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Chester Cnty. C.P. Rule 1905.A.(b) Form

Chester County local rules: Rule 1905.A.(b) Form

activein force · 2026-09-30 – presentact-effective-date

Form 3 See CCRCP 1905.A.(b): form req’d by CCRCP 1901.5.A.(a)

PROTECTION FROM ABUSE

INDIRECT CRIMINAL CONTEMPT AFFIDAVIT

On _______________________, 20___, _____________________________________

(Name of Defendant)

did commit the following in violation of a protection from abuse order entered by a Judge of the

Court of Common Pleas of Chester County, Pennsylvania on ____________________, 20_____

Docket No. ______________________.

The acts committed were:

____________________________________________________________________________

_____________________________________________________________________________

__________________________________________________________________________

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.

_____________________________________ _______________________________________

Witness Affiant

Date: ____________________ Name:_________________________

Address:_______________________

______________________________

Provenance

Source: www.chesco.org
Retrieved: 2026-09-30
Edition: 2026-09-30
Content hash: ab0ec3856923e03a731fc92552b25aec34de08f3a7e39c9bb79ae11d8b09ada8

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