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I IN TIU: COlIUT Oil COMMON I'LEAS OJI
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I CUMU.:IU,ANU COUNT\', l'ENNSYI,vANIA
I
I CIVIL AC'I'10N - LAW
I
I 97-1122 CIVIL TEltM
I
I IN U1voun:
MELISSA l" U1SIIOP,
PlalntllT
JAMES E. D1SIIOP,
UerendBnt
The plaintin: being duly sworn accordinl!to law, deposes and Hays
I. I have been advised of lhc availability of marriagc counseling and undeutand that I may
request that the court reqllire thai my spouse and I participate In counselinl!.
2. I understand lhatthe court maintains a list of marriage counselors In the Prothonotary'.
OOlce, which list is available 10 me ullon requcsl
3. Deinl! so advised, I do not request that lhe court reqlllre that my spoule and I
participate in cOllnsclinl! plior to a divorce declee beinl! handed down.
I verifY that the Itatementl made Inthil al1ldavlt are true and correct. lundentand Ihat
false statementl herein made are subJeclto the penalties of 18 I)a. C.S. Section 4904 relating to
unsworn falsit1cationto authoritiel.
UBte: August 22
,1997
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MELISSA L. D1SIIOP
PI.lnlllT