(Caption)
Praecipe for Entry of Judgment of Non Pros Pursuant to Rule 1042.12
To the Prothonotary:
Enter judgment of non pros in the above-captioned matter against _______
as to
(Identify Party)
(Identify Party)
OR
(Identify Party)
______________________________________
______________________________________
Identify Claim
Date: ____________ ____________
Attorney for ____________
(Identify Party)
231 Pa. Code r. 1042.12