FORM 5.6 Petition to Modify Order of Custody

IN THE COURT OF COMMON PLEAS OF

__________________ COUNTY, PENNSYLVANIA

CIVIL ACTION-LAW

PLAINTIFF

vs No. CI -

DEFENDANT

PETITION TO MODIFY ORDER OF CUSTODY

AND NOW, Plaintiff, __________________, files a Petition to Modify Order of Custody, and

in support thereof, avers the following:

1. Plaintiff is __________________ [Mother/Father], who currently resides at

__________________.

2. Defendant is __________________ [Mother/Father], who currently resides at

__________________.

3. The parties hereto are the parents of the following minor [child/children], who currently

reside(s) at __________________.

4. On __________________, 20______, the Court entered an Order of Custody, granting

Plaintiff primary physical and legal custody of the parties' [child/children], and granting

Defendant partial physical custody of the parties' [child/children]. A true and correct copy of this

Order is marked Exhibit ``A,'' attached hereto, and made part thereof.

5. The best interests and permanent welfare of the [child/children] will be served by a

modification of the Court's Order: (specify)

WHEREFORE, Plaintiff respectfully requests that this Honorable Court modify its Order as follows:

(specify requested modification.)

Respectfully submitted,

_________________

[Verification]