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Waiver of Notice for Defendant Form 6b

When the Defendant signs the Affidavit of Consent (Form 2) he or she may also agree to give up his or her right to receive notice of your request for a divorce decree.

What County are you filing this in?
Name of Plaintiff

PLAINTIFF VS. DEEENDANT Case No. ___ IN DIVORCE

Name of Defendant

DEFENDANT

Case Number

Case No. ___ IN DIVORCE

WAIVER OF NOTICE OF INTENTION TO FILE THE PRAECIPE TO TRANSMIT RECORD

  1. 1. Without further notice, I consent to the entry of:
Check if you consent to the entry of a final decree of divorce
  • a final decree of divorce; or
Check if you consent to the entry of an order approving grounds for divorce
  • an order approving grounds for divorce.
  • I understand that I may lose rights concerning alimony, equitable division of property, lawyer's fees, costs and expenses, or other important rights if I do not claim them before a divorce is granted.
  • I understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed.

I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. ยง 4904 relating to unsworn falsification to authorities.

Date: ___

Date this was signed - enter as mm/dd/yyyy ex. 09/27/2015

(PLAINTIFF) (DEFENDANT)

IN THE COURT OF COMMON PLEAS FOR ADAMS COUNTY, PENNSYLVANIA CIVIL ACTION - LAW

Name1(CICForm)
NamePLAINTIFF
vs.
NameDEFENDANT 1
and (if applicable)
NameDEFENDANT 2
Name2(CICForm)
Name3(CICForm)
Case(CICForm)

CASE NO. _____

CERTIFICATE OF COMPLIANCE

I certify that this filing complies with the provisions of the Case Record Public Access Policy of the Unified Judicial System of Pennsylvania: Case Records of the Appellate and Trial Courts that require filing confidential information and documents differently than non-confidential information and documents.

Signature: _____

Petitioner Date: _____

Print Name: _____

Name4(CICForm)

Date:

Date(CICForm)