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HomeMy WebLinkAbout03-2435 FORM 206.02-10 Petition for Change of Name IN THE MATTER OF PETITION FOR CHANGE OF NAME OF PETER WASCH COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 03. PETITION FOR CHANGE OF NAME The petitioner Peter Wasch, through his undersigned counsel, request that this Court order a change of name for him, pursuant to 54 Pa. Cons. Stat. Ann. § 701 et seq., and in support thereof represent as follows: Petitioner Peter Wasch is a resident of 1493 Brandt Ave. New Cumberland, Pennsylvania, and has resides at the following location during the five years next preceding the filing of this petition. Petitioner Peter Wasch is an adoptee having been bom in Harrisburg Hospital on July 1, 1978, as Peter Konstantinos Koutsikos. Petitioner Peter Konstantinos Koutsikos was adopted by William Wasch and Kiki Wasch on September 30th, 1991, at which his name was changed to Peter Wasch. Because petitioner Peter Wasch wishes that his name reflect his true identity and heritage and because of his desire to have any children or other descendents bear his family name, petitioner desires to be known as Panagiofis Konstantinos Koutsikos. WHEREFORE, petitioner requests that this Court enter a decree changing his name from Peter Wasch to Panagiotis Konstantinos Komsikos. t{OL¥ T ttI,ttT¥ OttTItO OX CATtteD AL KA®EAPIKOZ NAOZ AFIA TPIAE 1000 Yverdon Drive · Camp Hill, PA 17011 Office Telephone 717-763-7441 · Fax 717-763-7458 www. holytrinityhbg.org Serving Greater Harrisburg Rev. Costas P. Keares Cathedra; Dean BAPTISMAL CERTIFICATE This is to certify that _Panaeiotis Konstantinos Koutsikox, son of Konstantinos and Kiki, born on July 1~ 1978, was baptized in the Holy Trinity Greek Orthodox Cathedral on ..October 1~ 1979 by the Rev. Fr. George Daskalakis and is listed under cumulative No. A-1048 of the Diocesan Registry. His Sponsor was Mr. _Athanasis Peslis. In Camp Hill, Pennsylvania on ~ Signed, Fr. Costas P.Keares Ecumenical Patriarchate · Greek Orthodox Archdiocese of America · Diocese of Pittsburgh FORM 206.02-10 Petition for Change of Name 1N THE MATTER OF PETITION FOR CHANGE OF NAME OF PETER WASCH COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. o3. ~'-t ~' PETITION FOR CHANGE OF NAME The petitioner Peter Wasch, through his undersigned counsel, request that this Court order a change of name for him, pursuant to 54 Pa. Cons. Stat. Ann. § 701 et seq., and in support thereof represent as follows: Petitioner Peter Wasch is a resident of 1493 Brandt Ave. New Cumberland, Pennsylvania, and has resides at the following location during the five years next preceding the filing of this petition. Petitioner Peter Wasch is an adoptee having been bom in Harrisburg Hospital on July 1, 1978, as Peter Konstantinos Koutsikos. Petitioner Peter Konstantinos Koutsikos was adopted by William Wasch and Kiki Wasch on September 30th, 1991, at which his name was changed to Peter Wasch. Because petitioner Peter Wasch wishes that his name reflect his tree idemity and heritage and because of his desire to have any children or other descendents bear his family name, petitioner desires to be known as Panagiotis Konstantinos Koutsikos. WHEREFORE, petitioner requests that this Court enter a decree changing his name from Peter Wasch to Panagiotis Konstantinos Koutsikos. OLV TRtHtT¥ iRcc ; ORTHODOX KA®EAPIKOZ NAOZ Al-IA TPIAZ 1000 Yverdon Drive · Camp Hill, PA 17011 Office Telephone 717-763-7441 · Fax 717-763-7458 www. holytrinityhbg.org Serving Greater Harrisburg Rev. Costas P. Keares Cathedra] Dean BAPTISMAL CERTIFICATE This is to certify that Panagiotis Konstantinos Koutsikos, son of Konstantinos and Kiki, born on July 1~ 1978, was baptized in the Holy Trinity Greek Orthodox Cathedral on October lq 1979 by the Rev. Fr. George Daskalakis and is listed under cumulative No. A-1048 of the Diocesan Registry. His Sponsor was Mr. Athanasis Peslis. In Camp Hill, Pennsylvania on May 7~ 2003 Signed, Fr. Costas P.Keares Ecumenical Patriarchate ° Greek Orthodox Archdiocese of America o Diocese of Pittsburgh SP 4-198 (I 1-99) PENNSYLVANIA STATE POLICE CENTRAL REPOSITORY 1800 ELMERTON AVENUE HARPdSBURG, PA 17110 717-783-3762 dUN U3ZO03 PROTHONOTARY CUMBERLAND COUNTY COURT HOUSE ROOM 203 CARLISLE PA 17013 DATE:dune 2 2003 RE: SID: NAdvlE: Wasch,Peter SOC: 166-74-1620 COURT DOCKET #: 03-2435-Ci vi 1 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: iX) This person is not subject to 18 PA C.S. Chapter 91, and the fingerprints have been destroyed. ( ) 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 revealed 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) of the following 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 obtained in the repositories of other local, state, or federal criminal justice agencies. If we may be of any further assistance to you concerning this matter, please contact us at the above address or telephone number. Sincerely, , Criminal Records and Identification Division IN THE MATTER OF PETITION : FOR CHANGE OF NAME OF : PETER WASCH : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA 03-2435 CIVIL ORDER AND NOW, this q" day of June, 2003, a hearing in the above captioned matter is set for Monday, July 21, 2003, at 9:00 a.m. in Courtroom Number 4, Cumberland County Courthouse, Carlisle, PA. Notice shall be given by advertisement in two newspapers of general circulation within the county that such petition has been filed and shall include the date, time and location of the hearing as scheduled. Pro Se Petitioner :rim ~.~ 06-0q BY THE COURT, j~ A. Hess, J. JUN 0 3 2003 FORM 206.02-50 Order Effecting Change of Name IN THE MATTER OF PETITION FOR CHANGE OF NAME OF PETER WASCH COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. ORDER a~Jn ~qow tills gt ~dav of '~ t'l/, on consideration of the attached petition of Peter ~s~[ ~'c'l~ge o(n~n~e, andu~ presentation of proof of publication of notice as required by law, together with proof that there are no judgments or decrees of record or any other matter of like character against petitioner, and it appearing that there is no lawfial objection to the request of the petitioner, it is hereby ORDERED that the name of petitioner Peter Wasch is changed to Panagiotis Konstantinos Koutsikos. Jo