HomeMy WebLinkAbout93-3259IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
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Plaintiff ~~'~ 3 _ 3 Z S-~j G~ v ~~
V s File No.
~_ IN DIVORCE
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Defendant
NOTICE TO RESUME PRIOR SURNAME
Notice is hereby given that the Plaintiff /defendant in the above matter,
[select one by marking "x"]
prior to the entry of a Final Decree in Divorce,
or ~ after the entry of a Final Decree in Divorce dated - ~~ 2 ~ / RRS
hereby elects to resume the prior surname of ~~ ~ N ,and gives this
written notice avowing his /her intention pursuant to the provisions of 54 P.S. 704. ~
Date: QC~"d L.~.v 3/ Zn ads i~ ~e~~%r~h ~.~iu.C~C.~
Signature
~~~}~~~ Q~ ~ ~~~~
Signature of name being resumed
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF ~Au~~i ~ ~ )
On the ~/ s 1" day of ' ~v b ~ ~ , 200 ~`, before me, the Prothonotary or the
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 hereunto set my hand and official
seal. ~ ~ YI
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P thonotary or Notary Public
co~nn~or~w~~~+ of PE-~snv~wu-
NoariM s«-
Andrea M. Varbos, NOhry PubNc
City of Martiatwlp, DwplNn County
~Cofntnluion ExpN'NOCf. 11, 2012
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