COMMONWEALTH OF PENNSYLVANIA 
COUNTY OF 

GUARDIAN'S NOTICE OF INTENT 
TO REPRESENT MINOR PARTY

Mag. Dist. No:

MDJ Name:

Address:

Telephone:

_________________________
v.

_________________________

Docket No:

Case Filed:

I,  _______________________________, 

residing  at  ___________________________________________________________, 

hereby  give  notice 

that 

I 

intend 

to 

represent  ______________________________,  a  minor,  _____________  of  age, 

in  the  above  captioned  case. 

I  am  entitled 

to  represent 

the  named  minor  party  as  guardian  because 

I  am 

that 

party's _______________________________________________________.

(Signature of Guardian)

MDJS 610

1

FREE INTERPRETER
www.pacourts.us/language-rights



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