HomeMy WebLinkAbout91-3963IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
Plaintiff /a
Vs File No. l j ?l
?, - IN :DIVORCE
Defendant y'
na
NOTICE TO RESUME PRIOR SURNAME ?'
Notice is hereby given that the Plaintiff / defendant in the above matter, -"?
[select one by marking "x"]
prior to the entry of a Final Decree in Divorce,
or X_ after the entry of a Final Decree in Divorce dated
hereby elects to resume the prior surname of G? and gives this
written notice av ing his / her intention pursuant o the pro sions of 54 P.S. 704.
Date: G?Az xezl??:d
Signature
Signature of name being resumed
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF i rn "
4DI3
On the J64 day of_ \jar> t).--y? , 249- , before me, the Prothonotary or the
notary public, personally appeared the above affiant known 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, -1 have hereunto set my hand hereunto set my hand and official
seal.
Prothonotary or Not y Public
Prothonotary, Cumberland County, Ndwq, PA
MY Comnussion Expires the First Mondry o1 Jan. 2014
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