HomeMy WebLinkAbout13-6940 IN THE COURT OF COMMON PLEAS OF U rlwxICOUNTY, PENNSYLVANIA
CIVIL DIVISION -LAW
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PETITION FOR CHANGE OF NAME OF �c
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Petitioner Brenna Adel Mel aW requests that this Court order a change of t
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 J =loa'�i 22 1992 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
Cl 12013 - nrese4 22q wes•1=Mn Ao+ 3 Mechoi.nicsburo. PA 1^1055 9 (2 912013 201 Sou4i Bft Weed A 13, Carlisle, Pit Vio13
[conkinu an ntx pave`]
3. There are no judgments or decrees pending against the petitioner.
4. The Petitioner requests that his /her name be changed from Srenna Adel ellcstt to _
Brenno, /'tdel N1�Iler .
5. The reasons for the requested change of name are _'iho+ 17 Wo
WHEREFORE, the petitioner respectfully requests that this Court enter an Order
changing his /her name from grenm Adel Me11oft to 'Brenno, Adel Miller .
COMMONWEALTH OF PENNSYLVANIA ^ JM
NOTA� R�IA SEAM ��
THOMAS W FDGELSONGER Petitioner
Nagy Pu1Hia /.^
SHIPPENSBURG TWP., CUMBERLAND CNTY �tJ�TL_ .IU
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DATE ADDRESS
01�2ot2- o8J 2ot2 814b Molli N6P-r � �nwo+ Cokge D, ShipptmWr9,PA 1
2ao8 - -712012 1215 Salemvitle Road 9 New E4 vise PA MM
SP 4-198 (11-99)
PENNSYLVANIA STATE POLICE
CENTRAL REPOSITORY
ELMERTON AVENUE
s % r ' HARRISBURG, PA 17110
ag UEC _6 �� 3� 33 717-783-3762
CUtIbERLAND CgUtA" DATE: Monday, December 02, 2013
?E"%SYLVANIA
PROTHONOTARY RE: SID:
CUMBERLAND CO COURTHOUSE NAME: MELLOTT BRENNA AEL
1 COURT HOUSE SQUARE SOC:
CARLISLE, PA 17013 COURT DOCKET #1: 13-6940
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 RE: PETITION FOR : IN THE COURT OF COMMON PLEAS OF
CHANGE OF NAME : CUMBERLAND COUNTY, PENNSYLVANIA
BRENNA ADEL MELLOTT : 13-6940 CIVIL
IN RE: PETITION FOR CHANGE OF NAME
ORDER OF COURT
AND NOW, this 16th day of December, 2013, upon consideration of the Petition for
Change of Name,
IT IS HEREBY ORDERED AND DIRECTED that a hearing will be held on Thursday,
March 13, 2014, at 9:00 a.m. in Courtroom No. 2 of the Cumberland County Courthouse,
Carlisle, Pennsylvania.
IT IS FURTHER ORDERED that the Petitioner is directed to file notice 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, Petitioner shall comply with all other requirements of the C.C.R. P. 5, and
54 Pa. C.S. §701, 702. (See attached.)
By the Court,
Al
M. L. Ebert, Jr., J.
Zirenna Mellott
Petitioner
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IN RE: PETITION FOR
CHANGE OF NAME
BRENNA ADEL MELLOTT
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: 13 -6940 CIVIL
IN RE: PETITION FOR CHANGE OF NAME
ORDER OF COURT
AND NOW, this 13th day of March, 2014, after hearing on the Petition and on
presentation of proof of publication of notice as required by law, and it appearing that there is
no legal or other objection to the granting of the prayer of the petition,
IT IS ORDERED AND DECREED that the name of Brenna Adel Mellott is hereby
changed to Brenna Adel Miller.
Petitioner
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By the Court,
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