NOTICE OF APPEAL IN FORMA PAUPERIS
(O. 44, r. 1.)
(Title)
WHEREAS the above-named ______ has applied to be allowed to appeal as a pauper from the decree in the above suit dated the ______ day of ________ 20_____ and whereas the _____ day of ____ has been fixed for hearing the application, notice is hereby given to you that if you desire to show cause why the applicant should not be allowed to appeal as a pauper an opportunity will be given to you of doing so on the afore-mentioned date.
GIVEN under my hand and the seal of the Court, this _____ day of ______ 20_____.
Judge