Fillable Form 6 Rev 4/2021: CIVIL DIVISION IN THE (Fifth Judicial District of Pennsylvania)

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Form 6 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 FOR EXTENSION TO PAY RENT
INTO SUPERSEDEAS
Defendant(s)/Tenants(s) Filed on behalf of:
(Name of the filing party)
___Counsel of Record
NOTICE OF PRESENTATION
Kindly take notice that the within
M
OTION FOR EXTENSION TO
PAY RENT INTO SUPERSEDEAS
shall be presented before the Civil
Division Housing Court Judge via
teleconference at 877-988-
6904 and
enter code: 2678931# on
______________________________
at ________ p.m.
___Individual, if Pro Se
Name, Address, Telephone Number, and Email
Address:
Attorney’s State ID:
Attorney’s Firm ID:
Form 6 Rev 4/2021
IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY, PENNSYLVANIA
CIVIL DIVISION
Plaintiff(s)/Landlord
vs. Case No. ________________________
Defendant(s)/Tenants(s)
MOTION FOR EXTENSION TO PAY
RENT INTO SUPERSEDEAS
AND NOW, comes the tenant/defendant, _________________________________, and
respectfully requests that this Honorable Court grant this Motion for Extension to Pay Rent into
Supersedeas (escrow), and in support thereof, tenant/defendant states as follows:
1. I am the tenant in a matter filed at the above-referenced case number.
2. A Supersedeas (escrow) account was established in connection with this case, and I
understand that I must pay the amount of my rent as set forth on the Notice of Rental
Payments that I received previously.
3. Although I am trying to stay current with payments, at this time I am unable to make
the payment when due for the following reasons:
4. I need an extension until ____________________________ to pay the amount(s)
due in the Notice of Rental Payment previously provided to me.
5. I want to stay in the property, and I intend to make the rental payments pending my
appeal, but I need this extension of time for the reasons stated above.
Respectfully Submitted,
Date
Signature
Print Name
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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)/Tenants(s)
VERIFICATION
I, _________________________________, 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.
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)/Tenants(s)
ORDER OF COURT
, it is , 20day ofAND NOW, this _______ _________________________ ____
ORDERED that:
BY THE COURT:
J.
IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY, PENNSYLVANIA
CIVIL DIVISION
Plaintiff(s)/Landlord
vs. Case No. _________________________
Defendant(s)/Tenants(s)
CERTIFICATE OF SERVICE
The undersigned certifies that a true and correct copy of the within Motion for Extension
to Pay Rent Into Supersedeas 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
First Class Mail
Facsimile #:
Facsimile #:
Hand-Delivered
Hand-Delivered
Email Address
Landlord/Landlord’s Counsel:
Magisterial District Judge:
Name:
Name:
Address:
Address:
Email Address:
Telephone:
Telephone:
Date
Signature
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signature
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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 6 Rev 42021: CIVIL DIVISION IN THE (Fifth Judicial District of Pennsylvania)

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Completed 16 May 2021

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