Form 10
Page 1 of 1
IN THE COURT OF COMMON PLEAS OF
_______________________ COUNTY, PENNSYLVANIA
_______________________________, : CIVIL ACTION – LAW
PLAINTIFF (your full name) :
:
: Case No. ______________
vs. :
:
_______________________________, :
DEFENDANT (spouse’s full name) : IN DIVORCE
AFFIDAVIT OF NON-MILITARY SERVICE
PURSUANT TO PA.R.C.P. 1920.46.
I, ___________________________________ (your full name), say that I am the
Plaintiff in the above-captioned matter; that I personally know that the Defendant is over
the age of eighteen years, and that Defendant is not in the military service or in any
branch of the armed forces of the United States or its allies or otherwise within the
provisions of the Servicemember's Civil Relief Act, formally the Soldiers’ and Sailors’
Civil Relief Act of Congress of 1940, and the amendments thereto.
I verify that the statements in this document are true and correct to the best of my
knowledge, information, and belief. 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:____________________ __________________________________
Plaintiff’s Signature