against whom judgment is to be entered and to his or her Attorney of
Record, if any, after the default occurred and at least ten (10) days prior to the date of the filing of this praecipe
and a copy of the notice is attached.
Date: ______________________
Signature: _________________________________
Print Name: ________________________________
Attorney for: ________________________________
Address: ___________________________________
____________________________________
Telephone: _________________________________
Supreme Court ID No.: _______________________
NOW, ________________________, __________, JUDGMENT IS ENTERED AS ABOVE.
__________________________________________
Prothonotary/Clerk, Civil Division
by: _______________________________________
Deputy
M-2F-1
(Rev. 4/00)