You must complete and submit this form with your rental license application. Box 8: Type date signed.Box 9: The person who served the Defendant must sign his or her name. Sign your full name on the signature line (see (f) in Sample Form 25). Box 1: Print the name of the county you are filing in exactly as you wrote it on Form 1. Box 2: Print the name of the Plaintiff exactly at it appears on Form 1. General Form of Affidavit or Verification 1.4.1. Form from the Family Division of the Court of Common Please of Philadelphia that may be used in family law proceedings taking place in Philadelphia courts.