Fill and Sign the In the Court of Common Pleas of Washington County Form

IN THE C OURT O F COMMO N PLEAS O F __________ _____ _ _ _ _ _ COUNTY, PENNSYLVANIA CIVIL ACTION _______________________________ : PLAINTIFF : : vs. : : Case No. ______________ IN DIVORCE _______________________________ : DEFENDANT : COMPLAINT FOR DIVORCE UNDER SECTION 3301(c) OR 3301(d) OF THE DIVORCE CODE 1. Plaintiff is __________________ _____________(Name) , who currently resides at ______ ___________________________________________ ___________ (Street Address ), __________________________ ___________(City) , ____________ ___________ ( County), ___________________________(State ), s ince ___ ________________________ ____ (Date). 2. Defendant is ____________________________ _____ (Name), who currently resides at _____ ______________________________________________ ________ ( Street Address), ___________________________ __________(City ), ______ ____________ ____ (County), __________________________ (State), since __________________ __________ (Date). 3. 4. The plaintiff and defendant wer e marri ed on ______________________ (Date) at _____________________(City) ___________________________________(State/County). 5. There hav e been no prior actions of divorc e or for annulm ent betw een the parties, except _____________________________________ _____________________________________ . 6. The marriage is irretrievably broken. Plaintiff and/or Defendant has/have been a bona fide resident(s) in the Commonwealth for at least six months immediately previous to the filing of this Complaint Divorce Form 1 Notice to Defend and Divorce Complaint Rule 1920.71Rule 1920.72AOPC 4.18.16 7. Plai ntiff has been advised that counseling is available and that Plaintiff may have the right to request that the Court require the parties to participate i n counseling. 8. Plaintiff requests that the Court enter a decree of divorce. I verify that the statements made in this Complaint 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 aut horities. Respectfully submitted, Date: __________ ________ _____________________________________ Plaintiff’s Signature _____________________________________ Plaintiff’s N ame ______________________________ _______ Street Address City, State and Zip _____________________________________ Telephone _____________________________________ Divorce Form 1 Notice to Defend and Divorce Complaint Rule 1920.71Rule 1920.72AOPC 4.18.16