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Home My WebLink About11-5452C? -n 3 IN RE: PETITION TO CHANGE IN THE COURT OF COMMON PL NAME CUMBERLAND COUNTY, PENN FROM: ZACHARY JOHN HILLER : NO. 2011- TO: ZACHARY JOHN GRANDON CIVIL ACTION -LAW Pn. _ C PETITION TO CHANGE NAME o TO THE HONORABLE JUDGES OF SAID COURT: AND NOW comes the Petitioner, ZACHARY JOHN HILLER, by his attorney, MAX J. SMITH, JR., Esquire, and represents the following: 1. Petitioner ZACHARY JOHN HILLER, is an adult individual who resides at 26 N. 2°a Street, Wormleysburg, Cumberland County, Pennsylvania. 2. Petitioner is age nineteen (19), having been born on February 6, 1992, has never been married and has no children. c 3. Petitioner is a full-time student at Drexel University, Philadelphia, I co ??.. n- v 4. cn z Petitioner wishes to change his last name from "Hiller" to "Grandon the z following reasons: c (a) Petitioner's parents are divorced, having been divorced on January 6, 1997. `n - = (b) Petitioner's mother has retaken her maiden name of "Grandon". (c) Petitioner wishes to have the same last name as his mother. 5. There are no judgments or decrees of like character of record against Petitioner. 6. Petitioner is not praying to legally change his name to avoid payment of any debts. 7. Petitioner has no record of any criminal convictions. 0.)--06 PAo1_ff1( e_`-;72W /24e cad `lie 00 8. Pursuant to 54 Pa.C.S.A. §702(b), Petitioner's fingerprint card is attached hereto as Exhibit "A". WHEREFORE, Petitioner requests that this Honorable Court to enter a decree changing his name to ZACHARY JOHN GRANDON, pursuant to 2004, Nov. 30, P.L. 1684, No. 214 §3, 54 Pa.C.S.A. §701, et SeMc . Respectfully submitted, IN Date: July '2011 t1' MAX J. SMITH, JR., Esquire I.D. No. 32114 JESSICA E. LOWE, Esquire I.D. No. 208041 James, Smith, Dietterick & Connelly LLP P.O. Box 650 Hershey, PA 17033 (717) 533-3280 I verify that the statements made in this Petition are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. yffis APPLICANT 7A?U%E 7F ,Fgcn pF FD LEAVE BLANK RESIDENCE OF PFPSO!d FI NGERRR IIeTED 26 N 2ND STREET WORMLEYSBURG TYPE OR PRINT ALL INFORMATION !N BLACK Li EAVE BLANK -.s- SAME NAM I Rsi HILLER,ZACHARY JOHN A15E5 AKA PSP1000 °RLISLE PSP C*RLISLE PA 17013 cu ` . Month PA 17043 U STATES 14 E> RA Hui ilmP PI kIR Ll'PtW GBRRR? A, F 5 GNA c '>F O TAKING FIN , -_ -- EBAU GH 0011 - I 032611 KEEBAUGH EKE E AVE o.ANK REASUN FINC-?k?klNl_D NAME CHANGE E 4 ^ :lk° --l o '. "HUMS' 51 NU FBI A?riE[; ?aRtE< rc M N U can: SE?uRnt SOC MNU 2 R INDEX 3 R MIDDLE uNnEx n? ?¦ .yam , //?? /R?M1y.X 'rte' it 1. u v F C k ,I%G #9921100 yF c , i.lii,i ___- A X10326-13:48 e?T` w?C 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: Wednesday, July 13, 2011 RE: SID: NAME: HILLER SOC: ZACHARY COURT DOCKET #: 2011-5452 CIV 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. wni Rd 81 W1101 t O'oNlodd 3H1 ??I??C?-n37f? ?`? Since Director, Cri I rds and Identifi ' n Division IN RE: ZACHARY JOHN IN THE COURT OF COMMON PLEAS OF HILLER CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 11-5452 CIVIL TERM ORDER OF COURT AND NOW, this 20th day of July, 2011, upon consideration of the attached Petition To Change Name, a hearing is scheduled for Monday, September 26, 2011, at 11:15 a.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, Petitioners 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. Max J. Smith, Jr., Esq. Jessica E. Lowe, Esq. P.O. Box 650 Hershey, PA 17033 Attorneys for Petitioner com m?jed Ij"41( o?b 70 CD P N N O .w.q zj2 :rc ?> f BY THE COURT, IN RE: PETITION TO CHANGE NAME FROM: ZACHARY JOHN HILLER TO: ZACHARY JOHN GRANDON IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 2011-5452 CIVIL ACTION -LAW ORDER AND NOW, this 2-61? day of , 2011, upon hearing and consideration of the Petition to Change Name of Zachary John Hiller, it is hereby Ordered and Decreed that the prayer of said Petition to Change Name is GRANTED, and that Zachary John Hiller shall hereafter be known as Zachary John Grandon. MaxJ . &Or ?r, Est deli Oe? aX6 BY THE COURT: