Here is the text we could read:
COMMONWEALTH OF PENNSYLVANIA
ث
موك
ن
و
ل
PENNSYLVANIA
COURT OF COMMON PLEAS
ةماعلا ةيئادتبلاا ةمكحملا
LANDLORD:
:
ل
م
ا
ل
ك
ا
ع
ا
ق
ر
NAME and ADDRESS
مسلاا
ن
و
ل
ا
ع
ن
و
ا
VS. / دض
NAME and ADDRESS
مسلاا
ن
و
ل
ا
ع
ن
و
ا
Common Pleas Docket No.
ةماعلا ةيئادتبلاا ةمكحملا يف ةظفاحلا مقر
TENANT:
رجأتسملا:
No. 1013C(2)
______________________________ ،انأ
_______________________________________
رمأ
رادصلإ
praecipe
حنم يذلا ةيميلقلإا حلصلا ةمكحم رارق ةعجارمل
ميدقتب تمق ،)انه ناونعلاو مسلاا بتكا(
يئاضق
certiorari
ةيلاملا ةردقلا كلمأ لا انأو هيف نكسأ يذلا راقعلا ةزايح راقعلا كلام
رخأتملا يلعفلا راجيلاا وأ يرهشلا راجيلاا فاعضأ ةثلاث عفد ىلع
لا يب صاخلا يرسلأا لخدلا يلامجإ نإف .لقأ امهيأ ،قحتسملاو
خدلا دودح زواجتي
ذيفنتلا قيلعت ىلع لوصحلل تاهيجوتلا يف ةددحملا ل
ةداهش ةئبعتب تمق دقلو ىوعدلا لقن بلطب يئاهن رارق رودص نيح ىلإ
in forma pauperis (IFP)
نأشب ةيباتك
.رهشلا اذه راجيلاا )قبطني لا ام بطشا( عفدأ مل/تعفد
دقل .كلذ ىلع ديكأتلل
I, _________________________
__________________________________
(print name and address here), have filed a
praecipe for a writ of certiorari to review a
magisterial district court judgment awarding my
landlord possession of real property that I
occupy, and I do not have the financial ability to
pay the lesser of three times my monthly rent or
the actual rent in arrears. My total household
income does not exceed the income limits set
forth in the instructions for obtaining a stay
pending issuance of writ of certiorari and I have
completed an in forma pauperis (IFP) affidavit
to verify this. I have/have not (cross out the one
that does not apply) paid the rent this month.
ounty Of
ةعطاقم
C
The total amount of monthly rent that I
personally pay to the landlord is $ __________.
راقعلا كلامل يصخش لكشب هعفدأ يذلا يرهشلا راجيلاا غلبم
كراشم ينأب اذهب حرصأ .رلاود _________________ وه
I hereby certify that I am a participant in the
Section 8 program and I am not subject to a
final (i.e., non-appealable) decision of a court or
government agency that terminates my right to
يف يقح عطقب ةيموكح ةهج وأ ةمكحم يأ نم )هيل
نكمي لا يأ( يئاهن رارق يأ ردصي مل هنأبو نماثلا لصفلا جمانرب يف
ع فانئتسلاا
مدع ببسب نماثلا لصفلا بجومب ةحونمملا ةدعاسملا ىلع لوصحلا
.جمانربلا دعاوقل يلاثتما
SECTION 8 TENANT’S SUPERSEDEAS
AFFIDAVIT FILED PURSUANT TO
Pa.R.C.P.M.D.J. No. 1013C(2)
بجومب
SUPERSEDEAS
نأشب ةيباتكلا رجأتسملا ةداهش
Pa.R.C.P.M.D.J.
بجومب ةمدقملا نماثلا لصفلا
I verify that the statements made in this
ةيقيقح يه ةيباتكلا ةداهشلا هذه يف ةدراولا تاحيرصتلا نأب دكؤأ
affidavit are true and correct to the best of my
knowledge, information, and belief. I
understand that false statements herein are
made subject to the penalties of 18 Pa.C.S. §
4904, relating to unsworn falsification to
authorities.
ءلادلاا نأب كردأ انأ
و .يريدقتو يتامولعمو يتفرعم بسحب ةحيحصو
18 Pa.C.S.
يف ةدراولا تابوقعلل ينضرعي انه ةبذاك تاحيرصتب
مسقب ةعوفشم ريغ ةبذاك تاحيرصت ميدقتب قلعتي اميف
§ 4904
.تاطلسلل
_________________
___________________________________________
SIGNATURE OF TENANT / رجأتسملا عيقوت
Date / خيراتلا
_
eceive Section 8 assistance based on my
failure to comply with program rules.
r
AOPC 312-08 (C)
Arabic Tenant Affidavit (Section 8) Pa.R.C.P.M.D.J No.1013C(2)
This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Pennsylvania state courts.
To learn more about the project, check out our about page.
Downloads: You can download both the original form (last checked 2023-03)
and the machine-processed form with normalized data fields.
About This Form:
- Sourced from www.pacourts.us (2023-03)
- Page(s): 2
- Fields(s): 15
- Average fields per page: 7
- Reading Level: Grade 11
- LIST Grouping(s):
GO-00-00-00-00.
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Identified Data Fields:
We have done our best to automaticly identify and name form fields according to our naming conventions.
When possible, we've used names tied to our question library. See e.g., user1_name.
If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.
Here are the fields we could identify.
county_name
was County_Name (0.55 conf)name_landlord
was Name_Landlord (0.33 conf)street_address_landlord
was Street_Address_Landlord (0.40 conf)city_state_zip_landlord
was City_State_Zip_Landlord (0.39 conf)name_tenant__1
was Name_Tenant (0.47 conf)street_address_tenant
was Street_Address_Tenant (0.49 conf)city_state_zip_tenant
was City_State_Zip_Tenant (0.47 conf)common_pleas_docket
was Common_Pleas_ Docket_No (0.36 conf)name_tenant__2
was Name Tenant (0.47 conf)address_tenant__1
was Address_Tenant (0.47 conf)name_tenant__3
was Name Tenant_T (0.46 conf)address_tenant__2
was Address_Tenant_T (0.49 conf)montly_money_paid_landlord
was Montly_Money_Paid_to_Landlord (0.40 conf)montly_money_paid_landlord_spa
was Montly_Money_Paid_to_Landlord_SPA (0.37 conf)date_af
was Date1_af_date (0.46 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
Suggested Screen 1:
name_landlord
street_address_landlord
street_address_tenant
Suggested Screen 2:
name_tenant__1
city_state_zip_tenant
name_tenant__2
address_tenant__1
name_tenant__3
address_tenant__2
Suggested Screen 3:
Suggested Screen 4:
city_state_zip_landlord
montly_money_paid_landlord
montly_money_paid_landlord_spa
Suggested Screen 5:
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