COMMONWEALTH OF PENNSYLVANIA
NAME and ADDRESS
Magisterial District Number:
MDJ Name: Hon
NAME and ADDRESS
Pa.R.C.P.D.J. No. 206 sets forth those costs recoverable by
the prevailing party.
TO THE DEFENDANT: The above named plaintiff(s) asks judgment
together with costs against you for the possession of real property and
A determination that the manufactured home and property have been abandoned
Damages for injury to the real property, to wit:
in the amount of:
Damages for the unjust detention of the real property in the amount of
Rent remaining due and unpaid on filing date in the amount of
And additional rent remaining due and unpaid on hearing date
Attorney fees in the amount of
THE PLAINTIFF FURTHER ALLEGES THAT:
The location and address, if any, of the real property is
The plaintiff is the landlord of that property.
He leased or rented the property to you or to
under whom you claim.
Notice to quit was given in accordance with law, or
No notice is required under the terms of the lease.
The term for which the property was leased or rented is fully ended, or
A forfeiture has resulted by reason of a breach of the conditions of the lease, to wit:
Rent reserved and due has, upon demand, remained unsatisfied.
You retain the real property and refuse to give up its possession.
verify that the facts set forth in this complaint are true and correct to the
best of my knowledge, information and belief. This statement is made subject to the penalties of Section 4904 of the Crimes Code (18 PA. C.S. § 4904)
relating to unsworn falsification to authorities.
(Signature of Plaintiff)
The plaintiff’s attorney shall file an entry of appearance with the magisterial district court pursuant to Pa.R.C.P.M.D.J. 207.1.
IF YOU HAVE A DEFENSE to this complaint you may present it at the hearing. IF YOU HAVE A CLAIM against the plaintiff arising out of the occupancy
of the premises, which is in the magisterial district judge jurisdiction and which you intend to assert at the hearing, YOU MUST FILE it on a complaint form
at this office BEFORE THE TIME set for the hearing. IF YOU DO NOT APPEAR AT THE HEARING, a judgment for possession and costs, and for
damages and rent if claimed, may nevertheless be entered against you. A judgment against you for possession may result in your EVICTION from the
If you are disabled and require a reasonable accommodation to gain access to the Magisterial District Court and its services, please contact the
Magisterial District Court at the above address or telephone number. We are unable to provide transportation.