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Without further notice, I consent to the entry of:", "marker": "1.", "list_id": "L1", "level": 0, "reading_order": 8 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 106, "t": 464, "r": 118, "b": 452 }, "text": "Check if you consent to the entry of a final decree of divorce", "field_kind": "checkbox", "label": "Check if you consent to the entry of a final decree of divorce", "pdf_field_name": "Check Box1", "pdf_field_type": "CheckBox", "reading_order": 9 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 141.36, "t": 464.64, "r": 291.12, "b": 450.72 }, "text": "a final decree of divorce; or", "marker": "○", "list_id": "L2", "level": 0, "reading_order": 10 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 106, "t": 435, "r": 118, "b": 423 }, "text": "Check if you consent to the entry of an order approving grounds for divorce", "field_kind": "checkbox", "label": "Check if you consent to the entry of an order approving grounds for divorce", "pdf_field_name": "Check Box2", "pdf_field_type": "CheckBox", "reading_order": 11 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 141.36, "t": 434.64, "r": 355.68, "b": 419.76 }, "text": "an order approving grounds for divorce.", "marker": "○", "list_id": "L3", "level": 0, "reading_order": 12 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 68.16, "t": 405.36, "r": 523.2, "b": 360.24 }, "text": "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.", "marker": "2.", "list_id": "L3", "level": 0, "reading_order": 13 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 68.64, "t": 344.88, "r": 538.08, "b": 314.64 }, "text": "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.", "marker": "3.", "list_id": "L3", "level": 0, "reading_order": 14 }, { "page": 2, "type": "TEXT", "location": { "l": 68.64, "t": 299.76, "r": 539.04, "b": 254.64 }, "text": "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.", "reading_order": 15 }, { "page": 2, "type": "TEXT", "location": { "l": 70.32, "t": 239.28, "r": 539.28, "b": 225.6 }, "text": "", "reading_order": 16 }, { "page": 2, "type": "TEXT", "location": { "l": 69.6, "t": 239.04, "r": 245.28, "b": 225.12 }, "text": "Date: ___", "reading_order": 17 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 104.04, "t": 245.52, "r": 244.32, "b": 224.64 }, "text": "Date this was signed - enter as mm/dd/yyyy ex. 09/27/2015", "field_kind": "text", "label": "Date this was signed - enter as mm/dd/yyyy ex. 09/27/2015", "pdf_field_name": "DateSigned", "pdf_field_type": "Text", "reading_order": 18 }, { "page": 2, "type": "TEXT", "location": { "l": 256.56, "t": 224.88, "r": 412.8, "b": 210.72 }, "text": "(PLAINTIFF) (DEFENDANT)", "reading_order": 19 } ] }, { "page": 3, "items": [ { "page": 3, "type": "TITLE", "location": { "l": 82.32, "t": 720.48, "r": 528.72, "b": 691.2 }, "text": "IN THE COURT OF COMMON PLEAS FOR ADAMS COUNTY, PENNSYLVANIA\nCIVIL ACTION - LAW", "reading_order": 0, "level": 1 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 72, "t": 692.64, "r": 269.986, "b": 666.12 }, "text": "Name1(CICForm)", "field_kind": "text", "label": "Name1(CICForm)", "pdf_field_name": "Name1(CICForm)", "pdf_field_type": "Text", "reading_order": 1 }, { "page": 3, "type": "TABLE", "location": { "l": 66.96, "t": 670.08, "r": 282.24, "b": 511.2 }, "text": "
NamePLAINTIFF
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and (if applicable)
NameDEFENDANT 2
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