Petition For Leave To Settle Or Compromise Minors Action Page 9

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FIRST JUDICIAL DISTRICT OF PENNSYLVANIA
COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY
Trial Division - Civil
:
TERM, 20
:
v.
:
:
:
NO:
AFFIDAVIT
I,
, Esquire, hereby state and affirm that I have complied
with the Order issued on ___________________ by the Honorable ______________________ as
follows:
Copies of bank accounts are attached hereto.
I verify that the statements in this Affidavit are made subject to the penalties of 18 Pa. C.S.
4904 relating to unsworn falsification to authorities.
DATE: ____________
______________________________________
, Esquire
Attorney for Petitioner
 
 
 
 
 

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