Loading...
HomeMy WebLinkAbout14-1552Name: Q-1"RI (Name(s) of Parent(s) of Minor Child Who Wants to Change Child's Name) Address:3..30 P. Wesr ST (Address of Person Who Wants to Change His /Her Name) City: ear I s fie. , PA Zip: 7 0 1--S Phone: '? i - 4-1 LfO - 03 /) Email: met r9erp ZGO.? O yahoo. eon-) IN RE: NAME CHANGE OF ?a+gi cia Me-f.zger (NAME OF PARENT(S) tca V'C Morgan) (NAME OF MINOR CHILD) l ;LED -,rl i W7 PRO f ti O 2014 t1AR 18 FMS ,,. 38 CUMBERLAND } /FP : IN THE COURT OF COMMON PLEAS : DPIJPSIN COUNTY, PENNSYLVANIA : C urnberlapol Na /et -- /SSL PETITION FOR CHANGE OF NAME TO THE HONORABLE JUDGES OF SAID COURT: The Petition of 'Pa± (- ( Ca i%1 e f eq �P,Y (Name of Parent(s) of Minor Child) represents: 1. Minor Child is k l a ra ()fl o rgQ,3 (Name of Person Who Wants to Change His /Her Name) , who resides at 304' 1U Wes-r- S'r Or, r i, :t /e /ca / 7o L3 (Complete Address of Person Who Wants to Change His /Her Name) 2. Minor Child's date of birth is: -1 ( Min6r Child's Date of Birth) 3. Minor Child has resided at the following addresses for the five (5) years previous to the filing of this Petition: ail DVS — From Sept- .20 13 -!2c, ao t.3 (Complete Addresses of all Places Person Who Wants to Change His /Her Name has Resided for the Past Five (5) Years) fnO7t L $ From g . a013 - S.eA) 20-13 2,0 E. Pprr're4- sr 007 2Z, aGia R_c.cg. ,90 la 50 /IAA(' e5' - ave. cal 00- Zoia 353 Lewisberrc1 /?d, i1C'.eW Own ber>k l,, / h OCT' oa.CG1'( yak PP ( Fri o(s ho- -r ) 4eb. ao /o Cam' ao // Revised 10 -10 ®i _..'"..___. • • 4. Minor Child desires and intends to change his /her name to: ICi a r-Rt leg P /ow;a/s (What is the Name that the Person/Wants the Court to Change His /Her Name To) 5. Please state the names and addresses of the minor child's mother and father: I 0 +2'6 CI a !. m e 3c /U . cries--y (List the Name and Address of the Child's Mother and ather) c - Pa 1 70 L3 F-A-r ).t E ' LA) k Ao 6. Petitioner or Minor Child provides the following reasons for this request: 6-11 -/% h, ,/tivrcz ''sn Z' cva s /.0 sa- (State In Detail Why You Want to Chang our Name) re. / a. oaysh ;p G0; (170/-474). 11/e_ C,tJIW2'ed Jr'cra -Lo ha ue, k is Las+ nxam S'iNCk.- She as Co rn oti -r o h he has kx C_oio-CCt c w i +h h€1-- k)or rlfps he provic)e 5upPor±.. /-ie is ivo7 her b, o log cm0 ,+her. Seca. vs-e- 4h;‹ ` Z (i) av /d i'' I her Lccs+ Name Ch Cu." Of -Eo friCtie1FAi /Jo a) G','towio�lc 7. The proposed change in Minor Child's name, if granted, will not be detrimental to the interests of any other person and is not against public interest. 8. The Petition is not filed to defraud creditors. 9. WHEREFORE, Petitioner on Behalf of Minor Child requests the Court, pursuant to the Act of December 16, 1982, P.L. 1309, No. 295 § 2, 54 Pa.C.S. § 701, for the following: a. to fix a hearing on this Petition; b. to direct that notice be given on this Petition and hearing; and Revised 10 -10 © Dauphin County Court of Common Pleas c. to enter a decree changing the Minor Child's name from kiorci 9d€ de.44 mor9 GO to kiara R(!e I toIal< (Complete Present Name) (Complete Proposed New Name) SIGNATURE OF PETITIONER 0-7/2/C/0. f4- 7/71 P9 ,e/e__ Print Name of Petitioner Revised 10 -10 © Dauphin County Court of Common Pleas VERIFICATION I /we, Ta�'J2(e,(J / • C''t'To) Pi^ (Name of Parent(s) of Minor Child) , verify that the facts set forth in the PETITION FOR CHANGE OF NAME are true and correct to the best of my /our knowledge, information and belief. I /we understand that the statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. L3— 13 Zo f z Date of Common Pleas Signature of Petitioner `'¢cs f1 /P/er" Print Name of Petitioner Name: 70421 e Me4 Z9c° {C Address: 30z-r ccks -. ST- City: CA SL , PA Zip: )'jO j3 Telephone: 11 1 -- 4 40 - 0 3( 1 Email: Mel ZgerpZCO3e (iQ1100.Cpm v. Plaintiff Defendant uE 3 L i it W .t 1 1 v i a �..' r1•., i\ �. 1I)11i MAR 10 PM 3: 38 CUMBERLAND COUNTY PENNSYLVANIA : IN THE COURT OF COMMON PLEAS COUNTY, PENNSYLVANIA rim bap moo/ : NO. CV : CIVIL ACTION - LAW /Li PETITION FOR LEAVE TO PROCEED IN FORMA PAUPERIS TO THE HONORABLE JUDGES OF SAID COURT: Pursuant to Pa.R.C.P. No. 240, I hereby certify that I am without financial resources to pay the costs associated with my case, and therefore believe that I am entitled to proceed in forma pauperis. In support of my petition, I have attached to it a certification of indigency and incorporate it herein by reference, a certification which fully and truthfully describes my overall financial condition at the present time. WHEREFORE, the undersigned asks leave of court to proceed in forma pauperis, without the need to pay any costs in connection with the instant action. Respectfully submitted, -�- /O -,-, Date Signature of Petitioner Re ised 10 -13 N�-in county C Name: PC -+1' C_A m e- {\- Address:30g IU . (.1,e ST ST City: earl i S le , PA Zip: ( '70 /3 Telephone: '7 (7 - qqd - 03 ( / Email: mettgerp 0003 0 ti c hoo, Cdr. rPechilG G IrnC�.+79eif : IN THE COURT OF COMMON PLEAS Plaintiff COUNTY, PENNSYLVANIA :Q.urnber lew v. : NO. CV Defendant : CIVIL ACTION - LAW CERTIFICATE OF INDIGENCY DO NOT LEAVE ANY BLANK LINES OR USE `N /A.' YOU MUST ANSWER EVERY QUESTION AND COMPLETE EVERY LINE. IF THERE IS NO AMOUNT TO BE ENTERED, YOU SHOULD WRITE `NONE'. 1. I am the (Plaintiff /Defendant) in the above matter and because of my financial condition, I 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: Revised 10 -13 ft5fmumMeas (a) Name iA L(CA Q ► Y , e Address: Oar 1 s ,, , /,Q /7a/--? (b) Employment: If you are presently employed, state Employer: //0/(.1F Address: VOAlcs Salary or wages PER MONTH (DO NOT ENTER AN HOURLY RATE) Type of work: )(I O )V-L If you are presently unemployed, state Date of your last employment: 6 - S - 1a Salary or wages per month: aip. 1 . G 0 Type of work: tAXxreklOVSe._. (c) Other income within the past twelve (12) months Business or profession per month: IV OAS Other self - employment per month: kJO / G Interest per month: MO NE., Dividends per month: 1V0 /U£ Pensions and annuities per month: NONE- Social Security benefits per month: 1■O ICE Support payments per month: 1\10 ni -E2 Disability payments per month: NiO M £ Unemployment Compensation and supplemental benefits per week: NO/Vg Revised 10 -13 Pleas Workers' Compensation per month: NW/0 € Public Assistance per month: 3©c• 00 Other per month: Cocci STN) qq 7. 0 0 (d) Other contributions to household support Wife /Husband Name: NO UE If your wife /husband is employed, state: Employer: 100 ti E Salary or wages per month: 1J Type of work: tJO1 V Contributions from children: N 0 1VC. Contributions from parents: 00 E Other contributions: 10010 010 E (e) Property owned Cash: N O Checking account: N0 N-E Savings account: 5. 4 Q Certificates of deposit: j) pro E Real estate (including home): fUO1JE Motor vehicle: Make: /U /SSA Year: /9qq Cost: 1 $ ) Amount Owed: Stocks and bonds: NONE Other: kJO \JE (f) Debts and obligations - average per month Mortgage: 1\j0 E (g) Rent: I\JCAUE Loans: Other: VatirieS g TUSUroot)Ce.- .c72-S-0, a Persons dependent upon you for financial support Wife/Husband Name: 1U0A.) E Children, if any: Name: k iGkrO¼ Age: q),(.1 tU 1 0 Lc); et 1C 00)0E 1\-) 0 A-)E. )0 0 lUE Other persons dependent upon you for financial support (such as parents, grandparents, etc.): Name: JO (U Relationship: fsJ 0/1)—E 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. Revised 10-13 n-Pleas YOU SHOULD NOW REVIEW EVERY LINE TO MAKE SURE THERE ARE NO BLANK LINES AND YOU DID NOT ANSWER ANY QUESTION WITH N /A. ALSO MAKE SURE THAT YOU ENTERED YOUR INCOME AS A MONTHLY AMOUNT AND NOT AS A WEEKLY OR HOURLY AMOUNT. FAILURE TO COMPLETE THIS FORM CORRECTLY WILL SIGNIFICANTLY DELAY THE PROCEEDINGS. 5. I verify that the statements made in this affidavit are true and correct. understand that false statements herein are being made subject to the penalties of 18 Pa.C.S. § 4904, relating to unsworn falsification to authorities. 3 - /v- /9 Date Signature of Petitioner Revised 10 -13 Pafi CJG V ► ie l Zg('%2 : IN THE COURT OF COMMON PLEAS Plaintiff : N COUNTY, PENNSYLVANIA uvw6e moo( v. : NO. CV : CIVIL ACTION - LAW Clit'w �- Defendant _ is-s 2_ 2- .--1 / - , ORDER GRANTING LEAVE TO PROCEED IN FORMA PAUPERIS AND NOW, this a day of MaeP , 20 /f �, � 7upon presentation and consideration of the within petition and attached certification, we grant the relief prayed for, and grant Petitioner leave to proceed with this case in forma 7<'44ii fee, pauperis, without the need to pay am connected therewith, all of which is pursuant to Pa.R.C.P. No. 240. /4t'74-' BY THE COURT: J GE fit/4.1s.r.L 3/z 5 /iy Revised 10 -13 IN THE MATTER OF PETITION FOR : IN THE COURT OF COMMON PLEAS OF CHANGE OF NAME OF : CUMBERLAND COUNTY, PENNSYLVANIA PATRICIA METZGER OBO KIARA R. MORGAN : 14-1552 CIVIL TERM ORDER OF COURT AND NOW, this jr1r1 day of March, 2014, a hearing on the petition for a name change shall commence at 11:00 a.m., Monday, May 5, 2014, in Courtroom Number 1, Cumberland County Courthouse, Carlisle, Pennsylvania. The petitioner shall publish notice of this hearing in two newspapers of general circulation, one of which may be the official paper for the publication of legal notices in this county. Additionally, Petitioner shall give notice of this hearing to Stephen Morgan with proof thereof provided to the court at the hearing. Petitioner shall also request an official search of the office of the Prothonotary of Cumberland County to determine if there are any judgments, decrees of record or other similar matters against the petitioner. Petitioner shall present the results of these searches to the court. Patricia Metzger, Pro se 304 N. West Street Carlisle, PA 17013 :sal By the Court, rn Ci) M cc)