Here is the text we could read:
COMMONWEALTH OF PENNSYLVANIA
PENNSYLVANIA
ث
موك
ن
و
ل
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
لصفلا
SUPERSEDEAS
بجومب
Pa.R.C.P.M.D.J. No. 1008C(2)
نأشب ةيباتكلا
رجأتسملا ةداهش
بجومب ةمدقملا
نماثلا
______________________________ ،انأ
_______________________________________
رارق ىلع فانئتسلااب راعشا ميدقتب تمق ،)انه ناونعلاو مسلاا بتكا(
نكسأ يذلا راقعلا ةزايح راقعلا
كلام حنم يذلا ةيميلقلإا حلصلا ةمكحم
يرهشلا راجيلاا فاعضأ ةثلاث عفد ىلع ةيلاملا ةردقلا كلمأ لا انأو هيف
لخدلا يلامجإ نإف .لقأ امهيأ ،قحتسملاو رخأتملا يلعفلا راجيلاا وأ
تاهيجوتلا يف ةددحملا لخدلا دودح زواجتي لا يب صاخلا يرسلأا
نأشب يئاهن رارق رودص نيح
ىلإ ذيفنتلا قيلعت ىلع لوصحلل ةيفاضلإا
in forma
سامتللاا نأشب ةيباتك ةداهش ةئبع
تب تمق دقلو فانئتسلاا
لا ام بطشا( عفدأ مل/تعفد دقل .كلذ ىلع ديكأتلل
pauperis (IFP)
.رهشلا اذه راجيلاا )قبطني
TENANT:
رجأتسملا:
لصفلا جمانرب يف كراشم ينأب
_____
نم )هيلع فانئتسلاا نكمي لا يأ( يئاهن رارق يأ ردصي مل هنأبو نماثلا
اذهب حرصأ .رلاود ______
ةدعاسملا ى
لع لوصحلا يف يقح عطقب ةيموكح ةهج وأ ةمكحم يأ
.جمانربلا دعاوقل يلاثتما مدع ببسب نماثلا لصفلا بجومب ةحونمملا
SECTION 8 TENANT’S SUPERSEDEAS
AFFIDAVIT FILED PURSUANT TO
Pa.R.C.P.M.D.J. No. 1008C(2)
I, _________________________
__________________________________ (print
name and address here), have filed a notice of
appeal from 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 supplemental instructions for
obtaining a stay pending appeal 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.
personally pay to the landlord is $ __________. 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 receive Section
8 assistance based on my failure to comply with
program rules.
ounty Of
ةعطاقم
C
The total amount of monthly rent that I
وه راقعلا كلامل يصخش لكشب هعفدأ يذلا يرهشلا راجيلاا غلبم
I verify that the statements made in this
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.
ةيقيقح يه ةيباتكلا ةداهشلا هذه يف ةدراولا تاحيرصتلا نأب دكؤأ
ءلادلاا نأب كردأ انأو .يريدقتو يتامولعمو يتفرعم بسحب ةحيحصو
18 Pa.C.S. §
يف ةدراولا تابوقعلل ينضرعي انه ةبذاك تاحيرصتب
.تاطلسلل مسقب ةعوفشم ريغ ةبذاك تاحيرصت ميدقتب قلعتي اميف
4904
_________________
Date / خيراتلا
___________________________________________
SIGNATURE OF TENANT / جأتسملا عيقوت
ر
_
A
OPC 312-08 (A)
Arabic Tenant Affidavit (Section 8) Pa.R.C.P.M.D.J No.1008C(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 14
- LIST Grouping(s):
GO-00-00-00-00.
Use our Rate My PDF tool to learn more.
Go beyond the above insights and learn more about this or any pdf form at
RateMyPDF.com, includes: counts of difficult words used,
passive voice decetion, and suggestions for how to make the form more usable.
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)landlord_name was Landlord_Name (0.33 conf)landlord_street_address was Landlord_Street_Address (0.40 conf)city_state_zip_landlord was City_State_Zip_Landlord (0.39 conf)tenant_name was Tenant_Name (0.47 conf)tenant_street_address was Tenant_Street_Address (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__1 was Name _Tenant (0.47 conf)address_tenant__1 was Address _Tenant (0.47 conf)name_tenant__2 was Name _Tenant_T (0.46 conf)address_tenant__2 was Address _Tenant_T (0.49 conf)amount_paid_monthly_landlord__1 was Amount_Paid_Monthly_to_Landlord (0.32 conf)amount_paid_monthly_landlord__2 was Amount_Paid_Monthly_to_Landlord_T (0.47 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:
landlord_namelandlord_street_addresstenant_street_address
Suggested Screen 2:
city_state_zip_landlordcity_state_zip_tenant
Suggested Screen 3:
Suggested Screen 4:
tenant_namename_tenant__1address_tenant__1name_tenant__2address_tenant__2
Suggested Screen 5:
amount_paid_monthly_landlord__1amount_paid_monthly_landlord__2
Suggested Screen 6:
Create an Interactive Version of this Form:
The Weaver creates a draft guided interview from a template form, like the one provided here. You can use the link below to open this form in the Weaver.
To learn more, read "Weaving" your form into a draft interview.
Launch Form in Weaver
