IN THE COURT OF COMMON PLEAS OF COUNTY, PENNSYLVANIA
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. 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. § 4904 relating to unsworn falsification to authorities.
Date: ___
Date this was signed - enter as mm/dd/yyyy ex. 09/27/2015
(PLAINTIFF) (DEFENDANT)