3. Factual and Legal Issues for Resolution:
Issues(ConCM)
4. Are you requesting a home study of your house? YES NO
Check Box1(ConCM)
Check Box2(ConCM)
5. Are you requesting a home study of the other party's house? YES NO
Check Box3(ConCM)
Check Box4(ConCM)
6. Are you requesting a custody evaluation? YES NO
Check Box5(ConCM)
Check Box6(ConCM)
7. A proposed resolution of all matters, which may be in the form of a Parenting Plan:
Resolution(ConCM)
CERTIFICATE OF COMPLIANCE
I certify that this filing complies with the provisions of the Case Records Public Access Policy of the Unified Judicial System of Pennsylvania that require filing confidential information and documents differently than non-confidential information and documents.
The quick brown fox jumps over the lazy dog.
DATE(ConCM)
Respectfully Submitted,
DATE: ___
_____
City State Zip Code
City(ConCM)
State(ConCM)
Zip Code(ConCM)
Telephone Number(ConCM)
Signature
Printed Name(ConCM)
Printed Name
Street Address
Street Address/P.O. Box(ConCM)
City State Zip Code
Street Address/P.O. Box
Telephone Number