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Custody Packet - Pennsylvania

Custody Packet Form. This is a Pennsylvania form and can be used in Civil Carbon Local County .
 Fillable pdf Last Modified 4/26/2013
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INSTRUCTIONS FOR FILING A CUSTODY COMPLAINT OR A PETITION FROM MODIFICATION OF PARTIAL CUSTODY OR VISITATION ORDER The following documents should be completed and filed with the filing fees, unless waived by the Court, in the Prothonotary's office. All information must be typewritten or neatly printed: COVER SHEET Fill in the top part of this form with your name and address and the defendant's name and address. You are the plaintiff. The person you are filing against is the defendant. Box F should contain a "C" and the word "custody". You must sign and date the form at the bottom. ORDER OF COURT FOR CONFERENCE/HEARING Insert your name on the first line on the left side of the top of the form (This is called the caption). Insert the defendant/respondent's name on the second line on the left side of the top of the form. The Court will complete the rest of the form. ORDER OF COURT Insert your name on the first line on the left side of the top of the form (This is called the caption). Insert the defendant/respondent's name on the second line on the left side of the top of the form. Please complete numbers 1, 5 and 6 with your proposed recommendations for custody, partial custody, or visitation. COMPLAINT FOR CUSTODY/PARTIAL CUSTODY/VISITATION Insert your name on the first line on the left side of the top of the form (This is called the caption). Insert the defendant's name on the second line on the left side of the top of the form. Answer all the questions on the form completely and sign on both signature lines above the word "Plaintiff". (Current filing fees are $167.95 plus $150.00 for custody master. If you are filing an agreement, current filing fee is $167.95 only.) Complete the affidavit regarding criminal offense(s) for all parties and members of the household. RELOCATION The custodial parent(s) shall not change the residence of the child(ren) if such change significantly impairs the custodial schedule or the ability of the other parent to spend time with the child(ren) and participate in the child(ren)'s life. In the event the custodial parent desires to relocate as described above, he/she shall provide Notice as required by 23 P.S. 5337. No relocation shall occur without written consent of the other parent, or without Order of Court. American LegalNet, Inc. www.FormsWorkFlow.com On the Notice of Proposed Relocation, insert your name on the first line on the left side of the top of the form (This is called the caption). Insert the defendant's name on the second line on the left side of the top of the form. Answer all the questions on the form completely and sign on the signature line above the word "Petitioner/Attorney". (Current filing fee is $7.50) On the Counter-Affidavit Regarding Relocation, insert your name on the first line on the left side of the top of the form (This is called the caption). Insert the defendant's name on the second line on the left side of the top of the form. Insert the child(ren)'s names, ages, and current residences. PETITION FOR MODIFICATION OF A PARTIAL CUSTODY OR VISITATION ORDER If you already have a custody order from the court and you wish to change it, complete this form instead of the complaint by inserting your name on the first line on the left side of the top of the form (This is called the caption). Insert the other person's name on the second line on the left side of the top of the form. You are the "Petitioner" and the other person is the "Respondent". Insert your case number from your custody order on the right hand side. Answer all the questions on the form completely. Sign the form in both places at the bottom above the word "Petitioner". (Current filing fees are $22.30 plus $150.00 for custody master. If you are filing an agreement, current filing fee is $22.30 only.) PETITION FOR WAIVER OF COSTS (if applicable) Complete this form ONLY if you cannot afford to pay the initial filling fees and costs. Insert your name on the first line on the left side of the top of the form (This is called the caption). Insert the defendant/respondent's name on the second line on the left side of the top of the form. Answer all the questions on the form completely. You must sign and date the form at the bottom. (Current filing fees are $167.95 plus $150.00 for custody master.) ORDER OF COURT FOR WAIVING PAYMENT OF COSTS (if applicable) If you complete the Petition for Waiver of Costs, insert your name on the first line on the left side of the top of the form (This is called the caption). Insert the defendant/respondent's name on the second line on the left side of the top of the form. The Court will complete the rest of the form. American LegalNet, Inc. www.FormsWorkFlow.com PENNSYLVANIA RULE OF CIVIL PROCEDURE 1930.4 SERVICE OF ORIGINAL PROCESS IN DOMESTIC RELATIONS MATTERS Proper service is required. Kindly review this rule that explains proper procedure for effecting service. American LegalNet, Inc. www.FormsWorkFlow.com CARBON COUNTY CUSTODY Intake: COMPLAINT/MODIFICATION/RELOCATION/CONTEMPT Docket Number: _______ ___________________ Plaintiff (____Mother ____Father ____Other) Name: _____________________________________ Date of Birth: ______________________ Address: __________________________________________ Apt: _____________________ City: ______________________________ State: ____________ Zip: _____________________ Home Phone: _______________________ Other Phone _______________________________ Plaintiff's Attorney: _______________________ Attorney's Phone: ______________________ Defendant (____Mother ____Father ____Other) Name: _____________________________________ Date of Birth: ______________________ Address: __________________________________________ Apt: ______________________ City: ______________________________ State: ____________ Zip: _____________________ Home Phone: _______________________ Other Phone _______________________________ Defendant's Attorney: ____________________ Attorney Phone: ________________________ Children With whom does child(ren) reside? ___ Mother ___ Father ___ Other Has child(ren) and custodian resided in Carbon County for six months? ___Yes ___No Interpreter: Does either party need an Interpreter? ___ Yes ___ No If Yes, what language? _______________________ Mediation: Are there allegations of domestic violence or child abuse? ____ Yes Incarceration: Is a party currently incarcerated? ____Yes ____No If yes, what is inmate's identification number, and facility address: ___ No Does either party live more th
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