HomeMy WebLinkAbout00-06922
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HAROLD S. IRWIN, III, ESQUIRE
ATTORNEY ID NO. 29920
35 EAST HIGH STREET
CARLISLE PA 17013
(717) 243-6090
ATTORNEY FOR PETITIONER
IN RE: CHANGE OF NAME OF
TERRY E. KLUCKER,
an adult individual, TO
VICTORIA BRIANNE ziElss
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 00 -~CIVIL TERM
DECREE
.fit '
NOW, this ~fJ day of ~ ,2000, upon hearing on the Within
petition and on motion of Harold S. Irwin, III, Esquire, attorney for petitioner, and upon
proof of publication of notice as required by law, together with proof that there are no
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judgments or decrees of record or any other matter of the like effect against Terry E.
/Klucker, and it appearing that there is no legal objection to the granting of the prayer of
the petitioner,
IT IS ORDERED AND DECREED that the name of Terry E. Klucker, an adult
individual, is hereby changed to VICTORIA BRIANNE ZEISS.
By the Court,
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IN RE: CHANGE OF NAME OF
TERRY E. KLUCKER,
an adult individual, TO
VICTORIA BRIANNE ZEISS
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
.
: NO. 00 or. 9.7OZCIVIL TERM
PETITION FOR CHANGE OF NAME
TO THE HONORABLE JUDGES OF SAID COURT:
NOW comes the petitioner, Terry E. Klucker, by her attorney, Harold S. Irwin, III,
Esquire, and presents this petition for change of name, representing as follows:
1. Petitioner is Terry E. Klucker, who resides at 2 W Willow Lane, Country
Manor, Carlisle, Cumberland County, Pennsylvania 17013.
2. Petitioner is an forty-six (46) year old adult female, whose date of birth is
April 15, 1954.
3. Petitioner has resided in the Commonwealth of Pennsylvania since the
1970's and in Cumberland County since 1986.
4. On January 21, 2000, petitioner filed a complaint in divorce against her
then current husband, James L. Klucker. Prior to the entry of a decree in divorce, on
March 30, 2000, James L. Klucker was killed in an automobile accident.
5. Petitioner wishes to adopt the name Victoria Brianne Zeiss for the
following reasons:
A. Throughout her life, petitioner has been required to deal with the
fact that her first name, "Terry", is also a male name;
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B. Petitioner does not like the name given her at birth and wishes to
choose her own name;
C. Petitioner wishes to choose a name that has significance to her;
and
D. Petitioner wishes to retake her maiden name, "Zeiss".
8. There are no judgments or decrees of like character of record against
Terry E. Klucker.
9. An F.B.1. fingerprint card containing petitioner's fingerprints is attached
hereto as Exhibit "A" and incorporated herein by reference.
WHEREFORE, petitioner requests your Honorable Court, pursuant to Act of
December 16, 1982, P.L. 1309, No. 295, Section 2, 54 Pa. Cons. Stat. Section 701, et
seq., to do the following:
A. Fix a hearing on this petitioner;
B. Direct that notice be given of this petition; and
C. Enter a decree changing the name of petitioner from Terry E.
Klucker to Victoria Brianne Zeiss.
HAROLD S. IRWI ,III
Attorney for Petitio
September &:... , 2000
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IN RE: CHANGE OF NAME OF
TERRY E. KLUCKER,
an adult individual, TO
VICTORIA BRIANNE ZEISS
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
NO. 00 -
CIVIL TERM
OFFICIAL SEARCH
TO THE HONORABLE JUDGES OF SAID COURT:
An official search of the records and indices in the Office of the Prothonotary,
Cumberland County, Pennsylvania, shows that there are no outstanding judgments or
decrees of record against Terry E. Klucker.
',2000
Prothonotary
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INRE:
CHANGE OF NAME OF
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYL VANIA
TERRY E. KLUCKER,
an adult individual, TO
VICTORIA BRIANNE ZEISS
: NO. 2000-6922 CIVIL TERM
QRJ)ER. FOR PUBLICATION
AND NOW, this 25TH day of OCTOBER, 2000, upon motion of Harold S. Irwin,
III, Esquire, attorney for petitioner, it is ordered and decreed that the within petitioner be
heard on Wednesday. the 20TH day of DECEMBER, 2000, at 10:30 a.m. in Courtroom
# 5 ofthe Cumberland County Courthouse, Carlisle, Pa., and that notice of hearing be
published in two newspapers of general circulation in this County, one of which may be
the official paper for publication of legal notices in this County.
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NOTICE
NOTICE IS HEREBY GIVEN that on ad. ",,6 , 2000, the petition of
Terry E. Klucker, an adult individual, was filed in the Court of Common Pleas of
Cumberland County, praying for a decree to change her name to Victoria Brianne Zeiss.
The Court has fixedlll/(...dML-StbtY. ]),n~ ;'0,2000, at 10 :...10
o'clock It .m., in Courtroom N~, Cumberland County Courthouse, Carlisle,
Pennsylvania, as the time and place for the hearing of this petition, when and where all
persons interested may appear and show cause, if any they have, why the prayer of the
petition should not be granted.
Harold S. Irwin, III, Esquire
353 East High Street, Suites 201/202
Carlisle, PA 17013
717-243-6090
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VERIFICATION
The foregoing petition is true and correct to the best of my knowledge,
information and belief. I understand that false statements made herein are subject to
the penalties of 18 Pa.C.S.A. Section 4094, relating to unsworn falsification to
authorities.
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September 6)f.D ,2000
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PROOF OF PUBLICATION
State of Pennsylvania,
County of Cumberland.
Sherry Clifford, Classified Ad Manager of THE SENTINEL,
of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of
general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13th,
1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice
or publication attached hereto is exactly the same as was printed and published in the regular editions and
issues of THE SENTINEL on the following dates, viz
Copy of Notice of Publication
NOTICE
NOTICE IS HEREBY GIV.
EN that on October 25.
2000, the petition'of
TERRY E. KLUCKER,
an adult individual, was
med in the Court of Com-
mon Preas of Cumberland.
COL1nty, praying for a de- ,
cree to change her name
to Victoria Srlanne
Zeiss.
i The Cou rt has fixed
, Wednesday, December
20,2000 at1 0:30 o'clock
A.M., in Courtroom No.
5. Cumberland County
Courthouse, Carlisle,
Pennsyrvania, as the
time and place fO'r the
hearing of this petition,
when and where all
persons interested may
appear and show cause,
if any thelf have, why the
prayer of the petition
, should not be gratlted.
IH~frold S.lrwin, III, Esquire
353 East High Street,
Sllltes 201/202
Carlisle, PA 17013
717-243-_6q9Q _u
November 16, 2000
Affiant further deposes that he is not interested in
the subject matter of the aforesaid notice or
advertisement, and that all allegations in the
foregoing statement as to time, place and character
of publication are true.
Sworn to and subscribed before me this 22nd
day of November , 2000
~O-~
Notary Public
My commission expires:
NOTARIAL SEAL
SlilRlEY O. DURNIN, Notary Public
Carlisle Bora., Cumberland County
M Commission Ex ires Au . 9, 2003
'" PETITIONER'S
f EXHIBIT
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PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
STATE OF PENNSYLVANIA :
55.
COUNTY OF CUMBERLAND :
Roger M. Morgentha1, Esquire, Editor of the Cumberland Law Journal, of the County
and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland
Law Journal, a legal periodical published in the Borough of Carlisle in the County and State
aforesaid, was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues ofthe said Cumberland Law
Journal on the following dates,
Viz
NOVEMBER 24, 2000
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are
Roger L. Morgenthal, Editor
SWORN TO AND SUBSCRIBED before me this
24 day of NOVEMBER. 2000
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seAL
LOO E. SNI'DH. NOtary Public
Cartiole 10m, CUIIIlNr!and~, 'A "
My Commitoion Expi....,Mo...U, 2001 '
~ PETITIONER'S 1
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CUMBERLAND LAW JOURNAL
NOTICE
NarICE IS HEREBY GIVEN that
on October 25, 2000, the petition
of Terry E. Klucker. an adult indi-
vidual, was filed in the Court of
Common Pleas of Cwnberland Coun-
ty, praying for a decree to change
her name to Victorta Brianne Zeiss.
The Court has fixed Wednesday,
December 20,2000, at 10:30 o'clock
a.m., in Courtroom No.5, Cumber-
land County Courthouse, Carlisle,
Pennsylvania, as the time and place
for the hearing of this petition, when
and where all persons interested
may appear and show cause, if any
they have. why the prayer of the
petition should not be granted,
HAROLD S. IRWIN, III,
ESQUIRE
353 East High Street
Suites 201/202
Carlisle, PA 17013
(717) 243-6090
Nov. 24
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IN RE: CHANGE OF NAME OF
TERRY E. KLUCKER,
an adult individual, TO
VICTORIA BRIANNE ZEISS
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND C~UNTY, PENNSYLVANIA
.
: NO. 00 -16'1Z< CIVIL TERM
OFFICIAL SEARCH
TO THE HONORABLE JUDGES OF SAID COURT:
An official search of the records and indices in the Office of the Prothonotary,
Cumberland County, Pennsylvania, shows that there are no outstanding judgments or
decrees of record against Terry E. Klucker. There is a pending divorce action filed to
No. 2000 - 385, in which the petitioner herein is the plaintiff seeking a divorce from
James L. Klucker.
December 19, 2000
;; PETlTIONERIS
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JP~notary
TRUE COP'( FROMRECORfJ
In T8dtil"""y~., lMnlunto.my hat"
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IN RE: CHANGE OF NAME OF
TERRY E. KLUCKER,
an adult individual, TO
VICTORIA BRIANNE ZEISS
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
NO. 00 -6?'ZZCIVIL TERM
OFFICIAL SEARCH
TO THE HONORABLE JUDGES OF SAID COURT:
An official search of the records and indices in the Office of the Recorder of
Deeds, Cumberland County, Pennsylvania, shows that there are no outstanding
mortgages or other liens of record against Terry E. Klucker.j;, -1M ftfflL
fe.. ,- tJ/ b~1 'YlY/'rl) Oa'Cffl /.;0- (1; 11"f:5- fh...","'-S '-7 f}((,tJr>16c~i~ awd.
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December 19,2000
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47Reco er of Deeds
Iletorder of Deeds. Cumberland Coo.... .......... PIl
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RECEIPT FOR PAYMENT
-------------------
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Cumberland County Prothonotary's Office
CcH'lisle, Pa 17013
Receipt Date 10/09/2000
Hece~pt Ti.me
Rece], pt No.
16:01:21
10E:116
PETITION (VS) KLUCKER TERRY E
Case Number 2000-06922
Received of
PD ATTY IRWIN
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Total Ch<lck... +
Total Cash.... +
Change. . . . . . .. -
4.5.. 50
.00
.00
Check No.
3560
Receipt t('Jt.;al~ -.
'+~5" 50
Transaction Description
PETI TI ON
TAX ON PETITION
SETTLEMENT
JCP FEE
Distribution Of Payment ----------------------------
Payment Amount
35~ 0121
..50
5.00
5.00
CUMBERLAND CO GENERAL FUND
BUREAU OF RECEIPrS AND CONTROL
CUMBERLAND CO GENERAL FUND
BUREAU OF RECEIPTS AND CONTROL
45..50
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SP 4-198 (11-99)
PENNSYLVANIA STATE POLlCE
CENTRAL REPOSiTORY
1300 ELMERTON AVENUE
HARRISBURG, FA 17110
71't -783-3762
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PROTHONOTARY
CUMBERLAND COUNTY COURT HOUSE
ROOM 203 _
CARLISLE PA 17013
DATE: October 17. 2000
RE: SID:
NAME: Klucker, Terry E
SOC: 467-02-5145
COURT DOCKET#: 6922 Civil Term
Dear Sir:
In accordance with the Name Change Act of 1998, the fingerprint cards of the above named
individual, who has applied for a name change, has been searched in the files of the Pennsylvania
State Police, Criminal Records and Identification Division Central Repository, and;
(X3 This person is not subject to 18 Pa.C.S. Chapter 91, and the fingerprints have been
destroyed. , ~. ' ,., '.
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() This person is subject to 18 Pa.C.S. Chapter 91, and the name change has been noted on
the person's criminal history record information.
() A criminal record was revealed containing felony convictions. IN ACCORDANCE WITH
THE NAME CHANGE ACT, THE COURT SHALL NOTIFY THE PENNSYLVANIA STATE
POLICE WHEN A NAME CHANGE FOR A PERSON CONVICTED OF A FELONY HAS
BEEN ORDERED. The Pennsylvania State Police, upon receipt of this notice, shall include-
the change of name information in the Central Repository as provided for in 18 Pa.C.S.,
Chapter 91 (relating to criminal history record information).
() This person has been convicted of felony violation(s) for which the court may not order a
change of name.
( !) A criminal record was reveaied that might prohibit a name change. Because the
subsection( s) of the affected conviction( s) has not been provided to us, we are unable to
determine whether a name change can or cannot be made. Please provide the
subsection(s) ofthefollowing crime(s):
if available.
"
You are also advised that the above response is' based on comparison of fingerprints and
associated requester-furnished information against a name index and fingerprints contained in the
files of the Pennsylvania State Police Central Repository - only - and does not preclude the
existence of other criminal records which may be contained in the repositories of other local, state,
or federal criminal justice agencies.
"
" If we may be of further assistance to you concerning this matter, please contact us at the
above address Of telephone number.
.
Sincerely,
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Director, Criminal Records 2Jid
ldenti"fication Division
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