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Jeffrey R. Boswell, Esquire > c
Supreme Court I.D. # 25444
BOSWELL, TINTNER & PICCOLA -T.
315 North Front Street
Harrisburg, PA 17101 tL'- C:1
(717) 236-9377 (Phone)
(717) 236-9316 (Facsimile)
jboswell@btpalaw.com (Email)
Counsel for Petitioner
IN THE MATTER OF PETITION IN THE COURT OF COMMON PLEAS
FOR CHANGE OF NAME OF OF CUMBERLAND COUNTY,
PENNSYLVANIA
ALYSSA LYNN LONEY,
Petitioner NO.
PETITION FOR CHANGE OF NAME
PETITION FOR CHANGE OF NAME
Petitioner, Alyssa Lynn Loney, through her counsel, Jeffrey R. Boswell, Esquire, and
BOSWELL, TINTNER & PICCOLA, hereby requests this Honorable Court order a change
of name pursuant to 54 Pa.C.S.A. § 701, et seq., and in support thereof represents, as
follows:
1. Petitioner, Alyssa Lynn Loney (herein referred to as "Petitioner"), was born on
November 22, 1969, and is over the age of twenty-one (21) years.
2. Petitioner is a resident of the Borough Carlisle, Cumberland County,
Pennsylvania, and has resided at the following locations during the previous five (5) years:
a. Petitioner currently resides at 145 North Hanover Street, Carlisle,
Cumberland County, PA 17013, and has done so since July, 2002;
b. Prior thereto, Petitioner's permanent address had been 1215 Hillside
Drive, Carlisle, Pennsylvania 17013.
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3. Petitioner is a graduate of West Virginia University, Morgantown, West Virginia,
having been awarded the degree of Bachelor of Science in Textiles and Clothing, as well
as the University of York in the United Kingdom, having been awarded the degree of
Master of Arts in Medieval Archeology.
4. Petitioner is currently a certified appraiser of antiques, heirlooms, cultural
property, and various personal property items. Petitioner maintains an office at 145 North
Hanover Street, Carlisle, Pennsylvania.
5. Over the course of her lifetime, Petitioner has been known as Alyssa Lynn Loney
or as Alyssa L. Loney.
6. Petitioner desires that her formal and legal name be changed to "Alyssa Lillian
Wardecker Loney." Petitioner desires that her legal identity be indicated as "Alyssa Lillian
Wardecker Loney" in all future licenses, certifications, and other documentation associated
with her profession, as well as all other personal identifying material such as her driver's
license and her passport. Documents containing her present legal name are included in
this Petition, including exact copies of her Pennsylvania driver's license, which is Exhibit
"A," her United States Passport, which is Exhibit "B," and her Birth Certificate, which is
Exhibit "C."
7. The Petitioner requests that her formal and legal name be changed to "Alyssa
Lillian Wardecker Loney" to reflect her lineage, as a descendent of her grandmother, Anna
Lillian Davis. The said Anna Lillian Davis, upon her marriage, became known as Ann Lynn
Wardecker, because she informally assumed this name, changing slightly her given first
and second names. Petitioner's grandmother, just prior to her death, disclosed to her
family that the name given to her upon her birth was actually Anna Lillian, disclosing that
she had favored, and, therefore, assumed as her name Ann Lynn rather than Anna Lillian,
her given name.
8. Petitioner has no judgments or decrees of like character of record.
9. Petitioner has had no prior criminal convictions for either felony or misdemeanor
offenses, and she faces no pending charges of a like nature. Petitioner has included her
fingerprints as part of the instant petition so that the Court can forward same to the
Pennsylvania State Police for an appropriate investigation verify this averment, which
fingerprint record is attached as Exhibit "D."
10. Petitioner has no illegitimate purpose for her seeking the requested
change of her proper and legal name.
11. Petitioner reflects that this Honorable Court enter an order legally changing her
name to "Alyssa Lillian Wardecker Loney" to reflect properly her descent from her
grandmother.
WHEREFORE, Petitioner Alyssa Lynn Loney respectfully requests that this
Honorable Court enter an Order of Court legally changing her name from "Alyssa Lynn
Loney" to "Alyssa Lillian Wardecker Loney."
Respectfully Submitted,
By: h.,.
Je r y R. Boswell, Esquire
Supreme Court I.D. No. 78758
BOSWELL, TINTNER & PICCOLA
315 North Front Street
Harrisburg, PA 17101
(717) 236-9377 (phone)
(717) 236-9316 (facsimile)
Counsel for Petitioner
Dated: May 19 , 2011
-3-
VERIFICATION
I, Alyssa Lynn Loney, state upon personal knowledge, information and belief that the
statements contained in the foregoing Petition for Change of Name are true and correct,
based on my personal knowledge, information, and belief. I understand that false
statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to
unsworn falsification to authorities.
N
YNKLONEY
Dated: May ?? , 2011
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N-:27 023 130 Dupes oo
DOB: 1112211969 Sex: F
Class: C Eyes: GRY
Endorse: Height: 514"
CO-Wed Rstr: *r
Issued: 0913012008
Expires: 11/2312012
ORGAN DONOR ?7
ALYSSA LYNN LONEY
145 N HANOVER ST
APT 2 ..
CARLISLE PA 17013
P<USALONEY<<A
4511520499USAI
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/ FIRMA DEL TITULAR
669953<009108
--
MARYLAND
STATE DEPARTMENT OF HEALTH
BIRTH REGISTRATION NOTE
J
` L certilej t4at a certil cate of kX 4aj been /1
wit the State 12oard ol-J eaR and Mental-49i
under the name o l
Alyssa Lynn Loney - Sex gem
Morn on November 22? 1969
/inn-
_ _L-OunC o MUZZ UKc?nerY
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name of aMer Frank Raymond Loney II
=-Maiden name of Mother Betrin Ann WArdeeker _-
ate i4d November 25, 1969 =
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_?} °.:i" t $'S- - - CoiAM16610NER
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TO THE PARENTS: Please read the above Birth Registration Notice carefully. It is very important
that your child's birth be registered correctly.
If the information above is correct, save this document with your other valuable papers for future
use. Before you put it away, please read the other side, which contains an Immunization Certificate for
your child.
If correction of the Notice is desired, please cross out the incorrect item and print the correct
information on the above Birth Registration Notice. Then write your signature and address below
and RETURN THE ENTIRE FOLDER immediately to the Division of Vital Records, Maryland
State Department of Health, 301 W. Preston St., Baltimore, Maryland 21201. A new Notice will be
sent to you.
THE ABOVE CORRECTIONS ARE AUTHORIZED BY
Signature .......................................................................................................... ..... Date...-- .........
Address ..................................................... ...............................
(Number) (Street) (City or Town) (States (Zip Code)
F
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VR AE 1/70 50M
Mrs. ''rank honey III
are nbelt,gM 1121?7?6
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EXHIBIT
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Jeffrey R. Boswell, Esquire
Supreme Court I.D. 25444
R 2011 AUG -I AFB 11: 03
& PICCOLA
BOSWELL, TINTNE
315 North Front Street
???Lf?l{?UGNT
Harrisburg, PA 17101 pENMSYL??PfI'=:
(717) 236-9377 (Pho e)
(717) 236-9316 (Facsimile)
jboswell@btpalaw.co (Email)
Counsel for Petitione
IN THE MATTER OF PETITION IN THE COURT OF COMMON PLEAS
FOR CHANGE OF NAME OF OF CUMBERLAND COUNTY,
PENNSYLVANIA
ALYSSA LYNN LONEY,
Petitioner NO. 11-4425 Civil Term
PETITION FOR CHANGE OF NAME
ORDER OF COURT
AND NOday of August 2011, on consideration of the attached
?IV, this
Petition of Alyssa Lynn Loney for Change of Name, and upon presentation of the Proof of
Publication of Notices as required by law, together 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 tha? the name of the Petitioner, Alyssa Lynn Loney, is changed to Alyssa
Lillian Wardecl(er Loney.
By the
J.
I
Distribution: Jeffrey R. Boswell, Esquire, 315 N. Front Street, Harrisburg, PA 17101