HomeMy WebLinkAbout13-3466 IN THE COURT OF COMMON PLEAS OF C�Mbf-dtW.COUNTY, PENNSYLVANIA
CIVIL DIVISION -LAW
IN THE MATTER OF c
PETITION FOR CHANGE OF NAME OF `"' f�
NO: 1.3,344 elLlz-
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�J PETITION FOR CHANGE G OF NAME
Petitioner , requests that this Court order a change of the - ~
petitioner's name, pursuant to 54 Pa. Cons. Stat. Section 701, et sea., and in support thereof
makes the following the averments:
1. The petitioner was born on Jle�(�A , 19AZ and is over the age of
twenty-one years.
2. During the five years preceding the filing of this petition, the petitioner has resided
in the following places:
DATE ADDRESSES
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3. There are no judgments or decrees pending against the petitioner.
4. The Petitioner requests that his/her name be changed from to_
Tie'41 P10 h e,
5. The reasons for the requested change of name are
WHEREFORE, the petitioner respectfully requests that this Court enter an Order
changing his/her name from p� �/ �� � to e-n 4
Petitioner
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1. I am the (plaintiff) (defendant) in the above matter and because of my financial condition am
unable to pay the fees and costs of prosecuting or defending the action or proceeding.
2. I am unable to obtain funds from anyone, including my family and associates, to pay the costs of
litigation.
3. I represent that the information below relating to my ability to pay the fees and costs is true and
correct:
(a) Name: Peter Jerome McFadden
Address: 252 Walnut Bottom Road, PO Bx 1007
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Carlisle,'PA, 17013 -'U= _ w
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(b) Employment <CD -a
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If you are presently employed, state :z�,, E C .
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Employer: Keystone Lodging Enterprises
Address: 5 East Garland Drive
Carlisle, PA, 17013
Salary or wages per month: $1,105.32
Type of work: Front Desk Clerk
If you are presently unemployed, state
Date of last employment: N/A
Salary or wages per month: N/A
Type of work: N/A
(c) Other income within the past twelve months
Business or profession:
Dickinson College Bookstore
28 N College Street, Carlisle, PA, 17013
Student Cashier
approx. $99 per month
Last paid: 5/1/2013
Other self-employment: N/A
Interest: $0.02
Dividends: N/A
Pension and annuities: N/A
Social security benefits: N/A
Support payments: N/A
Disability payments: N/A
Unemployment compensation and
supplemental benefits: N/A
Workers' compensation: N/A
Public assistance: N/A
Other: �//
(d) Other contributions to household support
(Wife) (Husband) Name: N/A
If your (wife) (husband) is employed, state
Employer: N/A
Salary or wages per month: N/A
Type of work: N/A
Contributions from children: N/A
Contributions from parents: N/A
Other contributions: N/A
(e) Property owned Cash: $8.39
Checking account: $259.01
Savings account: $505.50
Certificates of deposit: N/A
Real estate (including home): N/A
Motor vehicle: Make N/A
Year N/A
Cost N/A
Amount Owed $ N/A
Stocks and bonds: N/A
Other: 1014-
(f) Debts and Obligations
Mortgage: N/A
Rent: $300 monthly
Loans: $11,244 total
Other: N/A
(g) Persons dependent upon you for support
(Wife) (Husband) Name: N/A
Children, if any:
Name: N/A
Age: N/A
Other Persons:Name: 111A
Relationships: AM
4. I understand that I have a continuing obligation to inform the court of improvement in my financial
circumstances which would permit me to pay the costs incurred herein.
5. I verify that the statements made in this affidavit are true and correct. I understand that false
statements herein are made subject to the penalties of 18 Pa.C.S. § 4904, relating to unsworn
falsification to authorities.
Date:
Petitioner
- � � 16
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION -LAW
IN THE MATTER OF
PETITION FOR CHANGE OF NAME OF
PETER JEROME MCFADDEN NO:
PETITION FOR WAIVER OF PUBLICATION REQUIREMENT
Petitioner Peter Jerome McFadden requests that this Court waive the publication of
change ,of name requirement, pursuant to 54 Pa. Cons. Stat. Section 701, et sec , as said
publication would inadvertently expose the petitioner to undue distress or physical danger, due
to the petitioner's apparent transgendered identity and the social stigma thereof.
Petitioner
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SP 4-198 (11-99)
'PENNSYLVANIA STATE POLICE
;4 CENTRAL REPOSITORY
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1800 ELMERTON AVENUE
HARRISBURG, PA 17110
C)-. 717-783-3762
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C 1,11D cqp,1�Y� DATE: Wednesday, June 26, 2013
JUMBERLA
pEtIJAS�JjNIRIA,
PROTHONOTARY RE: SID:
CUMBERLAND CO COURTHOUSE NAME: MCFADDEN PETER JERO
I COURT HOUSE SQUARE SOC: 154-86-5033
CARLISLE, PA 17013 COURT DOCKET #: 13-3466—CV
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 itbone address or
telephone number.
Sincerely,
Director.,Criminal Records
and Identification Division
IN THE MATTER OF : IN THE COURT OF COMMON PLEAS OF
PETITION FOR CHANGE : CUMBERLAND COUNTY, PENNSYLVANIA
OF NAME OF PETER : CIVIL ACTION—LAW
JEROME McFADDEN : NO. 13-3466 CIVIL TERM
IN RE: PETITION FOR CHANGE OF NAME
ORDER OF COURT
AND NOW, this 3rd day of July, 2013, upon consideration of the attached
Petition for Change of Name, a hearing is scheduled for Friday, September 6, 2013, at
3:00 p.m., in Courtroom No. 5, 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. Proof of these
publications must be provided at the above-scheduled hearing.
BY THE COURT,
Christ ee L. Peck, J.
Pr Jerome McFadden n�
P.O. Box 1007 -Dm -
Carlisle, PA 17013 am -=
Petitioner, pro Se e
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IN THE MATTER OF IN THE COURT OF COMMON PLEAS OF
PETITION FOR CHANGE CUMBERLAND COUNTY, PENNSYLVANIA
OF NAME OF PETER CIVIL ACTION-LAW
JEROME McFADDEN NO. 13-3466 CIVIL TERM
IN RE: PETITION FOR CHANGE OF NAME
ORDER OF COURT
AND NOW, this 6th day of September, 2013 , this being the
time and place set for a Petition for Change of Name, and
Petitioner having presented evidence of proof of publication in the
Sentinel and in the Cumberland Law Journal, and having further
admitted proof that there are no judgments against Peter Jerome
McFadden, the Petitioner, and the Court being satisfied that all
the requirements have been met in order to change the name, it is
hereby ordered that Peter Jerome McFadden shall hereafter be known
as Jen Done, and shall thereafter be known as Jen Done with all of
the rights and legal obligations attendant thereto.
By the Court,
Christy 'ee L. Peck, J.
✓ Jen Done
P.O. Box 1007
Carlisle, PA 17013
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IN THE MATTER OF IN THE COURT OF COMMON PLEAS OF
PETITION FOR CHANGE CUMBERLAND COUNTY, PENNSYLVANIA
OF NAME OF PETER CIVIL ACTION-LAW
JEROME McFADDEN NO. 13-3466 CIVIL TERM
IN RE: PETITION FOR CHANGE OF NAME
ORDER OF COURT
AND NOW, this 6th day of September, 2013 , upon
consideration of a Petition for Waiver of Publication Requirement,
and the Petitioner having appeared for the hearing on a Petition
for Name Change, and having instead presented evidence of the
publication, the Petition for Waiver of Publication is hereby
deemed moot.
By the Court,
Christy ee L. Peck, J.
Zen Done
P .O. Box 1007
Carlisle, PA 17013
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