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HomeMy WebLinkAbout10-0237 _N a `i m ?? y m r IN THE COURT OF COMMON PLEAS OF = " CUMBERLAND COUNTY, PENNSYLVANIA ?-+ IN RE: DARRELL DOUGLAS No. for 2010 ` -51 -n 26 ' w ao NAME CHANGE PETITION FOR CHANGE OF NAME -7 AL AND NOW, this _L- day of January, 2010, comes Petitioner, Darrell Douglas, and files the following Petition, and in support thereof, avers the following: 1. Petitioner, Darrell Douglas, is an adult individual residing at 12308 Tideswell Mill Court, Woodbridge, Virginia 22192. 2. Petitioner was bom on January 12, 1967, in Cooke County, Illinois. 3. Petitioner is on active duty with the United States Army and his domicile is 533 Craig Road, Carlisle, Cumberland County, Pennsylvania. 4. Petitioner desires to change his name from Darrell Douglas to Darrell Cordell Duckworth. 5. Petitioner is seeking a change of name for the following reasons: a. Petitioner's mother's last name is Duckworth and Petitioner has used the last name Duckworth since birth. Petitioner is known as Darrell Duckworth with the United States Army, the Department of Defense, and the Social Security Administration. 6. Petitioner does not wish to change his name for any illegal purpose, to avoid the payment of taxes or other debts, or to avoid any obligation. Petitioner has been fingerprinted and his fingerprint card is attached hereto as Exhibit "A" and by reference incorporated herein. _f9a.00 Pa A`r'k'`/ Cfc.? 105(0 V* (235 437 dopy 40 P&P 7. Petitioner's counsel has searched the index in the Prothonotary's Office in the Court of Common Pleas of Cumberland County and there are no judgments against Darrell Douglas. WHEREFORE, Petitioner, Darrell Douglas, respectfully requests this Honorable Court to issue an Order changing his name from Darrell Douglas to Darrell Cordell Duckworth. Respectfully submitted, LAW OFFICE OF SEAN M. SHULTZ, P.C. Sean M. Shultz, Esquire Attorney ID No. 90946 4 Irvine Row Carlisle, Pennsylvania 17013 (717) 701-8412 Attorney for Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA IN RE: DARRELL DOUGLAS No. 3,31 for 2009 NAME CHANGE VERIFICATION I VERIFY that the statements set forth in the attached Petition are 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 unworn falsification to authorities. Date: 1 l-- I u to 6 Darrell Douglas Exhibit "A" SP 4-198 (11-99) PENNSYLVANIA STATE POLICE CENTRAL REPOSITORY 1800 ELMERTON AVENUE HARRISBURG, PA 17110 717-783-3762 PROTHONOTARY CUMBERLAND CO COURTHOUSE 1 COURT HOUSE SQUARE CARLISLE, PA 17013 DATE: Thursday, January 14, 2010 RE: SID: NAME: DOUGLAS DARRELL SOC: 425-31-5640 COURT DOCKET #: 237-2010 In accordance with the Name Change Act of 1998, the fingerprint cards of the above named individual ho , 77 has applied for a name change, has been searched in the files of the Pennsylvania State Police, Criminal Reek _and t- Identification Division Central Repository, and: 1)O This person is not subject to 18 PA C. S. Chapter 91, and the fingerprints have been destroyed. - ` r t SN ( ) This person is subject to 18 PA C.S. Chapter 91, and the name change has been noted on the person's 1 ' criminal history record information. j O A criminal record was revealed containing felony convictions. IN ACCORDANCE WITH THE NAMES 1 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, 4c? Director, Criminal Records and Identification Division t IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA IN RE: DARRELL DOUGLAS No. a,37 for 2010 NAME CHANGE JAN 212010 ORDER OF COURT AND NOW, this day of V"?,010, upon consideration of Petitioner's Petition for Change of Name, it is ORDERED that a hearing on Petitioner's request be held on I &AJ, /.5, 2010, at 3. W 1, •, in Courtroom No. 3, Cumberland County Courthouse, Carlisle, Pennsylvania. IT IS FURTHER ORDERED that the notice of the filing of said Petition and the aforesaid date, time and place of the hearing be published once in the Cumberland County Law Journal and a newspaper of general circulation in the County at least ten (10) days prior to the hearing; in addition, Petitioner shall comply with all other requirements of C.C.R.P. 5, and the Act of December 16, 1982, P.L. 1309, Section 6, and 54 Pa. C.S. Section 701 et seq. (1995 Supp.). B J. C - -n A T. AuJAZ- eon m?,? ? .? `N (Y IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA IN RE: DARRELL DOUGLAS To Prothonotary: na No 237 for 2010 C* . -n m _ IitFTa 77+ MM NAME CHANGE y C. 4 C, 3 PRAECIPE Pursuant to the Order of Court dated January 22, 2010, attached please find copies of the Proofs of Publication of the publication of the Notice of Hearing in the above-captioned matter. The Notice was published in the Cumberland Law Journal on February 5, 2010, and in The Sentinel on January 29, 2010. Respectfully submitted, Date: March `4 '2010 LAW OFFICE OF SEAN M. SHULTZ, P.C. Sean M. Shultz, Esquire Attorney ID No. 90946 4 Irvine Row Carlisle, Pennsylvania 17013 (717) 701-8412 Attorney for Petitioner FAUser Folder\Firm Docs\Gendoes2006\3884-2praecipe.wpd 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 February 5, 2010 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. ,,?Asa Marie Co , Editor SWORN TO AND SUBSCRIBED before me this 5 day of February, 2010 Notary NOTARIAL SEAL DEBORAH A COLLINS Notary Public CARLISLE BORO, CUMBERLAND COUNTY My Commission Expires Apr 28, 2010 CUMBERLAND LAW JOURNAL NOTICE NOTICE IS HEREBY GIVEN that on January 7, 2010, the Petition of Darrell Douglas was filed in the Court of Common Pleas of Cumberland County, Pennsylvania, praying for a decree to change his name from Darrell Douglas to Darrell Cordell Duckworth. The Court has affixed March 15, 2010, at 3:00 p.m. in Courtroom No. 3 of the Cumberland County Court- house as the time and place for the hearing of said Petition, when and where all persons interested may appear and show cause, if any they have, why the prayer of said Petition should not be granted. SEAN M. SHULTZ, ESQUIRE LAW OFFICE OF SEAN M. SHULTZ, P.C. Attorneys for Petitioner 4 Irvine Row Carlisle, PA 17013 (717) 701-8412 Feb. 5 PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Tames Kleinklaus Director of Sales and Marketi ng, 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): Tanuary 29, 2010 COPY OF NOTICE OF PUBLICATION NOTICE NOTICE IS HEREBY GIVEN that on the 7th day Of January, 2010, the Petition of OARRELL DOUGLAS was Mad fn the Court of Common Pleas of Cumberland County, Pennsylvania, praying for a decree to change his name from Darrell Douglas to Darrell Cordell Duckworth, The Court has affixed the 15th day of March, 2010, at 3:00 p.m. ip Courtroom No. 3 of the Cumberlah County Courthouse as the time and place for the hearing of said Petition, when and where all persons interested may appear and show cause, if any they have, why the prayer of said Petition should not be granted. Sr Shultz, Esquire LAW OFFICE OF'S1N M. SHULTZ, P.C. 4 Irvine Row Carlisle; Pennsylvania 17013 (117) 701-8412 Attorney for Petitioner 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 .br 2010 Notary Public My commission expires: COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL TAMMY S. BRICKNER, Notary Public Cadisle 0oru., Cumberland County My Comrrtissiun Expires May 13, 2010 Sworn to and subscribed before me this