Philadelphia Cnty. C.P. Municipal Court-Civil Rule 114

a. A claimant may require defendants who intended to present a defense to notify claimant of the

same in writ ing at least five (5) days before trial by including with a copy of the complaint, a

“Notice of Defense” and an envelope bearing first class p ostage pre-addressed to claimant or

claimant’s attorney. If the claimant does not furnish a “Notice of Defense” the complaint should

be noted “Notice of Defense Waived.”

b. The Notice of Defense shall be in substantially the following form:

PHILADELPHIA MUNICIPAL COURT

(CAPTION)

NOTICE OF DEFENSE

TO THE DEFENDANT(S):

If you wish to defend this claim, you must complete and mail this form to the claimant or attorney not less

than five (5) days before trial. If you fail to do so, and you choose to appear to defend the above matter, the Court

may grant a continuance and require you to return to court on another day.

____________________________________________ (or) __________________________________________

Defendant’s Signature Attorney’s signature

_______________________________________________ __________________________________________

Print Name Print Name

_______________________________________________ __________________________________________

Address Address

_______________________________________________ __________________________________________

_______________________________________________ _________________________________________

Telephone Number Client

_______________________________________________ __________________________________________

Date Telephone Number

________________________________________

Date

The defendant or counsel for the defendant hereby gives notice of intention to defend the above matter and

verifies under penalties of 18 Pa.C.S. Section 4904 (relating to unsworn falsification to authorities) that this

notice was mailed to claimant or claimant’s attorney in the envelope provided on the date noted hereon.