The numbers on these instructions correspond with the numbers in the boxes on the form. Use the form with the boxes to guide you through filling out the blank form.
Box 1: Print the name of the county in which you filed exactly as you wrote it on Form 1.
Box 2: Print the name of the Plaintiff exactly as it appears on Form 1.
Box 3: Print the docket number that the Prothonotary's Office wrote on Form 1 at the time of filing.
Box 4: Print the name of the Defendant exactly as it appears on Form 1.
Mark the box or boxes naming the document(s) you are mailing to your spouse. If you are mailing a form not listed, write the name of the form in the “other” space provided.
Box 5: Print your spouse's name and address.
Box 6: Write the date.
Box 7: Sign and Print your name.
File the completed form with the Prothonotary / Clerk.