Here is the text we could read:
IN THE COURT OF COMMON PLEAS OF _________________________ COUNTY
JUÍZO DE PRIMEIRA INSTÂNCIA DO CONDADO DE____________________
ROTECTION FROM ABUSE
ORDEM DE RESTRIÇÃO CONTRA ABUSO
FAMILY COURT DIVISION
DIVISÃO DE VARA DE FAMÍLIA
CIVIL ACTION
AÇÃO CIVIL
No. / Nº. ___________________
P
_____________________________________________
PLAINTIFF / REQUERENTE
V. / V.
_____________________________________________
DEFENDANT / RÉU (RÉ)
AFFIDAVIT OF SERVICE
DECLARAÇÃO DE INTIMAÇÃO
I, _____________________________, the undersigned,
hereby state that I served a copy of the Notice of Hearing and
Order, Petition and Temporary Order in the above captioned
action upon Defendant by handing the papers to:
________________________________________________
at the following address:
Eu, _____________________________, abaixo-assinado
(a), declaro, por meio deste documento, haver entregado
uma cópia da Intimação da Audiência e Decisão Judicial,
Petição e Liminar Temporária da ação mencionada acima
ao (à) Réu (Ré), tendo entregado os documentos a:
_______________________________________________
no seguinte endereço:
________________________________________________,
______________________________________________,
__________________, Pennsylvania, ON THE ______ DAY
__________________, Pensilvânia, NO DIA ____DE
OF _____________________________, 20_____________
___________________________, 20_____________
AT APPROXIMATELY __________ A.M. / P.M.
I verify that the statements made in this Affidavit are true and
correct. I understand that false statements are made subject to
the penalties of 18 Pa.C.S. §4904, relating to unsworn
falsification to authorities.
APROXIMADAMENTE ÀS __________ DA MANHÃ /
DA TARDE.
Confirmo que as afirmações feitas nesta Declaração são
verdadeiras e corretas. Eu entendo que quaisquer
declarações falsas estarão sujeitas às penalidades da Lei
N.º 18 Pa.C.S.A. §4904, relacionada à falsificação, que
não tenha sido feita sob juramento às autoridades.
_______________________________________________
Signature / Assinatura
_______________________________________________
Address / Endereço
Date / Data: ____________________________________
HIS FORM MUST BE COMPLETED AND SIGNED BY THE PERSON WHO SERVES THE DEFENDANT WITH
THE NOTICE OF HEARING AND ORDER, PETITION AND TEMPORARY ORDER. IT MUST BE BROUGHT TO
COURT ON THE HEARING DATE.
STE FORMULÁRIO DEVERÁ SER PREENCHIDO E ASSINADO PELA PESSOA QUE INTIMAR O (A) RÉU (RÉ) COM
A INTIMAÇÃO PARA COMPARECIMENTO À AUDIÊNCIA E A ORDEM, PETIÇÃO E MEDIDA CAUTELAR
TEMPORÁRIA E DEVERÁ SER APRESENTADO AO TRIBUNAL NO DIA DA AUDIÊNCIA.
NGLISH/BRAZILIAN PORTUGUESE PFA Affidavit
Pa. R.C.P. 1905(d) Rev. 11-08
AOPC Rev. 6-2011
_
_
T
E
E
Portuguese PFA Service Affidavit
This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Pennsylvania state courts.
To learn more about the project, check out our about page.
Downloads: You can download both the original form (last checked 2023-03)
and the machine-processed form with normalized data fields.
About This Form:
- Sourced from www.pacourts.us (2023-03)
- Page(s): 1
- Fields(s): 24
- Average fields per page: 24
- Reading Level: Grade 10
- LIST Grouping(s):
GO-00-00-00-00.
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Identified Data Fields:
We have done our best to automaticly identify and name form fields according to our naming conventions.
When possible, we've used names tied to our question library. See e.g., user1_name.
If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.
Here are the fields we could identify.
j_u_z_e_ins_nci_de was JUÍZO DE PRIMEIRA INSTÂNCIA DO CONDADO DE (0.63 conf)county was COUNTY (0.39 conf)plaintif_f_requerente was PLAINTIFF REQUERENTE (0.34 conf)defendan_r_u was DEFENDANT RÉU RÉ (0.35 conf)n was N (0.43 conf)hereby_state_notice_hearing was hereby state that I served a copy of the Notice of Hearing and (0.44 conf)por_meio_deste_documento was a declaro por meio deste documento haver entregado (0.50 conf)following_address was at the following address (0.37 conf)seguinte_endere was no seguinte endereço (0.42 conf)pennsylvania_n was Pennsylvania ON THE (0.40 conf)day was DAY (0.34 conf)pensilv_nia_n_dia was Pensilvânia NO DIA (0.52 conf)of was OF (0.38 conf)de was DE (0.50 conf)approximately was AT APPROXIMATELY (0.43 conf)undefined was undefined (0.38 conf)pm was AM PM (0.26 conf)unknown__1 was 1 (0.38 conf)unknown__2 was 2 (0.38 conf)unknown__3 was 20 (0.38 conf)man_h was DA MANHÃ (0.29 conf)address_endere was Address Endereço (0.36 conf)date_data was Date Data (0.32 conf)text was Text1 (0.35 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
j_u_z_e_ins_nci_dedefendan_r_upor_meio_deste_documentoseguinte_enderepensilv_nia_n_diade
Suggested Screen 1:
Suggested Screen 2:
Suggested Screen 3:
plaintif_f_requerentehereby_state_notice_hearingfollowing_addressdayofapproximatelyundefinedunknown__1unknown__2unknown__3man_haddress_enderedate_data
Suggested Screen 4:
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