{ "document_id": 16151, "filename": "7bdcb92f-81cd-4a76-a7f4-4336f1b556ba_PFAEntryofAppearanceSelfRepresented010418_need_help-artifacted.pdf", "engine": "paddleocr_vl", "source_run_id": 16262, "generated_at": "2026-11-04T14:53:53+00:00", "page_count": 1, "counts_by_type": { "figure": 2, "footer": 1, "form_field": 26, "list": 2, "list_item": 4, "text": 26, "title": 1 }, "timings": { "total_ms": 71, "structure_ms": 25, "text_layer_ms": 27, "build_ms": 6 }, "pages": [ { "document_id": 16151, "page": 1, "width": 612, "height": 792, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 612, "height_pt": 792, "engine": "paddleocr_vl", "source_run_id": 16262, "item_count": 62, "counts_by_type": { "figure": 2, "footer": 1, "form_field": 26, "list": 2, "list_item": 4, "text": 26, "title": 1 }, "build_ms": 6, "items": [ { "id": "p1.1", "order": 1, "type": "figure", "bbox": { "l": 0.48, "t": 792, "r": 611.52, "b": 197.82 }, "text": "", "attrs": { "source": "pdf_image" }, "children": [ { "id": "p1.1.1", "order": 2, "type": "form_field", "bbox": { "l": 77.76, "t": 739.44, "r": 292.8, "b": 721.2 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "PLAINTIFF(EOAForm)", "source": "acroform" }, "reading_order": 0 }, { "id": "p1.1.2", "order": 3, "type": "form_field", "bbox": { "l": 304.8, "t": 718.08, "r": 379.2, "b": 706.08 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "County(EOAForm)", "source": "acroform" }, "reading_order": 1 }, { "id": "p1.1.3", "order": 4, "type": "form_field", "bbox": { "l": 321.12, "t": 705.36, "r": 456.48, "b": 687.12 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "DocketNumber(EOAForm)", "source": "acroform" }, "reading_order": 2 }, { "id": "p1.1.4", "order": 5, "type": "form_field", "bbox": { "l": 77.76, "t": 696, "r": 292.8, "b": 677.76 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Defendant(EOAForm)", "source": "acroform" }, "reading_order": 3 }, { "id": "p1.1.5", "order": 6, "type": "form_field", "bbox": { "l": 78.5, "t": 583.287, "r": 86.8271, "b": 574.96 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Check Box10(EOAForm)", "source": "acroform" }, "reading_order": 4 }, { "id": "p1.1.6", "order": 7, "type": "form_field", "bbox": { "l": 78.128, "t": 553.896, "r": 86.455, "b": 545.569 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Check Box11(EOAForm)", "source": "acroform" }, "reading_order": 5 }, { "id": "p1.1.7", "order": 8, "type": "form_field", "bbox": { "l": 200.88, "t": 534.743, "r": 443.444, "b": 516.503 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Name of Attorney(EOAForm)", "source": "acroform" }, "reading_order": 6 }, { "id": "p1.1.8", "order": 9, "type": "form_field", "bbox": { "l": 78.5, "t": 524.505, "r": 86.455, "b": 516.178 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Check Box12(EOAForm)", "source": "acroform" }, "reading_order": 7 }, { "id": "p1.1.9", "order": 10, "type": "form_field", "bbox": { "l": 110.4, "t": 476.4, "r": 511.68, "b": 458.16 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Attorney Address(EOAForm)", "source": "acroform" }, "reading_order": 8 }, { "id": "p1.1.10", "order": 11, "type": "form_field", "bbox": { "l": 77.756, "t": 417.358, "r": 86.083, "b": 409.031 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Check Box13(EOAForm)", "source": "acroform" }, "reading_order": 9 }, { "id": "p1.1.11", "order": 12, "type": "form_field", "bbox": { "l": 76.8, "t": 359.04, "r": 492.48, "b": 340.8 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Address(EOAForm)", "source": "acroform" }, "reading_order": 10 }, { "id": "p1.1.12", "order": 13, "type": "form_field", "bbox": { "l": 77.3839, "t": 291.237, "r": 85.7109, "b": 282.91 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Check Box14(EOAForm)", "source": "acroform" }, "reading_order": 11 }, { "id": "p1.1.13", "order": 14, "type": "form_field", "bbox": { "l": 258.72, "t": 261.84, "r": 435.84, "b": 243.6 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Phone Number(EOAForm)", "source": "acroform" }, "reading_order": 12 }, { "id": "p1.1.14", "order": 15, "type": "form_field", "bbox": { "l": 77.0119, "t": 237.663, "r": 85.3389, "b": 229.336 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Check Box15(EOAForm)", "source": "acroform" }, "reading_order": 13 } ], "reading_order": 0 }, { "id": "p1.2", "order": 16, "type": "text", "bbox": { "l": 75.36, "t": 730.32, "r": 507.36, "b": 705.84 }, "text": "IN THE COURT OF COMMON PLEAS COUNTY, PENNSYLVANIA", "reading_order": 1 }, { "id": "p1.3", "order": 17, "type": "text", "bbox": { "l": 77.52, "t": 729.84, "r": 492.48, "b": 717.84 }, "text": "___", "reading_order": 2 }, { "id": "p1.4", "order": 18, "type": "text", "bbox": { "l": 76.08, "t": 717.6, "r": 292.56, "b": 666.48 }, "text": "PLAINTIFF\nVS.\nNO. ___\nDEFENDANT", "reading_order": 3 }, { "id": "p1.5", "order": 19, "type": "text", "bbox": { "l": 299.52, "t": 696.96, "r": 458.88, "b": 684.48 }, "text": "
\"Image\"
\n\n\n
\"Image\"
", "reading_order": 4 }, { "id": "p1.6", "order": 20, "type": "title", "bbox": { "l": 102.24, "t": 656.64, "r": 488.16, "b": 642 }, "text": "ENTRY OF APPEARANCE AS A SELF-REPRESENTED PARTY", "attrs": { "block_label": "doc_title" }, "level": 2, "reading_order": 5 }, { "id": "p1.7", "order": 21, "type": "list", "bbox": { "l": 41.28, "t": 633.12, "r": 501.36, "b": 601.68 }, "text": "", "attrs": { "item_count": 2 }, "children": [ { "id": "p1.7.1", "order": 22, "type": "list_item", "bbox": { "l": 42, "t": 633.12, "r": 315.84, "b": 621.36 }, "text": "I am the ___ Plaintiff ___ Defendant in the above-captioned case.", "marker": "1.", "reading_order": 0 }, { "id": "p1.7.2", "order": 23, "type": "list_item", "bbox": { "l": 41.28, "t": 613.92, "r": 501.36, "b": 601.68 }, "text": "I intend to represent myself in the ___ custody, ___ divorce, ___ support, ___ protection from abuse, ___ paternity case.", "marker": "2.", "reading_order": 1 }, { "id": "p1.7.3", "order": 24, "type": "form_field", "bbox": { "l": 110.867, "t": 632.396, "r": 119.194, "b": 623.697 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Check Box3(EOAForm)", "source": "acroform" }, "reading_order": 2 }, { "id": "p1.7.4", "order": 25, "type": "form_field", "bbox": { "l": 154.768, "t": 632.396, "r": 163.095, "b": 624.069 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Check Box4(EOAForm)", "source": "acroform" }, "reading_order": 3 }, { "id": "p1.7.5", "order": 26, "type": "form_field", "bbox": { "l": 203.505, "t": 612.678, "r": 211.832, "b": 604.351 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Check Box5(EOAForm)", "source": "acroform" }, "reading_order": 4 }, { "id": "p1.7.6", "order": 27, "type": "form_field", "bbox": { "l": 248.894, "t": 612.678, "r": 257.22, "b": 604.351 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Check Box6(EOAForm)", "source": "acroform" }, "reading_order": 5 }, { "id": "p1.7.7", "order": 28, "type": "form_field", "bbox": { "l": 292.422, "t": 612.678, "r": 300.377, "b": 604.351 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Check Box7(EOAForm)", "source": "acroform" }, "reading_order": 6 }, { "id": "p1.7.8", "order": 29, "type": "form_field", "bbox": { "l": 336.695, "t": 612.306, "r": 345.022, "b": 603.979 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Check Box8(EOAForm)", "source": "acroform" }, "reading_order": 7 }, { "id": "p1.7.9", "order": 30, "type": "form_field", "bbox": { "l": 434.168, "t": 612.306, "r": 442.495, "b": 603.607 }, "text": "", "attrs": { "field_kind": "checkbox", "pdf_field_name": "Check Box9(EOAForm)", "source": "acroform" }, "reading_order": 8 } ], "reading_order": 6 }, { "id": "p1.8", "order": 31, "type": "text", "bbox": { "l": 209.04, "t": 593.76, "r": 348.24, "b": 583.2 }, "text": "Check only one box in Question 3", "reading_order": 7 }, { "id": "p1.9", "order": 32, "type": "text", "bbox": { "l": 41.04, "t": 585.12, "r": 498.24, "b": 564.96 }, "text": "3. This is a new case and I am representing myself. I have decided not to hire an attorney to represent me. OR", "reading_order": 8 }, { "id": "p1.10", "order": 33, "type": "text", "bbox": { "l": 74.4, "t": 555.6, "r": 513.84, "b": 534.24 }, "text": "This is not a new case and I am representing myself. I have decided not to hire an attorney to represent me. OR", "reading_order": 9 }, { "id": "p1.11", "order": 34, "type": "text", "bbox": { "l": 74.16, "t": 526.08, "r": 484.32, "b": 514.56 }, "text": "□ This is not a new case. ___ previously", "reading_order": 10 }, { "id": "p1.12", "order": 35, "type": "text", "bbox": { "l": 209.76, "t": 515.04, "r": 283.92, "b": 505.2 }, "text": "(Name of Attorney)", "reading_order": 11 }, { "id": "p1.13", "order": 36, "type": "text", "bbox": { "l": 109.2, "t": 506.64, "r": 468.96, "b": 486.72 }, "text": "represented me in this case. I have decided not to be represented by that attorney and direct the Prothonotary to remove that attorney as my counsel of record in this case.", "reading_order": 12 }, { "id": "p1.14", "order": 37, "type": "text", "bbox": { "l": 109.44, "t": 486, "r": 438, "b": 475.68 }, "text": "I have provided a copy of this form to that attorney listed above at the following address:", "reading_order": 13 }, { "id": "p1.15", "order": 38, "type": "text", "bbox": { "l": 108.48, "t": 457.44, "r": 434.64, "b": 446.16 }, "text": "That attorney has acknowledged his/her withdrawal from this case by signing this form.", "reading_order": 14 }, { "id": "p1.16", "order": 39, "type": "text", "bbox": { "l": 355.68, "t": 445.92, "r": 375.36, "b": 436.56 }, "text": "Esq.", "reading_order": 15 }, { "id": "p1.17", "order": 40, "type": "text", "bbox": { "l": 239.04, "t": 441.12, "r": 372.96, "b": 427.2 }, "text": "(Attorney signature)", "reading_order": 16 }, { "id": "p1.18", "order": 41, "type": "text", "bbox": { "l": 43.44, "t": 418.8, "r": 511.68, "b": 406.56 }, "text": "4. I am entering my appearance as a self-represented party ___", "reading_order": 17 }, { "id": "p1.19", "order": 42, "type": "text", "bbox": { "l": 343.2, "t": 408, "r": 408.24, "b": 397.2 }, "text": "(Your Signature)", "reading_order": 18 }, { "id": "p1.20", "order": 43, "type": "text", "bbox": { "l": 41.76, "t": 388.8, "r": 511.68, "b": 336.96 }, "text": "5. I understand that I need to provide a street address or P.O. Box for the purpose of receiving all future pleadings and other legal notices. I further understand that this does not need to be my home address. My address for the purpose of receiving all future pleadings and other legal notices is:", "reading_order": 19 }, { "id": "p1.21", "order": 44, "type": "text", "bbox": { "l": 73.68, "t": 330.96, "r": 497.76, "b": 299.52 }, "text": "I understand that this address will be the only address to which notices and pleadings in this case will be sent and that I am responsible to check the mail at this address so I do not miss important deadlines or proceedings.", "reading_order": 20 }, { "id": "p1.22", "order": 45, "type": "text", "bbox": { "l": 73.92, "t": 291.84, "r": 507.12, "b": 260.64 }, "text": "I am not providing my address because I reside at a confidential location protected by the Protection From Abuse Act, 23 Pa. C.S. § 6112 and/or the Address Confidentiality Program, 23 Pa. C.S. § 6701-6713, and/or the Child Custody Act, 23 Pa. C.S. § 5336(b).", "reading_order": 21 }, { "id": "p1.23", "order": 46, "type": "text", "bbox": { "l": 40.32, "t": 252.72, "r": 439.68, "b": 241.44 }, "text": "6. My telephone number where I can be reached is ___.", "reading_order": 22 }, { "id": "p1.24", "order": 47, "type": "text", "bbox": { "l": 73.44, "t": 237.84, "r": 503.76, "b": 216.72 }, "text": "I am not providing my telephone number because it is confidential pursuant to the Protection From Abuse Act, 23 Pa. C.S. § 6112 and/or the Child Custody Act, 23 Pa. C.S. § 5336(c).", "reading_order": 23 }, { "id": "p1.25", "order": 48, "type": "list", "bbox": { "l": 40.08, "t": 204.24, "r": 515.76, "b": 163.2 }, "text": "", "attrs": { "item_count": 2 }, "children": [ { "id": "p1.25.1", "order": 49, "type": "list_item", "bbox": { "l": 40.08, "t": 204.24, "r": 515.76, "b": 193.2 }, "text": "I UNDERSTAND I MUST FILE A NEW FORM EVERY TIME MY ADDRESS OR TELEPHONE NUMBER CHANGES.", "marker": "7.", "reading_order": 0 }, { "id": "p1.25.2", "order": 50, "type": "list_item", "bbox": { "l": 40.56, "t": 184.56, "r": 492.48, "b": 163.2 }, "text": "I understand that I must ensure that a copy of this form is served on all other attorneys or other self-represented parties at the following addresses as listed below: (Use reverse side if you need more space)", "marker": "8.", "reading_order": 1 } ], "reading_order": 24 }, { "id": "p1.26", "order": 51, "type": "figure", "bbox": { "l": 0.48, "t": 197.8201, "r": 611.52, "b": -0.0599 }, "text": "", "attrs": { "source": "pdf_image" }, "children": [ { "id": "p1.26.1", "order": 52, "type": "form_field", "bbox": { "l": 132, "t": 163.68, "r": 272.64, "b": 145.44 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Name1(EOAForm)", "source": "acroform" }, "reading_order": 0 }, { "id": "p1.26.2", "order": 53, "type": "form_field", "bbox": { "l": 308.792, "t": 163.628, "r": 504.924, "b": 146.464 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Address1(EOAForm)", "source": "acroform" }, "reading_order": 1 }, { "id": "p1.26.3", "order": 54, "type": "form_field", "bbox": { "l": 308.792, "t": 144.654, "r": 504.924, "b": 127.118 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Address2(EOAForm)", "source": "acroform" }, "reading_order": 2 }, { "id": "p1.26.4", "order": 55, "type": "form_field", "bbox": { "l": 132, "t": 144.24, "r": 272.64, "b": 126 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Name2(EOAForm)", "source": "acroform" }, "reading_order": 3 }, { "id": "p1.26.5", "order": 56, "type": "form_field", "bbox": { "l": 75.84, "t": 86.88, "r": 173.76, "b": 68.64 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Date(EOAForm)", "source": "acroform" }, "reading_order": 4 } ], "reading_order": 25 }, { "id": "p1.27", "order": 57, "type": "text", "bbox": { "l": 106.8, "t": 155.76, "r": 506.4, "b": 144.48 }, "text": "Name_____ Address_____", "reading_order": 26 }, { "id": "p1.28", "order": 58, "type": "text", "bbox": { "l": 106.8, "t": 136.32, "r": 505.92, "b": 124.8 }, "text": "Name_____ Address_____", "reading_order": 27 }, { "id": "p1.29", "order": 59, "type": "text", "bbox": { "l": 40.32, "t": 116.88, "r": 504, "b": 86.16 }, "text": "9. I verify that the statements made in this Entry of Appearance as a Self-Represented Party are true and correct. I understand that if I make false statements herein, that I am subject to the criminal penalties of 18 Pa. C.S. § 4904 relating to unsworn falsification to authorities that could result in a fine and/or prison term.", "reading_order": 28 }, { "id": "p1.30", "order": 60, "type": "text", "bbox": { "l": 74.4, "t": 68.16, "r": 175.2, "b": 57.36 }, "text": "I am a", "reading_order": 29 }, { "id": "p1.31", "order": 61, "type": "text", "bbox": { "l": 74.4, "t": 67.2, "r": 95.28, "b": 57.36 }, "text": "Date", "reading_order": 30 }, { "id": "p1.32", "order": 62, "type": "footer", "bbox": { "l": 244.32, "t": 67.92, "r": 308.4, "b": 56.88 }, "text": "(Your Signature)", "attrs": { "block_label": "footer" }, "reading_order": 31 } ] } ] }