COUNTER-AFFIDAVIT REGARDING RELOCATION
This proposal of relocation involves the following child/children:
Child's Name | Age | Currently residing at: |
.................... | .......... | .................... |
Child's Name | Age | Currently residing at: |
.................... | .......... | .................... |
Child's Name | Age | Currently residing at: |
.................... | .......... | .................... |
I have received a notice of proposed relocation and
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I understand that in addition to checking (2) or (3) above, I must also file this notice with the court in writing and serve it on the other party by certified mail, return receipt requested. If I fail to do so within 30 days of my receipt of the proposed relocation notice, I shall be foreclosed from objecting to the relocation.
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I verify that the statements made in this counter-affidavit 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:
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23 Pa.C.S. § 5337