COMMONWEALTH OF PENNSYLVANIA 

COURT OF COMMON PLEAS 

County Of          

LANDLORD:

NAME and ADDRESS

TENANT: 

VS. 

NAME and ADDRESS 

Common Pleas Docket No. 

SECTION 8 TENANT’S SUPERSEDEAS AFFIDAVIT  
FILED PURSUANT TO Pa.R.Civ.P.M.D.J. 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. 

The total amount of monthly rent that I 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.  

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. 

__________ 
Date 

AOPC 312-08 (A) 

__________________________ 
SIGNATURE OF TENANT