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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. § 4904 relating to unsworn falsification to authorities.

Date: ___

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

(PLAINTIFF) (DEFENDANT)