IN THE COURT OF COMMON PLEAS OF ___ COUNTY, PENNSYLVANIA CIVIL ACTION

Print the name of the county you are filing in exactly as it appears on Form 1.

PLAINTIFF VS. DFFFNDANT Case No. ___

Print the name of the Plaintiff exactly as it appears on Form 1.
Print the name of the Defendant exactly as it appears on Form 1.

Case No.

Print the docket number. This is the number that the Prothonotary's Office wrote on Form 1 at the time of filing.

IN DIVORCE

AFFIDAVIT OF NON-MILITARY SERVICE PURSUANT TO PA.R.C.P. 1920.46.

I, ___ (your full name), say that I am the Plaintiff in the above-captioned matter; that I personally know that the Defendant is over the age of eighteen years, and that Defendant is not in the military service or in any branch of the armed forces of the United States or its allies or otherwise within the provisions of the Servicemember's Civil Relief Act, formally the Soldiers' and Sailors' Civil Relief Act of Congress of 1940, and the amendments thereto.

Print the name of the Plaintiff exactly as it appears on Form 1.

I verify that the statements in this document are true and correct to the best of my knowledge, information, and belief. 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:_____

Print the date.

Divorce Form 10 Affidavit of Non-Military Service Pa. R.C.P. 1920.46 AOPC 7.1.14

Sign your name.

Plaintiff's Signature