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doc16140 0e74b16f-c647-4fa7-9eb6-5be74cd6abe0_WaivNotDefCertwCertComp090222_need_help-artifacted.pdf

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Page 1

2 item(s) JSON
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            "text": "When the Defendant signs the Affidavit of Consent (Form 2) he or she may also agree to give up his or her right to receive notice of your request for a divorce decree."
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Page 2

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                    "text": "I understand that I may lose rights concerning alimony, equitable division of property, lawyer's fees, costs and expenses, or other important rights if I do not claim them before a divorce is granted.",
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                    "text": "I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities."
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Page 3

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                        "source": "acroform",
                        "label": "Date:",
                        "label_source": "parent_text",
                        "label_ref": "p3.8",
                        "text_offset": 5,
                        "text_span": 0
                    }
                }
            ],
            "level": 3
        },
        {
            "id": "p3.9",
            "order": 24,
            "type": "text",
            "bbox": {
                "l": 69.84,
                "t": 305.28,
                "r": 309.36,
                "b": 290.16
            },
            "text": "Print Name: _____",
            "children": [
                {
                    "id": "p3.9.1",
                    "order": 25,
                    "type": "form_field",
                    "bbox": {
                        "l": 133.32,
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                        "r": 307.32,
                        "b": 293.64
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "pdf_field_name": "Name4(CICForm)",
                        "source": "acroform",
                        "label": "Print Name: _____",
                        "label_source": "parent_text",
                        "label_ref": "p3.9",
                        "text_offset": 12,
                        "text_span": 5
                    }
                }
            ]
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
    }
}