HomeMy WebLinkAbout03-5589PETITION OF
KHASHAYAR MEHRTASH
(CHANGE OF NAME)
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO..,DJ- .6'.~'ff~
: CIVIL ACTION - LAW
TO THE HONORABLE COURT:
PETITION FOR NAME CBANGE
AND NOW, this o;c*.~ tOday of Oo~-etoe.~_- , 2003, Petitioner, Khashayar Mehrtash,
respectfully requests this Honorable Court to change his name to Christopher Khashayar
Mehrtash for the following reasons:
Petitioner, Khashayar Mehrtash, is a resident of Mechanicsburg, Cumberland County,
Pennsylvania, and has resided at the following locations during the five years
preceding the filing of this petition:
450 West Caracas Avenue, Hershey, Pennsylvania from June 1998 to October 2001
427 West Caracas Avenue, Hershey, Pennsylvania from October 2001 to May 2003
1107 Wansford Road, Mechahicsburg, Pennsylvania from May 2003 to present.
2. Petitioner, Khashayar Mehrtash, has come to be known by his nickname Christopher.
3. Petitioner, Khashayar Mehrtash dislikes his current first name due to its complicity of
pronunciation.
4. Petitioner, Khashayar Mehrtash believes that changing his first name to Christopher
will ease commonalty to call his name.
5. There are no judgements or decrees of like character of record against the petitioner.
6. Petitioner, Khashayar Mehrtash has no outstanding federal or state tax debt that could
be avoided through a name change.
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLANIA
In re. Change of Name of NO.
Khashayar Mehrtash CIVIL ACTION - LAW
VERIFICATION
I, Khashavar Mehrtash, state that I am the Petitioner in the above-captioned case and that
the facts set forth in the above Petition for Change of Name are tree and correct to the best of my
knowledge, information, and belief. I realize that false statements herein are subject to the
penalties for unswom falsification to authorities under 18 Pa. C.S., §. 4904.
Date: tO/aS/OS
Notadal ~eal
Bon ta FI. Madam Notar',/Pubtlo
Upper Allen Twp., Gumtmrland Oo.ufl~
My Commission Expires Nov. 1, 2004
M~mber, PennSylvania Association of N~taries
WHEREFORE, Petitioner respectfully prays your Honorable court to grant the forgoing Petition
for Name change.
Respectfully Submitted
Khashayar Mehrtash
(Petitioner)
,..71~ ,'/ ~.~, - 0,3..03
COUNTY OF DAUPHIN
of Record in said court against
Prothonotar~ of the Court of Common Pleas in and for said county, do
hereby certify that after diligent search by me made, I find no
court to be affixed at Harrisburg this
IN WITNESS WHEREOF, I have hereunto set my hand and caused the seal of said
(~3~ dayof ('~'~3~C~A.D. ~(~
Prothonotary
Proth - 19
Office of the Prothonotary
Cumberland County
Curtis R. Long
Prothonotary
Renee K. Simpson
Deputy Prothonotary
SEARCH OF PROTHONOTARY'S RECORD
The undersigned has conducted a search of the records in the
Prothonotary of Cumberland County, Pennsylvania. Other than the Petition
to change name, there are no other proceedings involving Khashayar
Mehrtash. Nor are there any judgments against him from January 1, 1994
through October 23,2003.
uty Pr
PETITION OF
KHASHAYAR MEHRTASH
(CHANGE OF NAME)
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. ~- Z,'~'~'~
: CIVIL ACTION - LAW
TO THE HONORABLE COURT:
PETITION FOR NAME CHANGE
AND NOW, this ~Y,2 tOday of~ 2003, Petitioner, Khashayar Mehrtash,
respectfully requests this Honorable Court to change his name to Christopher Khashayar
Mehrtash for the following reasons:
Petitioner, Khashayar Mehrtash, is a resident of Mechanicsburg, Cumberland County,
Pennsylvania, and has resided at the following locations during the five years
preceding the filing of this petition:
450 West Caracas Avenue, Hershey, Pennsylvania from June 1998 to October 2001
427 West Caracas Avenue, Hershey, Pennsylvania from October 2001 to May 2003
1107 Wansford Road, Mechanicsburg, pennsylvania from May 2003 to present.
2. Petitioner, Khashayar Mehrtash, has come to be known by his nickname Christopher.
3. Petitioner, Khashayar Mehrtash dislikes his current first name due to its complicity of
pronunciation.
4. Petitioner, Khashayar Mehrtash believes that changing his first name to Christopher
will ease commonalty to call his name.
5. There are no judgements or decrees of like character of record against the Petiti°ner.
6. Petitioner, Khashayar Mehrtash has no outstanding federal or state tax debt that could
be avoided through a name change.
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLANIA
In re. Change of Name of NO.
Khasha2~_Mehrtash CIVIL ACTION - LAW
VERllqCATION
I, Khasha ar Mehrtash, state that I am the Petitioner in the above-captioned case and that
the facts set forth in the above Petition for Change of Name are tree and correct to the best of my
knowledge, information, and belief. I realize that false statements herein are subject to the
penalties for unswom falsification to authorities under 18 Pa. C.S., §. 4904.
Oate:
Notarial Seal Pub~3
Bonita R. Mad~ra, Notary
Upper Allen Twp. Cumberland Cou~
My Commission Expires Nov. 1, 2004
M~mber, pennsylvania Association o!
WHEREFORE, Petitioner respectfully prays your Honorable court to grant the forgoing Petition
for Name change.
Respectfully Submitted
Khashayar Mehrtash
(Petitioner)
~ ~.~, _ 0.2.03
btat a[ nn l ania
COUNTY OF DAUPHIN
Prothonotary of the Court of Common Pleas in and for said county, do
hereby certify that after diligent search by me made, I find no
of Record in said court against
IN WITNESS WHEREOF, I have hereunto set my hand and caused the seal of said
court to be affixed at Hamsburg this
day of & 3rO~O~-- A.D.
Prothonotary
Pmth- 19
Office of the Prothonotary
Cumberland County
Curtis R. Long
Prothonotary
Renee K. Simpson
Deputy Prothonotary
SEARCH OF PROTHONOTARY'S RECORD
The undersigned has conducted a search of the records in the
Prothonotary of Cumberland County, Pennsylvania. Other than the Petition
to change name, there are no other proceedings involving Khashayar
Mehrtash. Nor are there any judgments against him from January 1, 1994
through October 23,2003.
uty Proth6notary ~
SP 4-198 (11-99)
PROTHONOTARY
CUMBERLAND COUNTY COURT HOUSE
ROOM 2O3
CARLISLE PA 17013
PENNSYLVANIA STATE POLICE
CENTRAL REPOSITORY
1800 ELMERTON AVENUE
HARRISBURG, PA 17110
717-783-3762
DATE:October 29 2003
RE:
SID:
NAJVlE: Mehrtash ,Khashayar
SOC: 164-74-5147
COURT DOCKET #: 03-5589
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:
(X}( 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 TIlE 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 thc
Central Repository as provided for in 18 PA C.S., Chaptar 91 (relating to criminal history record
information).
) This person has been convicted of felony violation(s) for which thc court may not order a change of name.
) A criminal record was revealed that might prohibit a name change. Because the subsection(s) of thc
affected conviction(s) has not been provided to us, we are ramble 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,
l~irector, Criminal Records
and Identification Division
PETITION OF
KI-IASHAYAR MEHRTASH
Petitioner
· IN THE COURT OF COMMON PLEAS OF
· CUMBERLAND COUNTY, PENNSYLVANIA
:NO.
: CIVIL ACTION - LAW
ORDER OF COURT
AND NOW, this ~__~ _day of ~_]~cl/5'~t~t/~J 2003, upon consideration of the
attached Petition for Name Change, a hearing is scheduled for _ ~jgA~gJ/~ ~ate), at
9 J?___~ _(time), in the Courtroom No. ~ Cumberland County Courthouse, Carlisle,
Pennsylvania·
· . · · · aforesaid
IT IS FURTHER ORDERED that not~ce of the fihng of smd Petmon and the
date, time and place of the hearing be publi~'~ed/pnce'in the Cumberland Law Joumm 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 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,
~Khashayar Mehrtash, Petitioner Pro Se
1107 Wansford Road
Mechanicsburg, PA 17050
pcb
IN RE: : IN THE COURT OF COMMON PLEAS OF
:
PETITION OF : CUMBERLAND COUNTY, PENNSYLVANIA
: ~.o~. ~5~?
KHASHAYAR MEHRTASH, : CIVIL ACTION - LAW
IN RE: PETITION FOR CHANGE OF NAME
ORDER OF COURT
AND NOW, this 17th day of December, 2003, the within
petition for change of name is granted, and the petitioner shall
hereafter be known as Christopher Khashayar Mehrtash.
By the Court,
Christopher Khashayar Mehrtash
1107 Wansford Road
Mechanicsburg, PA 17050
K . Hess, J.
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