Fillable PLAINTIFF : INDIANA COUNTY, PENNSYLVANIA (County of Indiana)

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PLAINTIFF : INDIANA COUNTY, PENNSYLVANIA (County of Indiana)

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U.S.A. forms for County of Indiana

BROWSE COUNTY OF INDIANA (PA) FORMS

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______________________ : COURT OF COMMON PLEAS OF
PLAINTIFF : INDIANA COUNTY, PENNSYLVANIA
:
VS : NO. ________________
:
______________________ :
DEFENDANT :
PETITION FOR MODIFICATION OF A CUSTODY ORDER
1. Petitioner is _____________________________________________ and resides at
__________________________________________________________________.
(street address, city, zip, county)
2. Respondent is ___________________________________________ and resides at
___________________________________________________________________.
(street address, city, zip, county)
3. 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.
4. This Order should be modified because:_____________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
____________________________________________________________________.
5. Petitioner has attached the Criminal Record/Abuse History Verification form required
pursuant to Pa. R.C.P. No. 1915.3-2.
WHEREFORE, petitioner requests 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 Complaint 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 Signature of Petitioner
_____________________________
Printed Name of Petitioner
_____________________________
Phone Number of Petitioner
______________________ : COURT OF COMMON PLEAS OF
PLAINTIFF : INDIANA COUNTY, PENNSYLVANIA
:
VS : NO. ________________
:
______________________ :
DEFENDANT :
ORDER
AND NOW, this ___ day of _______of _____ it is ORDERED THAT
(date) (month) (year)
the Plaintiff and Defendant are to appear in person at Jury Room
No.____ of the Indiana County Courthouse in Indiana, Pennsylvania,
for an Initial Custody Conference on the___ day of _______of _____
(date) (month) (year)
at _____ o'clock ____. M.
BY THE COURT,
__________________________
J.
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PLAINTIFF : INDIANA COUNTY, PENNSYLVANIA (County of Indiana)

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Completed 6 August 2020

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