HomeMy WebLinkAbout08-2722IN THE MATTER OF THE
PETITION FOR CHANGE OF NAME
OF THERESA LEA DISTENFELD
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION-LAW
NO. 2008 - 1Z 7-12-
PETITION FOR CHANGE OF NAME
Petitioner THERESA LEA DISTENFELD, through her attorneys, MILLER & ASSOCIATES, P.C., requests
that this Honorable Court order a change of the Petitioner's name, pursuant to 54 PA C.S.A Chapter 7, entitled
"Judicial Change of Name," Section 701, et sue, and in support thereof makes the following averments:
1. The Petitioner was born on 7 March 1955 and is currently 53 years old.
2. During the five years preceding the filing of this Petition, the Petitioner has resided in the following
places:
Date Addresses
08/06/2002-01/06/2004 445 Bentzel Road, Lewisberry, York County, Pennsylvania
01/06/2004-06/15/2005 214 South State Road, Marysville, Perry County, Pennsylvania
06/15/05-to present 1075 Oyster Mill Road, Camp Hill, Cumberland County, Pennsylvania
3. There are no judgments or decrees pending against the Petitioner.
4. The Petitioner requests that his/her name be changed from Theresa Lea Distenfeld to Thera Nivashi
Forte
5. The reasons for the requested change of name are: My proposed name fits me better. It has been
my nickname over the last several years, both individually and collectively. It is the name used by me and others in
connection with my theater work. Therefore, I want to be known by this name hereafter in all my personal and
business dealings.
6. The Petitioner has not been convicted of a felony.
WHEREFORE, the Petitioner respectfully requests that this Court enter an Order changing her name from
Theresa Lea Distenfeld to Thera Nivashi Forte.
MILLER & ASSOCIATES, PC
Date: ? :7Z6
William E. Miller, Jr., E:
1822 Market Street
Camp Hill, PA 17 1
(717) 737-9210
I. D. #07220
Attorney for Petitioner
VERIFICATION
I, THERESA LEA DISTENFELD, verify that the statements made in the foregoing Petition are true and
correct to the best of my knowledge or information and belief. I understand that this verification is made subject to the
penalties of 18 Pa. C.S. §4904, relating to unsworn fabrication to authorities, which provides that if I knowingly make
false averments, I may be subject to criminal penalties.
Date:
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SP 4-198 (11-99)
PENNSYLVANIA STATE POLICE
CENTRAL REPOSITORY
1800 ELMERTON AVENUE
HARRISBURG, PA 17110
717-783-3762
PROTHONOTARY
CUMBERLAND CO COURTHOUSE
ROOM 203
CARLISLE, PA 17013
DATE: Tuesday, May 06, 2008
RE: SID:
NAME: DISTENFELD THERESA
SOC: 179-44-9736
COURT DOCKET #: 2008-2722
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:
( )U 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,
Je?etor, Criminal Records
and Identification Division
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MAY 13 2008
IN THE MATTER OF THE
PETITION FOR CHANGE OF NAME
OF THERESA LEA DISTENFELD
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION-LAW
NO. 2008 - oJ17AA
ORDER
AND NOW, this 154' day of 2008, upon the motion of the Petitioner, it is
ORDERED that a hearing on the Petition for Change o ame is fixed for 1 'L oZ .3 2008,
at : q 5 O L. in., in Court Room Number of the Cumberl Cougy Courthouse, Fourth Floor,
One Courthouse Square, Carlisle, Pennsylvania.
The Petitioner is directed to give notice of the filing of the Petition and of the date of the hearing by
publication in two newspapers of general circulation in this County, the Cumberland Law Journal and the Carlisle
Sentinel. 1102 1
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Darlene Lynch on behalf of her minor child, : IN THE COURT OF COMMON
Chandria Edith Lynch, : PLEAS OF
Plaintiff : CUMBERLAND COUN'T'Y,
: PENNSYLVANIA
V.
No. 2008 -2772
Wesley Robert Brunson,
Defendant
CIVIL ACTION - LAW
PROTECTION FROM ABUSE
FINAL ORDER OF COURT
Defendant's Name: Wesley Robert Brunson
Defendant's Date of Birth: November 9, 1989
Defendant's Social Security Number:
Names and Dates of Birth of All Protected Persons, including Plaintiff and minor
children:
Names Dates of Birth
1. Chandyriia Edith Lynch
Plaintiff or Protected Person(s) is/are:
[ ] spouse or former spouse of Defendant
[ ] parent of a child with Defendant
[XI current or former sexual or intimate partner with Defendant
[ ] child of Plaintiff
[ ] child of Defendant
[ ] family member related by blood (consanguinity) to Defendant
[ ] family member related by marriage or affinity to Defendant
( ] sibling (person who shares parenthood) of Defendant
[ ] current or former cohabitant (person who lives with) Defendant.
Defendant was served in accordance with Pa. R.C.P. 1930.4 and provided notice
of the time, date and location of the hearing scheduled in this matter.
AND NOW, this 12th Day of May, 2008 the court having jurisdiction over the
parties and the subject-matter, it is ORDERED, ADJUDGED and DECREED as
follows:
Lib-3 900/300d 985-Z
-WOH9 8E:0T 801-60-90
This order is entered by agreement without an admission. Without regard as to how the
order was entered, this is a final order of court subject to full enforcement pursuant to the
Protection From Abuse Act.
Plaintiff's request for a final protection order is granted.
1. Defendant shall not abuse, stalk, harass, threaten or attempt to use physical
force that would reasonably be expected to cause bodily injury to Plaintiff or
any other protected person in any place where they might be found.
2. Defendant is completely evicted and excluded from the residence at:
284 Stumpstown Road
Mechanicsburg PA
or any other residence where Plaintiff or any other person protected under this
order may live. Exclusive possession of the residence is granted to Plaintiff.
Defendant shall have no right or privilege to enter or be present on the premises
of Plaintiff or any other person protected under this order.
3. Defendant is prohibited from having ANY CONTACT with Plaintiff either
directly or indirectly, or any other person protected under this order, at any
location, including but not limited to any contact at Plaintiffs or other protected
party's school, business, or place of employment.
4. Defendant shall not contact Plaintiff, either directly or indirectly, or any other
person protected under this order, by telephone or by any other means,
including through third persons.
5. A certified copy of this Order shall be provided to the police department where
Plaintiff resides and any other agency specified hereafter:
Pennsylvania State Police
Upper Allen Township Police Department
Camp Dill Borough Police Department
6. All provisions of this order shall expire in 1 year, 6 months on November 12,
2009.
NOTICE TO THE DEFENDANT
VIOLATION OF THOS ORDER MAY RESULT IN YOUR ARREST ON THE
CHARGE OF INDIRECT CRIMINAL CONTEMPT WHICH IS PUNISHABLE
BY A FINE OF UP TO $1,000 AND/OR A JAIL SENTENCE OF UP TO SIX
L6b-3 500/E00d 985-1
-WOH9 8E:01 80,-60-50
MONTHS. 23 PA.C.S.A. §6114. VIOLATION MAY ALSO SUBJECT YOU TO
PROSECUTION AND CRIMINAL PENALTIES UNDER THE
PENNSYLVANIA CRIMES CODE. A VIOLATION" OF THIS ORDER MAY
RESULT IN THE REVOCATION OF THE SAFEKEEPING PERMIT, WHICH
WILL REQUIRE THE IMMEDIATE RELINQUISHMENT OF YOUR
FIREARMS, OTHER WEAPONS AND AMMUNITION TO THE SHERIFF.
PLAINTIFF'S CONSENT TO CONTACT BY DEFENDANT SHALL NOT
INVALIDATE THIS ORDER WHICH CAN ONLY BE MODIFIED BY
FURTHER ORDER OF COURT. 23 Pa.C.S.A. § 6108(8).
THIS ORDER IS ENFORCEABLE IN ALL FIFTY (50) STATES, THE
DISTRICT OF COLUMBIA, TRIBAL LANDS, U.S. TERRITORIES AND THE
COMMONWEALTH OF PUERTO RICO UNDER THE VIOLENCE AGAINST
WOMEN ACT, 18 U.S.C. §2263. IF YOU TRAVEL OUTSIDE OF THE STATE
AND INTENTIONALLY VIOLATE THIS ORDER, YOU MAY BE SUBJECT
TO FEDERAL CRIMINAL PROCEEDINGS UNDER THAT ACT. 18 U.S.C
§§2261-2262. IF YOU POSSESS A FIREARM OR ANY AMMUNITION
WHILE THIS ORDER IS IN EFFECT, YOU MAY BE CHARGED WITH A
FEDERAL OFFENSE EVEN IF THIS PENNSYLVANIA ORDER DOES NOT
EXPRESSLY PROHIBIT YOU FROM POSSESSING FIREARMS OR
AMMUNITION. 18 U.S.C. §922(8)(8).
NOTICE TO SHERIFF, POLICE AND LAW ENFORCEMENT OFFICIALS
The police and sheriff who have jurisdiction over Plaintiff's residence OR any
location where a violation of this order occurs OR where Defendant may be
located, shall enforce this order. The court shall have jurisdiction over any indirect
criminal contempt proceeding, either in the county where the violation occurred or
where this protective order was entered. An arrest for violation of paragraphs I
through 4 of this order may be without warrant, based solely on probable cause,
whether or not the violation is committed in the presence of the police or any
sheriff. 23 Pa.C.S.A. §6113.
Subsequent to an arrest, and without the necessity of a warrant, the police officer
or sheriff shall seize all firearms, other weapons and ammunition in Defendant's
possession that were used or threatened to be used during the violation of the
protection order or during prior incidents of abuse and any other firearms in
Defendant's possession.
The Sheriff of Cumberland County shall maintain possession of the firearms,
other weapons or ammunition until further order of this court.
When Defendant is placed under arrest for violation of this order, Defendant shall
be taken to the appropriate authority or authorities before whom Defendant is to be
arraigned. A "Complaint for Indirect Criminal Contempt" shall then be completed
and signed by the police officer, sheriff OR Plaintiff. Plaintiffs presence and
signature are not required to file the complaint.
If sufficient grounds for violation of this order are alleged, Defendant shall be
arraigned, bond set, if appropriate and both parties given notice of the date of the
hearing.
L"-9 500/i 00d 985-1
-WoHd 8S:01 801-60-50
13'Y THE COURT
0 8 oG? /?
Date , Ju a Edgar Bayley
Entered pursuant to the consent of Plaintiff and Defendant:
l
Darlene Lynch, on al of Date
her daughter, Chandria Lynch
Plaintiff
? ' Date
At orney for Plaintiff
MidPenn Legal Services
401 East Louther Street
Carlisle PA 17013
*Weo runson, Date
Defendant
Attorney for Defendant
Gail Souders, Esq.
111 Locust Street
Harrisburg, PA 17101
Distribution to: had uyW
MidPenn Legal Servi es, Attorney for Plaintiff "
Gail Souders MM ?
Upper Allen Township Police Department
Camp Hill Borough Police Department
Vmad- Mailed to PSP
L"-3 900/900d 985-1
-WOHJ 8£:01 801-60-50
cf?
Martin, Mary-Jean
From: ra jnetoperations@state.pa.us
Sent: Saturday, May 31, 2008 3:22 PM
To: Martin, Mary-Jean
Subject: PFAD Document Confirmation No.20082772 against BRUNSON, WESLEY
PFAD Document Confirmation No.20082772 against BRUNSON, WESLEY filed by LYNCH, DARLENE
RECORD ACCEPTED BY CLEAN: 2008-05-31 15:20:04Z
SP 4-198 (11-99)
PENNSYLVANIA STATE POLICE
CENTRAL REPOSITORY
1800 ELMERTON AVENUE
HARRISBURG, PA 17110
717-783-3762
PROTHONOTARY
CUMBERLAND CO COURTHOUSE
ROOM 203
CARLISLE, PA 17013
DATE: Monday, July 14, 2008
RE: SID:
NAME: DISTENFELD THERESA LEA
SOC: 179-44-9736
COURT DOCKET #: 2008-2722
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 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.
S /?
F*4"Avq-'
Director, Criminal Records
and Identification Division
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IN THE MATTER OF THE : IN THE COURT OF COMMON PLEAS OF
PETITION FOR CHANGE OF NAME : CUMBERLAND COUNTY, PENNSYLVANIA
OF THERESA LEA DISTENFELD
: CIVIL ACTION-LAW
NO. 2008 - a 7 .2.2 c N i
ORDER
AND NOW, this 7.J- day of
2008, upon consideration of the attached Petition
of Theresa Lea Distenfeld, for change of name, and upon present t n of proof of publication of notice as required by
?A41
law, with proof that there are not judgments or decrees of record or any other matter of like character against
Petitioner, and it appearing that there is no lawful objection to the request of the Petitioner, it is hereby ORDERED
that the name of the Petitioner Theresa Lea Distenfeld is changed to Thera Nivashi Forte.
By
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