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12-1009
t C-) C? -t ? M --ri r+n r rr W V- C :0a) M ° , Keith O. Brenneman, Esquire <d ss+ ©_ Snelbaker & Brenneman, P.C. Z r ' 44 West Main Street Mechanicsburg, PA 17055 ..r n . cz? (717) 697-8528 Attorneys for Petitioner IN RE: CHANGE OF NAME IN THE COURT OF COMMON PLEAS OF FOR JUDITH ANN BAKER CUMBERLAND COUNTY, PENNSLVANIA NO. 2012- PETITION FOR NAME CHANGE Petitioner Judith Ann Baker, by her attorneys, Snelbaker & Brenneman, P.C., submits this Petition For Name Change and in support thereof states the following: 1. Petitioner is Judith Ann Baker, an adult individual residing at 4702 Courtland Street, Camp Hill, Cumberland County, Pennsylvania, 17011. 2. Petitioner has resided at the residence specified in Paragraph 1, above, for the five year period prior to the date of the Petition. 3. Petitioner intends to change and requests this Court issue an Order changing her name from Judith Ann Baker to Isabella Grace Kurtz. 4. Petitioner desires to have her name changed to Isabella Grace Kurtz for the following reasons: a. Petitioner has no family relationships that compel her to maintain her given name; LAW OFFICES SNELBAKER & BRENNEMAN, P.C. b. Petitioner has no children; and 10 3 . -) S e -xkl 30S7 Psi' c. By changing to the surname of Kurtz, Petitioner would be using her maternal grandfather's last name, thereby using and maintaining the family surname of a man who she knew, loved and respected. 5. There are no judgments or decrees pending against Petitioner and there is no child I whose name may be affected by the proceedings. WHEREFORE, Petitioner requests this Court to: A. Set a date for a hearing on the Petition in accordance with 54 Pa.C.S.A. Section 70 1 (a. 1)(3)(i); and B. Enter an Order changing the name of Petitioner from Judith Ann Baker to Isabella Grace Kurtz. SNELBAKER & BRENNEMAN, P. C. BY IbLl - Keith O. Brenneman, Esquire Attorney ID No. 47077 44 W. Main Street Mechanicsburg, PA 17055 (717) 697-8528 FC*,W ( b, ,1o a Attorneys for Petitioner -2- LAW OFFICES SNELBAKER SC BRENNEMAN. P.C. VERIFICATION I verify that the statements made in the foregoing Petition are true and correct. I that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn falsification to authorities. ZuZdith Ann Baker a?G?aaia LAW OFFICES SNELBAKER & BRENNEMAN, P.C. SP 4-.93 11-99; PENNSYLVANIF, STATE FOLICE CENTRAL REPOSITORY 1800 ELMERTON AVENUE HARRISBURG, PA 17110 717-733- ?'62 PROTHONUFAR° CUMBERLAND CO COURTHOUSE I COURT HOUSE SQUARE CARLISLF,, PA 17013 DATE: Friday, February 24, 2012 RE: SID: NAME.: BAKER JUDITH ANN SOC: COUF.T DOCKET #: 2012-1009 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 Pennsyhania State Police, Criminal Records and Identification Division Central Repository. and: ( X) This person is not subject to 18 PAC. 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 Repositor- as prov ided for in 18 PA C.S.. Chapter 91 (relating to criminal history record information). ( ) l`his 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): il' 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 tiles of the Pennsylvania State Police Central Repository - only - and does not preclude the existence of other criminal records which may he obtained in the repositories ofother local. state. or federal criminal justice agencies. If we ma} he of any further assistance to you concerning this matter. please :ontact us at the above address or telephone number. Sincerely. r ? P' Director. Criminal Records " and Identification Division =M ? M CJC3 ? ' > t! fT`t < Keith O. Brenneman, Esquire Snelbaker & Brenneman, P.C. 44 West Main Street Mechanicsburg, PA 17055 (717) 697-8528 Attorneys for Petitioner FE ffl ! e 1Q ;Ii i;" 2Q 12 MAR ` I Aft 8-* 1 I CUMBERLAND CCU' Ti ( PENNSYLVANIA IN RE: CHANGE OF NAME IN THE COURT OF COMMON PLEAS OF FOR JUDITH ANN BAKER ' CUMBERLAND COUNTY, PENNSLVANIA NO. 2012- 1 Uj CJ C A? IL, M //?? ORDER AND NOW, this dglt` day of -? , 2012, in consideration of the Petition For Name Change of Judith Ann Baker, it is hereby ORDERED that Petitioner shall give notice of the filing of the Petition For Name Change and the date set for hearing thereon, 1which hearing shall take place in Courtroom No. -)- of the Cumberland County Courthouse, Ine Courthouse Square, Carlisle, Pennsylvania on the o21?&f- day of ? , 2012 10'30 o'clock A in. IT IS FURTHER ORDERED that said notice shall be published or given, as the case may e, in accordance with the requirements of Rule 5 of the Cumberland County Rules of Procedure least ten (10) days prior to the hearing noted above. LAW OFFICES SNELBAKER & BRENNEMAN. P.C. BY THE COURT: oeiv??. S 6-1pt/ l?1C1, led IN RE: CHANGE OF NAME IN THE COURT OF COMMON PLEAS OF FOR JUDITH ANN BAKER CUMBERLAND COUNTY, PENNSYLVANIA NO. 12-1009 CIVIL ORDER OF COURT AND NOW, this 5th day of March, 2012, at the request of counsel for Petitioner to change the date of the hearing that is currently scheduled for June 21, 2012, due to his unavailability; IT IS HEREBY ORDERED AND DIRECTED that the hearing will now be held on Thursday, July 12, 2012, at 9:00 a.m. in Courtroom No. 2 of the Cumberland County Courthouse, Carlisle, Pennsylvania. IT IS FURTHER ORDERED AND DIRECTED that the remainder of the Order of Court dated February 29, 2012, shall be in full force and effect. By the Court, `pta?- Keith Brenneman, Esquire AA 5 Attorney for Petitioner 31$/0- bas M. L. Ebert, Jr., J. C1 rv t.f) >?_, C?"n CO } C...a ' LE0-0 F IC T21112 JUL 12 AM 9' 0G WU PE 6RLANDAN A Keith O. Brenneman, Esquire Snelbaker & Brenneman, P.C. 44 West Main Street Mechanicsburg, PA 17055 (717) 697-8528 Attorneys for Petitioner IN RE: CHANGE OF NAME FOR JUDITH ANN BAKER NO. 2012-1009 CIVIL ORDER AND NOW, this 0% IN THE COURT OF COMMON PLEA OF CUMBERLAND COUNTY, PENNSLV Nl day of July, 2012, after hearing on the Name Change, and on 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 e against the Petitioner, and it appearing that there is no legal objection to the granting of prayer of the Petition, it is hereby ORDERED that the name of the Petitioner, Judith Ar be and is hereby changed to Isabella Grace Kurtz. BY THE COURT: LAW OFFICES SNELBAKER & BRENNEMAN, P.C. 141741 Z/Z J. For Baker,