The monition shall be in substantially the following form:
“To all persons having or claiming to have any title, interest or lien upon the within described premises, take warning that unless the judgment for the service charges stated herein is paid within 20 days after the date hereof or within such period of 20 days, evidence of the payment of service charges herein claimed shall be filed in the office of the prothonotary, which evidence shall be in the form of a receipted service charge bill or duplicate thereof, bearing date prior to the filing of the lien in the office of the prothonotary for the county where the property is located, the tax collecting authority may proceed to sell the property herein mentioned or described for the purpose of collecting the judgment for the service charges herein stated, including accrued penalties and all costs incurred in the collection process.
| Name of PersonIn Whose NameProperty isAssessed | Descriptionof Property | Year orYears | Amountof Judgment” |