HomeMy WebLinkAbout03-0674SNELBAKER,
BRENNEMAN
SPARE
MADELEINE NICOLE WERNTGES,
a minor, by Jorma Z. Wemtges,
Guardian,
Petitioners
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION
:
: CIVIL ACTION - LAW
: APPLICATION FOR NAME CHANGE
PETITION FOR NAME CHANGE
1. Petitioner is Jorma Z. Werntges, an adult male individual residing at
310 East Coover Street, Mechanicsburg, Cumberland County, Pennsylvania.
2. Petitioner is the natural Father and Guardian of Madeleine Nicole Werntges, born
December 3, 1997 and currently five (5) years of age.
3. Madeleine Nicole Werntges resides with her natural Father and natural Mother,
Lindsay Michele Kilmore at 310 East Coover Street, Mechanicsburg, Cumberland County,
Pennsylvania.
4. Madeleine's Mother, Lindsay Michele Kilmore, concurs with the relief sought in
this Petition as evidenced by the Affidavit attached hereto as Exhibit A and incorporated herein
by reference thereto.
5. Concurrently with the filing of this Petition, Jorma Z. Werntges is filing a
separate Petition to change his name from Jorma Z. Werntges to Jorma Z. Lucas.
6. Petitioner desires his daughter to share the same sumame as he will have.
7. Petitioner desires to change his name from Jorma Z. Werntges to Jorma Z. Lucas.
8. Petitioner desires to change the name of his daughter from Madeleine Nicole
Werntges to Madeleine Nicole Lucas.
LAW OFFICES
SNEIBAKEr,
BRENNEMAN
& SPARE
9. The reasons set forth in Jorma Z. Wemtges' Petition for Name Change are
incorporated herein by reference.
WHEREFORE, Petitioner Jorma Z. Wemtges respectfully requests your Honorable Court
to grant the relief sought in this Petition and to order a change of name for his daughter,
Madeleine Nicole Wemtges to Madeleine Nicole Lucas.
Respectfully submitted,
Date: February i ,2003
SNELBAKER, BRENNEMAN & SPARE, P.C.
~hiliffH. ~p~,fi:e, Esquire
Pa. Supreme Court I.D. #65200
44 West Main Street
P.O. Box 318
Mechanicsburg, PA 17055-0318
(717) 697-8528
Attorneys for Petitioner Jorma Z. Wemtges,
on behalf of his daughter, a minor, Madeleine
Nicole Wemtges
LAW OFFICES
SNELBAKER,
BRENNEMAN
& SPAre
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
Lindsay Michele Kilmore, being duly sworn to law, deposes and says that she is the
natural Mother ofMadeleine Nicole Wemtges, bom December 3, 1997. Affiant consents and
agrees that it would be in the best interest of her daughter, Madeleine Nicole Wemtges, to have
her name changed to Madeleine Nicole Lucas. By executing this Affidavit, I am indicating my
consent to the change of name for my daughter.
Affiar~- Lindsay Michele Kilmore
Sworn to and subscribed before me
this ~t*q day of ,ime~r.~r,~.,,2003.
7
Notary Public
VERIFICATION
I verify that the statements made in the foregoing Petition for Name Change 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.
jorma Z. Wt~rntges
Date: February '7 ,2003
SNELBAKER,
BRENNEMAN
& SPARE
MADELEINE NICOLE
WERNTGES
~IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 03-674 CIVIL TERM
ORDER OF COURT
AND NOW, this 3rd day of March, 2003, upon consideration of the attached
Petition for Name Change, a hearing is scheduled for Wednesday, May 21, 2003, at 2:30
p.m., in Courtroom No. 1, Cumberland County Courthouse, Carlisle, Pennsylvania.
IT IS FURTHER ORDERED that notice of the filing of said Petition and the
aforesaid date, time and place of the hearing be published once in the Cumberland Law
Journal and a newspaper of general circulation in the County at least 10 days prior to the
hearing; in addition, Petitioner shall comply with all other requirements of C.C.R.P. 5,
and the Act of December 16, 1982, P.L. 1309, §6 (see 54 Pa. C.S. §701 [Historical and
Statutory Notes] [Main Volume]), and 54 Pa. C.S. §§701 et seq.
BY THE COURT,
J~;sley O~ ~J.
Philip H. Spare, Esq.
44 West Main Street
P.O. Box 318 '~
Mechanicsburg, PA 17055-0318
Attorney for Petitioner
:rc
LAW OFFICES
SNELBAKER.
BRENNEMAN
& SPARE
MADELEINE NICOLE WERNTGES,
a minor, by Jorma Z. Wemtges,
Guardian,
Petitioners
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL
CIVIL ACTION - LAW
APPLICATION FOR NAME CHANGE
ORDER
AND NOW, this ~ day of ~ ~ ~-~ ,2003, after hearing and
determining that all of the necessary requirements have been met, the Petition for Name Change
of Madeleine Nicole Werntges, a minor, by Jorma Z. Wemtges, Guardian, is GRANTED and
Madeleine Nicole Werntges' name is hereby changed to Madeleine Nicole Lucas.
By the Court,
Jo