IN THE COURT OF COMMON PLEAS OF MONTGOMERY COUNTY, PENNSYLVANIA CIVIL ACTION ­ LAW __________________________________________ VS. __________________________________________ IN DIVORCE NO: ______________________ PRAECIPE TO TRANSMIT RECORD To the Prothonotary: Transmit the record, together with the following information, to the court for entry of a divorce decree. 1. Ground for divorce: irretrievable breakdown under §(3301(c)) (3301(d)(1)) of the Divorce Code. (Strike out inapplicable section) 2. Date and manner of service of the complaint: __________________________________________. 3. (Complete either paragraph (a) or (b).) (a) Date of the execution of the Affidavit of Consent required by §3301(c) of the Divorce Code: by plaintiff ________________________________________; by defendant ______________________________________. (b) (1) Date of execution of the Affidavit required by §3301(d) of the Divorce Code: _______________________________. (2) Date of filing and service of the plaintiff's Affidavit upon the respondent: __________________________________. 4. Related claims pending: ____________________________________________________________ ________________________________________________________________________________. 5. (Complete either (a) or (b).) (a) Date and manner of service of the notice of intention to file Praecipe to Transmit Record, a copy of which is attached:____________________________________________________. (b) Date plaintiff's Waiver of Notice was filed with the Prothonotary: ___________________. Date defendant's Waiver of Notice was filed with the Prothonotary: __________________. 1 American LegalNet, Inc. www.FormsWorkFlow.com 6. The following is requested: Decree in Divorce with property settlement agreement attached. Decree in Divorce with no other relief granted. ____________________________________________ Attorney for (plaintiff)(defendant) OR Pro se _____________________________________________ Print Name and I.D. Number _____________________________________________ Telephone Number 8/27/14 2 American LegalNet, Inc. www.FormsWorkFlow.com