[ { "page": 1, "items": [ { "page": 1, "type": "TITLE", "location": { "l": 82.32, "t": 706.56, "r": 528.72, "b": 678.24 }, "text": "IN THE COURT OF COMMON PLEAS FOR ADAMS COUNTY, PENNSYLVANIA\nCIVIL ACTION - LAW", "reading_order": 0, "level": 1 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72, "t": 678.84, "r": 271.102, "b": 652.32 }, "text": "Name_1(ConCM)", "field_kind": "text", "label": "Name_1(ConCM)", "pdf_field_name": "Name_1(ConCM)", "pdf_field_type": "Text", "reading_order": 1 }, { "page": 1, "type": "TEXT", "location": { "l": 68.64, "t": 658.8, "r": 276, "b": 498 }, "text": "Name PLAINTIFF\nvs.\nName DEFENDANT 1\nand (if applicable)\nName DEFENDANT 2\nCASE NO. _____", "reading_order": 2 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72, "t": 609.84, "r": 270.358, "b": 583.32 }, "text": "Name_2(ConCM)", "field_kind": "text", "label": "Name_2(ConCM)", "pdf_field_name": "Name_2(ConCM)", "pdf_field_type": "Text", "reading_order": 3 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72, "t": 540.84, "r": 269.986, "b": 514.32 }, "text": "Name_3(ConCM)", "field_kind": "text", "label": "Name_3(ConCM)", "pdf_field_name": "Name_3(ConCM)", "pdf_field_type": "Text", "reading_order": 4 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 382.92, "t": 637.44, "r": 490.92, "b": 610.92 }, "text": "CASE NO(ConCM)", "field_kind": "text", "label": "CASE NO(ConCM)", "pdf_field_name": "CASE NO(ConCM)", "pdf_field_type": "Text", "reading_order": 5 }, { "page": 1, "type": "TEXT", "location": { "l": 322.08, "t": 623.52, "r": 492.96, "b": 607.68 }, "text": "CASE NO.", "reading_order": 6 }, { "page": 1, "type": "TEXT", "location": { "l": 322.08, "t": 596.64, "r": 452.4, "b": 580.32 }, "text": "ACTION IN CUSTODY", "reading_order": 7 }, { "page": 1, "type": "TITLE", "location": { "l": 165.12, "t": 485.28, "r": 447.36, "b": 470.64 }, "text": "CONCILIATION CONFERENCE MEMORANDUM", "reading_order": 8, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 68.4, "t": 457.68, "r": 525.12, "b": 414 }, "text": "And now, comes the undersigned party who submits the following custody conference memorandum pursuant to Adams C.Civ.R. No. 1915.4-3.2(h):", "reading_order": 9 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 106.56, "t": 402.72, "r": 504.48, "b": 387.36 }, "text": "1. Brief factual background, including current custody schedule for the child/ren:", "marker": "1.", "list_id": "L1", "level": 0, "reading_order": 10 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72.5474, "t": 383.13, "r": 540.268, "b": 245.426 }, "text": "Background(ConCM)", "field_kind": "text", "label": "Background(ConCM)", "pdf_field_name": "Background(ConCM)", "pdf_field_type": "Text", "reading_order": 11 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 104.88, "t": 237.12, "r": 300, "b": 221.28 }, "text": "2. Initials and current age of each child:", "marker": "2.", "list_id": "L2", "level": 0, "reading_order": 12 }, { "page": 1, "type": "TEXT", "location": { "l": 105.12, "t": 209.52, "r": 287.76, "b": 193.68 }, "text": "Child #1:_____", "reading_order": 13 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 153, "t": 223.56, "r": 285, "b": 197.04 }, "text": "Child 1(ConCM)", "field_kind": "text", "label": "Child 1(ConCM)", "pdf_field_name": "Child 1(ConCM)", "pdf_field_type": "Text", "reading_order": 14 }, { "page": 1, "type": "TEXT", "location": { "l": 321.6, "t": 209.52, "r": 530.16, "b": 193.68 }, "text": "Child#3:", "reading_order": 15 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 366, "t": 223.56, "r": 528, "b": 197.04 }, "text": "Child 3(ConCM)", "field_kind": "text", "label": "Child 3(ConCM)", "pdf_field_name": "Child 3(ConCM)", "pdf_field_type": "Text", "reading_order": 16 }, { "page": 1, "type": "TEXT", "location": { "l": 105.12, "t": 182.4, "r": 287.28, "b": 166.08 }, "text": "Child #2:_____\nChild#3:_____", "reading_order": 17 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 153, "t": 195.96, "r": 285, "b": 169.44 }, "text": "Child 2(ConCM)", "field_kind": "text", "label": "Child 2(ConCM)", "pdf_field_name": "Child 2(ConCM)", "pdf_field_type": "Text", "reading_order": 18 }, { "page": 1, "type": "TEXT", "location": { "l": 321.84, "t": 182.88, "r": 532.8, "b": 165.84 }, "text": "Child #4:_____", "reading_order": 19 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 369, "t": 195.96, "r": 531, "b": 169.44 }, "text": "Child 4(ConCM)", "field_kind": "text", "label": "Child 4(ConCM)", "pdf_field_name": "Child 4(ConCM)", "pdf_field_type": "Text", "reading_order": 20 } ] }, { "page": 2, "items": [ { "page": 2, "type": "LIST_ITEM", "location": { "l": 106.08, "t": 719.28, "r": 320.88, "b": 705.12 }, "text": "3. Factual and Legal Issues for Resolution:", "marker": "3.", "list_id": "L2", "level": 0, "reading_order": 0 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 71.8034, "t": 700.851, "r": 541.012, "b": 609.652 }, "text": "Issues(ConCM)", "field_kind": "text", "label": "Issues(ConCM)", "pdf_field_name": "Issues(ConCM)", "pdf_field_type": "Text", "reading_order": 1 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 105.84, "t": 603.84, "r": 450.24, "b": 588.96 }, "text": "4. Are you requesting a home study of your house? YES NO", "marker": "4.", "list_id": "L3", "level": 0, "reading_order": 2 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 353.064, "t": 608.213, "r": 371.064, "b": 590.213 }, "text": "Check Box1(ConCM)", "field_kind": "checkbox", "label": "Check Box1(ConCM)", "pdf_field_name": "Check Box1(ConCM)", "pdf_field_type": "CheckBox", "reading_order": 3 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 411.474, "t": 608.213, "r": 429.474, "b": 590.213 }, "text": "Check Box2(ConCM)", "field_kind": "checkbox", "label": "Check Box2(ConCM)", "pdf_field_name": "Check Box2(ConCM)", "pdf_field_type": "CheckBox", "reading_order": 4 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 105.6, "t": 563.04, "r": 503.76, "b": 547.44 }, "text": "5. Are you requesting a home study of the other party's house? YES NO", "marker": "5.", "list_id": "L4", "level": 0, "reading_order": 5 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 409.986, "t": 566.173, "r": 427.986, "b": 548.173 }, "text": "Check Box3(ConCM)", "field_kind": "checkbox", "label": "Check Box3(ConCM)", "pdf_field_name": "Check Box3(ConCM)", "pdf_field_type": "CheckBox", "reading_order": 6 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 465.42, "t": 566.173, "r": 483.42, "b": 548.173 }, "text": "Check Box4(ConCM)", "field_kind": "checkbox", "label": "Check Box4(ConCM)", "pdf_field_name": "Check Box4(ConCM)", "pdf_field_type": "CheckBox", "reading_order": 7 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 105.6, "t": 521.76, "r": 415.68, "b": 506.16 }, "text": "6. Are you requesting a custody evaluation? YES NO", "marker": "6.", "list_id": "L5", "level": 0, "reading_order": 8 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 318.837, "t": 524.505, "r": 336.837, "b": 506.505 }, "text": "Check Box5(ConCM)", "field_kind": "checkbox", "label": "Check Box5(ConCM)", "pdf_field_name": "Check Box5(ConCM)", "pdf_field_type": "CheckBox", "reading_order": 9 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 377.619, "t": 524.133, "r": 395.619, "b": 506.133 }, "text": "Check Box6(ConCM)", "field_kind": "checkbox", "label": "Check Box6(ConCM)", "pdf_field_name": "Check Box6(ConCM)", "pdf_field_type": "CheckBox", "reading_order": 10 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 108.48, "t": 485.28, "r": 525.12, "b": 470.16 }, "text": "7. A proposed resolution of all matters, which may be in the form of a Parenting Plan:", "list_id": "L6", "level": 0, "reading_order": 11 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 71.8034, "t": 467.583, "r": 541.012, "b": 355.178 }, "text": "Resolution(ConCM)", "field_kind": "text", "label": "Resolution(ConCM)", "pdf_field_name": "Resolution(ConCM)", "pdf_field_type": "Text", "reading_order": 12 }, { "page": 2, "type": "TITLE", "location": { "l": 228.72, "t": 347.28, "r": 421.92, "b": 333.36 }, "text": "CERTIFICATE OF COMPLIANCE", "reading_order": 13, "level": 2 }, { "page": 2, "type": "TEXT", "location": { "l": 108, "t": 319.44, "r": 536.64, "b": 221.76 }, "text": "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.", "reading_order": 14 }, { "page": 2, "type": "TEXT", "location": { "l": 106.08, "t": 209.28, "r": 486.96, "b": 194.16 }, "text": "The quick brown fox jumps over the lazy dog.", "reading_order": 15 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 434.28, "t": 209.76, "r": 482.28, "b": 197.04 }, "text": "DATE(ConCM)", "field_kind": "text", "label": "DATE(ConCM)", "pdf_field_name": "DATE(ConCM)", "pdf_field_type": "Text", "reading_order": 16 }, { "page": 2, "type": "TEXT", "location": { "l": 106.08, "t": 209.04, "r": 225.6, "b": 194.16 }, "text": "Respectfully Submitted,", "reading_order": 17 }, { "page": 2, "type": "TEXT", "location": { "l": 394.08, "t": 208.8, "r": 484.08, "b": 194.88 }, "text": "DATE: ___", "reading_order": 18 }, { "page": 2, "type": "TEXT", "location": { "l": 107.28, "t": 175.2, "r": 300.96, "b": 164.4 }, "text": "_____", "reading_order": 19 }, { "page": 2, "type": "TEXT", "location": { "l": 319.92, "t": 173.52, "r": 540.24, "b": 112.8 }, "text": "City State Zip Code", "reading_order": 20 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 324, "t": 154.56, "r": 438, "b": 141.84 }, "text": "City(ConCM)", "field_kind": "text", "label": "City(ConCM)", "pdf_field_name": "City(ConCM)", "pdf_field_type": "Text", "reading_order": 21 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 447, "t": 154.56, "r": 477, "b": 141.84 }, "text": "State(ConCM)", "field_kind": "text", "label": "State(ConCM)", "pdf_field_name": "State(ConCM)", "pdf_field_type": "Text", "reading_order": 22 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 483, "t": 154.56, "r": 537, "b": 141.84 }, "text": "Zip Code(ConCM)", "field_kind": "text", "label": "Zip Code(ConCM)", "pdf_field_name": "Zip Code(ConCM)", "pdf_field_type": "Text", "reading_order": 23 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 324, "t": 126.96, "r": 516, "b": 114.24 }, "text": "Telephone Number(ConCM)", "field_kind": "text", "label": "Telephone Number(ConCM)", "pdf_field_name": "Telephone Number(ConCM)", "pdf_field_type": "Text", "reading_order": 24 }, { "page": 2, "type": "TEXT", "location": { "l": 106.32, "t": 170.64, "r": 539.28, "b": 147.36 }, "text": "Signature", "reading_order": 25 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 108, "t": 154.56, "r": 300, "b": 141.84 }, "text": "Printed Name(ConCM)", "field_kind": "text", "label": "Printed Name(ConCM)", "pdf_field_name": "Printed Name(ConCM)", "pdf_field_type": "Text", "reading_order": 26 }, { "page": 2, "type": "TEXT", "location": { "l": 106.32, "t": 147.36, "r": 539.28, "b": 124.08 }, "text": "Printed Name", "reading_order": 27 }, { "page": 2, "type": "TEXT", "location": { "l": 106.32, "t": 124.08, "r": 539.28, "b": 100.8 }, "text": "Street Address", "reading_order": 28 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 108, "t": 126.96, "r": 300, "b": 114.24 }, "text": "Street Address/P.O. Box(ConCM)", "field_kind": "text", "label": "Street Address/P.O. Box(ConCM)", "pdf_field_name": "Street AddressPO Box(ConCM)", "pdf_field_type": "Text", "reading_order": 29 }, { "page": 2, "type": "TEXT", "location": { "l": 106.32, "t": 147.84, "r": 539.52, "b": 125.52 }, "text": "City State Zip Code", "reading_order": 30 }, { "page": 2, "type": "TEXT", "location": { "l": 108.24, "t": 111.6, "r": 424.32, "b": 98.16 }, "text": "Street Address/P.O. Box", "reading_order": 31 }, { "page": 2, "type": "TEXT", "location": { "l": 323.28, "t": 111.84, "r": 419.52, "b": 97.92 }, "text": "Telephone Number", "reading_order": 32 } ] } ]