Fillable Beaver County Gov Form 11 Certificate Of Service

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Beaver County Gov Form 11 Certificate Of Service

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The Beaver County Gov Form 11 Certificate Of Service form is 4 pages long and contains:

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  • 5 check-boxes
  • 10 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Beaver County Information Technology

BROWSE BEAVER COUNTY INFORMATION TECHNOLOGY (PA) FORMS

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Instructions for:
Form 11
Certificate of Service
Form 11 – Certificate of Service
The numbers on these instructions correspond with the numbers in the arrowboxes on the
form. Use the form with the arrowboxes to guide you through filling out the blank form.
1. Write the name of the county you are filing in by arrowbox 1. Write exactly what
you wrote on Form 1, by arrowbox 1.
2. Write the name of the Plaintiff by arrowbox 2. Write it exactly as it appears on
Form 1, by arrowbox 2.
3. Write the name of the Defendant by arrowbox 3. Write it exactly as it appears on
Form 1, by arrowbox 3.
4. Write the docket number by arrowbox 4. The docket number is the number that
the Prothonotary's Office wrote on Form 1, by arrowbox 4 at the time of filing.
5. Mark the box(es) of the document(s) you are mailing to your spouse. If you are
mailing a form not listed, write the name of the form in the “other” space
provided.
6. Write your spouse's name and address by arrowbox 6.
7. Write the date by arrowbox 7.
8. Sign your name by arrowbox 8.
9. File this form with the Prothonotary.
Form 11
Page 1 of 1
IN THE COURT OF COMMON PLEAS OF
_______________________ COUNTY, PENNSYLVANIA
_______________________________, : CIVIL ACTION – LAW
PLAINTIFF :
:
: Case No. ______________
vs. :
:
_______________________________, :
DEFENDANT : IN DIVORCE
CERTIFICATE OF SERVICE
The undersigned hereby certifies that on this date, a true and correct copy of the
following have been served: (check any of the following that apply)
Affidavit Under Section 3301(d) of the Divorce Code
Notice of Intention to Request Entry of Section 3301(d) Divorce Decree,
and Counter-Affidavit Under 3301(d)
Affidavit of Non-Military Service
Notice of Intention to Request Entry of Section 3301(c) Divorce Decree,
and Counter-Affidavit Under 3301(c)
(Other)____________________________________________________
The undersigned hereby certifies that the above documents were served by first
class mail to the following:
____________________________
(spouse’s name)
____________________________
(spouse’s address)
____________________________
____________________________
Respectfully Submitted,
Date:____________________ __________________________________
(Signature)
1
2
3
4
5
6
7
8
IN THE COURT OF COMMON PLEAS OF
_______________________ COUNTY, PENNSYLVANIA
_______________________________, : CIVIL ACTION – LAW
PLAINTIFF :
:
: Case No. ______________
vs. :
:
_______________________________, :
DEFENDANT : IN DIVORCE
CERTIFICATE OF SERVICE
The undersigned hereby certifies that on this date, a true and correct copy of the following have
been served: (check any of the following that apply)
Affidavit Under Section 3301(d) of the Divorce Code
Notice of Intention to Request Entry of Section 3301(d) Divorce Decree, and Counter-
Affidavit Under 3301(d)
Affidavit of Non-Military Service
Notice of Intention to Request Entry of Section 3301(c) Divorce Decree, and Counter-
Affidavit Under 3301(c)
(Other)____________________________________________________
The undersigned hereby certifies that the above documents were served by first class mail to the
following:
____________________________
(spouse’s name)
____________________________
(spouse’s address)
____________________________
____________________________
Respectfully Submitted,
Date:____________________ __________________________________
(Signature)
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Beaver County Gov Form 11 Certificate Of Service

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Completed 16 November 2019

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