HomeMy WebLinkAbout01-7242 IN THE COURT OF COMMON PLEAS OF
IN RE: Aillsl~Bryer,,/,,~,~ CUMBERLAND COUNTY, PENNSYLVANIA
Amanda Lee
NO. cV-
PETITION FOR NAME CHANGE
1. The Petitioner in this matter is Amanda Lee Bryer-Arnold who is an adult individual
who currently resides at 216 Garland Drive, Cumberland County, Pennsylvania 17013.
2. The Petitioner has resided at her current residence, 216 Garland Drive, Cumberland
County, Pennsylvania 17013, throughout the five-year period immediately prior to the
filing of the Petition for Name Change.
3. This Petititioner wishes to change her name formally to Amanda Lee Bryer.
4. The parents of the petititioner consent to this petition.
_. If this Petition is approved, the Petitioner intends to use the name Amanda Lee Bryer
consistently, non-fraudently, and exclusively.
_. It is not the purpose of this Petition to avoid any taxes or any other debts.
Andrea B~,er -
Respectfully submitted,
County, Pennsylvania 17013
(717) 249.2888
VERIFICATION
/~Bryeral~llld, state that~[~n the Petitione~tn the above-captioned case
and that the facts set forth in the above Petition for Name Change are true and correct to
the best of I knowledge, information, and belief. ~ realize that false statements herein
are subject to the penalties for unsworn falsification to authorities under 18 Pa. C.S.
§ 4904.
vy r"
i~ .;NATL;f~E OF PERSON ,FINGERPRINTED
EMPLOYER AND ADDRESS
FINGERPRINTS
· ~ PA021015J
~ CUt-tBERLAND CO CRTS
CARLISLE PA
REASON F~NGERPRINTED
'APPLICANT
SOCIAL SECURITY NO. SOC
zz. I. 7'rZ.,
MISCELLANEOUS NO. MNU
LEAVI BLANK
DATE OF BIRTH DOB
Month Day Year
PLACE OF BIRTH POB
~c~s~, ta
1. R. THUMB
:. R. INDEX
3. R. MIDDLE
7 t. INDEX ] R. L
L, THUMB
R. THUMB
FINGERS TAKEN SIMULTANEOUSLY
ADDITIONAL INFORMATION
SP 4-124 (3-96) PENNSYLVANIA STATE POLICE APPLICANT FINGERPRINT CARD
AMANDA LEE :
BRYER-ARNOLD :
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 01-7242 CIVIL TERM
ORDER OF COURT
AND NOW, this 12th day of February, 2002, upon consideration of the attached
Petition for Name Change, a hearing is scheduled for Thursday, April 4, 2002, at 3:30 p.m.,
in Courtroom No. 1, Cumberland County Courthouse, Carlisle, Pennsylvania.
IT IS FURTHER ORDERED that notice of the filing of said Petition and the
aforesaid date, time and place of the hearing be published once in the Cumberland Law
Journal and a newspaper of general circulation in the County at least 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, §6 (see 54 Pa. C.S. §701 [Historical and Statutory
Notes] [Main Volume]), and 54 Pa. C.S. §§701 et seq.
BY THE COURT,
Amanda Lee Bryer-Arnold
216 Garland Drive
Carlisle, PA 17013
Petitioner, Pro Se
:rc
IN RE: AMANDA LEE BRYER-ARNOLD : IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 01-7242 CIVIL TERM
IN RE: NAME CHANGE
ORDER OF COURT
AND NOW, this 4th day of April, 2002, upon
consideration of the petition for name change in the matter of
Amanda Lee Bryer-Arnold at No. 01-7242 Civil Term, and following a
hearing, the petition is granted and the Petitioner, Amanda Lee
Bryer-Arnold, shall hereafter be known as Amanda Lee Bryer.
By the Court,
JJ~Wesley ~f~r, J~ ~.
/~s~Amanda Lee Bryer, Petiti r Pro Se 216 Garland Drive
Carlisle, PA 17013
pcb
~NYA1A~NN~
AINNOS Q~W~IqNO