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Fill and Sign the Waiver of Servicedivorce No Children Form

Fill and Sign the Waiver of Servicedivorce No Children Form

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Divorce Form 6a Instruc tions Wai ver of Notice for Plaintiff Form 6a When you sign the Affidavit of Consent (Form 2) you may also agree to give up your right to receive notice of a request for a divorce decree. Divorce Form 6a Instructions Form 6a – Waiver of Notice for Plaintiff The numbe rs 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 other forms. Box 2 : Print the name of the Pl aintiff 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 For m 1. B ox 5: Wr ite the date you sign the form. Box 6: Sign this form if you do not want further notice of a request for a divorce decree. File this form with the Prothonotary / Clerk alo ng with the Affidavit of Consent of Plaintiff. Divorce For m 6a Plaintiff Waiver Rule 1920.72( c) AOPC 7.1. 14 1 IN THE CO URT OF COMMON PLEAS OF COUNTY, PEN NSYLVAN IA 2 , : 3 PLAI NTIFF : : Case No. 4 vs. : : , : D EFENDANT WA IVER OF NO TICE OF IN TENTION TO RE QUEST ENTRY OF A D IVORCE DE CREE UNDER § 3 301(c) AN D § 3301(d) OF THE DIVORCE CODE – PLAIN TIFF 1. I consent to the entry of a final decree of di vorce w ithout notice. 2. I unders tand that I may lose righ ts concerni ng alim ony, div ision of propert y, lawyer’s fees or ex pens es if I do not cla im them bef ore a divorce is granted. 3. I understand that I will not be divorced until a divorce decree is enter ed by the Co urt and that a copy of the decree w ill be sent to me immediately after it is filed with the prothonotar y. I verify that the state ments in this docum ent are true and correct. I understand that false state ments herein are m ade su bject to the penalties of 18 Pa.C.S. § 4904, rela ting to uns worn falsif icat ion to author ities. 5 6 Date: Plaintiff’s Signature Divorce Fo rm 6a Plaintiff Waiver Rule 1920.72(c) AOPC 7 .1.14 IN THE COURT OF COMMON PLEAS OF______________________ COUNTY, PENNSYLVANIA _______________________________, : P LAINTIFF : : Case No. ______________ vs. : : _______________________________, : DEFENDANT WAIVER OF NOTICE OF INTEN TION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER § 3301(c) AND § 3301(d) OF THE DIVORCE CODE - PLAINTIFF 1. I consent to the entr y of a final decree of divorce without notice. 2.I under stand that I may lose rights concerning alimony, division of property, lawyer’s fees or expenses if I do not claim them before a divorce is granted. 3. I understand that I w ill not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the prothonotary. I verify that the statements in this document are true and correct. I understand that false statements herein are made subjec t to the penalties of 18 Pa.C.S. § 4904, relating to unsworn falsification to authorities. Date:_________________ __________________________________ P laintiff’s Signature

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