HomeMy WebLinkAbout13-5235 IN THE COURT OF COMMON PLEAS OF COUNTY, PENNSYLVANIA
CIVIL DIVISION -LAW c a :
M rn
IN THE MATTER OF -0 -0r n
PETITION FOR CHANGE OF NAME OF
mG�s �0`aC `r�1'Jo� NO:
PETITION FOR CHANGE OF NAME
Petitioner �ru� {� , 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 �,n��rn lx �- J �, , 19L 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
u - P r r ' 61 l -7d
Wa4o - aoi al ;rk woo r, r' u P l 5a f
} /Aob `d 9 /ao /b 31 E I S l�� f sa i ink S rl' PA
3. There are no judgments or decrees pending against the petitioner.
//rr 4 .. The Petitioner requests that his /her name be changed from �r�C � � to _
brq & M ary ry r&/1 .
5. The reasons for the requested change of name are �L l'4 n4Vh4'
wn b far f?? �ja , S ha / w a y-4, "I
- s,����o� n� i, �� Cain ,, l c a A )n�u.4" an/_ �- ( f
WHEREFORE, the petitioner respectfully requests that this Court enter an Order
changing his /her name from 1 rla rV (, L e4
Petitio er
ea
No. 2013- 0000591
,
hereby certify
that on the day of
at A.D.
THOMAS DAVID HENSON
MARY GRACE ANDERS
and
WERE BY 1VYE
1 3,,1!► �
l! A
with the license issued by Glenda Farner Strasbaugh, Clerk of Orphans' Court of Cumberland County, Penns Ivania
Y
Title
SP 4-198 (11-99)
PENNSYLVANIA STATE POLICE
[ i ,q-ENT,RAL REPOSITORY
1, IL GO aiE �1�� �ZIGTOPAA17110
70113 SEP 16 pM � `(.683-3762
CUMBERLAND COUNTY DATE: Wednesday, September 11, 2013
PENNSYLVANIA
PROTHONOTARY RE: SID:
CUMBERLAND CO COURTHOUSE NAME: HENSON MARY GRAC
1 COURT HOUSE SQUARE SOC:
CARLISLE, PA 17013 COURT DOCKET #: 13-5235
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-Ifiles 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.
O 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
3
IN THE COURT OF COMMON PLEAS OF n COUNTY, PENNSYLVANIA
CIVIL DIVISION -LAW
IN THE MATTER OF
PETITION FOR CHANGE OF NAME OF
any 6ia«�{�ri5av� : NO: 3 59,3,5"' C ^-r
--T
ORDER
AND NOW, this day of 0 L-!Gpon the motion of the petitioner, it is
hearing on the Petition for Change of Name is fixed for o�
ORDERED that a g •? T
20!—At � Am., in Room i of County Courthouse,
Pennsylvania.
The petitioner is directed to give notice of the filing of the petition and of the date of the
hearing by publication in two newspapers of general circulation in this County, one of which
may be the official paper for the publication of legal notices in this county.
By t ourt:
r ~ Presiding Judge
;
_0:X w
C5
CD =:-,
~r
91 //13
�n�
SP 4-198 (11-99)
PENNSYLVANIA STATE POLICE
;_i+ .�WTRAL REPOSITORY
M,IyRTON AVENUE
01- PRCT �� 9G, PA 17110
83-3762
20113 SEP 16 P 3
CUMBERLAND COUNTY DATE: Wednesday, September 11, .2013
PENNSYLVANIA
PROTHONOTARY RE: SID:
CUMBERLAND CO COURTHOUSE NAME: HENSON MARY GRAC
1 COURT HOUSE SQUARE SOC:
CARLISLE, PA 17013 COURT DOCKET #: 13-5235
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-11 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, g0
Director,Criminal Records
and Identification Division
IN THE MATTER OF IN THE COURT OF COMMON PLEAS OF
PETITION FOR CHANGE OF NAME : CUMBERLAND COUNTY, PENNSYLVANIA
OF MARY GRACE HENSON
. NO. 13-5235 CIVIL TERM
ORDER OF COURT
AND NOW, this 24th day of October, 2013 , after
hearing, we are satisfied that the change of name petition
should be granted. The Petitioner, Mary Grace Henson, shall
hereafter be known as Grace Mary Henson.
By the Court,
�w
Edward E. Guido, J.
,,-<ary Grace Henson
k/n/a Grace Mary Henson
81-B Partridge Circle
Carlisle, PA 17013
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