NOTICE OF APPEAL

(Court of Common Pleas of [County], Pennsylvania)

1. CAPTION

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IN THE COURT OF COMMON PLEAS OF [COUNTY_NAME] COUNTY, PENNSYLVANIA
[CIVIL] DIVISION
No. [DOCKET_NUMBER]

[PLAINTIFF_NAME],
Plaintiff,

v.

[DEFENDANT_NAME],
Defendant.

Attorney Information

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[ATTORNEY_NAME] (PA Attorney ID No. [BAR_NUMBER])
[LAW_FIRM_NAME]
[ADDRESS]
[City], PA [ZIP]
Telephone: [PHONE] | Facsimile: [FAX]
Email: [EMAIL]
Attorney for Appellant [CLIENT_NAME]

2. NOTICE OF APPEAL

Notice is hereby given that [CLIENT_NAME], [trial court role], appeals to the [Superior Court of Pennsylvania / Commonwealth Court / Supreme Court] from the order entered on [ORDER_DATE] by the Honorable [JUDGE_NAME]. The order [brief description] and is appealable pursuant to [Pa.R.A.P. 341(a) / Pa.R.A.P. 311 / statute].

3. TIMELINESS

• Order entered: [ORDER_DATE]
• Post-trial motions (Pa.R.C.P. 227.1) filed: [DETAILS]
• Notice filed: [FILING_DATE] (within 30 days per Pa.R.A.P. 903(a)).

4. RULE 904 INFORMATION

• Name(s) of Appellant(s): [CLIENT_NAME]
• Name(s) of Appellee(s): [APPELLEE_NAMES]
• Court appealed from: Court of Common Pleas of [COUNTY_NAME] County, Civil Division
• Judge: Hon. [JUDGE_NAME]
• Type of action: [e.g., contract, tort]
• Relief requested on appeal: reversal/modification/remand as appropriate

5. TRANSCRIPT AND RECORD ARRANGEMENTS

Appellant has [ordered/will order] transcripts within 14 days pursuant to Pa.R.A.P. 1911 by filing the request with the court reporter for proceedings held on [HEARING_DATES]. Docketing statement will be filed in accordance with Pa.R.A.P. 3517 and applicable local rules.

6. RELIEF REQUESTED

Appellant seeks reversal, vacatur, or modification of the appealed order and such further relief as the appellate court deems just, including costs.

7. SIGNATURE BLOCK

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Date: [DATE]

[ATTORNEY_NAME]
Attorney for Appellant [CLIENT_NAME]

8. CERTIFICATE OF SERVICE (Pa.R.A.P. 906)

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I certify that on [SERVICE_DATE] I served this NOTICE OF APPEAL on:

☐ [NAME], Counsel for [PARTY], [ADDRESS/EMAIL], by ☐ PACFile ☐ First-Class Mail ☐ Personal Service ☐ Email (consent)
☐ Clerk of the Court of Common Pleas of [COUNTY_NAME] County

[SERVER_NAME]