IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVANIA CIVIL DIVISION : : Plaintiff vs. : : File No. : IN DIVORCE : Defendant : AFFIDAVIT OF CONSENT TO THE PROTHONOTARY: 1. A complaint in divorce under §3301 (c ) of the Divorce Code was filed on __________________________(date) 2. The marriage of plaintiff and defendant is irretrievably broken and ninety days have elapsed from the date of filing and service of the Complaint. 3. I consent to the entry of a final decree of divorce after service of notice of intention to request entry of the decree. 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. Date: (PLAINTIFF) (DEFENDANT) (Rev 2/09 ) American LegalNet, Inc. www.FormsWorkFlow.com