Lancaster Cnty. C.P. Rules of Civil Procedure Rule 205.2(d)

Program (“Program”):

A. All actions filed for consumer credit card debt collection shall be

automatically enrolled in the Program, subject to the “opt-out” procedure set forth below.

Certain other consumer credit card cases may be referred to conciliation at the discretion

of the presiding judge, as specified in the paragraphs below.

Business or commercial credit card debt collection actions, where a business or

commercial entity is listed as a defendant or as a co-defendant, are not eligible for the

Program and will not be automatically enrolled. For a business or commercial credit card

debt collection action, on the Supreme Court of Pennsylvania Cover Sheet, Plaintiff shall

check the box for Debt Collection: Credit Card and include in the lines below, “Business

Credit Card.” Plaintiff shall not include the “NOTICE,” also known as Form 1, or make any

reference to the credit card diversion program for a business or commercial credit card

debt collection action in its complaint.

However, to avoid the necessity of issuing an Order for Plaintiff to amend its

complaint for inadvertently including the “NOTICE,” which may confuse Defendants as to

whether the proceeding and pleading requirements are paused, the Court may issue a

companion order which will clearly state that there is no stay placed on the proceedings,

that the pleading requirements are not suspended, and that Defendant should heed the

Notice to Defend within 20 days of service of the complaint. The Plaintiff shall serve the

companion order with the complaint.

If Plaintiff includes the “NOTICE” in its initial complaint where the case is not

eligible for the Program because it is a business or commercial credit card debt collection

action and the Court does not issue a companion order to be served with the complaint,

Plaintiff shall file an Amended Complaint that includes a clear statement that the case

does not qualify for the consumer credit card collection diversion program, that there is

no stay placed on the proceedings, the pleading requirements are not suspended, and

that Defendant should heed the Notice to Defend within 20 days of service of the

Amended Complaint. The Amended Complaint shall not include the “NOTICE.”

B. Plaintiffs are required to electronically file complaints for consumer credit

card debt collection actions and are subject to additional e-filing fees as may be

implemented by the Lancaster County Prothonotary. For purposes of this Program, the

Lancaster County Prothonotary. For purposes of this Program, the Lancaster County

Prothonotary may maintain all documents in electronic format and does not need to

maintain a paper file for each case.

C. In all consumer credit card collection actions, the caption of the complaint

shall include the words “Consumer Credit Card Collection Action.”

D. Electronically filed complaints shall be submitted as follows:

1. The Plaintiff files the complaint electronically through the Lancaster

County Prothonotary Online Portal or any other such program that may be utilized

by the Lancaster County Prothonotary for the electronic filing of documents;

2. The Plaintiff pays the appropriate civil action filing fee and any

additional fees for e-filing as set forth by the Lancaster County Prothonotary;

3. Within three (3) business days of the filing of the complaint

electronically, the Plaintiff shall provide (1) one check made payable to the

Lancaster County Sheriff’s Office for the civil process fee and (2) a paper copy of

the filed complaint with the “Notice of Consumer Credit Card Collection Diversion

Program,” in the form attached hereto as Form “1,” affixed to the front of the

complaint to the Lancaster County Sheriff’s Office.

E. Upon the filing of a consumer credit card collection complaint, the Court

shall issue a “Case Management Order,” substantially in the form attached hereto as

Form “2.” The Prothonotary shall serve a copy of the Case Management Order (“CMO”)

on the plaintiff’s attorney and on the defendant. If there is a conflict between the local

rules and the CMO, the CMO takes precedence over the local rules and is controlling.

The CMO Shall:

1. Schedule a conciliation conference for no sooner than 90 days and

no later than 120 days from the date of the Order;

2. Direct the plaintiff to electronically file with the Court, within 30 days

of the date of the CMO, the “Statute of Limitations And Documentation of Debt

Certification” form, identified in paragraph 6 below, along with supporting

documentation (“DOCS”) of the alleged debt (i.e., credit card statements, original

credit card application, credit card agreements, bill of sale, account transfer or

assignment, etc.);

3. Notify the defendant that the defendant may call a certified credit

counseling agency directly at the telephone number provided in the CMO to assist

the defendant in preparing for the conciliation conference;

4. Notify the defendant that the defendant may opt out of the Consumer

Credit Card Collection Diversion Program by filing with the Court “Defendant’s

Election of Nonparticipation,” in the form attached here to as Form “3,” or such

later court-approved form;

5. Requires the attendance at the conciliation conference of the

defendant or defendant’s counsel of record, and a representative of the plaintiff, or

plaintiff’s counsel of record;

6. Provide that further proceedings in the action will be stayed pending

the conclusion of the conciliation process, unless the defendant opts out of the

Program, or the case is removed from the Program by further Order of Court;

7. Advise the defendant of the right to consult with an attorney at any

time and to bring an attorney to the conciliation conference, as well as provide

contact information for local legal services and pro bono attorney programs, if any;

and

8. Provide such other terms as may be necessary and appropriate.

F. The sheriff shall file a return of service which shall indicate the service of

the complaint. The entry of the Case Management Order (“CMO”) shall result in an

automatic stay of any further proceedings to afford the parties an opportunity to participate

in the court-supervised conciliation process. No answer shall be required, and no

judgment by default may be entered prior to the completion of the conciliation process

unless the case is removed from the Program by further Order of Court.

However, a consent judgment, a judgment by agreement, or an agreed upon

stipulation in lieu of judgment containing the signature of both parties may be filed and

entered prior to the completion of the conciliation process, and, if this occurs, it will cause

the case to be automatically released from the program without further Order of Court

G. Within 30 days of the date of the CMO, the plaintiff shall e-file with the Court

a “Statute of Limitations and documentation of Debt Certification” (“SOL”) in substantially

the same form as the form attached hereto as Form “4” and provide supporting

documentation (“DOCS”) of the alleged debt as defined in the SOL. Supporting

documentation, i.e., credit card statements, must be filed in chronological order,

preferably oldest to newest. The SOL form and DOCS shall be filed with the appropriate

Confidential Document/Information forms in accordance with the Case Records Public

Access Policy of the Pennsylvania Courts.

The “Statue of Limitations and Documentation of Debt Certification” and all

supporting documentation must be filed electronically through the Lancaster County

Prothonotary Online Portal or any other such program as utilized by the Lancaster County

Prothonotary for the electronic filing of documents.

The Diversion Program Coordinator will review the SOL and DOCS submitted to

the Court to determine whether the appropriate supporting documentation and

information has been filed. Any questions as to the sufficiency of documentation shall be

referred to a judge of the Court of Common Pleas. If the documents are not submitted or

lack the required information, the Court shall issue a non-compliance Order directing the

plaintiff to supplement its documentation to conform with the pleading requirements under

Pennsylvania Rules of Civil Procedure 1019. If Plaintiff fails to comply with the CMO

and/or the non-compliance Order, the Court will issue a Rule upon Plaintiff to show cause

why the action should not be dismissed without prejudice for failure to comply, with the

Rule returnable at a hearing.

H. If the defendant elects not to participate in the Program or if the defendant

fails or refuses to cooperate within the parameters of the Program, the Court shall issue

an Order removing the consumer credit card debt collection action from the Program.

Within ten days of the filling of Defendant’s Election of Nonparticipation, see Form “3”

below, the Court shall issue an Order cancelling the conciliation conference, lifting the

stay on the action, and directing the defendant to file a response to the plaintiff’s

complaint.

I. The scheduled conciliation conference will be held before the Diversion

Program Coordinator, or a court-appointed representative, who will facilitate the

settlement negotiations. Conciliations may be held virtually utilizing advance

communication technology.

J. Any unrepresented defendant will be advised by the Court, the Diversion

Program Coordinator, and the credit counseling agency of the right to consult with an

attorney at any time during the conciliation process and to bring an attorney to the

conciliation conference. The defendant will also be advised that the defendant may apply

for an attorney through programs run by the lawyer referral, legal services, and legal aid

programs as may exist within the Second Judicial District. If a defendant secures the legal

services of an attorney, counsel of record must file a Praecipe for entry of appearance.

K. If an agreement is reached through negotiations prior to the scheduled

conciliation conference, the plaintiff shall (a) immediately notify the Diversion Program

Coordinator of the agreement so the conciliation conference may be cancelled, (b)

confirm the agreement in writing with the defendant and the Program Coordinator within

five business days, and (c) prepare any documents necessary to implement the

agreement.

L. If, at any time prior to the date on which a conciliation conference is

scheduled, the plaintiff becomes aware that it will be unable to proceed to the conference,

then the plaintiff must contact the defendant, the defendant’s attorney, if any, and the

Diversion Program Coordinator, in writing, to request a continuance of the conciliation

conference. Any failure of the plaintiff to comply with the specific terms of this paragraph

my result in the imposition of sanctions.

M. Unless an agreement is reached prior to the scheduled conciliation

conference, the plaintiff’s attorney of record, the defendant, or the defendant’s attorney

of record shall appear in person at the conciliation conference. Use of local or appearance

counsel is not permitted.

N. If the conference is held virtually utilizing advance communication

technology, Plaintiffs shall appear by video, unless granted an exception by the Court to

participate by telephone. Defendant’s counsel shall also appear by video, unless granted

an exception by the Court to participate by telephone. Unrepresented Defendants may

participate by video or by telephone without exception. All parties or attorneys who appear

at the conciliation must have actual settlement authority.

O. Failure of the plaintiff’s counsel or the plaintiff’s representative to attend the

conciliation conference, absent good cause shown, or failure to participate in the

conciliation in good faith may result in the dismissal of the action without prejudice, the

rescheduling of the conciliation conference and/or further postponement of any action in

the matter, the award of attorney’s fees and costs, and any lost wages or other related

expenses for the defendant, or the imposition of such other sanction as the Court deems

appropriate.

P. Failure of the defendant or defendant’s counsel of record to attend the

conciliation conference, absent good cause shown, may result in the lifting of the

automatic stay and in the matter proceeding to judicial disposition, and my further result

in the imposition of sanctions as the Court deems appropriate, including, but not limited

to, attorney’s fees and costs.

Q. If an agreement is reached at the conciliation conference, the Court will

issue an Order to continue the case generally in the Program pending finalization of the

agreement. Plaintiff shall prepare any documents necessary to implement the agreement

within five business days of the date of the conciliation conference. If no agreement is

filled with the Court within 90 days from the date of the general continuance order, then

Plaintiff may make a request to the Diversion Program Coordinator that the case be

released from the Program to be further litigated. If an agreement is filed within 90 days

from the date of the general continuance order, the case shall be automatically released

from the Program on the date the agreement is filed so that Plaintiff may enforce the

agreement if necessary.

R. Conciliation must be completed within 30 days of the conciliation

conference, unless extended by Order of the Court or by stipulation of the parties.

S. Absent good cause, as determined by the Court, conciliation must be

completed within 180 days after suit is filed. If conciliation fails to be completed within 180

days after suit is filed, and the Court makes the determination that such failure is

attributable to either party, and that party is unable to show good cause as to why

conciliation could not be completed within the specified time, the Court may dismiss the

action with or without prejudice or impose such other sanctions as the Court deems

appropriate.

T. Any plaintiff who files a motion for summary judgment or a motion for

judgment on the pleadings in any consumer credit card collection case that was

commenced on or before December 31, 2021, must also serve on the defendant: (a) a

copy of the Notice of Consumer Credit Card Collection Diversion Program and

Certification Regarding Eligibility of Action, in the form attached hereto as Form “5,” giving

the defendant in that pending action notice of the availability of the Program; and (b) an

Application for Entry, in the form attached hereto as Form “6,” allowing the defendant to

request placement in the program and a stay of proceedings. The defendant may seek

participation in the Program by filing with the Court, within 20 days of receipt of the Notice,

an Application for Entry.

The motion for summary judgment or motion for judgment on the pleadings shall

have attached to it a “Statute of Limitations and Documentation of Debt Certification” in

the form attached hereto as Form “4.” The Court may deny the motion for failure to comply

with the requirements of this paragraph.

U. In any consumer credit card collection case that commenced on or before

December 31, 2021, in which there are outstanding preliminary objections, the Court, in

its discretion, may refer the case to the Program.

V. Any plaintiff who files a Praecipe for judgment by default in any consumer

credit card collection case that was commenced on or after January 1, 2022, that is

governed by these rules, must attach an “Affidavit of Compliance and Entitlement to

Default Judgment” in the form attached hereto as Form “7.”

If the plaintiff has not complied with the requirements of the local rules, the

Prothonotary shall automatically enter a default judgment against the defendant and shall

forward the filing to the Program Coordinator. No judgment by default against the

defendant shall enter unless the Court determines the documentation filed by the plaintiff

establishes the plaintiff’s entitlement to judgment in the amount claimed by the plaintiff.

W. Any plaintiff who files a motion for summary judgment or a motion for

judgment on the pleadings in any consumer credit card collection case that was

commenced on or after January 1, 2022, must attach an Affidavit of Service indicating the

manner and date of service of the “Notice of the Consumer Credit Card Collection

Diversion Program,” in the form attached hereto as Form “1,” upon the defendant.

X. At the discretion of the presiding judge, a defendant who has previously

participated in, and been removed from the Program may request the Court to re-admit

the case to the Program for good cause shown by presenting an “Application for Re-Entry,” substantially in the form attached hereto as From “8,” or such later court-approved

form. If the defendant’s request is granted, the Court will issue a CMO to schedule a

conciliation conference.

Y. Sanctions may be imposed by the Court at any time for lack of good faith

participation and/or noncompliance with any aspect of the Program.

Z. All information submitted to the Diversion Program Coordinator that is not

filed with the Court shall be confidential and inadmissible in any subsequent legal

proceeding, unless otherwise provided by law.

AA. The Diversion Program Coordinator may assist with enforcing compliance

with these rules.

BB. These rules are effective for all consumer credit card collection actions filed

on or after January 1, 2022.

CC. These local rules shall remain in effect unless and until they are rescinded

by the Court.

Revised 7-23-2024 Effective 10-28-2024

FORM LIST

1. Notice of Consumer Credit Card Collection Diversion Program

2. Case Management Order (with attached Forms A-B-C)

3. Defendant’s Election of Nonparticipation

4. Statute of Limitations and Documentation of Debt Certification

5. Notice of Consumer Credit Card Collection Diversion Program and Certification

Regarding Eligibility of Action

6. Application for Entry

7. Affidavit of Compliance and Entitlement to Default Judgment

8. Application for Re-Entry

Form 1

NOTICE

Through the Lancaster County Consumer Credit Card

Collection Diversion Program, you may be able to get help with

resolving your Credit Card Debt

A credit card debt collection action has been filed against you. This court

program will allow you to participate in a court-supervised conciliation

conference to resolve this matter with your debt holder.

As a result of your eligibility for this FREE Program:

 The Court will pause the action while you participate in the Program

 You are eligible to meet with a credit counselor who will work with you

FREE OF CHARGE to review your finances and help you resolve the

claims in this lawsuit

 You MUST attend the Conciliation Conference, as scheduled by future

Court Order, where under the Court’s supervision a reasonable

payment arrangement can be arranged. If you do not appear at the

conference, a judgment could be entered against you!

Once entered, a judgment may create a lien on real estate, and your personal property and assets,

including a portion of your paycheck and/or bank account, may be taken from you. Also, a judgment will

affect your credit score and can affect your ability to rent a home, find a job, or take out a loan. You

cannot be arrested or sent to jail for owing credit card debt.

For additional information about this FREE Program

call 717-209-3290 Mon-Fri 9:00 am to 4:00 pm

or email cddp@lancastercountypa.gov

or go to the Court’s website at

https://court.co.lancaster.pa.us/CCCDP

Form 2

IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA

CIVIL ACTION

:

Plaintiff: CI- -

:

v. : CONSUMER CREDIT CARD

: COLLECTION ACTION

:

Defendant(s):

CASE MANAGEMENT ORDER

AND NOW, this day of 202_, a complaint having been filed to collect on a consumer credit

card debt, and the case being eligible for participation in the Lancaster County Consumer Credit Card

Collection Diversion Program (“Program”), it is hereby ORDERED as follows:

1. All proceedings and further pleading deadlines in this matter are suspended until completion

of the conciliation process, and no judgment by default may be entered until and unless the case is

removed from the Program by further Order of Court.

2. However, certain settlement agreements signed by the parties may be filed and entered by the

prothonotary notwithstanding the stay placed on the case. A stipulation to payment agreement in

lieu of judgment, a consent judgment, or a judgment by agreement may be filed and entered prior to

completion of the conciliation process. Upon any of these three types of agreement of the parties

being entered by the Court, the conciliation conference will be cancelled, the conciliation process

deemed complete, and the case will be automatically released from the Program so that these

agreements may be enforced by Plaintiff, should that become necessary.

3. A virtual, court-supervised conciliation conference is scheduled on, 202_, at 1:30 p.m.

Plaintiffs must connect to the conference by the internet link unless special permission to participate

by telephone is granted by the Court. Defendants may participate by internet link or by telephone

without exception.

4. To connect to the conference via internet using a computer or mobile device, use this link:

https://co-lancaster-pa-us.zoom.us/j/ . To connect by telephone, dial: +1 309 205,

and when prompted, enter the meeting ID: 898 0317 #. All parties or their respective counsel

are directed to appear. Continuances will NOT be granted, absent good cause shown.

5. Defendants may receive an email reminder for the conference by providing the Defendant’s

name, case number (i.e., CI-23-xxxxx), and primary email address to:

cddp@lancastercountypa.gov.

6. Plaintiff’s and Defendant’s Attorney of Record, either the attorney who filed the complaint or an

attorney who has entered his or her appearance with the Court prior to the conciliation conference,

must appear. Use of “appearance” counsel to attend the conciliation conference for the Program

is no longer permissible.

7. The failure of Defendant or their attorney to attend the conference, absent good cause shown,

shall result in removal from the Program, the lifting of the stay, and in the matter proceeding to

judicial disposition.

8. Within thirty (30) days of the date of this Order, Plaintiff shall electronically file

(“e-file”) with the Court, along with supporting documentation 1, the Statute of Limitations and

Documentation of Debt Certification in the form attached hereto. 2

9. In addition, within thirty (30) days of the date of this Order, Plaintiff shall e-file a

demonstrative exhibit which outlines the final statement balance and lists by category, as applicable,

the total dollar amounts contained within the supporting documentation e-filed for any: (1)

purchases, (2) balance transfers, (3) cash advances, and (4) deferred interest accrual charges.

The exhibit shall include a citation to each credit card statement utilized in calculating the total

dollar amount for each category above, by its closing or ending date. See the example demonstrative

exhibit attached to this order.

10. If an agreement is reached by the parties through pre-conference negotiations, Plaintiff shall

prepare any documents necessary to implement the agreement and promptly notify the Diversion

Program Coordinator at cddp@lancastercountypa.gov so the conference may be cancelled. If no

agreement is reached, the case shall proceed to the scheduled court-supervised conference.

11. Although an attorney is not required, Defendant may work with an attorney to prepare the case for

conciliation. If Defendant does not have an attorney, Defendant may contact MidPenn Legal

Services by calling 717-299-0971 or by visiting: https://palegalaid.net/find-legal-help/apply, or

contact the Lancaster Bar Association Lawyer Referral Service by calling 717-393-0737. Free

1 Supporting documentation of the debt filed shall be sufficient to permit the Defendant to calculate the total amount of

damages that are allegedly due. Any credit card statements that are filed shall be filed in chronological order.

2 The Statute of Limitations and Documentation of Debt Certification and supporting documentation shall be filed with the

appropriate Confidential Document/ Information forms in accordance with the Case Records Public Access Policy of the

Pennsylvania Courts.

virtual legal advice for civil matters may be available through the American Bar Association for those who

qualify by visiting: https://pa.freelegalanswers.org.

12. If Defendant desires to participate in FREE credit counseling prior to the conciliation, Defendant may

contact Tenfold directly at 717.397.5182 or visit: https://wearetenfold.org/. Please mention to Tenfold that

this case is enrolled in the Court’s credit card diversion program.

13. Defendant shall have the option to withdraw from the Diversion Program at any time by filing with the

Court an Election of Nonparticipation.

14. For more information on the consumer credit card diversion program, please visit

https://www.court.co.lancaster.pa.us/265/Consumer-Credit-Card-Diversion-Program#forms

BY THE COURT:

J.

ATTEST:

Encls: (A) Statute of Limitations and Documentation of Debt Certification

(B) Notice of Language Rights

(C) Example Demonstrative Exhibit

Copies to: (Service by First-Class Mail)

(Service by the Lancaster County Sheriff)

Form A

IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA

CIVIL ACTION

:

:

Plaintiff:

: CI-

v. :

:

:

Defendant:

STATUTE OF LIMITATIONS AND DOCUMENTATION OF DEBT CERTIFICATION

As required by Local Rule 205.2(d), the undersigned verifies that:

1. Statute of Limitations: Based on reasonable inquiry, the applicable limitations period has not

expired as of the date of the filing of the complaint.

2. Documentation of Debt: The name of the current debt holder:

3. The name of the original creditor, and for debt arising from a credit card sponsored or co-

sponsored by a retailer, the name of the sponsoring or co-sponsoring retailer:

4. The last four digits of the social security number for the defendant appearing on the original

account:

5. The date the original credit agreement was entered into by the defendant:

6. The date the defendant defaulted and the basis for the default:

7. Documents establishing the existence, amount, and terms and conditions applicable to the debt

that is the subject of this action, including:

[] A. A copy of the credit card agreement in effect at the time the credit card was issued

establishing the original terms and conditions applicable to the debt or the original credit card

application, and applicable subsequent amendments; but if the writing(s) is/are not accessible to

the plaintiff, it is sufficient so to state, together with the reason, and to set forth the substance of

the writing(s).

[] B. Sufficient documentation to permit the defendant to calculate the total amount of

damages that are allegedly due.

8. Documents regarding ownership of the debt:

[] A. Each bill of sale, assignment, or other document evidencing the transfer of

ownership of the debt, beginning with the original creditor. If the debt has been assigned more than

once, then each assignment or other writing evidencing transfer of ownership must be attached to

establish an unbroken chain of ownership. Such documentation must contain at least the last four digits

of the original account number of the debt purchased or other identifying information uniquely

associated with the account and must clearly show the debtor’s name associated with that account

number.

[] B. Not applicable – the plaintiff is the original creditor

I verify that the statements made herein are true and correct. I understand that false statements are made

subject to the penalties of 18 Pa.C.S.A. § 4904 relating to unsworn falsification to authorities.

Signature of Plaintiff or Plaintiff’s Counsel Date

Form B

Notice of Language Rights

Language Access Coordinator

Lancaster Cotmty Court of Common Pleas, 50 N. Duke St, Lancaster, PA 17602 717-295-

3584 (office), 717-295-3625 (fax)

languageaccess@co.lancaster.pa.us

English: You have the right to an inte1preter at no cost to you. To request an interpreter, please inform court staff using the contact

infonnation provided at the top of this notice.

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utilizando la informacion provista en la pa11e superior de este aviso.

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Portuguese/Portugues: Voce tern direito a um interprete gratuitamente. Para solicitar um interprete, informe a nossa equipe usando os

dados de contato mostrados na parte superior deste aviso.

Somali/Somaali: Waxaad xaq u leedahay in lagu tuijumo lacag la'aan ah. Si aad u codsato turjumaanka, fadlan u sheeg

maxkamadda shaqaa laha adiga oo isticmaala macluumaadka ciwaanka kor lagu siiyay ee ogeysiiskaan.

Haitian Creole/Kreyol Ayisyen: Ou gen dwa resevwa sevis yon entepre t gratis. Pou mande pou yon entepret, tanpri fe manm pesonel

tribinal la konnen le ou sevi avek enfomasyon an yo te bay ou nan tet avi sa a.

Frencb/Francais: Vous avez le droit de beneficier gratuitement de !'assistance d'un ioterprete. Pour en faire la demande, veuillez en

informer le personnel du tribunal a I'aide des coordonnees indiquees en haut de page.

Form C

Demonstrative Exhibit – Summary of Charges Incurred on Credit Card

Final Statement Balance: $

List charges incurred by category as contained within the e-filed supporting documentation only (use

additional pages, if necessary):

Total Purchases: $

See credit card statements, by closing or ending date: / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /.

Total Balance Transfers: $

See credit card statements, by closing or ending date: / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /.

Total Cash Advances: $

See credit card statements, by closing or ending date: / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /.

Total Deferred Interest Accrual Charges: $

See credit card statements, by closing or ending date: / /, / /, / /,

/ /, / /, / /, / /, / /, / /, / /, / /.

Form 3

IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA

CIVIL ACTION

[CAPTION]

DEFENDANT’S ELECTION OF NONPARTICIPATION IN THE

CONSUMER CREDIT CARD COLLECTION DIVERSION PROGRAM

After receiving notice of the above-captioned credit card debt collection action, after being served

with a “Notice of Consumer Credit Card Collection Diversion Program” and Case Management

Order, and understanding that the above-captioned action is eligible to participate in said Consumer

Credit Card Collection Diversion Program:

[] Defendant elects not to participate in the Diversion Program with the knowledge and

understanding that the stay of proceedings will be lifted, the action will go forward, and the

plaintiff may be permitted to seek judgment against the defendant if he/she does not file a

responsive pleading with the Court, such as an answer to the complaint

[] Defendant elects not to participate in the Diversion Program with the knowledge and

understanding that the stay of proceedings will be lifted, and the action will go forward, to

allow Defendant to raise a legal defense(s) in response to Plaintiff’s complaint

Defendant/Defendant’s Counsel Date

Form 4

IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA

CIVIL ACTION

:

:

Plaintiff:

: CI-

v. :

:

:

Defendant:

STATUTE OF LIMITATIONS AND DOCUMENTATION OF DEBT CERTIFICATION

As required by Local Rule 205.2(d), the undersigned verifies that:

9. Statute of Limitations: Based on reasonable inquiry, the applicable limitations period has not

expired as of the date of the filing of the complaint.

10. Documentation of Debt: The name of the current debt holder:

11. The name of the original creditor, and for debt arising from a credit card sponsored or co-

sponsored by a retailer, the name of the sponsoring or co-sponsoring retailer:

12. The last four digits of the social security number for the defendant appearing on the original

account:

13. The date the original credit agreement was entered into by the defendant:

14. The date the defendant defaulted and the basis for the default:

15. Documents establishing the existence, amount, and terms and conditions applicable to the debt

that is the subject of this action, including:

[] A. A copy of the credit card agreement in effect at the time the credit card was issued

establishing the original terms and conditions applicable to the debt or the original credit card

application, and applicable subsequent amendments; but if the writing(s) is/are not accessible to

the plaintiff, it is sufficient so to state, together with the reason, and to set forth the substance of

the writing(s).

[] B. Sufficient documentation to permit the defendant to calculate the total amount of

damages that are allegedly due.

16. Documents regarding ownership of the debt:

[] A. Each bill of sale, assignment, or other document evidencing the transfer of

ownership of the debt, beginning with the original creditor. If the debt has been assigned more than

once, then each assignment or other writing evidencing transfer of ownership must be attached to

establish an unbroken chain of ownership. Such documentation must contain at least the last four digits

of the original account number of the debt purchased or other identifying information uniquely

associated with the account and must clearly show the debtor’s name associated with that account

number.

[] B. Not applicable – the plaintiff is the original creditor

I verify that the statements made herein are true and correct. I understand that false statements are made

subject to the penalties of 18 Pa.C.S.A. § 4904 relating to unsworn falsification to authorities.

Signature of Plaintiff or Plaintiff’s Counsel Date

Form 5

IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA CIVIL ACTION

[CAPTION]

NOTICE OF CONSUMER CREDIT CARD COLLECTION DIVERSION PROGRAM AND

CERTIFICATION REGARDING ELIGIBILITY OF ACTION

CERTIFICATION

Pursuant to Lancaster County Rule 205.2(d), establishing the Consumer Credit Card Collection

Diversion Program, I hereby certify that

1. This action was commenced on ____________________________________________________

2. Had this action been commenced on or after January 1, 2022, the effective date of the

Administrative Order, the action would have been eligible for the Diversion Program.

NOTICE TO THE DEFENDANT

The Defendant in this action may apply for entry into the Diversion Program by filing with the Court,

within the next 20 days, the “Application for Entry,” that is attached to this document.

If your application is granted by the court

 Legal proceedings will be paused

 You will receive a Court Order outlining the Program requirements and what you must do to

participate

 You have the option to meet with a credit counselor who will help you FREE OF CHARGE prepare

a proposal to resolve your debt

 You MUST attend the Conciliation Conference as scheduled by subsequent Court Order

***If you do not appear at the conference, a judgement may be entered against you***

For additional information about the Consumer Credit Card Collection Diversion Program, go to:

www.court.co.lancaster.pa.us/CCCDP

or call 717-209-3290 or email cddp@lancastercountypa.gov

The undersigned verifies that the statements made herein are true and correct. I understand that false statements

are made subject to the penalties of 18 PA. C.S.A. § 4904 relating to unsworn falsification to authorities.

Signature of Plaintiff/Counsel ____________________________________________ Date: ____________________

Encl. Application for Entry

Form 6

IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA

CIVIL ACTION

[CAPTION]

APPLICATION FOR ENTRY INTO THE LANCASTER COUNTY

CONSUMER CREDIT CARD COLLECTION DIVERSION PROGRAM

I, , wish to participate in the Lancaster County Consumer

Credit Card Collection Diversion Program.

I understand the following:

1. If I am accepted into the Program, a stay of this action will be entered, and a conciliation

conference will be scheduled;

2. I may have an attorney assist me in defending this action and, if I do not have an

attorney, I may contact MidPenn Legal Services by calling 717-299-0971 or the

Lancaster Bar Association Lawyer Referral by calling 717-393-0737, to determine

eligibility;

3. If I do not obtain legal representation, I have the option to meet with a credit counselor

from one of the approved credit counseling agencies in Lancaster, who will assist me

through the conciliation process. I understand that these services are FREE; and

4. I must appear at the conciliation conference and participate in good faith, or a judgment

may be entered against me.

The undersigned verifies that the statements made herein are true and correct. I understand

that false statements are made subject to the penalties of 18 Pa.C.S.A. § 4904 relating to

unsworn falsification to authorities.

Date: Name [Printed]:

Signature:

Mailing Address:

Telephone Number: Email Address:

Form 7

IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA

CIVIL ACTION

[CAPTION]

CONSUMER CREDIT CARD COLLECTION DIVERSION PROGRAM

AFFIDAVIT OF COMPLIANCE AND ENTITLEMENT TO DEFAULT JUDGMENT

Please check one:

[] I am an unrepresented plaintiff

[] I am counsel for the plaintiff

The undersigned hereby states that:

1. I have personally reviewed the documentation filed and served in this action pursuant to

Local Rule 205.2(d) (as may be amended).

2. The documentation meets all requirements of Lancaster County Local Rule 205.2 (d)

(as may be amended), with any exceptions specifically stated here:

.

3. The documentation establishes the plaintiff’s entitlement to judgment in the amount

claimed.

Plaintiff / Counsel for Plaintiff Date

[Email Address, Telephone Number]

Form 8

IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA

CIVIL ACTION

[CAPTION]

APPLICATION FOR RE-ENTRY INTO THE LANCASTER COUNTY

CONSUMER CREDIT CARD COLLECTION DIVERSION PROGRAM

1. Plaintiff filed a debt collection action against Defendant on.

2. Defendant participated in the Consumer Credit Card Collection Diversion Program and was

removed from the Program on for the following reason(s):

.

3. Defendant desires to be readmitted into the Diversion Program.

4. No judgment has been entered against Defendant.

5. Defendant is requesting re-entry into the Diversion Program due to: (check all that apply)

change in economic circumstances

change of employment status

other (explain):

6. Defendant was not removed from the Diversion Program as a result of failure to participate in

the Program.

7. Defendant agrees that if the Court permits Defendant to re-enter the Diversion Program,

Defendant will comply with all aspects of the Program, attend the scheduled conciliation

conference and participate in good-faith negotiations with Plaintiff.

Respectfully submitted:

Date Defendant