Custody Exceptions - Court Of Common Pleas Of Philadelphia County Page 3
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3IN THE COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY
:
_____________________________,
:
PLAINTIFF
:
FAMILY COURT DIVISION
:
vs.
:
CIVIL ACTION
:
_____________________________,
:
DEFENDANT
:
D.R. NO.
:
CUSTODY EXCEPTIONS
I, ___________________________, am the Plaintiff/Defendant in this case. I
(your name)
(circle one)
hereby disagree with the Proposed Order of Custody of ______________________, Esq.,
(name of Master who signed Order)
Permanent Hearing Officer, which was entered on the ____________, _____ , 20___.
(month)
(day)
(year)
The last day I am allowed to file Exceptions is _____________, _______, 20___.
(month)
(day)
(year)
My Exceptions to the Proposed Order are as follows: _____________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
SIGNATURE: _____________________________
Print your name: ____________________________
ADDRESS: _______________________________
_______________________________
_______________________________
_______________________________
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