HomeMy WebLinkAbout83-3615IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION -LAW
Plai tiff
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VS. IN DNORCE
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Def~e~rzdant
NOTICE TO RESUME PRIOR SURNAME
Notice is hereby given that the Plaintiff/Defendant in the above matter, having
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been granted a Final Decree in Divorce on the ~ti~~ day of `~-- ,~ (~ 12c%,. , ' ~
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hereb elects to resume the rior surname of L ~ r,~, ~) ~ 1 , Y7 `/~ J (' "' ~A
and gives this written notice pursuant to the provisions of 54~ P.S. 704. ~ ``
DATE: ~~'~' ,.~ ~f ~ 7 < _ .--k; ~,~~~~ <' ~ ,~ , .,..,'~ l' C-C. F'(~~'P
Signature
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Signature cif name being resumed
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND f ~ .
V ~~a.Q,,~ 20 ~
On the ~~ day of 3, before me, a
Notary Public, personally appeared the above affiant known to me to be the person whose name
is subscribed to the within document and acknowledged that he/she executed the foregoing for the
purpose therein contained.
In Witness Whereof, I have hereunto set my hand and official seal.
~~Q~ ~~e ~
Notary Public
NOTARIAL SEAL
C,_AUi?IA fi. BREWBAKER, NOTARY PUBLIC
Carlisle Boro, Cumberland County
I Rey Commission Expires Apri14, 2005
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