Free The City Solicitor does (not) oppose this Petition - Pennsylvania

The City Solicitor does (not) oppose this Petition

Assistant City Solicitor COSTS: Court Extradition Total Costs Judgment Total Due $ $ $ $ $

APPENDIX A COMMONWEALTH, EX. REL. CITY OF PHILADELPHIA v. and : : : : : : : : : : : COURT OF COMMON PLEAS TRIAL DIVISION

PHILADELPHIA, PA 191

DOCKET NO. JUDGMENT NO. BOSO SEQ. ACTIVE/DISPOSED

PETITION FOR VACATION OF JUDGMENT ON BAIL FORFEITURE TO THE HONORABLE, THE JUDGES OF THE SAID COURT: 1. Petitioner, by posting bond in the amount of $ who failed to appear as required in court on 2. Judgment was entered against your petition on The defendant was apprehended on days after issuance of the Bench Warrant. The defendant was a patient in which is the date on which he failed to appear. The defendant was unable to appear because of the reasons set forth below: Hospital on , 20 , , 20 , 20 acted as surety for the defendant . , 20 .

3. Your petitioner prays for vacation/reduction of the judgment entered for the following reason(s): , before entry of judgment. , 20 , which is The defendant returned to the jurisdiction of the court on

4. Appropriate proof is attached to this petition.

Petitioner-Surety
01-210