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HomeMy WebLinkAbout08-3848IN RE: PETITION FOR CHANGE OF NAME FROM PHYLLIS J. MINISHAK TO PHYL J. MINISHAK IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. PETITION FOR CHANGE OF NAME TO THE HONORABLE, THE JUDGES OF SAID COURT: AND NOW COMES, the Petitioner, Phyllis J. Minishak a/k/a Phyl J. Minisak by and through her legal counsel, Coyne and Coyne, P.C., and requests that this Court order a change of name for her, pursuant to 54 Pa. Cons. Stat. Ann. § 701 et., and in support thereof represents the following: 1. Petitioner, Phyl J. Minishak, is an adult sui juris, and resides at 890 Hawthorne Avenue, Mechanicsburg, Upper Allen Township, Cumberland County, Pennsylvania, and has resided at this address during the five years preceding the filing of this petition. 2. Petitioner's spouse, Alex J. Minishak, Jr. joins in this Petition. 3. Petitioner was born on May 5, 1951 in York, Pennsylvania and given the legal name of Phyllis J. Karns which appears on her Birth Certificate. A copy is attached and marked as Exhibit "A." 4. Petitioner's Pennsylvania Driver's License is issued in the name of Phyl J. Minishak. A copy of which is attached as Exhibit "B." 5. On March 6, 1971, Petitioner, Phyllis J. Karns married Alex J. Minishak, Jr. and her name was changed through marriage to Phyllis J. Minishak. See Exhibit "C." 6. Petitioner and her spouse's Pennsylvania Motor Vehicle Registration for a 1999 Buick is in the name of Phyl J. Minishak. A copy is attached and marked Exhibit "D." 7. Petitioner requests that her name be changed from Phyllis J. Minishak to Phyl J. Minishak. 8. The reasons for the requested change of name are: (a) To conform Petitioner's name with the name on all other legal documents namely; bank records, voter registration, vehicle operator's license, vehicle registration, credit cards, employment records, prescription cards, health care cards, auto insurance cards and her amended Certificate of Birth in the name of Phyl Jean Karns issued on May 5, 2005. (Exhibit "E"). (b) The Social Security Administration will not change Petitioner's name to Phyl J. Minishak unless Petitioner has a Court Order granting to me the name change to Phyl J. Minishak. (c) Since Petitioner's years at Mechanicsburg School System, Petitioner has been known as Phyl and personally prefers the name Phyl and dislikes the name Phyllis. 9. There are no judgments or adverse decrees of like character of record against Petitioner. WHEREFORE, Petitioner respectfully requests this Honorable Court enter an Order changing the Petitioner's name from Phyllis J. Minishak to Phyl J. Minishak. Dated: 6 z G od Respectfully submitted: COYNE & COYNE, P.C. By: IJLl.?I G enry F. Co 4, Esquire 3901 Market Street Camp Hill, PA 17011-4227 (717) 737-0464 Pa. S. Ct. No. 06250 Attorney for Petitioner DATE OF BIRTH 05-07-1951 COUNTY OF BIRTH YORK NAME PHYLLIS JEAN KARNS FATHERS NAME DEPARTMENT OF HEALTH VITAL RECORDS CERTIFICATION OF BIRTH FILE 06:55 AM NUMBER 0887690-1951 DATE FILED 05-12-1951 DATE ISSUED 05-20-2008 SEX FEMALE RICHARD CHARLES KARNS AGE - - BIRTHPLACE INFORMATION NOT RECORDED MOTHERS MAIDEN NAME VIVIAN MAE EMIG AGE - BIRTHPLACE INFORMATION NOT RECORDED,-,.,-, NOTICE This is not a copy of the birth record as it is presently filed. This is a copy of the record prior to the amendment of 05-05-2005. This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. dd o - Calvin B. Johnson, M.D., M.P.H. Frank Yeropoli L * •= Secretary of Health State Registrar H105.053 Rev. 6106 i 00 THIS DOCUMENT IS L1V1L WARNING: NOT ACCEPT WITHOUTEVEAIFYING THE PRESENCE OF THE WATERMARK. a L r 77 NO: 15 045 358 Dups 00 ' W cv DOB: 0510711951 sex F • N • Class: C Eyes: GRN W Endorse: ---- Height: 5'05° . V Com/Med Rstr:'/ _ J Issued: 06130/2005 Expires. 05/0812009 LAS r?"?tAu?- W > PHYL J MINISHAK - JY 890 HAWTHORNE AVE (n MECHANICSBURG PA 1785?s r. . 1 _ I? 3 REY?REN]?_?ERS?1vtF F, KU-RLANI) a' y C 6th i ? MARCH _ y '?,j one St. THERESA CHURfH z` NEW CUMBERLAND, PA. :wi.il 71 ALEX JOHN MINISHAK 4in PHYLLIS JEAN KARNS _ .a i' a?>qL rrayyf -ro *? 's 3 _ s i Jerk 'o the owt -jot Division =Mon Ns s O- peens' of r°3 o Cumberland S .,a iin Vol, :Y1 V • 4 . -Fr-ess, Rabb; o ; ?stice of ..the Peace ? r• I ?......17 0... ......... 3 oi.......6 ? .................... men to the person rnarri??) ?d --------------------------------- COMMONWEALTH OF PENNSYLVANIA REGISTRATION CREDENTIAL ` ------------------- 11/08/07 =EXPIRY: DEC 31, 2008 VALID: a-PLATE: DDK8153 _ A ?-? ,TITLE: 53203915301 MI - IGNATURE C3VIN: 1G4GD2211X4701293 MYR/MAKE : 1999 BUICK I hereby acknowledge this day that I have received G-TYPE : C P notice of the provisions of Section 3709 of the Vehicle r-.WID: 07312 1353 000396-001 Code. V EMISSIONS INSPECTION REQUIRED/DIESEL VEHICLES EXEMPT COUNTY: CUMBERLAND 1W LW PHYL J MINISHAK m 890 HAWTHORNE AVE MECHANICSBURG PA 17055 FINANCIAL RESPONSIBILITY IDENTIFICATION CARD INSURANCE COMPANY NAME NAIC CODE ERIE INSURANCE EXCHANGE 26271 POLICY NUMBER Q02 2701602 H 99 BUIC Year Make DP18-2-F 09107 12029702 1G4GD2211X470 EFFECTIVE UNTIL 02/27/08 08/27/08 NOT VALID MORE THAN SIX MONTHS FROM EFFECTIVE DATE 61 4 V. I. N. If only 5 digits, they are last 5 NAMED INSURED ALEX J MINISHAK JR & PHYL J MINISHAK 890 HAWTHORNE AVE MECHANICSBURG PA 17055-5729 SEE IMPORTANT MESSAGE ON REVERSE SIDE YOU NEED THE I.D. CARD FOR VEHICLE INSPECTION AND OTHER PA. STATE REQUIREMENTS-SEE BACK OF CARD. YOUR AUTO POLICY IS EFFECTIVE FROM 02/27/08 T002/27/09 TO COMPLY WITH PENNSYLVANIA LAW, WE WILL: 1. Issue a 6 month I.D. card on the policy effective date. 2. Six months later issue another 6 month I.D. card. 3. Issue a card for replacement or additional vehicle(s). OUR AGENT PHONE: 717-737-5405 TROCK INSURANCE AGENCY AA7684 01 SOUTH 32ND STREET AMP HILL PA 17011 Erie ??? !ed ? Insurancee G AuthoSignature ¦ } DATE OF BIRTH 05-07-1951 NO. 0887690-1951 DATE FILED 05-12-1951 COUNTY OF YORK DATE issUED 05-05- 005 NAM SEX FEMALE PHYL JEAN KARTS ' FATHERS .NAMJ?, RICHARD' ,qH)AIt,ES KARN;S MOTHERS- MAIb6ll) NAME VI'VIAN MAE'-04"' This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with Act 66, P.L 304, approved by the General Assembly, June 29, 1953. , ..? Calvin B. Johnson, M.D., M.P.H. H105.105 Rev. Secretary of Health 02/04 Charles Hardester State Registrar 0 LPN 12903882 VERIFICATION The facts set forth in the foregoing are true and correct to the best of the undersigned's knowledge, information and belief and are verified subject to the penalties for unsworn falsification to authorities under 18 Pa. C.S.A. § 4904. Dated: { r? Ph llis . Min ak a/k/a Phyl J. Minishak Dated: 04164-0e 10?- "? d, - s Alex J. Minis , Jr. rNi 4 4 ti ?SS 1- ? s O ?\ r _ Cl S?J -C JUL 012008 IN RE: PETITION FOR CHANGE OF NAME FROM PHYLLIS J. NIINISHAK TO PHYL J. MINISHAK : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA NO. 08-3848 Civil Term NOTICE NOTICE IS HEREBY GIVEN that on QL& 7 oZ4? , 2008 the Petition of Phyllis J. Minishak was filed in the above-named court, requesting an Order to change the name of Phyllis J. Minishak to Phyl J. Minishak. The Court has fixed the ,0±" day of 1 G& , 2008 at IS' A.M. in Courtroom No. _V_ of the Cumberland County Courthouse, Carlisle, Pennsylvania, as the time and place for the hearing on said Petition, when and where all interested parties my appear and show cause, if any, why the request of the Petitioner should not be granted. BY THE COURT: CF: HENRY F. COYNE, Esquire Attorneys for Petitioner 4- H kNnojs E =z Wd L- inr Dim 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, July 15, 2008 RE: SID: NAME: MINISHAK PHYLLIS SOC: 183-42-2078 COURT DOCKET #: 08-3848 CIVIL 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: ( ) 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, ,e 7 Director, Criminal Records and Identification Division C P-D K 4= ri ?r N no ?_ IN RE PETITION FOR CHANGE OF NAME FROM PHYLLIS J. MINISHAK TO PHYL J. MINISHAK : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA NO. g - 3 ??/?c fi?• ORDER AND NOW, this 1/'° day of /41C..,Y 2008, on consideration of the attached Petition For Name Change by Phyllis J. Minishak to Phyl J. Minishak, and upon 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 the 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, Phyllis J. Minishak is changed to Phyl J. Minishak. BY THE COURT: J. -r: 9Z :6 W i V on goon ,?r?alL- ,.ltd 311?u Jv