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Home My WebLink About10-1458IN THE COURT OF COMMON PLEAS OF Cumberland COUNTY, PENNSYLVANIA CIVIL DIVISION -LAW IN THE MATTER OF PETITION FOR CHANGE OF NAME OF c Ellen Demetrios Dickinson NO: J - ( 'r T M r 1 ss PETITION FOR CHANGE OF NAME k D 4J 3 Petitioner Ellen Demetrios Dickinson requests that this Court order a change oft o f petitioner's name pursuant to 54 Pa. Cons. Stat. Section 701, et se and in support t hereo makes the following the averments: 1. The petitioner was born on years old. 05/29/1979 and is currently 30 2. During the five years preceding the filing of this petition, the petitioner has resided in the following places: DATE ADDRESSES 05/29/1979 - 01/29/2010, 422 North 7th Street, Lebanon, Pennsylvania 17046 01/29/2010 - Present, 609 Grandview Avenue, Camp Hill, Pennsylvania 17011 3. There are no judgments or decrees pending against the petitioner. 4. The Petitioner requests that his/her name be changed from Ellen Demetrios Dickinson to _ Ellen Demetrios Paliometros-Dickinson 5. The reasons for the requested change of name are My Drooosed name fits me better, so I want to be known by this name 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 his/her name from Ellen Demetrios Dickinson to Ellen Demetrios Pal iometros-Dickinson #tti L+iL1 /oner # a Za 3 -P y "e'-, ..f -.,d *,o PS n Pennsylvania Name Change Forms Name Form Number ? Petition for Change of Name ? Verification ? Order for Publication ? Notice ? Order for Change of Name February 24, 20 10 Ellen Dickinson 609 Grandview Avenue I-Q Camp Hill, PA 17011 Order # 25099400 Dear Ellen Dickinson: Questions? Contact us at (800) 773-0888 or at customersupport@legalzoom.com Thank you for choosing LegalZoom to assist you with your name change. Your documents have been prepared and are ready for filing. Please read the enclosed instructions carefully and follow each of the steps to complete your name change. Important Note: It is critical that you complete the Name Change process as soon as possible. If you delay, your forms may be replaced by new versions, and the Court may refuse to accept them. Your LegalZoom Name Change Package includes the following documents: • Petition for Change of Name • Verification • Order for Publication • Notice • Order for Change of Name For your convenience, we've also included a helpful guide for updating records at key government agencies and other institutions after your new name is official. If you require additional or modified forms, please contact us, and we will be happy to prepare these documents for you free of charge. Thank you again for choosing LegalZoom, America's #I online legal service. If you have any questions concerning your documents, please call us at (800) 773-0888, Monday through Friday, 7:00am-5:00pm PT. Sincerely, The LegalZoom Team 7599955 VERIFICATION I, Ellen Demetrios Dickinson , 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: ),)s _ -?`?`" (Sign Your Current Name) SP 4-198 (11-99) FI! ED i:- IT TIHLE )T OV 2010 MAR 16 A 11Ci. 31 PRO 4646?PAl?Y CUMBERLAND CO COURTHOUSE 1 COURT HOUSE SQUARE CARLISLE, PA 17013 PENNSYLVANIA STATE POLICE CENTRAL REPOSITORY 1800 ELMERTON AVENUE HARRISBURG, PA 17110 717-783-3762 DATE: Friday, March 12, 2010 RE: SID: NAME: DICKINSON ELLEN SOC: 179-68-6186 COURT DOCKET #: 10-1458 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: (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. Sincerely, / Director, Criminal Records and Identification Division MAR 1 6 20106, IN THE COURT OF COMMON PLEAS OF Cumberland COUNTY, PENNSYLVANIA CIVIL DIVISION -LAW IN THE MATTER OF PETITION FOR CHANGE OF NAME OF Ellen Demetrios Dickinson NO: ltl-y ellli I ORDER , 20110., upon the motion of the petitioner, it is AND NOW, this day of ? ORDERED that a hearing on the Petition for Change of Name is fixed for 3 b.m., in Room --7- of Cumberland County Courthouse, 20Lat -3 30 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, one of which may be the official paper for the publication of legal notices in this county. Presiding Judge N 0 - --+ - ;1 C3 < C?Y /nad? ? . t Lk 1 ti ss00 By the Court: IN THE COURT OF COMMON PLEAS OF Cumberland COUNTY, PENNSYLVANIA CIVIL DIVISION -LAW IN THE MATTER OF PETITION FOR CHANGE OF NAME OF Ellen Demetrios Dickinson NO: IU - /U5k CI Ui ORDER ~~ 11 AND NOW, this .l,~ day of ~Jt , 20 ~~, upon consideration of the attached petition of Ellen Demetrios Dickinson for change of name, and upon presentation of proof of publication of notice as required by law, with proof that there are no 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 petitioner Ellen Demetrios Dickinson t0 Ellen Demetrios Paliometros-Dickinson is changed By the Court: ~~ Presiding Judge ~ "' - c ~' ; `- ~- ~ x -_ ,__ ;~; - t-- ~w` V ~ ~ a ~ __ .. , ,. 5 (.... .~' ~"~11~ ~ •• -Q ~ c'-, _a c~, ,~t~s ~Nen 7-i3-/6 C ~L