Fill and Sign the Fillable Beaver County Gov Form 12 Praecipe to Transmit

Divorce Form 12 Instructions Praecipe to Transmit Record Form 12 Divorce Form 12 Instructions Form 12 - Praecipe to Transmit Record The numbers on these instructions co rrespond with the numbers in t he boxes on the form. Use the form with the boxes to guide you through filling out the blank form. Box 1: P rint the name of the county in which you filed exactly as it appears on the Complaint. B ox 2: Print the nam e of the Plaintiff exactly as it appears on the Complaint. B ox 3: Print the docket number given your case at the time of filing. B ox 4: Print t he name of the Defendant exactly as it appears on the Complaint. B ox 5: Check 3301(c). If you are not seeking this type of divorce, do not complete this form. B ox 6: P rint the date that the Complaint, Form 1 was served. Refer to Servic e Instructions. B ox 7: P rint the manner of service: Refer to Service Instructions. B ox 8: Print the date Plaintiff signed Form 5a (Affidavit of Consent). B ox 9: Print the date Defendant signed Form 5b (Affidavit of Consent). B ox 10: Leave blank. Box 11: Leave blank. Box 12: If you have no other pending claims, write “ no claims pending.” IF YOU HAVE PENDING CLAIMS YOU SHOULD SPEAK TO AN ATTORNEY BEFORE FILING THIS FORM. Box 13: If you sent a Notice of Intent to Request Entry of Divorce and Counter Affidavit, attach a copy, and fill in the date it was served. Box 14: Print the manner of service. Box 15: If you and the other party both filed Waivers of Notice, enter the date Plaintiff's Waiver of Notice was filed with the prothonotary Divorce Form 12 Instructions Box 16: If you and the other party both filed Waivers of Notice, enter the date Defendant’s Waiver of Notic e was filed with the prothonotary. Box 17: Write the date you are filing this form. Box 18: Sign your name and check whether you are the Plaintiff or the Defendant. Divorce Form 12 Pa. R.C.P.1920.73(b) AOPC 4.18.16 IN THE COURT OF COMMON PLEAS OF____________________ COUNTY, PENNSYLVANIA _______________________________, : PLAINTIFF : : Cas e No. ______________ vs. : : _______________________________, : DEFENDANT : DIVORCE PRAECIPE TO TRANSM IT RECORD To the Prothonotary: Transmit the record, together with the following information, to the court for entry of a divorce decree: 1. Ground for divorce: Irretrievable breakdown under § 3301(c) § 3301(d)(1)) of the Divorce Code. 2. Date and manner of service of the Complaint: ________________(date of service); _________________________ (manner of service). 3. Complete either paragraph (a) or (b). (a)Date of ex ecution of the affidavit of consent required by § 3301(c) of the Divorce Code: by plaintiff_____________; by defendant ______________. 4. Related claims pending: ___________________________________________. 5. Complete either (a) or (b). (a) Date and manner of service of the notice of intention to file praecipe, a copy of whic h is attached: ______________ (date of service); ________________________(manner of service). (b) Date plaintiff’s Waiver of Notice was filed with the prothonotary:____________. Date defendant’s Waiver of Notice was filed with the prothonotary: _________. Dated: _______________ _________________________________ ( ) Pla intiff ( ) Defendant (b)(1) Date of execution of the affidavit required by § 3301(d) of the Divorce Code: _______________________; (2) Date of filing and service of the § 3301(d) affidavit upon the opposing party: ___________________________________________________.