4. Are you requesting a home study of your house? (circle one) YES NO
5. Are you requesting a home study of the other party's house? (circle one) YES NO
6. Are you requesting a custody evaluation? (circle one) YES NO
7. A proposed resolution of all matters, which may be in the form of a Parenting Plan: _____

CERTIFICATE OF COMPLIANCE

I certify that this filing complies with the provisions of the Case Records Public Access Policy of the Unified Judicial System of Pennsylvania that require filing confidential information and documents differently than non-confidential information and documents.

Respectfully Submitted,

DATE: ___

Signature _____

Printed Name