[29 Pa.B. 1853]

[Continued from previous Web Page]

CIVIL COURT FORMS

See Rule 14

IN RE:  APPEAL OF _________________  FROM THE
DECISION, DATED  _________________ , OF THE
ZONING HEARING BOARD OF THE TOWNSHIP/BOROUGH
OF  ___________________________

See Rule 303 (a)

IN THE COURT OF COMMON PLEAS OF MONTGOMERY COUNTY, PENNSYLVANIA

:
:
:      NO.
:
:

COVER SHEET OF MOVING PARTY

Date of Filing  ______     Moving Party  _________________

Counsel for Moving Party  _________________  I. D. No.  ______

Counsel for Other Parties  _________________  I. D. No.  ______
_________________  I. D. No.  ______

Document Filed (Specify)  ___________________________
___________________________

Matter is (Check One)      ____  (Appealable)   ____   (Interlocutory)

Oral Argument         ____  (Yes)  ____  (No)

__________

Check ONE of the Choices Listed Below:

____  Respondent is Directed to Show Cause Why the Attached Motion or Petition Should Not
be Granted. Rule Returnable the           day of                   ,           at 9:00 a.m.
in Arbitration Room 1.

____  Respondent is Directed to Show Cause Why the Attached Family Court Discovery Motion
Should Not be Granted. Rule Returnable and Argument the           day of                   ,
          at 1:00 p.m. at 321 Swede Street, Norristown, Pa.

____  Respondent is Directed to File a Response Within Twenty (20) Days in Conformity with
the Pennsylvania Rules of Civil Procedure.

___________________________

NOTE:  All Motions ''respecting discovery'' in CIVIL cases are subject to Local Rule 4019* - Discovery Master. All Motions ''respecting discovery'' in FAMILY cases are subject to Local Rule 4019.1* - Family Discovery Master. By filing this cover sheet, counsel certify that they have conferred in a good faith effort to resolve the subject discovery dispute.

               Cover Sheet is NOT to be Used for Matters Requiring Hearing.

See Rule 303 (b)

IN THE COURT OF COMMON PLEAS OF MONTGOMERY COUNTY, PENNSYLVANIA

:
:
:      NO.
:
:

COVER SHEET OF RESPONDENT

Date of Filing  _________________   Respondent  __________

Counsel for Respondent Party  _________________  I. D. No.  __________

Counsel for Other Parties  _________________  I. D. No.  __________
_________________  I. D. No.  __________

Document Filed (Specify)  __________
 
__________

Matter is (Check One)  ____  (Appealable)  ____   (Interlocutory)

Respondent Requires (Specify reason if Interlocutory)
   ____  DISCOVERY            __________
 
__________

   ____  ORAL ARGUMENT  __________
 
__________

If Interlocutory, is Memorandum of Law Attached?

Yes  ____   No  ____

See Rule 303 (c)

IN THE COURT OF COMMON PLEAS OF MONTGOMERY COUNTY, PENNSYLVANIA
CIVIL ACTION--LAW

:      NO.

                  v.:

:

ARGUMENT PRAECIPE

   Please submit the following matter to the designated Judge for disposition:
[  ]   INTERLOCUTORY matter subject to Montgomery County Local Rule *301:
(Specify)  __________
(Name of Moving Party)  __________
[  ]   APPEALABLE matter subject to Montgomery County Local Rule *302:
(Specify)  ___________________________
(Name of Moving Party)  ___________________________
WAS BRIEF ATTACHED TO THE ABOVE MATTER?:      [  ]   Yes       [  ]   No

ORAL ARGUMENT:      [  ]   Requested         [  ]   Waived

_________________
Signature of Filing Party
 
_________________
Name Typed and Attorney I. D. #

NOTE--PRAECIPE TO BE FILED IN DUPLICATE WITH THE PROTHONOTARY
--BRIEFS TO BE FILED IN COURT ADMINISTRATION ONLY

See Rule 1041.1*.5C

''[Caption]

PRAECIPE TO TRANSFER INACTIVE STATUS

TO THE PROTHONOTARY:

      Transfer the above-captioned matter to inactive status in accordance with Montgomery County Local Rule of Civil Procedure 1041.1*(5).

__________
Attorney for Plaintiff

[Certificate of Service]*

See Rule 1041.1*5D

ORDER

         AND NOW, this  ______  day of  ______ , ______ , IT IS ORDERED that the above-captioned matter is transferred to inactive status in accordance with Montgomery County Local Rule of Civil Procedure 1041.1*(5).

BY THE COURT:
 
 
__________
J.

See Rule 1854

IN THE COURT OF COMMON PLEAS OF MONTGOMERY COUNTY, PENNSYLVANIA
CIVIL ACTION--LAW

FAMILY COURT COVER SHEET

__________
 
__________

			CASE NUMBERS
		(CP)	______
		(DR)	______
		(D)	______
VS	__________
	Attorney for Plaintiff
	I. D. #:  __________
	Phone #:  __________
	__________ Attorney for Defendant
	ID#:  __________
	Phone #:  __________

 
__________
 

AVERMENT OF CONSOLIDATION

   On the spaces below, please identify all companion case numbers associated with this case that relate to:

1.	Divorce/Annulment	5.	Custody/Visitation/Habeas Corpus
2.	Support	6.	Special Relief
3.	Equitable Distribution	7.	Abuse
4.	Paternity

 
 

__________	__________	__________
__________	__________	__________
__________	__________	__________

   I certify that the information provided above is comprehensive and complete to the best of my knowledge, and that I have formally entered my appearance for the case above.

By:  __________
Esquire         

Rule 1920.33(f)(1)(e)

Gross income (indicate how paid, weekly,    bi-weekly, etc.)	$ __________
Federal tax	$ __________
FICA	$ __________
Medicare tax	$ __________
State tax	$ __________
Local tax	$ __________
Net income	$ __________

See Rule 1920.33(f)(4)

STATEMENT OF MONTHLY EXPENSES

1.	HOME EXPENSES
	A.	Rent or home loan payment (including any assessment or maintenance fee)		$ __________
	B.	Real estate taxes (if not included in A)		$ __________
	C.	Utilities:
			Electricity	$ ______
			Gas	$ ______
			Water	$ ______
			Telephone	$ ______
			Oil	$ ______
			Other (specify)	$ ______
	D.	Home maintenance (repairs and upkeep)		$ __________
2.	OTHER EXPENSES
	A.	Alimony or spousal support		$ ______
	B.	Child support		$ ______
	C.	Insurance (not deducted from wages):
			Life	$ ______
			Health	$ ______
			Auto	$ ______
			Homeowners or renters	$ ______
			Other (specify)	$ ______
	D.	Installment payments:
			Auto	$ ______
			Other (specify) _________________	$ ______
	E.	Education (tuition and books)		$ ______
	F.	Medical, dental and medicine (not covered by insurance)		$ ______
	G.	Other extraordinary expenses (specify)		$ ______
			TOTAL ESTIMATED CURRENT MONTHLY EXPENSES	$ ______

      I verify that the information contained in the foregoing statement of monthly expenses is 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.

_________________	_________________
Date	Signature

See Rule 2039(a)

IN THE COURT OF COMMON PLEAS OF MONTGOMERY COUNTY, PENNSYLVANIA
CIVIL ACTION

:         NO:

         v.:

:         MINOR'S COMPROMISE

AFFIDAVIT OF DEPOSIT OF MINOR'S FUNDS

COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF MONTGOMERY

   I,  _________________ , being duly sworn according to law depose and say:

   1.  I am employed by__________
name of bank or authorized depository

as  __________ .

   2.  I am authorized to make this affidavit on behalf of
 
__________
name of bank or authorized depository

   3.  On  _________________  the sum of $ __________
                  date

was deposited by  ___________________________  in an insured, interest-bearing Savings Account/Certificate of Deposit No.  __________
pursuant to Order of Court dated  _________________  to File No.  ______ .

   4.  Account/Certificate No.  ___________________________   is entitled,
___________________________ , a Minor.

   5.  The express prohibition of withdrawals of income or principal prior to  ______  without FURTHER ORDER OF COURT has been noted on the depository's records and on the passbook/certificate.

 
 
__________
Name
 
__________
Signature
 
__________
Titles

Sworn to and subscribed before
me this  ____  day of  ______ ,  _____ .
 
_________________
Notary Public

THIS AFFIDAVIT SHALL BE FILED IN THE OFFICE OF THE MONTGOMERY COUNTY PROTHONOTARY, MONTGOMERY COUNTY COURTHOUSE, SWEDE AND AIRY STREETS, NORRISTOWN, PENNSYLVANIA WITHIN THIRTY (30) DAYS OF THE DATE OF THE ORDER OF COURT.

See Rule 4015

IN THE COURT OF COMMON PLEAS OF
MONTGOMERY COUNTY, PENNSYLVANIA

To the Appropriate Judicial Authority in
 
 
__________
 
 
__________

   Whereas a certain suit is pending before us in which A. B. is plaintiff and C.D. as defendant, and it has been suggested to us that there are witnesses residing within your jurisdiction, without whose testimony justice cannot completely be done between the said parties; we, therefore, request that, in furtherance of justice, you will, by the proper and usual process of your court, cause such witness or witnesses as shall be named or pointed out to you by the said parties, or either of them, to appear before you or some competent person by you for that purpose to be appointed and authorized at a time and place by you to be fixed, and there to answer on their oaths or affirmations, to the several interrogatories hereunto annexed; and that you will cause their testimony to be committed to writing, and returned to us under cover duly closed and sealed, together with these presents; and we shall be ready and willing do the same for you in a similar case when required.

   Witness, etc.

[Pa.B. Doc. No. 99-579. Filed for public inspection April 9, 1999, 9:00 a.m.]

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