HomeMy WebLinkAbout02-26-14 rrn
Or
HERS q ra
COYNE & COYNE, P.C.
Lisa Marie Coyne, Esq. "` r-tj 26 I' '1 1: l
Pa. Supreme Ct. No. 53788
Bradley C. Baird, Esq.
Pa. Supreme Ct. No. 315233 Of„
3901 Market Street CUi,; CO.. PA
Camp Hill, PA 1 701 1-4227
(717) 737-0464 Attorneys for Petitioners
IN RE: PETITION OF IN THE COURT OF COMMON PLEAS OF
MAYUR J. THAKKER AND CUMBERLAND COUNTY, PENNSYLVANIA
MAITRI R. TRIVEDI, ORPHANS COURT DIVISION
HUSBAND AND WIFE
MARRIAGE LICENSE NO. 1128 OF 2013
PETITION TO ALLOW MARRIAGE RECORD TO BE AMENDED
To the Honorable,Judges of this Honorable Court:
AND NOW COMES, Petitioners, Mayur Thakker and Maitri Trivedi, husband and wife,
by and through their attorney Lisa Marie Coyne, Esquire, avers as follows in support of this
Petition to Allow Marriage Record to be Amended:
1. Petitioners, Mayur J. Thakker and Maitri R. Trivedi, husband and wife, reside at
116 November Drive Apt. #3 in Camp Hill, Cumberland County, Pennsylvania 17011.
2. On December 20, 2013, Petitioners filed an application for marriage in
Cumberland County, Pennsylvania. (See attached Marriage Record Exhibit "A").
3. On December 23, 2013, Petitioners were issued a Marriage License No 1128 (See
attached Cumberland County License Certification Exhibit"B").
4. On December 31, 2013, Petitioners were married by Magisterial District Justice
Mark Martin in Mechanicsburg, Cumberland County, Pennsylvania .
5. Upon receipt of-the Certification of Excerpts from Marriage License Record,
Petitioners noticed incorrect information regarding the Groom's parents' names, namely, in the
section of the Marriage Application entitled "Given and Sumame of [Groom's] Father", the
Groom mistakenly inputted his own name rather than his father's given and surname; i.e.,
"THAKKER, JASVANTKUMAR, SHANKARLAL" and in the section of the Marriage
Application section entitled "Maiden Name of [Groom's] Mother", Groom mistakenly inputted
"SHARDABEN"in the Groom's mother's maiden name rather than only"THAKKER'.
WHEREFORE, the Petitioners pray this Honorable Court to direct Clerk of the
Orphans' Court to correct and amend Marriage License Docket, Vol. 2013, Page 112 per
Marriage License No. 1128 to reflect the Groom's father as "THAKKER, JASVANTKUMAR,
SHANKARLAL" [Last, First, Middle Name] and the maiden name of the Groom's mother as
"THAKKER". Respectfully submitted:
COYNE&COYNE, P.C.
Dated: Ft-b ?, I L( By:
Li Marie Coyne,Esq re
a Supreme Ct.No. 53V88
Bradley C. Baird,Esq,
Pa. Supreme Ct.No. 315233
3901 Market Street
Camp Hill,PA 17011-4227
(717)737-0464
attorneys for Petitioners
Appl No. 2 013-01128 MARRIAGE RECORD
I.COUNTY ISSUING LICENSE 2a.WHERE MARRIED-CITY FORD,TOWNSHIP 2b.COUNTY 3,DATE OF MARRIAGE
CUMBERLAND ( (Mont,Day,Year)
45.NAME OF PERSON PERFORMING CEREMONY 4u INUE 4c.ADDRESS OF PERSON PERFORMING CEREMONY
(Street,Guy or Town,Stale,Zip Corte)
GROOM BRIDE
S Full Name THAKKER MAYUR JAyVANTKUMAR M.S.j 14.Full Name TRIVEDI MAITRI RANTEAHBHAI -
Maiden Surname _
6 Mailing Address 116 NOVEMBER DRIVE APT g3 15.Mailing Address 30 MIDLAND DRIV@ M13 ,1 `
CAMP HILL PA NORWICH
].Residence'. CUMBERLAND 16.Residence: CHENANGO
a.Slate IA 19011 b.County a.Slate NY 13815 b.County _
c.Location - c.Locallon -
(1)City of (1)city of NORWICH .. -
(2)Borough of CAMP HILL (2)Borough of '
(3)Township of (3)Township of
B.00CUpa9oftware enginner 1].OCCUpaIRIENTIST y
9.Dale of Rirlh Age 10 BirlM1place 10.Dale of Birth Age 19.Birthplace
12/01/1983 30 GANJISAR GUJARAT ISLI 4/24/1983 30 AHMEDAHAD GUJARAT
11a.Number 11 L plow and When Dissolved year Number 20b.How and When Dissolved
Mari gea0 M ...a... p .,
12.Cause(s)1(Dlven ed 21.Conse(s)If Divorced ,
13.Education(0-12) College H-4 or 5+) 22.Education(0-12) College(1-4 of 5+) ,
12 .6 12 1 12 ,
Date License Issued(MOnt�t Day,Year) Date Report Sent(Month,Day,Year) Si nature of Clerk /
utl ?, To vial slap S'
Given and Surname of FatheP r -F, Given and Surname of Father
THAKKER MAYUR JASVVANTKUMAR 1'f'3 TRIVEDI EARNED JASWANTLAL 1/ -
Given and Surname of Mother A . rn
' Given and Suame of Mother
THAKKER SHARDABE AR ,J N JASXVANTKUM TRIVEDI PRERANA RAMESH
station Name of Mother Maiden Name of Mother _
THAKKER SHARDABEN TRIVEDI '
Residence of Father Residence of Father
INDIA INDIA
Resitlence of Mother Residence of Mother
INDIA INDIA
Occupation of Father Occupation of Father (,
BROKER ATTORNEY
Occupation of Mother Occupation of Mother
HOUSEWIFE HOUSEWIFE
Birthplace OF ather Birthplace of Father
MANDLA GUTARAT NAVSARI INDIA '
Birthplace of Mother _Birthplace of Mother
BHADIYA GUJARAT _ BOMBAY INDIA
Is applicant afflicted with any transmissible disease? Is applicanl afflicted with any transmissible disease?
No No
Is applicant now under the influence of any intoxicating Is applicant now under the influence of any intoxicating'
liquor or narcotic drug? No liquor or narcotic drug? No
Relationship of parties making this application,it any,
NONE
We,the undersigned,In accordance with the statements hereinabove contained,the facts set forth wherein we and each of us do solemnly
swear are true and correct to the best of our knowledge,information,and belief,do hereby make application to the Clerk of,the Orphans'Court of
the adRv Coonty,for a license to Harrry.
J' iblgnatme of Applicant Bignalure of ApplicarA
Sworn and Subscribed to before me this 20th .day of December A.D. 2013 s
_ GLENDA FARNER STRIRBAUGH .
Filed December 20th 2013 CI rk P r hanslGC rt
/
License lssued�la1 �t -(I )I l„1(-'I )' r!f' - January
My Gomenssmn Expuas
0001126 if
No
1
CERTIFICATION OF EXCERPTS FROM MARRIAGE LICENSE RECORD
STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND
I, GLENDA FARNER STRASBAUGH CLERK OF ORPHANS' COURT in
and for said County, hereby do certify that the records in this office,
as contained in Marriage License Docket, Vo1 . 2013 Page 1128 , show that
Marriage License No. 1128 was issued on
December 23, 2013 to THAKKER MAYUR JASVANTKUMAR
(La3't-F v,M'ddw
and TRIVED/ MAITRI RAMESHBHAI that the Return to
(Last First,Middle)
said License shows that said persons were married on December 31 2013
at MECHANICSBURG PA by MARK W MARTIN
MAGISTERIAL DISTRICT JUDGE
T,HAKKERM,AYU,RJASVANTKUPWAR stated his date of birth
was December 1, 1983 his birthplace GANJ/SAR GUJARAT INDIA
and the names of his parents .THAKKER.MAYUR.JASVANTKUMAR .
THAKKER`SHARDABE%V`JASVANTKUMAR
and TRIVED( MAITRI RANIESHBHA/ stated her date of birth
was Apr(24, 1983 her birthplace AI-WEDABAD GUJARAT
and the names of her parents TRIVED/ RAMESH JASWANTLAL
TRIVED/ PRERANA RAMESH
IN TESTIMONY WHEREOF,
I have hereunto set. my hand and the
seal of said court this 3rd day
of January, A.D. 2014: .:
GLENDA FARNER TRASBAU
CLERK OF ORPHANS' COURT Q Vl
VERIFICATION
The facts set forth in the foregoing are true and correct to the best of the undersigned's
knowledge, information and belief and are verified subject to the penalties for unswom
falsification to authorities under 18 Pa.C.S.A. §4904.
Dated: U 2 2 J j)L}
Mayul7 Th4kker
CERTIFICATE OF SERVICE
I, Lisa Marie Coyne, Esquire, of Coyne & Coyne, P.C., hereby certify that true copy of the
foregoing Petition to Allow Marriage Record to be Amended was served this date upon the below-
referenced individuals at the below listed addresses by way of first class mail, postage pre-paid:
Clerk of Orphans' Court
Cumberland County Courthouse
One Courthouse Square
Carlisle,PA 17013
Dated: ;�6 rE73 Zu i`{
Lisa Marie Coyne
r