HomeMy WebLinkAbout02-2944 NMIN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
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Plaintiff
VS.
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Defendant
FILE NO. - ?, 20
IN DIVORCE r
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NOTICE TO RESUME PRIOR SURNAME
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Notice is hereby given that the Plaintiff/Defendant in the above matter, having
been granted a Final Decree in Divorce on the day of
hereby elects to resume the prior surname of yt
114 and gives this written notice pursuant to the provisions of 54 P.S. 704.
DATE: '' 3 - o20J'-),
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Signature %-A! Pu.?_1
Signature of name being resumed
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
3 Y`
On the day of 20 / before me, a
Notary Public, personally appeared the above of ant own to me to be the person whose name
is subscribed to the within document and acknowledged that he/she executed the foregoing for the
purpose therein contained.
In Witness Whereof, I have hereunto set my hand and official seal.
Notary Public
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