Fillable 16PetitionforModificationCustodyOrder IN THE COURT OF COMMON PLEAS OF DELAWARE COUNTY, PENNSYLVANIA

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16PetitionforModificationCustodyOrder IN THE COURT OF COMMON PLEAS OF DELAWARE COUNTY, PENNSYLVANIA

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IN THE COURT OF COMMON PLEAS OF DELAWARE COUNTY, PENNSYLVANIA
CIVIL - LAW
_________________ :
: NO: ____________
v. :
: IN CUSTODY
_________________ :
PETITION FOR MODIFICATION OF A CUSTODY ORDER
Petitioner is ___________ and resides at _______________________.
Respondent is ___________ and resides at ______________________.
Petitioner respectfully represents that on _____________, 20___, an Order of Court was
entered for:
☐shared legal custody ☐sole legal custody
☐partial physical custody ☐primary physical custody ☐shared physical custody
☐sole physical custody ☐supervised physical custody
A true and correct copy of the Order is attached.
This Order should be modified because: _____________________________
_________________________________________________
Petitioner has attached the Criminal Record/Abuse History Verification form required pursuant to
Pa.R.C.P. No. 1915.3.2.
WHEREFORE, Petitioner requests that the Court modify the existing Order because it will be
in the best interest of the child(ren).
_________________
Attorney for Petitioner/Petitioner
I verify that the statements made in this petition 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 authorities.
___________ _________________
Date Petitioner
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16PetitionforModificationCustodyOrder IN THE COURT OF COMMON PLEAS OF DELAWARE COUNTY, PENNSYLVANIA

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Completed 14 November 2019

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