849e5f8c-eeec-4727-806a-bf86f58de6f7_1eed3669-3d6e-4a0d-9d4d-98a4d82a14eb_PreTrialStatementConfInfoFormParentingPlanHistoryVerificationPacket080524_needs_help-remediated-artifacted.pdf — PaddleOCR-VL (Baidu)

IN THE COURT OF COMMON PLEAS OF ADAMS COUNTY, PENNSYLVANIA

Plaintiff : No.____-SU-____

Plaintiff

: CIVIL ACTION - LAW

VS. :

Defendant

: CUSTODY

undefined

CUSTODY PRE-TRIAL STATEMENT

I. BRIEF SUMMARY OF CASE, INCLUDING INITIALS AND YEARS OF BIRTH OF CHILDREN AT ISSUE AND THE CURRENT CUSTODY SITUATION:

Plaintiff, _____ is the (Name of Plaintiff) _____

Name of Plaintiff

Plaintiff’s relationship to the child/ren

(Plaintiff's relationship to the child/ren)

Name of Defendant

Defendant, ___ is the (Name of Defendant)

Defendant’s relationship to the child/ren

(Defendant's relationship to the child/ren)

of the following child(ren) at issue:

Child(ren)'s Initials:

Month and Year of Birth:

Text Field: MYB1

Text Field: CI1

Text Field: CI2

Text Field: MYB2

Text Field: MYB3

Text Field: CI3

Text Field: MYB4

Text Field: CI4

Text Field: MYB5

Text Field: CI5

Text Field: MYB6

Text Field: CI6

THE PRE-TRIAL STATEMENT MUST BE FILED WITH A CONFIDENTIAL INFORMATION FORM

Pursuant to Pa.R.C.P. No. 1915.4-4(b) the Pre-Trial Statement:

(1) Must be filed with the Prothonotary's Office 5 days PRIOR to the Pre-Trial Conference; and

Must be filed with the Prothonotary’s Office 5 days PRIOR to the Pre-Trial Conference; and

Served on the opposing party/counsel