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            "text": "PARTY. IF I FAIL TO DO SO BEFORE THE DATE SET FORTH ON THE NOTICE OF\nINTENTION TO FILE THE PRAECIPE TO TRANSMIT RECORD, THE DIVORCE\nDECREE OR ORDER APPROVING GROUNDS FOR DIVORCE MAY BE ENTERED\nWITHOUT FURTHER NOTICE TO ME, AND I MAY BE UNABLE THEREAFTER TO\nFILE ANY ECONOMIC CLAIMS."
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            "text": "(c) Economic claims have been raised and are not resolved."
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            "text": "I verify that the statements made in this counter-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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            "text": "Date: _____",
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            "text": "(PLAINTIFF) (DEFENDANT)",
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            "text": "NOTICE: IF YOU DO NOT WISH TO OPPOSE THE ENTRY OF A DIVORCE DECREE OR ORDER APPROVING GROUNDS FOR DIVORCE AND YOU DO NOT WISH TO MAKE ANY CLAIM FOR ECONOMIC RELIEF, YOU SHOULD NOT FILE THIS COUNTER-AFFIDAVIT."
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