IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY,
PENNSYLVANIA
CIVIL DIVISION
Case No.
________________________
_______________________________
________________________
________________________ Type of Pleading:
Appellant(s)
Statutory Appeal
vs.
________________________ Filed on Behalf of Appellant:
________________________
______________________________
________________________
Appellee(s)
ADDRESS, TELEPHONE, AND EMAIL
OF:
Appellant, filing Pro Se
______________________________
______________________________
______________________________
Phone #: _______________________
E-Mail: ________________________
IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY,
PENNSYLVANIA
CIVIL DIVISION
________________________
________________________
________________________
Appellant(s) Case No.
vs.
_____________________
________________________
________________________
________________________
Appellee(s)
Notice of Appeal
And Now, to-wit, this _
______ day of
_____________________________, 2020, notice
is hereby given that
takes this appeal pursuant to Local Agency Law, Subchapter B of Chapter 7, 2 Pa.C.S.A. § 751
et seq, 1978, April 28, P.L. 202, No. 53, Section 10(12), effective June 27, 1978, from the
decision of the Housing Authority denying Appellant’s grievance.
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Respectfully Submitted,
______________________________
Appellant(s)
Appellee(s)
CERTIFICATE OF SERVICE
The undersigned certifies that a true and correct copy of the within __________________
______________________________ was served this ____ day of ________________________,
20___, by U.S. First Class Mail, postage pre-paid, upon the following:
______________________________
______________________________
______________________________
______________________________
_________________________ ______________________________
Date
Name
Statutory Appeal
Must include phone number and, if
possible, e-mail address for served party
If the opposing side is represented by an
attorney, then serve the attorney
IN THE COURT OF COMMON PLEAS OF ALLEGHENY COUNTY, PENNSYLVANIA
CIVIL DIVISION
_____________________________
Plaintiff(s)
CASE NO. _______________________
Vs.
_____________________________
Defendant(s)
Order of Court
AND NOW, this ___________ day of ___________________________, 20____, it is
ORDERED that: ________________________________________________________________
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BY THE COURT,
__________________________, J