IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVANIA

CIVIL DIVISION

)	NO. -FC-
)
Plaintiff(s)	)
vs	)	CUSTODY
)	Assigned Judge:
)
)
Defendant(s)	)

AFFIDAVIT OF SERVICE OF COUNTER AFFIDAVIT-REGARDING RELOCATION

AND NOW,	, the undersigned Petitioner
(date)
hereby certifies that the Counter-Affidavit Regarding Relocation, was mailed to
by Certified Mail,
(name of other party)
Return Receipt Requested, Restricted Delivery on
(date sent)
and were received on	. The United States Postal
(date signed)
Service Return Receipt is attached hereto as Exhibit A and made part hereof.

VERIFICATION

I verify that the statements made in this 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.

Petitioner Signature

AFFIDAVIT OF SERVICE OF COUNTER-AFFIDAVIT REGARDING RELOCATION

Attach the U.S. Postal Service Return Receipt

(green post card Form 3811)

Recipient’s signature and date of delivery side up

EXHIBIT A

CAPTION

County of Lehigh

2020-02-13

Rachel A Wotring

County of Lehigh