Here is the text we could read:
IN THE COURT OF COMMON PLEAS OF ______________ COUNTY
В СУДЕ ОБЩЕГРАЖДАНСКИХ ИСКОВ ОКРУГА ____________________
PLAINTIFF / ИСТЕЦ
___________________________
VS.
CASE NO. / ДЕЛО №
__________________
DEFENDANT / ОТВЕТЧИКА
PROTECTION FROM ABUSE /
ЗАЩИТА ОТ ЖЕСТОКОГО ОБРАЩЕНИЯ
___________________________
AFFIDAVIT OF SERVICE
ЗАЯВЛЕНИЕ О ВРУЧЕНИИ
ДОКУМЕНТА
I, __________________________,
Я, _________________________,
the undersigned, hereby state that I
served a copy of the Notice of Hearing
and Order, Petition and Temporary Order
in the above-captioned action upon
Defendant by handing the papers to
_________________________________
_________________________________
нижеподписавшийся (-аяся),
настоящим заявляю, что вручил (-а)
ответчику копии уведомления о
слушании и приказе, ходатайства и
временного приказа по
вышеупомянутому делу путем
передачи бумаг (кому)
_________________________________
_________________________________
at the following address:
_________________________________
_________________________________
по следующему адресу:
_________________________________
_________________________________
on the ____ day of ________________,
20__, at approximately _________
o’clock _.m.
(день) ____ (месяц) ________________
20__ г. приблизительно в _________
часов
AOPC PSVI (Russian)
Created: December 26, 2016
I verify that the statements made in
Я подтверждаю подлинность
this Affidavit are true and correct. I
understand that false statements herein
are made subject to the penalties of 18
Pa.C.S. § 4904, relating to unsworn
falsification to authorities.
заявлений, содержащихся в
настоящем заявлении. Я понимаю, что
предоставление ложных сведений
карается наказанием согласно 18
Pa.C.S. § 4904 касательно ложных
свидетельств, сделанных не под
присягой для государственных
органов.
_______________________________________________________
(Signature / Подпись)
_______________________________________________________
(Title / Должность)
_______________________________________________________
(Address / Адрес)
_______________________________________________________
(Date / Дата)
THIS FORM MUST BE COMPLETED
AND SIGNED BY THE PERSON WHO
SERVES THE DEFENDANT WITH THE
NOTICE OF HEARING AND ORDER,
PETITION AND TEMPORARY ORDER.
IT MUST BE FILED WITH THE
PROTHONOTARY OR BROUGHT TO
THE COURT ON THE HEARING DATE.
ФОРМА ЗАПОЛНЯЕТСЯ И
ПОДПИСЫВАЕТСЯ ЛИЦОМ,
КОТОРОЕ ВРУЧАЕТ ОТВЕТЧИКУ
УВЕДОМЛЕНИЕ О СЛУШАНИИ И
ПРИКАЗЕ, ХОДАТАЙСТВО И
ВРЕМЕННЫЙ ПРИКАЗ. ФОРМУ
НЕОБХОДИМО ПОДАТЬ СЕКРЕТАРЮ
СУДА ИЛИ ПРИНЕСТИ В СУД В ДЕНЬ
СЛУШАНИЯ.
AOPC PSVI (Russian)
Created: December 26, 2016
Russian Notice of Hearing and Order Petition Temporary Order Affidavit of Service and the Final Order
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): 25
- Average fields per page: 12
- Reading Level: Grade 9
- LIST Grouping(s):
GO-00-00-00-00.
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Identified Data Fields:
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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.
n_th_e_cour_f_commo_plea was IN THE COURT OF COMMON PLEAS OF_4 (0.57 conf)count was COUNTY_4 (0.37 conf)fill__1 was fill_4_11 (0.40 conf)fill__2 was fill_5_5 (0.40 conf)fill__3 was fill_3_4 (0.40 conf)undefined__1 was undefined_2 (0.39 conf)fill__4 was fill_7_4 (0.40 conf)1_6 was 1_6 (0.38 conf)2_6 was 2_6 (0.38 conf)fill__5 was fill_9_4 (0.40 conf)fill__6 was fill_11_4 (0.40 conf)following_address__1 was at the following address 1 (0.38 conf)following_address__2 was at the following address 2 (0.38 conf)fill__7 was fill_13_5 (0.40 conf)fill__8 was fill_15_4 (0.40 conf)on_the was on the (0.30 conf)undefined__2 was undefined_3 (0.39 conf)fill__9 was fill_18_6 (0.40 conf)fill__10 was fill_19_2 (0.40 conf)approximately was at approximately (0.34 conf)fill__11 was fill_21_2 (0.40 conf)fill__12 was fill_1_3 (0.40 conf)fill__13 was fill_2_10 (0.40 conf)fill__14 was fill_3_5 (0.40 conf)fill__15 was fill_4_12 (0.40 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
n_th_e_cour_f_commo_pleacountfill__1fill__2fill__3undefined__1fill__41_62_6fill__5fill__6following_address__1following_address__2fill__7fill__8on_theundefined__2fill__9fill__10approximatelyfill__11fill__12fill__13fill__14fill__15
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