Petition to Strike Judgment. Form

The petition to strike judgment required by Rules 2958.3 and 2973.3 shall be substantially in the following form: (Caption) PETITION TO STRIKE JUDGMENT REQUEST FOR PROMPT HEARING I hereby certify that I did not voluntarily, intelligently and knowingly give up my right to notice and hearing prior to the entry of judgment. I petition the court to strike the judgment on this ground and request a prompt hearing on this issue. I verify that the statements made in this Request for Hearing 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. Notice of the hearing should be given to me at Street Address City, State Telephone Number Dated: … Defendant(s) Source The provisions of this Rule 2967 adopted April 1, 1996, effective July 1, 1996, 26 Pa.B. 1806. (Caption) PETITION TO STRIKE JUDGMENT REQUEST FOR PROMPT HEARING I hereby certify that I did not voluntarily, intelligently and knowingly give up my right to notice and hearing prior to the entry of judgment. I petition the court to strike the judgment on this ground and request a prompt hearing on this issue. I verify that the statements made in this Request for Hearing 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. Notice of the hearing should be given to me at Street Address City, State Telephone Number Dated: … Defendant(s) Source The provisions of this Rule 2967 adopted April 1, 1996, effective July 1, 1996, 26 Pa.B. 1806. PETITION TO STRIKE JUDGMENT REQUEST FOR PROMPT HEARING I hereby certify that I did not voluntarily, intelligently and knowingly give up my right to notice and hearing prior to the entry of judgment. I petition the court to strike the judgment on this ground and request a prompt hearing on this issue. I verify that the statements made in this Request for Hearing 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. Notice of the hearing should be given to me at Street Address City, State Telephone Number Dated: … Defendant(s) Source The provisions of this Rule 2967 adopted April 1, 1996, effective July 1, 1996, 26 Pa.B. 1806. REQUEST FOR PROMPT HEARING I hereby certify that I did not voluntarily, intelligently and knowingly give up my right to notice and hearing prior to the entry of judgment. I petition the court to strike the judgment on this ground and request a prompt hearing on this issue. I verify that the statements made in this Request for Hearing 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. Notice of the hearing should be given to me at Street Address City, State Telephone Number Dated: … Defendant(s) Source The provisions of this Rule 2967 adopted April 1, 1996, effective July 1, 1996, 26 Pa.B. 1806. I hereby certify that I did not voluntarily, intelligently and knowingly give up my right to notice and hearing prior to the entry of judgment. I petition the court to strike the judgment on this ground and request a prompt hearing on this issue. I verify that the statements made in this Request for Hearing 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. Notice of the hearing should be given to me at Street Address City, State Telephone Number Dated: … Defendant(s) Source The provisions of this Rule 2967 adopted April 1, 1996, effective July 1, 1996, 26 Pa.B. 1806. I verify that the statements made in this Request for Hearing 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. Notice of the hearing should be given to me at Street Address City, State Telephone Number Dated: … Defendant(s) Source The provisions of this Rule 2967 adopted April 1, 1996, effective July 1, 1996, 26 Pa.B. 1806. Notice of the hearing should be given to me at Street Address City, State Telephone Number Dated: … Defendant(s) Source The provisions of this Rule 2967 adopted April 1, 1996, effective July 1, 1996, 26 Pa.B. 1806. Street Address City, State Telephone Number Dated: … Defendant(s) Source The provisions of this Rule 2967 adopted April 1, 1996, effective July 1, 1996, 26 Pa.B. 1806. Street Address City, State Telephone Number Dated: … Defendant(s) Source The provisions of this Rule 2967 adopted April 1, 1996, effective July 1, 1996, 26 Pa.B. 1806. Dated: … Defendant(s) Source The provisions of this Rule 2967 adopted April 1, 1996, effective July 1, 1996, 26 Pa.B. 1806. Source The provisions of this Rule 2967 adopted April 1, 1996, effective July 1, 1996, 26 Pa.B. 1806.