IN THE COURT OF COMMON PLEAS OF ADAMS COUNTY, PENNSYLVANIA

Plaintiff : No.____-SU-____

Plaintiff

: CIVIL ACTION - LAW

VS. :

Defendant

Defendant

: CUSTODY

SU
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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’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

  1. Must be filed with the Prothonotary’s Office 5 days PRIOR to the Pre-Trial Conference; and
  2. Served on the opposing party/counsel