Fillable Beaver County Gov Form 3 A Affidavit Of Acceptance Of Service

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Beaver County Gov Form 3 A Affidavit Of Acceptance Of Service

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The Beaver County Gov Form 3 A Affidavit Of Acceptance Of Service form is 4 pages long and contains:

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Instructions for:
Form 3-A
Affidavit of Acceptance of Service
Form 3-A - Affidavit of Acceptance 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 your name by arrowbox 2. Write your name exactly as you wrote it on
Form 1, by arrowbox 2.
3. Write your spouse's name by arrowbox 3. Write your spouse's name exactly as
you wrote it 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. Write your spouse's name by arrowbox 5.
6. After your spouse receives Form 1, he/she will write the date by arrowbox 6.
7. After your spouse receives Form 1, he/she will sign by arrowbox 7.
8. File this form with the Prothonotary.
Note: Because this is original service (see Introduction section), you must also provide
a copy of the complete service document to the other party.
Form 3-A
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 ACCEPTANCE OF SERVICE
I, ______________________, Defendant in the above-captioned action depose
and say that on this date I hereby accept service of the Complaint in Divorce and Notice
to Defend and Claim Rights with Notice of Availability of Counseling.
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.
Respectfully Submitted,
Date:____________________ __________________________________
Defendant’s Signature
1
2
3
4
5
6
7
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 ACCEPTANCE OF SERVICE
I, ______________________, Defendant in the above-captioned action depose and say
that on this date I hereby accept service of the Complaint in Divorce and Notice to Defend and
Claim Rights with Notice of Availability of Counseling.
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.
Respectfully Submitted,
Date:____________________ __________________________________
Defendant’s Signature
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Beaver County Gov Form 3 A Affidavit Of Acceptance Of Service

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Completed 5 January 2020

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