Section 2967. 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:

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PETITION TO STRIKE JUDGMENT

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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

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Street Address

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City, State

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Telephone Number

Dated:

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Defendant(s)

The provisions of this Rule 2967 adopted April 1, 1996, effective July 1, 1996, 26 Pa.B. 1806.