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# Waiver of Notice for Plaintiff

Form 6a

When you sign the Affidavit of Consent (Form 2) you may also agree to give up your right to receive notice of a request for a divorce decree.

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PLAINTIFF

VS.

DEEENDANT

Case No. ___

IN DIVORCE



<div style="text-align: center;"><img src="imgs/img_in_image_box_282_526_2247_928.jpg" alt="Image" width="77%" /></div>


DEFENDANT

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

1. Without further notice, I consent to the entry of:

a final decree of divorce; or

an order approving grounds for divorce.

2. 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.

3. 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: ___

 

(PLAINTIFF) (DEFENDANT)

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


<table border=1 style='margin: auto; word-wrap: break-word;'><tr><td style='text-align: center; word-wrap: break-word;'>Name</td><td style='text-align: center; word-wrap: break-word;'>PLAINTIFF</td></tr><tr><td colspan="2">vs.</td></tr><tr><td style='text-align: center; word-wrap: break-word;'>Name</td><td style='text-align: center; word-wrap: break-word;'>DEFENDANT 1</td></tr><tr><td colspan="2">and (if applicable)</td></tr><tr><td style='text-align: center; word-wrap: break-word;'>Name</td><td style='text-align: center; word-wrap: break-word;'>DEFENDANT 2</td></tr></table>

<div style="text-align: center;"><img src="imgs/img_in_image_box_282_489_2127_1179.jpg" alt="Image" width="72%" /></div>


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: _____