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HomeMy WebLinkAbout05-0862 IN THE MATTER OF PETITION FOR CHANGE OF NAME OF VI HAl QIAN . IN THE COURT OF COMMON PLEAS . OF CUMBERLAND COUNTY, . PENNSYLVANIA . NO. d2.s- ~ g~ -2- ~~ PETITION FOR CHANGE OF NAME TO THE HONORABLE, THE PRESIDING JUDGE OF SAID COURT. The petition of Mary and William Kelly on behalf of their adopted daughter, Yi Hai Qian, filed pursuant to 54 Pa. Cons. Stat. Section 701 et seq., respectfully sets forth that 1. Your Petitioners' Mary and William Kelly (hereinafter referred to as "Petitioners") daughter, Yi Hai Qian, is a 4 year old, and was born April 18, 2000 in Hunan Province, China. 2. Yi Hai Qian is a current resident of Camp Hill, Cumberland County, Pennsylvania, and has been since April 27, 2001. Since April 27, 2001, Yi Hai Qian has resided at 4 East Gate Drive, Camp Hill, P A 17011 3. Yi Hai Qian's birth parents are unknown. 4. Yi Hai Qian was adopted in Hunan Province, China on April 16, 2001. See attached photocopy of Birth Certificate and Adoption Certificate provided by the Provincial Government of Hunan China. 5. The Petitioners desire to have their daughter take her adopted family name. 6. Petitioners desire to have their daughter known as Faith Hai Mary Kelly. 7. There are no judgments or decrees of like character against Yi Hai Qian. WHEREFORE, your Petitioners respectfully request this Honorable Court to enter a decree changing their daughter's name from Yi Hai Qian to Faith Hai Mary Kelly. ~ 1-N~~A;,4I~ Mary Mo . Kelly ,--' /" ~_..-~~...._,. . VERIFICATION I certify that the statements made in this Petition are true and accurate. I understand that false statements made herein are subject to the penalties of 18 Pa.C.S. Section 4904, relating to un-sworn falsification to authorities. ~~A~ Mary Morris 4 On behalf of Yi Hai Qian .-.". / /-: /~ - ') William ~~ny 7/(6 /O~// ~f'\ ~""l t t't \ '" ~ ~~ ""'b ~ ~ .~ v-\ v , , t; ,2 '\", . ~, \. ) ,/'; ....,"\ 'i"',' (..,) .- , t. ( .J ':.-~ - --- ...- ....-.... (7 fEB 1 '1 2DD~ IN THE MATTER OF PETITION FOR CHANGE OF NAME OF Yl HAl QIAN : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, : PENNSYLVANIA NO (/:) - ?~ 2.. C:v.'( - (-' .....- ^""" ORDER FIXING DATE FOR HEARING ON PETITION FOR CHANGE OF NAME 13"l C~/ AND NOW, this q day of r ~ , 2005, upon consideration of the within Petition for Change of Name, the Court fixes ~ ;;l'1 - , 2005, at 1.~ o'clock ~ M. in Courtroom No. ) Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania, as the time and place for hearing on said Petition. FURTHER ORDERED, that the Petition shall give notice of the filing of said Petition and of the date of hearing, according to the form of notice attached hereto, by publication at least 10 days prior to the hearing in two newspapers of general circulation: The Carlisle Sentinel and The Patriot News. By the Court ,()'? ,r? () ')' ~ ~W?J ~S:lWd ~?'93dSOOZ. IN THE MATTER OF PETITION FOR CHANGE OF NAME OF YI HAI QIAN IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 05-862 CIVIL TERM IN RE: HEARING CONTINUED ORDER OF COURT AND NOW, this 29th day of April, 2005, it appearing that there was a misunderstanding with regard to the need for publication prior to hearing, this matter is continued to Thursday, June 9, 2005, at 8:30 a.m. The Petitioner shall give notice of the filing of said petition and the hearing date as required by law. t, srs ~ary and William Kelly 4 East Gate Drive Camp Hill, PA 17011 Petitioners, Pro se 00 .', ~lJ Z- ! HlJ oniP . i' 'J.. ':1Uuv :lU IN THE MATTER OF PETITION FOR CHANGE OF NAME OF YI HAl QIAN IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 05-862 CIVIL TERM IN RE: CHANGE OF NAME ORDER OF COURT AND NOW, this 9th day of June, 2005, after aring, it is hereby ordered and directed that Yi Hai Qian shall he after be known as Faith Hai Mary Kelly. Mary and William Kelly 4'East Gate Drive Camp Hill, PA 17011 Petitioners I Pro Se :mlc Copy. ~[v v~ rr<'O!\c.l1y Q c_ < ~ ~ c.I' c.- ,..,.- ......- :;;;.. ~ ~ :r:-n n"le -ohJ :.oC? ob --_!, ......- :r:: --ti QCJ ,C:_f\\ 9 "':'::')_r ~j., :.<:. , '-" ';P" ~ --- '-P. o \..P ---