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HomeMy WebLinkAbout08-3563Mark T. Silliker, Esquire 5922 Linglestown Road Harrisburg, PA 17112 (717) 671-1500 I.D. No. 33671 Attorney for Stacy Nichole Lay a/k/a Stacy Nichole Krehling IN RE: CHANGE OF NAME OF STACY NICHOLE LAY, a/k/a STACY NICHOLE KREHLING IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA U. C76ij' NO. 611 r- PETITION FOR CHANGE OF NAME TO THE HONORABLE JUDGES OF SAID COURT: The Petition of Stacy Nichole Lay, a/k/a Stacy Nichole Krehling, by her attorney, Mark T. Silliker, Esquire, respectfully represents the following: 1. Petitioner is Stacy Nichole Lay, a/k/a Stacy Nichole Krehling, an adult individual, born on January 18, 1990, who resides at 11 East Glenwood Drive, Camp Hill, Cumberland County, Pennsylvania 17011. 2. Petitioner has resided at the following addresses for the five (5) years previous to the filing of this Petition: a. 11 East Glenwood Drive, Camp Hill, Cumberland County, Pennsylvania, 17011. 3. Petitioner desires and intends to change her name to Stacy Nichole Lay. 4. Petitioner provides the following reasons for this request: The last name of the Petitioner has already been changed by agreement of the child's natural parents. Indeed, a new Birth Certificate has been issued by the Pennsylvania Department of Vital Records. However, the federal government will not issue a new social security card in the Petitioner's last name of Lay unless there is an actual court proceeding followed by a Court Order officially changing the Petitioner's last name. It is respectfully submitted that in terms of state law, the Petitioner's last name has already been changed, consistent with state law as well as regulations set forth by the Department of Vital Records. However, Petitioner would also request the approval of this Court in order to satisfy the requirements of the Social Security Administration. 5. The proposed change in Petitioner's name if granted will not be detrimental to the interests of any other person and it not against public interest. 6. The Petition is not filed to defraud creditors. 7. The Petitioner does not own any property, either real or personal. 8. A photocopy of the Petitioner's previous Birth Certificate which was issued at birth under the name of Krehling is attached hereto and marked Exhibit "A". As well, a photocopy of the back of the Birth Certificate is also attached, clearly setting forth the consent of both natural parents, Daniel L. Krehling and Tamila L. Lay, to this change of name when the Petitioner was a minor. Likewise, the present, modified, and otherwise valid Birth Certificate of the Petitioner issued November 19, 2007 pursuant to the agreement of the natural parents is also attached hereto and marked Exhibit "B". WHEREFORE, Petitioner requests this Honorable Court pursuant to the Act of December 16, 1982, P.L. 1309, No. 295, § 2, 54 Pa.C.S. § 701, for the following: a. to fix a hearing on this Petition; b. to direct that notice be given on this Petition and hearing; and c. to enter a decree changing the Petitioner's name from Stacy Nichole Krehling to Stacy Nichole Lay. Date: f;k 01 (0,5f- Respectfully Submitted, THE LAW OFFICES OF SILLIKER & REINHOLD Mark T. Silliker, Esquire 5922 Linglestown Road Harrisburg, PA 17112 (717) 671-1500 I.D. No. 33671 Attorney for Stacy Nichole Lay a/k/a Stacy Nichole Krehling AFFIDAVIT I, 2M-LI'a , hereby certify that the aforegoing is true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 Pa. C . S . 4909 relating to unsvom falsifications to authorities.. Dated.. ;Y EXHIBIT The information appearing on the certi W copy of birth Is :e?ootly trenecritted from information contained on the original birth certificate as filed with the Office of Vital Racorda If you wish to correct the certified copy issued, pieaee'Fomplete the lower portion of this form in the presence of a notaHiing official and forward to the Division of Vital Recorile, P.O. Box 1528,. New Castle, Pa. '16108. PLEASE SUBMIT DOCUMENTARY EVIDENCE TO SUPPORT THE CHANGES REQUESTED SUCH AS A COPY OF A BAPTISMAL RECORD, EARLY SCHOOL RECORD, MILITARY RECORD, INSURANCE POLICY OR MARRIAGE LICENSE. DATA ORIGINAL RECORD' NOW READS CORRECTIONS DESIRED (print fu# names, dates, other) NAME OF SUBJECT Stacy N i ch DATE OF BIRTH SEX OTHER ERROR OTHER ERROR SUBSCRIBED AND SWORN MO. DAY Y TO BEFORE ME: FA ER' SIGN S SS ` E (:OMMONWE7IL?H` OF PE?Ip?SYLVANIA SUBJECTS SIGNA E A L NOTiARIAL-geAL JAMES, E. GR? p PRESENT ADDRESS / 1" 6lc ?/ Ecr e1MP.. fp/// 44 o r I DATE F BIRTH 01"3 8-1990 COUNTY OF NAME STADY 'NI( FATHERS DANIEL S MOTHERS NAI TAMILA LIE EXHIBIT Cf th No 0044670-1990 FLED 03-30--1990 .4-TI? 11le 3a?900 14360887 Thig is to Canty that this is a true copy of the record which leOft i0 in the PennsyWanle Department of Health. in acoordahce whh Act 85, P.I. 304. aMMvsd by that General Assertity, June 29, 1959. Calvin Se"tary Win. M.4., M.P.H. H105.105 Rsv.8ro8. SF=_, .?. ?. Pt? c c_y cz, 4 C rTI 0 I 54 TJlihl 11202 , r IN RE: CHANGE OF NAME OF : IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA STACY NICHOLE LAY, alk/a STACY NICHOLE KREHLING NO. ?l V ? tom,, ORDER OF COURT AND NOW, this day of , 2008, IT IS HEREBY ORDERED that a hearing in the above-captioned name change matter be scheduled for 2008, at 3.3.m., in Courtroom No. Floor, Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania. It is further ordered that an official search be conducted by the county office where the Petitioner resided within the past five (5) years. Proper certification from the Prothonotary's Office verifying that there are no judgments, decrees of record, or any other of like character against the Petitioner shall be submitted at the hearing. It is further ordered that a notice of said hearing shall be made by one (1) publication in both the Cumberland Law Journal and in a newspaper of general circulation in Cumberland County, Pennsylvania. Such publication shall take place at least one (1) week prior to said hearing. Proof of publication shall be submitted prior to or at the hearing. BY THE COURT: 'Distribution: Mark T. Silliker, Esquire, 5922 Linglestown Road, Harrisburg, PA 17112 (20 P ,/«/a8? - Tfq V jNV/, lASN'N_3d )dNill L C :3 Wd G I NWINZ AUk+'! MI I 'X,F d 3RL JO 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: Friday, June 20, 2008 RE: SID: NAME: KREHLING STACY SOC: 161-72-6007 COURT DOCKET #: 08-3563 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. Si cerely, /,, ? ! ?Crck"J Director, Criminal Records and Identification Division C3 co IN RE: CHANGE OF NAME OF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA KARL EDWARD LAY, a/k/a KARL EDWARD KREHLING NO. 08-3562 CIVIL TERM IN RE: CHANGE OF NAME OF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA STACY NICHOLE LAY, a/k/a STACY NICHOLE KREHLING NO. 08-3563 CIVIL TERM AFFIDAVIT The undersigned, Mark T. Silliker, Esquire, hereby certifies that notice of this hearing was published in The Sentinel on or about July 22, 2008, and the Proof of Publication in The Sentinel is attached hereto. I hereby certify that the aforegoing is true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 Pa. C. S. 4909 relating to unsworn falsifications to authorities. Dated: Z f M . Silliker, Esquire PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Erica Peterson, Classified 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 day(s): Tuly 22, 2008 COPY OF NOTICE OF PUBLICATION Affiant further deposes that he/she 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 Tuly, 2008. 6 ? J, Notary P blic My commission expires: NOT42K SEAL IONK A CAMP V Pubpc CARLISLE BOROUGH. CUMBERLAND COUMY My CommNtlon Bq*w Jun a. 2004 r ? Y %; AA-3 A APOOd -.Ywrw.s.»r.e. .«r..?a?wnae..+e?mA.?+,w IN RE: CHANGE OF NAME OF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA KARL EDWARD LAY, a/k/a KARL EDWARD KREHLING NO. 08-3562 CIVIL TERM IN RE: CHANGE OF NAME OF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA STACY NICHOLE LAY, a/k/a STACY NICHOLE KREHLING NO. 08-3563 CIVIL TERM AFFIDAVIT The undersigned, Mark T. Silliker, Esquire, hereby certifies that notice of this hearing was published in The Cumberland Law Journal on or about August 8, 2008, and the Proof of Publication of Notice in Cumberland Law Journal is attached hereto. I hereby certify that the aforegoing is true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 Pa. C. S. 4909 relating to unworn falsifications to authorities. Dated: 1Z )Z6 (f Wk T. Silliker, Esquire I PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. Lisa Marie Coyne, 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 of the said Cumberland Law Journal on the following dates, Viz August 8, 2008 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 true. Marie Co 4, Editor SWORN TO AND SUBSCRIBED before me this 8-day of August, 2008 C???`NotaryNOTARIAL SEAL DEBORAH A COLLINS Notary Public CARLISLE BORO, CUMBERLAND COUNTY My Commission Expires Apr 28, 2010 CUMBERLAND LAW JOURNAL CHANGE OF NAME PETITION In the Court of Common Pleas of Cumberland County, Pennsylvania NO. 08-3562 CIVIL TERM IN RE: CHANGE OF NAME OF KARL EDWARD LAY a/k/a KARL EDWARD KREHLING, a minor and NO. 08-3563 CIVIL TERM IN RE: CHANGE OF NAME OF STACY NICHOLE LAY a/k/a STACY NICHOLE KREHLING ORDER OF COURT AND NOW this 17th day of June, 2008, IT IS HEREBY ORDERED that a hearing in the above-captioned name change matter be scheduled for September 4, 2008, at 3:30 p.m. in Courtroom No. 5, 4th Floor, Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania. Aug. 8 2 ?? c°' ._? Ke'"? ?-- ""xi s?". '.. "'S'S ,.- ?:- ? ., .^. :f .. ?" IN RE: CHANGE OF NAME OF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA STACY NICHOLE LAY, a/k/a STACY NICHOLE KREHLING NO. 08-3563 CIVIL TERM ORDER OF COURT AND NOW, this w day of ?'??? ?r , 2008, after a hearing in the above-captioned matter, IT IS HEREBY ORDERED AND DECREED that the Petition for Change of Name filed by Stacy Nichole Lay, a/k/a Stacy Nichole Krehling, is hereby granted. She shall hereinafter be entitled to use the legal name of Stacy Nichole Lay. BY THE COURT: ?* _? ?AA - The Honorable M. L. Ebert, Jr. Distribution: es Mark T. Silliker, Esquire, 5922 Linglestown Road, Harrisburg, PA 17112 y?1 ? `? ??. r- ??? ?? __? ?>' . ??? ??_._ - 3 ,s:- ?- ?: ?' .? ?, de II* IN RE: CHANGE OF NAME OF : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA KARL EDWARD LAY, a/k/a KARL EDWARD KREHLING : NO. 08-3562 CIVIL TERM IN RE: CHANGE OF NAME OF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA STACY NICHOLE LAY, a/k/a STACY NICHOLE KREHLING NO. 08-3563 CIVIL TERM CERTIFICATE OF SERVICE The undersigned, Renee Dreisbach, hereby certifies that copies of Petitions for Change of Name in the above-captioned matters were mailed to Daniel Krehling on August 4, 2008, by Certified Mail as well as by first-class mail with Certificate of Mailing, and mailed again on August 29, 2008, by first-class mail with Certificate of Mailing, addressed as follows: Daniel Krehling 115 Second Street West Fairview, PA 17025 I hereby certify that the aforegoing is true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. §4904 relating to unsworn falsification to authorities. Date: 9 13bg Renee Dreisbach U.S. POSTAL SERVICE CERTIFICATE OF MAILRIG MAY BE USED FOR DOMESTIC AND INTERNATIONAL MAIL, DOES N r PROVIDEFORINSURANCE-POSTMASTER fn Received From: S l al uc -? k. • 11n 01 Vt r -1 H 2141A,* 1, 1 One piece of ordinary mail addressed to: ` l t ?y s PS Form 3817, January 2001 I ¦ Complete items 1, 2, and 3. Also complete av E3 Agent w un 4 if Restricted Delivery Is desired. N o ¦ Ptint your nanne and address on the reverse ? Addrewo so that we can return the card to you. S. Received by ( S'? C. Date of DoNvery ¦ Att>9Nch this card to the back of the mallpiece, r? or an the front if space permits. it diff f 1 13 lies D. Is delivery a m rom s er 1. AraMde Addressed to: if YES, ente dell mass be 13 No l t ? ?sf'GOrI( Jl , r l f y?) 3. Service Type Certiw Mail ? Express mail ?^' - 113 Registered O Return Receipt for Mercherwiss C3 Insured Mail 0 C.O.D. 4. Restricted Delivery? (Ezra Fee) 0 Yes 2. Article NumW 71307 2680 00013 6463 4339 PS Form 3811, February 2004 Domestic Return Receipt L04 102595-02-M-1540 U.S. POSTAL SERVICE CERTIFICATE OF MAILING A. a pr MAY BF ' " -- PROW The Law Offices of p. Re, Silliker and Reinhold _ 5922 Linglestown Road Harrisburg, PA 17112 One a of ordinary mail dress d to PS Form 3817, January 2001 -r-? `4 r (- ?; f _r _ t,7- . ?. , ' ?.,.y . ?? "' "^?.