Free Affidavit of Compliance - Pennsylvania


File Size: 48.4 kB
Pages: 1
File Format: PDF
State: Pennsylvania
Category: Court Forms - Local
Word Count: 80 Words, 1,045 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://fjd.phila.gov/pdf/forms/orphans/minors-proceeding_affidavit_of_compliance.pdf

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IN THE COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY CIVIL TRIAL DIVISION : : : : : AFFIDAVIT I, _____________________________________ , Esquire, hereby state and affirm that I have complied with the Order issued on ____________________________________by the Honorable _____________________ as follows: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Copies of bank accounts are attached hereto. I verify that the statements in this Affidavit are made subject to the penalties of 18 Pa. C.S. §4904 relating to unsworn falsification to authorities. TERM, 20___

v.

No:

Date: __________________________

________________________________________ , Esquire Attorney for Petitioner

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