Here is the text we could read:
REQUEST FOR DETERMINATION
OF ABANDONMENT
دصأ بلط
يريرقت مكحر
ا
رجهلاب
___________________________________
V. / دض
___________________________________
Docket No/ةظفاحلا مقر:
Case Filed/ءارجلاا ميدقت مت:
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
PENNSYLVANIA
موك
ن
و
ل
ث
ةعطاقم
Mag. Dist. No:
ةمكحم مقر
ا
ل
ص
ل
ح
ا
لإ
ل
ق
ي
م
ي
ة
:
MDJ Name:
ةمكحم يضاق مسأ
ا
ل
ص
ل
ح
ا
لإ
ق
ي
ل
م
ي
ة
:
ddress:
ا
ل
ع
ن
و
ا
ن
:
elephone:
ا
ه
ل
ت
ا
ف
:
A
T
TO THE MAGISTERIAL DISTRICT JUDGE:
The Landlord(s) in the above-captioned matter requests
that you issue a Determination of Abandonment for the
manufactured home and property located at:
:ةيميلقلإا
حلصلا ةمكحم يضاق ىل
إ
ه
نأب يريرقت مكح رادصا مكتداعس نم بلطي هلاعأ ةروكذملا ةيضقلا يف رجؤملا
:يف عقاولا راقعلا
و لقنتملا لزنملا
رجه مت دق
:يلي ام ىلع ءانب
ased upon the following:
30 days;
circumstances exists:
1. The resident has been absent from the home for at least
؛موي
30
نع لقت لا ةرتفل لزنملا يف رجأتسملا دجاوتي مل .
1
2. The resident has not paid rent for at least 30 days from
؛قاقحتسلاا خيرات
ذنم موي
30
نع لقت لا ةرتفل
راجيلاا دادسب رجأتسملا مقي مل
2 .
the date it was due; and, one or more of the following
:ةيلاتلا فورظلا نم رثكأ وأ ةدحاو
تقبطنا
و
____________________________________
________________________________________
a. Termination of electric or water service to the
تامدخ
دادس نع فقوتلا وأ ،لزنملل هايملا وأ ءابرهكلا ةمدخ عطق مت .أ
home, and other utility or payment of services to
؛عمتجملا كلامل قفار
ملا
؛لزنملا نيمأت ءاغلإ مت .ب
؛لزنملا نم ةيصخشلا تاكلتمملا لماك وأ مظعم تليز أ .ج
؛
رجهلا ىلع
لدت ىرخأ رومأ
.د
the community owner has occurred;
b. Home insurance has been canceled;
c. Most or all personal property have been removed
from the home; or
d. Other indicia of abandonment:
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 non-confidential information and
documents.
Pennsylvania
يف
تامولعملا
دحوملا
يئاضقلا
ميدقت
ضرفت
تادنتسملاو
ماظنلا
يتلاو
.
ةسايس
لثتمي
نأب
ماكحلأ
ميدقتلا
اذه
اياضقلا
تلاجسل
ماعلا
لوصولاب قلعتي
ةيرس
ريغلا
نع كلت
فلتخت
دهشأ
اميف
ةقيرطب ةيرسلا
Date / خيراتلا
Signature of Landlord / رجؤملا عيقوت
b
Arabic Request for Determination of Abandonment
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): 1
- Fields(s): 26
- Average fields per page: 26
- Reading Level: Grade 12
- 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__1 was County (0.54 conf)md_j_number was MDJ Number (0.45 conf)md_j_name was MDJ Name (0.40 conf)md_j_address was MDJ Address (0.43 conf)md_j_phone was MDJ Phone (0.39 conf)landlord_name was Landlord Name (0.33 conf)tenant_name was Tenant Name (0.47 conf)docket was Docket No (0.36 conf)date_filed_af was Date_Filed_af_date (0.55 conf)county__2 was County_T (0.42 conf)users1_address_line_one was Address (1.00 conf)check_box__1 was Check Box1 (0.52 conf)check_box__2 was Check Box2 (0.37 conf)check_box__3 was Check Box1_T (0.52 conf)check_box__4 was Check Box2_T (0.41 conf)check_box__5 was Check Box3 (0.37 conf)check_box__6 was Check Box4 (0.37 conf)check_box__7 was Check Box5 (0.37 conf)check_box__8 was Check Box6 (0.37 conf)indicia__1 was Indicia (0.33 conf)check_box__9 was Check Box3_T (0.41 conf)check_box__10 was Check Box4_T (0.41 conf)check_box__11 was Check Box5_T (0.41 conf)check_box__12 was Check Box6_T (0.41 conf)indicia__2 was Indicia_T (0.32 conf)signature_date was date (1.00 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
county__1md_j_numbermd_j_namemd_j_addressmd_j_phonelandlord_nametenant_namedocketdate_filed_afcounty__2users1_address_line_onecheck_box__1check_box__2check_box__3check_box__4check_box__5check_box__6check_box__7check_box__8indicia__1check_box__9check_box__10check_box__11check_box__12indicia__2signature_date
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