IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVANIA

CIVIL DIVISION

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Plaintiff	:
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Defendant	:

SECTION 8 TENANT’S SUPERSEDEAS AFFIDAVIT

I, (print name & address)

have filed a Praecipe for a WRIT OF CERTIORARI to review a Magisterial District Court judgment awarding my landlord possession of real property that I occupy, and I do not have the financial ability to pay the lesser of three(3) times my monthly rent or the actual rent in arrears. My total household income does not exceed the income limits set forth in the Instructions for obtaining a stay pending issuance of Writ of Certiorari and I have completed an In Forma Pauperis(IFP) affidavit to verify this. I have/have not(cross out the one that does not apply) paid the rent this month.

The total amount of monthly rent that I personally pay to the landlord is $ . I hereby certify that I am a participant in the Section 8 program and I am not subject to a final (i.e. non-appealable) decision of a court of government agency which terminates my right to receive Section 8 assistance based on my failure to comply with program rules.

I verify that the statements made in this affidavit are true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 PaC.S. § 4904, relating to unsworn falsification to authorities.

Date	Signature of Tenant

5-08

IN THE COURT OF COMMON PLEAS OF BUTLER COUNTY PENNSYLVANIA

LSouzer

2009-03-20

Wotring-ra

County of Butler