IN THE COURT OF COMMON PLEAS OF YORK COUNTY, PENNSYLVANIA
_________________________________
:
Case No. __________________________
Plaintiff
:
:
Case Type: ( ) Custody
( ) Divorce
v.
:
( ) Paternity
( ) Support
:
( ) Protection from Abuse
_________________________________
:
( ) Other: ______________
Defendant
ENTRY OF APPEARANCE AS A SELF-REPRESENTED PARTY
1.
I, ___________________________________ (printed name), represent myself as the
( ) Plaintiff or ( ) Defendant in this case.
2.
REMOVAL OR WITHDRAWAL OF COUNSEL OF RECORD (if applicable)
( ) Remove ________________________________, Esq. as my attorney in this case.
or
( ) Withdraw my appearance for the filing party in this case. My client has been provided
with all orders requiring any action to be taken by the client.
I hereby certify that this
change is not intended to, nor will it, delay this proceeding to the best of my knowledge,
information and belief.
Printed Name: __________________________, Esq. Attorney ID No.: _____________
Signature: ______________________________
Date Signed: _______________
3.
All pleadings and legal papers can be served on me at the address listed below:
Address Line 1: ___________________________________________________
Address Line 2: ___________________________________________________
City, State, Zip: ___________________________________________________
Telephone: (
)_________________
FAX: (
)_________________
Email Address: ___________________________________________________
4.
I understand that I have a continuing obligation to provide current contact information to the
Court, to other self-represented parties, and to attorneys of record in this case.
Signature: _______________________________
Date Signed: _______________
THE PARTY FILING THIS ENTRY OF APPEARANCE MUST PROVIDE NOTICE BY SENDING A COPY TO ALL
PARTIES AND ATTORNEYS, INCLUDING ANY ATTORNEY REMOVED FROM THE CASE IN SECTION 2 ABOVE.
Form YCCiv. 1930.8 (revised 11/23/2015)