The form to be used for the Notice required by Rule 421 shall be in substantially the following form:
Notice
PLAINTIFF _______________ v. DEFENDANT _______________
This is to notify you that in the above case:
Docket No. ______________ the following decision was made:
You have the right to file a Statement of Objection within ten (10) days from __________________ The Statement of Objection must be filed with the Court of Common Pleas of _________________ County on a form available at any Magisterial District Court or from the Prothonotary at:
_____________________________________________________
Courthouse Address
_____________________________________________________
Date of Decision Magisterial District Judge
246 Pa. Code r. 421