Here is the text we could read:
AUTHORIZATION OF
REPRESENTATIVE
مملا ضيوفت
ث
ل
___________________________________
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
ق
ل
ي
م
ي
ة
:
MDJ Name:
ةمكحم يضاق مسا
ا
ل
ص
ل
ح
ا
لإ
ق
ل
ي
م
ي
ة
:
ddress:
ا
ل
ع
ن
و
ا
ن
elephone:
ا
ه
ل
ا
ت
ف
A
T
PURSUANT TO PA. R.C.P.M.D.J. NO. 207(B):
Individual:
I designate ___________________________________
to act as the authorized representative in the above-
captioned matter.
:
PA. R.C.P.M.D.J. NO. 207(B)
:
بجومب
درف
_____________________________________ نييعتب موقأ
.هلاعأ ةنيبملا ةيضقلا يف ضوفملا لثمملا نوكيل
Date/خيراتلا:___________________
Name (Print)/
)ةباتك(
مسلاا
:____________________________________
Signature/عيقوتلا:____________________________________
Name (Print)/)ةباتك( مسلاا:____________________________________
Signature/عيقوتلا:____________________________________
:هباشم نايك وأ ،ةكرش ،ةكارش
_______________
_____________________ نييعتب موقأ
_____________________________ ـل ضوفملا لثمملا نوكيل
.هلاعأ ةنيبملا ةيضقلا يف
فرطلا نع ةباين ةرامتسلاا هذه ىلع عيقوتلا ةيحلاص
كلمأ ي
ةيلاتلا تارايخلا ىدحا رتخا
:)
؛فرطلا لكشي يذلا دحولأا كلاملا وأ درفلا
؛فرطلا لكشت يتلا ةكرشلا يف فظوم
؛فرطلا لكشت يتلا ةماعلا ةكارشلا يف كيرش
فرطلا لكشت يتلا ةدودحملا ةكارشلا يف ماع كيرش
؛
نأب دهشأو امك
( يننأبو
Partnership, Corporation or Similar Entity:
I designate __________________________________
to act as the authorized representative of
_________________________ in the above-captioned
matter.
I further certify that I have the authority to execute this
form on behalf of the party and that I am: (check one)
the individual or sole proprietor that is the party;
an officer of the corporation that is the party;
a partner of the general partnership that is the party;
a general partner of the limited partnership that is
a manager of the limited liability company that is the
؛فرطلا لكشت يتلا نامضلا ةدودحم ةكرشلا يف ريدم
the party
party;
an officer of the board of governors of the
professional association that is the party;
a trustee of the business trust that is the party;
Date/خيراتلا:___________________
لكشت يتلا ةينهملا
ةيعمجلل ع
باتلا
ماكحلا سلجم يف لوؤسم فظوم
لكش
ي يذ
لا )
business trust
(
يراجت يراكتحا داحتا
؛فرطلا
يف يصو
؛فرطلا
Page 1 of 2
FREE INTERPRETER
يروف مجرتم
جم
ا
ي
ن
www.pacourts.us/language-rights
OPC 317
A
Authorized Representative Contact Information:
:ضوفملا لثمملاب لاصتلاا تامولعم
ame/ مسلاا: ______________________________________________________________________________________
Address/ناونعلا: ___________________________________________________________________________________
City, State, Zip/يديربلا مقرلا ،ةيلاولا ،ةنيدملا___________________________________________________________________
Phone/فتاهلا: _____________________________________________________________________________________
I, ______________________________________, do
hereby verify, to the best of my knowledge, information and
belief, that I have personal knowledge of the facts and
circumstances of the above-captioned matter.
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.
يتفرعم بسحب هنأ دكؤأ ،______________________________ ،انأ
يل ةفورعم هلاعأ ةنيبملا ةيضقلاب ةصاخلا فورظلاو عئاقولا نإ يريدقتو يتامولعمو
.يصخش لكشب
يف دحوملا يئاضقلا ماظنلا ةسايس ماكحلأ لثتمي ميدقتلا اذه نأب دهشأ انأو
Pennsylvania
.ةيرس ريغلا كتل نع فلتخت ةقيرطب ةيرسلا تادنتسملاو تامولعملا
ميدقت ضرفت يتلاو اياضقلا تلاجسل ماعلا لوصولاب قلعتي اميف
Name of Authorized Representative (Print)/
)ةباتك( ضوفمل
مملا مسا
ث
ل
ا
: _____________________________________________________
Signature/عيقوتلا: ______________________________________________________
N
Page 2 of 2
FREE INTERPRETER
يروف مجرتم
جم
ا
ي
ن
www.pacourts.us/language-rights
OPC 317
A
Arabic Authorization of Representative (Landlord)
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): 2
- Fields(s): 49
- Average fields per page: 24
- Reading Level: Grade 11
- LIST Grouping(s):
GO-00-00-00-00.
Use our Rate My PDF tool to learn more.
Go beyond the above insights and learn more about this or any pdf form at
RateMyPDF.com, includes: counts of difficult words used,
passive voice decetion, and suggestions for how to make the form more usable.
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)plaintiff was Plaintiff1 (0.35 conf)md_j_add__1 was MDJ_Add1 (0.43 conf)md_j_add__2 was MDJ_Add2 (0.43 conf)md_j_city was MDJ_City (0.39 conf)md_j_state was MDJ_State (0.38 conf)md_j_zip was MDJ_Zip (0.39 conf)defendant was Defendant (1.00 conf)md_j_phone was MDJ Phone (0.39 conf)docket_number was Docket Number (0.34 conf)date_filed was Date Filed (0.44 conf)county__2 was County_T (0.42 conf)check_box__1 was Check Box1 (0.52 conf)designate__1 was Designate (0.36 conf)date_designated__1 was Date Designated (0.33 conf)designate_name_print__1 was Designate Name Print (0.43 conf)designate__2 was Designate_T (0.36 conf)check_box__2 was Check Box1_T (0.52 conf)check_box__3 was Check Box2 (0.37 conf)check_box__4 was Check Box2_T (0.41 conf)designate__3 was Designate2 (0.35 conf)designate__4 was Designate2 of (0.38 conf)designate__5 was Designate2_T (0.41 conf)designate__6 was Designate2 of_T (0.43 conf)date_designated__2 was Date Designated 3 (0.41 conf)designate_name_print__2 was Designate Name Print 3 (0.40 conf)check_box__5 was Check Box3 (0.37 conf)check_box__6 was Check Box3_T (0.41 conf)check_box__7 was Check Box4 (0.37 conf)check_box__8 was Check Box4_T (0.41 conf)check_box__9 was Check Box5 (0.37 conf)check_box__10 was Check Box5_T (0.41 conf)check_box__11 was Check Box6 (0.37 conf)check_box__12 was Check Box6_T (0.41 conf)check_box__13 was Check Box7 (0.37 conf)check_box__14 was Check Box7_T (0.41 conf)check_box__15 was Check Box8 (0.37 conf)check_box__16 was Check Box8_T (0.41 conf)check_box__17 was Check Box9 (0.37 conf)check_box__18 was Check Box9_T (0.41 conf)authorized_rep_name was Authorized Rep Name (0.35 conf)authorized_rep_address__1 was Authorized Rep Address 1 (0.35 conf)authorized_rep_address__2 was Authorized Rep Address 2 (0.35 conf)authorized_rep_phone was Authorized Rep Phone (0.41 conf)authorized_rep_name_verify__1 was Authorized Rep Name Verify (0.41 conf)authorized_rep_name_verify__2 was Authorized Rep Name Verify_T (0.46 conf)authorized_rep_name_print was Authorized Rep Name Print (0.44 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
county__1md_j_numbermd_j_nameplaintiffmd_j_add__1md_j_add__2md_j_citymd_j_statemd_j_zipdefendantmd_j_phonedocket_numberdate_filedcounty__2check_box__1designate__1date_designated__1designate_name_print__1designate__2check_box__2check_box__3check_box__4designate__3designate__4designate__5designate__6date_designated__2designate_name_print__2check_box__5check_box__6check_box__7check_box__8check_box__9check_box__10check_box__11check_box__12check_box__13check_box__14check_box__15check_box__16check_box__17check_box__18authorized_rep_nameauthorized_rep_address__1authorized_rep_address__2authorized_rep_phoneauthorized_rep_name_verify__1authorized_rep_name_verify__2authorized_rep_name_print
Create an Interactive Version of this Form:
The Weaver creates a draft guided interview from a template form, like the one provided here. You can use the link below to open this form in the Weaver.
To learn more, read "Weaving" your form into a draft interview.
Launch Form in Weaver
