COMMONWEALTH OF PENNSYLVANIA 
COUNTY OF

LANDLORD/TENANT COMPLAINT

Mag. Dist. No:
MDJ Name:

Address:

Telephone:

FILING COSTS

POSTAGE

SERVICE COSTS $ 

CONSTABLE ED. $ 

$ 

$ 

$

TOTAL 

LANDLORD:

NAME and ADDRESS

TENANT:

V.

NAME and ADDRESS

AMOUNT

DATE PAID

Docket No:
Case Filed:

Pa.R.Civ.P.M.D.J. 206 sets forth those costs recoverable by the prevailing party.

TO THE TENANT:  The above named landlord(s) asks judgment together with costs against you for the possession of real 

property and for:
Lease is 
A determination that the manufactured home and property have been abandoned.
A Request for Determination  of Abandonment (Form MDJS 334) must be completed and submitted with this complaint.

Nonresidential  Monthly Rent  $ 

Security Deposit $

Residential 

Damages for injury to the real property, to wit: __________________________________________________________________

__________________________________

______________________________________________________________  in the amount of: 

$
______________________________________________________________________________

______________________________________

______________________

Damages for the unjust detention of the real property in the amount of

____________________________________________________________________________________________________

$

Rent remaining due and unpaid on filing date in the amount of

____________________________________________________________________________________________________

$

And additional rent remaining due and unpaid on hearing date

____________________________________________________________________________________________________

$

Attorney fees in the amount of

____________________________________________________________________________________________________

$

THE 

$
______________________________________________________________________________
Total:     ______________________
LANDLORD FURTHER ALLEGES THAT: 
1. The location and the address, if any, of the real property is:  _________________________________________________________
___________________________________________
2. The party filing the complaint is the landlord of that property.
3. The landlord leased or rented the property to you or to ___________________________________________under whom you claim.

4.

5.

Notice to quit was given in accordance with law, or

No notice is required under the terms of the lease.

The term for which the property was leased or rented is fully ended, or

___________________________________________________________________

         A forfeiture has resulted by reason of a breach of the conditions of the lease, to wit:  _________________________________ 
or,

____________________________________________________________________________________________________
____________________________________________________________________________________________________

Rent reserved and due has, upon demand, remained unsatisfied.

6. You retain the real property and refuse to give up to its possession.

I, ________________________________________________________________ verify that the facts set forth in this complaint are 
true and correct to the best of my knowledge, information and belief. This statement is made subject to the penalties of Section 4904 
of the Crimes Code (18 PA. C.S. § 4904) relating to unsworn falsification to authorities.

I certify this filing complies with the UJS Case Records Public Access Policy.

The landlord's attorney shall file an entry of appearance with the magisterial district court pursuant to Pa.R.Civ.P.M.D.J. 207.1

IF YOU HAVE A DEFENSE to this complaint you may present it at the hearing. IF YOU HAVE A CLAIM against the landlord arising out of the occupancy of the premises, 
which is in the magisterial district judge jurisdiction and which you intend to assert at the hearing, YOU MUST FILE it on the complaint form at the office BEFORE THE 
TIME set for the hearing. IF YOU DO NOT APPEAR AT THE HEARING, a judgment for possession and costs, and for damages and rent if claimed, may nevertheless be 
entered against you. A judgment against you for possession may result in your EVICTION from the premises.
If you are disabled and require a reasonable accommodation to gain access to the Magisterial District Court and its services, please 
contact the Magisterial District Court at the above address or telephone number. We are unable to provide transportation.

AOPC 310A

1

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(Signature of Landlord)