(Sample Form "C" -Conciliation Conference Memorandum)
IN THE COURT OF COMMON PLEAS OF ADAMS COUNTY, PENNSYLVANIA
Plaintiff | : No. |
: | |
v. | : |
: ACTION IN CUSTODY | |
Defendant | : |
CONCILIATION CONFERENCE MEMORANDUM
And now, comes the undersigned party who submits the following custody conference memorandum pursuant to Adams C.Civ.R. No. 1915.4-3.2(h):
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Child #1:______________________ Child#3:___________________________
Child #2:______________________ Child #4:___________________________
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Plan:____________________________________________________________________
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CERTIFICATE OF COMPLIANCE
I certify that this filing complies with the provisions of the Case Records Public Access Policy of the Unified Judicial System of Pennsylvania that require filing confidential information and documents differently than non-confidential information and documents.
Respectfully Submitted,
DATE:___________ ___________________________________
Signature
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Printed Name
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Street Address/P.O. Box
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City, State, Zip
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Telephone number
Adm. Cnty. Pa. 1915.4-3.2