IN THE COURT OF COMMON PLEAS OF ADAMS COUNTY, PENNSYLVANIA

Plaintiff : No.____-SU-

VS. :

Defendant

: CIVIL ACTION - LAW

: CUSTODY

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)

(Plaintiff's relationship to the child/ren)

Defendant, ___ is the (Name of Defendant)

(Defendant's relationship to the child/ren)

of the following child(ren) at issue:

Child(ren)'s Initials:

Month and Year of Birth:

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:

2. (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

Memorandum for Custody Pre-Trial Conference v.01-12-2023