Montgo. Cnty. Pa. 1920.42(d)*(3)

As amended through January 1, 2019

Rule 1920.42(d)*(3) - Verification of Defendant's Signature

(3) Upon the filing of the Praecipe to Transmit in a divorce action where the defendant has no attorney of record and the defendant has not appeared for any proceeding before the Court, the plaintiff shall execute and file a Verification of Defendant's Signature in the following form:

(Caption)

VERIFICATION OF DEFENDANT'S SIGNATURE

I,_________________ , hereby state that I am the Plaintiff in the above-captioned divorce matter, that I

am familiar with the signature of Defendant, and that the signature that appears on the following document(s) is that of the Defendant.

Check all that apply:

______ Acceptance of Service of the Divorce Complaint

______ Signature on Certified Mail Receipt

______ Property Settlement Agreement dated ______________________ (insert date)

______ Affidavit of Consent under 3301(c) of the Divorce Code

______ Affidavit under 3301(d) of the Divorce Code

______ Counter-affidavit under 3301(c) or 3301(d) of the Divorce Code (circle the applicable section)

______ Waiver of Notice of Intention to Transmit the Record

______ Other (if this section applies, list the document(s)):

I verify that the statements made in this Verification of Defendant's Signature are true and correct to the best of my knowledge and belief. I understand that false statements made herein are subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities.

Date: ________________________________

Signature of Plaintiff

Montgo. Cnty. Pa. 1920.42(d)*(3)

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