IN THE COURT OF COMMON PLEAS OF DELAWARE COUNTY, PENNSYLVANIA
NO. ______________________________
_________________________________
VS.
_________________________________
AFFIDAVIT UNDER SOLDIERS' AND SAILOR'S
CIVIL RELIEF ACT OF 1940 AS AMENDED
STATE OF PENNSYLVANIA SS:
COUNTY OF DELAWARE
____________________________________________________ being duly sworn according to law
deposes and says that the above named _________________________________________________
__________________________________________________________________________________
is/ are not in the military service of the United States of America as defined by the Soldiers' and
Sailors' Civil Relief Act of 1940 as amended; that said defendant/s is/are about _________________
years of age and is/ are _____________________________________________________________.
_________________________________
Sworn to and subscribed Print Name: _____________________________
Before me this ______ day
_________________
of
A.D.________________
__________________________________________