Here is the text we could read:
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
PENNSYLVANIA كومنولث
ةعطاقم
Magisterial District Number:
:مقر ةيئاضقلا ةرئادلا
MDJ Name:
:ةيئاضقلا ةرئادلا يضاق مسا
Address:
:ناونعلا
Telephone:
:فتاهلا مقر
Docket No:
:ةظفاحلا مقر
Date Filed:
:ىوعدلا عفر خيرات
OTN:
:ةحنجلا فيرعت مقر
PRIVATE
CRIMINAL COMPLAINT
ةصاخ ةيئانج ىوعد ةفيحص
COMMONWEALTH OF PENNSYLVANIA
PENNSYLVANIA كومنولث
VS.
دض
DEFENDANT:
:هيلع ىعدملا
NAME and ADDRESS
ونعلاو مسلاا
ا
ن
)Above to be completed by court personnel(
)ةمكحملا وفظوم تاــنايبلا هذه لــِمكُي(
)Fill in defendant’s name and address(
)هناونعو هيلع ىــعدملا مــسا لمكأ(
Notice: Under Pa.R.Crim.P. 506, your complaint may require approval by the attorney for the Commonwealth before it can be
accepted by the magisterial district court. If the attorney for the Commonwealth disapproves your complaint, you may petition the
court of common pleas for review of the decision of the attorney for the Commonwealth.
نإف .ةينعملا ةيئاضقلا ةرئادلا ةمكحم اهلبقت نأ لبق ةعوفرملا ىوعدلا ىلع ثلونموكلل ماعلا يعدملا ةقفاوم ليصحت طارتشا ،Pa.R.Crim.P. 506 يف ةدراولا ماكحلأا بجومب ،زوجي :ةظحلام
.ثلونموكلل ماعلا يعدملا نم رداصلا رارقلا كلذ يف رظنلا ةداعلإ ةماعلا ةيئادتبلاا ةمكحملا ىلإ سامتلاب مدقتلا اهبحاصل زوجيف ،ىوعدلا هذه ثلونموكلل ماعلا يعدملا ضفر
Fill in as much information as you have.
.تامولعملا نم كيدل ام ردقب ةيلاتلا تانايبلا لمكأ
White
Black
ءاضيبلا ةرشبلا يوذ نم
Asian
ء
دوسلا ةرشبلا يوذ نم
ا
Native American
ةيويسآ لوصأ نم
نييلصلأا اكيرمأ ناكس نم
Hispanic
ةينابسإ لوصأ نم
ةينيتلا وأ
Unknown
فورعمريغ
Female
ىثنأ
Male
ركذ
Defendant’s Race/Ethnicity
ةينثلإا هلوصأ وأ يقرعلا هيلع ىعدملا ءامتنا
Defendant’s Sex
هيلع ىعدملا سنج
Defendant’s D.O.B.
هيلع ىعدملا دلايم خيرات
Defendant’s A.K.A. (also known as)
(هب فَرعُي يذلا مسلاا يأ) هيلع ىعدملا بقل
Defendant’s Vehicle Information
هيلع ىعدملا ةبكرم تانايب
Plate Number
ةحوللا مقر
State
ةيلاولا
Registration Sticker (MM/YY)
(ماع / رهش) ليجستلا قصلم
I,
،انأ ، ُّرِقُأ
)Name of Complainant-Please Print or Type(
)ةحضاو فرحأب هتباتك وأ مسلاا لاخدإ ىجرُيو ؛ىوعدلا بحاص مسا(
do hereby state: )check appropriate box(
:)بــسانملا عبرملا يف ةملاع عضو بجي( يــننأب هــبجومب
1. I accuse the above named defendant who lives at
،هلاعأ هنايب دراولا ناونعلا يف ميقملاو ،هرــكذ قباــسلا هيلع ىعدملا مــهتأ .1
the address set forth above
but who is described as
I accuse the defendant whose name is unknown to me
،هنأب هفصو عيطتــسأ تنك نإو ؛همــسا فرعأ تــسلو ،هيلع ىعدملا مهتأ
I accuse the defendant whose name and popular
،هب فورعملا هبقل وأ هترهــش وأ همــسا فرعأ تــسلو ،هيلع ىعدملا مهتأ
designation or nickname is unknown to me and whom I have
therefore designated as John Doe.
،لوهجم هنأب – مث نــم – هــفصأو
with violating the penal laws of the Commonwealth of
ثلونموك يف ةذفانلا ةيئانجلا نيناوقلا كهتنا دق هنأب
AOPC 411A
Private Criminal Complaint )English-Arabic(- Translated on 12/08/2021
1
FREE INTERPRETER
ةيناجملا ةيروفلا ةمجرتلا ةمدخ
www.pacourts.us/language-rights
Defendant’s Name:
:هيلع ىعدملا مسا
Docket Number:
:ةظفاحلا مقر
Pennsylvania at
in
County on or about
PRIVATE
CRIMINAL COMPLAINT
ةصاخ ةيئانج ىوعد ةفيحص
تيقوتلا وأ خيراتلا اذه يف ،ةعطاقم
،يف Pennsylvania
يف
Participants were: )if there were participants, place their
names here, repeating the name of the above defendant(
ةباتك بجيف ،كلذ يف هيلع ىعدملا كراــش دق دحأ ةمث ناك نإ( :كلذ يف هعم كرتــشاو
.)ىرخأ ةرم ركذلا مدقتملا هيلع ىعدملا مــسا نايب بوجو عم ،ةناخلا هذه يف مهئامــسأ
2.
The acts committed by the accused were:
)Set forth a summary of the facts sufficient to advise the defendant of the nature
of the offense charged. A citation to the statute allegedly violated, without
more, is not sufficient. In a summary case, you must cite the specific section and
subsection of the statute or ordinance allegedly violated.(
كلذ يف يفكي لاو .هيلإ بوــسنملا مرجلا ةعيبطب هــيلع ىعدملا غلابلإ يفكت يــتلا عــئاقولا نأــشب زــجوم ناــيب ةــباتك بــجي(
نايب بجيف ،ةلجعتــسم ىوعد تناك اذإف .ددصلا اذــه يف ٍفاو نايب امنود ،هكهتنا دــق هنأ ىــَّعدُي يذــلا نوــناقلا ىــلإ ةراــشلإا
.)رملأا وأ نوناقلا اذه دونب وأ داوــم نم هكاهتنا ىــَّعدُي يذــلا دــنبلا وأ ةداــملا
:مهتملا اهبكترا يتلا لاعفلأا ناــيب
.2
of the
3.
4.
5.
All of which were against the peace and dignity of the
Commonwealth of Pennsylvania and contrary to the Act of
Assembly, or in violation of
and
)Section(
-
)Subsection(
Pennsylvania ثلونموك وفص رِ
كعُت يتلا لاــعفلأا نم اهعيمج لاــعفلأا هذــهو
،يعيرــشتلا نوناقلل ةفلاخم – كلذك – يهو ؛هيف ذفانلا نوناقلاب مازتللاا فرــشب ُّل ِخُتو
كــشُت وأ
يف ةدراولا ماكحلأل اًكاهتنا لِ
يف كلذكو
)دنبلا(
)ةداملا(
)PA Statute(
I ask that process be issued and that the
defendant be required to answer the charges I
have made.
ىعدملا قحب ةمزلالا تاءارــجلإا ذاختا بلطب ،هبجومب ،مــث نــم ،مدــقتأو
.هيلإ اهتبــسن يتلا مهتلا ىلع درلاب هــمازلإو هــيلع
.3
)PA يف ذفانلا نوــناقلا(
نم
I verify that the facts set forth in this complaint
are true and correct to the best of my
knowledge or information and belief. This
verification is made subject to the penalties of
Section 4904 of the Crimes Code )18 Pa.C.S.
§ 4904( relating to unsworn falsification to
authorities.
،يملع دح ىلإ ةقيقدو ةميلــس ىوكــشلا هذه يف ةدراولا تاــنايبلا نأــب ُّرــِقُأو
،كلذك ، ُّرِقُأو .هب مزجلا عيطتــسأ ام ردقبو ،تامولعملا نــم يدــل اــم ردــقبو
ُق دق ةداــفلإا هذــه نأــب
د
يف اهيلع صوصنملا تاــبوقعلا ةلئاط تــحت تمِ
اَّم ِم )18 PA. C.S. § 4904( يئانجلا نوــناقلا نــم 4904 ةداــملا
ةعوفــشم ريغ تاطلــسلا ىلإ اهب ىَلدُي يتلا تانايبلا ريوزت نأــشب ذفان وه
.نيميب
I certify that this filing complies with the
provisions of the Case Records Public Access
Policy of the Unified Judicial System of
Pennsylvania that require filing confidential
information and documents differently than
nonconfidential information and documents.
يف ةدراولا تاطارتشلال رارقلإا اذه ءافيتسا ةحصب ،هاندأ عِ
ّقوُملا ،انأ ، ُّرِقُأ
Case Records Public Access Policy of the Unified ماكحأ
علاطا نأشب ةذفانلا ةسايسلا( Judicial System of Pennsylvania
ةيلاو يف ةدحوملا ةيئاضقلا ةموظنملا ىدل ىواعدلا تلاجس ىلع روهمجلا
وحن ىلع ةيرسلا قئاثولاو تامولعملا ظفحب يضقت يتلاو ،)Pennsylvania
.ةيرسلا ريغ قئاثولاو تامولعملا ظفح يف عبتم وه امع فلتخم
.4
.5
Date
خيراتلا
Signature of Complainant
ىوعدلا بحاص عيقوت
Office of the Attorney for the Commonwealth
ثلونموكلل ماعلا يعدملا بتكم
Approved
لوبقم
Disapproved because
ببسب ضوفرم
)Name of Attorney for Commonwealth-Please Print or Type(
)ديلا طخب ةباتكلا وأ ةعابطلا ىجرُي – ثلونموكلل ماعلا يعدملا مسا(
)Signature of Attorney for Commonwealth(
)ثلونموكلل ماعلا يعدملا عيقوت(
)Date(
)خيراتلا(
AND NOW, on this date
.اهتحص تدِّكُأو ىوعدلا هذه ةفيحص تيِفوُتــسا دق ،موي يف ،هنأب ُّرِقُأ ينإف ،كلذ ىلع اًداهــشإو
, I certify that the complaint has been properly completed and verified.
SEAL
SEAL
SEAL
متخلا
)Magisterial District(
)ةيئاضقلا ةرــئادلا(
)Issuing Authority(
)رادصلإا ةطلس(
AOPC 411A
Private Criminal Complaint )English-Arabic(- Translated on 12/08/2021
2
FREE INTERPRETER
ةيناجملا ةيروفلا ةمجرتلا ةمدخ
www.pacourts.us/language-rights
ّ
ّ
ّ
(Untitled)
This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Pennsylvania state courts.
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Downloads: You can download both the original form (last checked 2023-03)
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About This Form:
- Sourced from www.pacourts.us (2023-03)
- Page(s): 2
- Fields(s): 14
- Average fields per page: 7
- Reading Level: Grade 11
- LIST Grouping(s):
CO-07-00-00-00, CO-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.
undefined__1 was undefined (0.55 conf)undefined__2 was undefined_2 (0.39 conf)undefined__3 was undefined_3 (0.39 conf)undefined__4 was undefined_4 (0.39 conf)undefined__5 was undefined_5 (0.39 conf)undefined__6 was undefined_6 (0.39 conf)accuse_named_defendant_lives__1 was I accuse the above named defendant who lives at (0.42 conf)accuse_named_defendant_lives__2 was I accuse the above named defendant who lives (0.36 conf)accuse_defendant_whose_unknown__1 was I accuse the defendant whose name is unknown to me (0.46 conf)accuse_defendant_whose_unknown__2 was I accuse the defendant whose name is unknown to me_2 (0.42 conf)accuse_defendant_whose_name__1 was I accuse the defendant whose name and popular (0.38 conf)accuse_defendant_whose_name__2 was I accuse the defendant whose name and popular_2 (0.35 conf)approved was Approved (0.36 conf)disapproved was Disapproved because (0.43 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
undefined__1undefined__2undefined__3undefined__4undefined__5undefined__6
Suggested Screen 1:
accuse_named_defendant_lives__1accuse_named_defendant_lives__2accuse_defendant_whose_unknown__1accuse_defendant_whose_unknown__2accuse_defendant_whose_name__1accuse_defendant_whose_name__2
Suggested Screen 2:
Suggested Screen 3:
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