Fillable Form 10 Rev 4/2021: CIVIL DIVISION IN THE (Fifth Judicial District of Pennsylvania)

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Form 10 Rev 4/2021: CIVIL DIVISION IN THE (Fifth Judicial District of Pennsylvania)

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IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY, PENNSYLVANIA
CIVIL DIVISION
Plaintiff(s)/Landlord
Case No. ____________________
vs. Type of Pleading
MOTION TO GAIN RE-ENTRY
Defendant(s)/Tenant(s) Filed on behalf of:
(Name of the filing party)
___Counsel of Record
NOTICE OF PRESENTATION
Kindly take notice that the within
MOTION TO GAIN RE-ENTRY shall
be presented before the Civil Division
Housing Court Judge via teleconference
at 877-988-
6904 and enter code:
2678931# on
________________________________
at ________.
___Individual, if Pro Se
Name, Address, Telephone Number, and Email
Address:
Attorney’s State ID:
Attorney’s Firm ID:
Form 10 Rev 4/2021
IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY, PENNSYLVANIA
CIVIL DIVISION
Plaintiff(s)/Landlord
vs. Case No. __________________________
Defendant(s)/Tenant(s)
MOTION TO GAIN RE-ENTRY
, and presents the
following Motion to Gain Re-Entry and in support thereof avers as follows:
AND NOW, comes the Movant, ___________________________
is the subject of the above-referenced action.
1. The property located at ____________________________________________
, the undersigned was locked
out and precluded from entering the subject property.
, 202. On or about _____________________________
3. The undersigned needs to return to the property for the following reasons:
Respectfully Submitted:
Respectfully Submitted,
Date
Signature
Print Name
click to sign
signature
click to edit
IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY, PENNSYLVANIA
CIVIL DIVISION
Plaintiff(s)/Landlord
vs. Case No. ___________________________
Defendant(s)/Tenant(s)
VERIFICATION
, certify that the facts contained in the
foregoing motion are true and correct to the best of my knowledge, information, and belief. I
understand that false statements herein are subject to the Penalties of 18 Pa.C.S. §4904 related to
unsworn falsification to authorities.
I, _____________________________________
Date
Signature
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signature
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IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY, PENNSYLVANIA
CIVIL DIVISION
Plaintiff(s)/Landlord
vs. Case No. __________________________
Defendant(s)/Tenant(s)
ORDER OF COURT
, it is
ORDERED that:
, 20day ofAND NOW, this ____
_____________________ ___________
BY THE COURT:
J.
IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY, PENNSYLVANIA
CIVIL DIVISION
Plaintiff(s)/Landlord
vs. Case No. __________________________
Defendant(s)/Tenant
CERTIFICATE OF SERVICE
The undersigned certifies that a true and correct copy of the within Motion to Gain Re-
Entry was served this ______ day of _____________________, 20_____, in the following
manner: (Check the appropriate form of service.) If the opposing side is represented by an
attorney, the attorney should be served.
First Class Mail
Facsimile #:
Hand-Delivered
Email Address
Landlord/Landlord’s Counsel:
Name:
Address:
Email Address:
Telephone:
You must include phone number and, if known,
email address for served party.
Date
Signature
Print Name
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signature
click to edit
CERTIFICATE OF COMPLIANCE
I certify that this filing complies with the provisions of the Case Records Public Access
Policy of the Unified Judicial System of Pennsylvania that requires filing confidential
information and documents differently than non-confidential information and documents.
Submitted by: _________________________________
Signature: ____________________________________
Print Name: ___________________________________
Attorney No. (if applicable): ______________________
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Form 10 Rev 42021: CIVIL DIVISION IN THE (Fifth Judicial District of Pennsylvania)

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Completed 16 May 2021

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