Instructions for:
Form 7
Notice of Intention to
Request Entry of
Section 3301(c) Divorce Decree
Form 7 - Notice of Intention to Request
Entry of Section 3301(c) Divorce Decree
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. Write your spouse's name by arrowbox 5.
6. Count 20 calendar days from the date that you will be mailing this form to your
spouse. The date that you mail the form is Day 1. Write that date by arrowbox 6.
7. If you live in one of the following counties: Allegheny, Beaver, Berks, Blair,
Bucks, Chester, Cumberland, Dauphin, Delaware, Erie, Lackawanna, Lancaster,
Lehigh, Luzerne, Mercer, Monroe, Montgomery, Northampton, Philadelphia,
Washington, Westmoreland, or York, you must call your county’s Court
Administrator’s Office, Prothonotary’s Office, or other related county office
to determine what lawyer referral service to put by arrowbox 7.
If you do NOT live in one of the above listed counties: Write by arrowbox 7:
“Pennsylvania Bar Association – Lawyer Referral Service
Telephone 1-800-692-7375 (PA only)
or 717-238-6715”
8. Sign this form by arrowbox 8.
9. Write the name of the county you are filing in by arrowbox 9. Write exactly what
you wrote on Form 1, by arrowbox 1.
10. Write your name by arrowbox 10. Write your name exactly as you wrote it on
Form 1, by arrowbox 2.
11. Write your spouse's name by arrowbox 11. Write your spouse's name exactly as
you wrote it on Form 1, by arrowbox 3.
12. Write the docket number by arrowbox 12. The docket number is the number that
the Prothonotary's Office wrote on Form 1, by arrowbox 4 at the time of filing.
Note: This form MUST be properly served on the other party (see Divorce Procedure
section). Use Form 11 for service.
Form 7
Page 1 of 2
IN THE COURT OF COMMON PLEAS OF
_______________________ COUNTY, PENNSYLVANIA
_______________________________, : CIVIL ACTION LAW
PLAINTIFF :
:
: Case No. ______________
vs. :
:
_______________________________, :
DEFENDANT : IN DIVORCE
NOTICE OF INTENTION TO REQUEST ENTRY OF
SECTION 3301(c) DIVORCE DECREE
TO: _______________________ (spouse’s full name)
You have signed a § 3301(c) affidavit consenting to the entry of a divorce decree.
Therefore, on or after ________________ (20 days after service of this document), the
other party can request the court to enter a final decree in divorce.
Unless you have already filed with the court a written claim for economic relief,
you must do so by the above date or the court may grant the divorce and you will lose
forever the right to ask for economic relief. The filing of the form counter-affidavit alone
does not protect your economic claims.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU
DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH
BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT
HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS
OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT
AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A
REDUCED FEE OR NO FEE.
___________________________________
___________________________________
___________________________________
Respectfully submitted,
_______________________________
(Signature)
1
2
3
4
5
6
7
8
Form 7
Page 2 of 2
IN THE COURT OF COMMON PLEAS OF
_______________________ COUNTY, PENNSYLVANIA
_______________________________, : CIVIL ACTION LAW
PLAINTIFF :
:
: Case No. ______________
vs. :
:
_______________________________, :
DEFENDANT : IN DIVORCE
COUNTER-AFFIDAVIT UNDER §3301(c)
OF THE DIVORCE CODE
I wish to claim economic relief which may include alimony, division of property, lawyer’s fees or
expenses or other important rights.
I understand that I must file my economic claims with the Prothonotary in writing and serve them
on the other party. If I fail to do so before the date set forth on the Notice of Intention to Request
Divorce Decree, the divorce decree may be entered without further delay.
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: ________________________ _______________________________________
Signature
NOTICE: IF YOU DO NOT WISH TO CLAIM ECONOMIC RELIEF, YOU
SHOULD NOT FILE THIS COUNTER-AFFIDAVIT.
IF YOU DO WISH TO EITHER CLAIM ECONOMIC RELIEF AND/OR
OPPOSE THE DIVORCE, YOU MUST COMPLETE THIS FORM AND FILE IT
WITH THE PROTHONOTARY, AND IT IS RECOMMENDED YOU SPEAK TO
AN ATTORNEY.
9
10
11
12
IN THE COURT OF COMMON PLEAS OF
_______________________ COUNTY, PENNSYLVANIA
_______________________________, : CIVIL ACTION LAW
PLAINTIFF :
:
: Case No. ______________
vs. :
:
_______________________________, :
DEFENDANT : IN DIVORCE
NOTICE OF INTENTION TO REQUEST ENTRY OF
SECTION 3301(c) DIVORCE DECREE
TO: _______________________ (spouse’s full name)
You have signed a § 3301(c) affidavit consenting to the entry of a divorce decree.
Therefore, on or after ________________ (20 days after service of this document), the other party
can request the court to enter a final decree in divorce.
Unless you have already filed with the court a written claim for economic relief, you must
do so by the above date or the court may grant the divorce and you will lose forever the right to ask
for economic relief. The filing of the form counter-affidavit alone does not protect your economic
claims.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT
HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE
CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT
AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH
INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE
PERSONS AT A REDUCED FEE OR NO FEE.
___________________________________
___________________________________
___________________________________
Respectfully submitted,
_______________________________
(Signature)
IN THE COURT OF COMMON PLEAS OF
_______________________ COUNTY, PENNSYLVANIA
_______________________________, : CIVIL ACTION LAW
PLAINTIFF :
:
: Case No. ______________
vs. :
:
_______________________________, :
DEFENDANT : IN DIVORCE
COUNTER-AFFIDAVIT UNDER §3301(c)
OF THE DIVORCE CODE
I wish to claim economic relief which may include alimony, division of property, lawyer’s fees or expenses or
other important rights.
I understand that I must file my economic claims with the Prothonotary in writing and serve them on the
other party. If I fail to do so before the date set forth on the Notice of Intention to Request Divorce Decree,
the divorce decree may be entered without further delay.
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: ________________________ _______________________________________
Signature
NOTICE: IF YOU DO NOT WISH TO CLAIM ECONOMIC RELIEF, YOU SHOULD NOT FILE
THIS COUNTER-AFFIDAVIT.
IF YOU DO WISH TO CLAIM ECONOMIC RELIEF, YOU MUST COMPLETE THIS FORM AND
FILE IT WITH THE PROTHONOTARY, AND IT IS RECOMMENDED YOU SPEAK TO AN
ATTORNEY.