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12-6184
cry ~ ~SY~ IN THE MATTER OF THE CHANGE OF NAME OF N]IMIT NARENDRA SHAH FOR CHANGE OF NAME TO NICK RA~AI. IN THE COURT OF COMMON PLEAS COMMONWEALTH OF PENNSYLVANIA ~~ ~ ~ `~' --~ FOR cy~HRr~tD ~ 3 z f~*- + c°> --~ x` COUNTY ~~„ ~ ~' w FAMILY DIVISION ~- ~ _ ~ ~' Action/Cause No ~~ ~~ ~ ~' t , { . - c~ ~j ~ cn ~ :w ~~~ VERIFIED PETITION TO CHANGE NAME COMES NOW, NAMIT NARENDRA SHAH , by this Petition and being duly sworn, respectfully represents and shows unto the Court: 1. That the Petitioner is of full legal age and is a bona fide resident of the County of ,Commonwealth of Pennsylvania, whose residence address is lioi LINDHAM CT #807, 1~CxAxIC3BtJFtG, PA .Petitioner has been a bona fide resident of County, Commonwealth of Pennsylvania for 1 year(s) immediately prior to filing for this petition. Petitioner was born on the ~ 9 day of ~ 1985 , in the County of wAn~ ,State of MI .Petitioner has lived in the following places for the past five years preceding the filing of said petition: Dates (from/to) Address ^ Check here if you are continuing these facts on an attached page. 2. Petitioner's present name is: NAMIT NAREI~IDRA sHAH .This is the current name of Petitioner on his/her Social Security Card and all other records. .103. sa ~c~ ~5~ ~~ ~t1~s~8 3. The Petitioner is m not married ^ is married to 4. That the Petitioner is the ^ Father ^ Mother of the following minor children: ^ None Name Date of Birth Age 5. Petitioner ^ owns no real estate or ^ owns real estate in County, . A legal description of each piece of property owned by the Petitioner is attached to this Petition. 6. This Petition does not request that the court order a change in the surname of the minor children to the same surname ordered for the Petitioner. 7. Petitioner: Has never been convicted of a felony. ^ Was convicted of a felony on (date) of the charge of by the Court in County, State of and ^ at least two calendar years have elapsed from the date of completion of a person's sentence and the Petitioner is not subject to the probation or parole jurisdiction of any court, county probation agency or the Pennsylvania Board of Probation and Parole; or ^ the Petitioner was pardoned on (date). 8. That the Petitioner prays for the change of name for the following reasons (describe in detail): PETITIONERS PARENTS GOT A DIVORCE AND PETITIONERS MOTHER 1PANTED TO NAME HIM NICK. PETITIONER LI1CE3 PROPOSED NAME. 9. That the proposed change in the Petitioner's name, if granted, will not be detrimental to the interests of any other person and is not against public interest. 10. This Petition is not filed to defraud creditors. Wherefore, the Petitioner prays that by an Order of this Court, made and entered herein, the Petitioner's name be changed to and decreed to be: NICK RAW)1L Respectfully Submitted, Signature Address: llol Lnanxu~ cT ~ao7 City, State Zip: 1~CHANIGSHUR6, PA 17055 Phone: (317735 5416 VERI~'~CATI©N COMMONWEALTH OF PENNSYLVANIA TO WIT; I HEREBY CERTIFY, that on this ~~day of k~C,+ 20 ~ , before me, the subscriber, a Notary Public of~the Commonwealth of Pennsylvania, in and for C'~ aforesaid, personally appeazed (~Rt1~,=4-1'~{~~enrd~.. S~.~ct ,and made oath in due form of law that the matters and facts set forth in the foregoing Petition are true to the best of his/her knowledge, information, and belief. AS WITNESS my hand and Notarial Seal. ~'l No Public My Commission Expires: ~~~~ o i 3 ooMMONw ~nv~wsn Ni Sard KaA hlyaka, Notary Publk ~~ ., Member, PaMaaVMnla ^ Notarla r ,~ ~~ 7~4i i :. SP 4-198 (11-99) PENNSYLVANIA STATE POLICE CENTRAL REPOSITORY ttTt`=.'r; s 1800 ELMERTON AVENUE HARRISBURG, PA 17110 717-783-3762 NO DATE. Tuesday, October 16, 2012 3 t1 PROTHONOTARY RE: SID: CUMBERLAND CO COURTHOUSE NAME: SHAH NAMIT NARE 1 COURT HOUSE SQUARE SOC: 378-15-6596 CARLISLE, PA 17013 COURT DOCKET #: 12-6184CT 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. Sincerely, Director, Criminal Records and Identification Division IN THE MATTER OF PETITION FOR CHANGE OF NAME OF NAMIT NARENDRA SHAH IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA 12-6184 CIVIL TERM ORDER OF COURT AND NOW, this _~~~, '- ~ day of October, 2012, a hearing on the petition for a name change shall commence at 8:45 a.m., Monday, December 10, 2012, in Courtroom Number 1, Cumberland County Courthouse, Carlisle, Pennsylvania. The petitioner shall publish notice of this hearing in two newspapers of general circulation, one of which may be the official paper for the publication of legal notices in this county. Petitioner shall also request an official search of the office of the Prothonotary of Cumberland County to determine if there are any judgments, decrees of record or other similar matters against the petitioner. Petitioner shall present the results of these searches to the court. By the Court, -- ~.- ~~' ~~ ~~ Albert H. Maslan , J. r; C~ ~ 'r; / Namit Narendra Shah, Pro se -~3 N ~,,~ 1101 Lindham CT #807 Zrn ~~~, Mechanicsburg, PA 17055 ~r N Qo v a+ :sal a~ ~ a <° si orti zo - ~ ~{, G '• ~ D ~ Q -''-~ ~ ~ ~~.