Praecipe To Assess Damages {M-2F-3}

IN THE COURT OF COMMON PLEAS OF _________________ COUNTY, PENNSYLVANIA CIVIL DIVISION : : : : : : : File No. __________________________ PRAECIPE TO ASSESS DAMAGES (Pa. R.C.P. No. 1037(b)(1)(2)) TO THE PROTHONOTARY/CLERK OF SAID COURT: Assess damages in favor of the Plaintiff(s) and against the Defendant(s) abovenamed, in the amount of $__________________________________ in accordance with the affidavit of repairman and itemized repair bill filed herewith. Plaintiff(s) hereby waive(s) any other damages under the judgment heretofore entered in this matter. Date: _________________ Signature: _____________________________ Print Name: ____________________________ Supreme Court ID No.:____________________ Address: _______________________________ _______________________________ Telephone No.:__________________________ NOW, _____________________, __________, DAMAGES ASSESSED AS ABOVE. ______________________________________ Prothonotary/Clerk, Civil Division by: ___________________________________ Deputy (NOTE: File in Duplicate) M-2F-3 (Rev. 4/04) American LegalNet, Inc. www.FormsWorkflow.com