HomeMy WebLinkAbout14-3073 IN THE MATTER OF THE IN THE COURT OF COMMON
CHANGE OF NAME OF PLEAS
Alexis Carroll Rynard COMMONWEALTH OF
PENNSYLVANIA
BY
Katherine E Rynard FOR Cumberland
103 Cambridge Drive COUNTY
Mechanicsburg,Pennsylvania 17055
FAMILY DIVISION
FOR CHANGE OF NAME TO
Action/Cause No.
Alexis Carroll Sheffield
PETITION TO CHANGE NAME OF A MINOR
COMES NOW, Katherine E Rynard , on behalf of
Alexis Carroll Rynard , by this Petition and upon being duly sworn, respectfully
represents unto this Honorable Court as follows:
1. That the Petitioner, Katherine E Rynard , is the Mother of the minor.
2. Alexis Carroll Rynard was born on September 27,2000 in
Harrisburg Pennsylvania
3. The minor child presently resides at 103 Cambridge Drive Mechanicsburg,Pennsylvania 17055
with Katherine E Rynard . The minor child has lived with
Katherine E Rynard in Cumberland
County, Commonwealth of Pennsylvania for 2 year(s) immediately prior to filing t
Petition. The minor child has also lived in the following places for the past five yearsti?=_�' --..1
rn Co ' , T --,I
preceding the filing of said Petition: °
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Dates (to/from) Address -<> �' CD L'
04/2006 / 01/2012 111 East Portland Street Mechanicsburg,Pennsylvania 17055 <CD
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4. The mother of the minor is Katherine E Rynard who resides at
103 Cambridge Drive Mechanicsburg,Pennsylvania 17055
5. The father of the child is Joel D Sheffield Jr who resides at
42 South 39th Street Camp Hill,Pennsylvania 17011
6. The guardian(s) of the child is/are
was/were appointed
guardian(s) on Corresponding documentation is
attached hereto for the Court's review.
7. The minor child's present name is Alexis Carroll Rynard . This is the current name of
the minor child on his/her social security card and all other records.
8. That Alexis Carroll Rynard wishes to change his/her name to
Alexis Carroll Sheffield
9. That the Petitioner prays for the change of name for the following reason(s) (describe in
detail): My last name will change when I get married and Alexis wishes to have her Father's last name instead
of my maiden name. She has stated that she will feel left out if she has neither of her parents'last names.
10. That the proposed change of name, if granted, will not be detrimental to the interests of any
other person and is not against the public interest.
11. The petition is not being filed to defraud creditors. The minor child has never been
convicted of a felony.
12. That the minor child has not been known by another name.
13. It is in the best interests of the minor child to change his/her name.
WHEREFORE, the Petitioner prays that by an Order of this Honorable Court, made and
entered herein, the minor child's name be changed from, Alexis Carroll Rynard to and
decreed to be Alexis Carroll Sheffield
Respectfully Submitted,
%O�Q �
Signature
Address: 103 Cambridge Drive
City, State Zip: Mechanicsburg,Pennsylvania 17055
Phone: (717)701-5908
VERIFICATION
COMMONWEALTH OF PENNSYLVANIA
TO WIT;
I HEREBY CERTIFY, that on this /'f--1*dayof—jZ04z , 20
before me, the subscriber, a Notary Public of the Commonwealth f Pennsylvania, in and for
Qi9 c�sg ��e aforesaid, personally appeared
V-J+rj1f-d9 1.t-z-L!F- Rj44 rel , and made oath in due form of law that the matters and
facts set forth in the foregoing Petition are true to the best of his/her knowledge, information, and
belief.
AS WITNESS 40an EAALTH OF PENNSYLVANIA
N Notarial Seal
Patricia A.Kuhn,Notary Public
Lower Allen Twp.,Cumberland County
My Commission Expires June 28,2016
MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIESNotary c&�-- ��/
My Commission Expires:
IN THE MATTER OF THE IN THE COURT OF COMMON
CHANGE OF NAME OF PLEAS
Alexis Carroll Rynard COMMONWEALTH OF
BY PENNSYLVANIA
Katherine E Rynard FOR Cumberland
103 Cambridge Drive COUNTY
Mechanicsburg,Pennsylvania 17055
FAMILY DIVISION
FOR CHANGE OF NAME TO 30 AG/ �? w•Z'
Action/Cause No. -' J L/
Alexis Carroll Sheffield
CONSENT TO NAME CHANGE
Comes now, Joel D Sheffield Jr and states that I am the non-
petitioning parent/guardian of Alexis Carroll Rynard , and I hereby consent that
his/her name be changed from Alexis Carroll Rynard to
Alexis Carroll Sheffield Cz
ell, T
Co nting arent s/Signature r- -- C-)` '
Address: 42 South 39th Street
City, State Zip: Camp Hill,Pa 17011 :c-,-, —
Phone: (717)503-5226
COMMONWEALTH OF PENNSYLVANIA
TO WIT;
I HEREBY CERTIFY, that on this I 4.3 day of , 20 J k/,
b ore me, the subscriber, a Notary Public of the Commonwealth of Pe Sylvania, in and for
aforesaid, personally appeared
69�_I�ZNt�-M 62-6 1g- ' and made oath in due form of law that the matters and facts set
forth in the foregoing document are true to the best of his/her knowledge, information, and
belief.
AS WITNESS my hand and Notarial Seal.
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Patricia A.Kuhn,Notary Public
Lower Allen Twp.,Cumberland County
My Commission Expires lune 29,2016
MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES
Notary Public
My Commission Expires:
SP 4-198 (11-99)
PENNSYLVANIA STATE POLICE
CENTRAL REPOSITORY
1800 ELMERTON AVENUE
HARRISBURG, PA 17110
717-783-3762
DATE: Friday, May 30, 2014
-PROTHONOT-ARY- �'Civ1Y1� �I✓ro 0 RE: SID:
CUMBERLAND CO COURTHOUSE NAME: RYNARD ALEXIS CARR
1 COURT HOUSE SQUARE SOC:
CARLISLE, PA 17013 COURT DOCKET #: 14-3073—CV
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.
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,x e 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 comp<^ison of fingerprints and associated requester-
furnished information against a name index and fingerprints contained ii 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
VINVA ASjN ]d and Identification Division
t i
i
IN RE: CHANGE OF NAME OF
ALEXIS CARROLL RYNARD
• C.? CKJ
CD
Countp of €umberfattb
IN THE COURT OF COMMON PLEAS
OF THE NINTH JUDICIAL DISTRICT
2014-03073 CIVIL ACTION
IN RE: PETITION TO CHANGE NAME OF A MINOR
ORDER OF COURT
AND NOW, this 16th day of June 2014, upon consideration of the Petition to
Change Name of a Minor, a HEARING shall be held on 7 August 2014 at 9:30 a.m. in
Courtroom Number Six of the Cumberland County Courthouse, One Courthouse
Square, Carlisle, Pennsylvania.
At least TEN (10) DAYS prior to the hearing, NOTICE of the filing of the petition
and of the date, time, and place of the above -scheduled hearing shall be given to Joel
D. Sheffield Jr., the non -petitioning parent, and shall be published in two newspapers of
general circulation in Cumberland County or an adjoining county, one of which may be
the Cumberland County Law Journal, in accordance with 54 Pa.C.S. § 701 and
C.C.R.P. 5. Proof of publication and service to the non -petitioning parent must be filed
with the Cumberland County Prothonotary prior to the above -scheduled hearing.
Di tribution:
atherine Rynard
23 y �
Thomas A. Placey
C.P.J.
IN THE MATTER OF THE
CHANGE OF NAMEW
Alexis Carroll Rynard
BY
Katherine E Rynard
103 Cambridge Drive
Mechanicsburg, Pennsylvania 17055
FOR CHANGE OF NAME TO
• Alexis Carroll Sheffield
IN THE COURT OF COMMON
PLEAS
COMMONWEALTH OF
PENNSYLVANIA
FOR Cumberland
COUNTY
FAMILY DIVISION
Action/Cause No. 14 3073
RETURN OF . Sic
I hereby certify that I executed service of process, upon Joe -1 3'1 `tE( \d (Name),
on the 1\ day of JU\`I , 20` M , at
IAAS 3�tlft CCS@ < <� ` & 110 t ( (Address), delivering the Petition to
Change Name of a Minor, Notice to Interested Persons and summons by certified mail, restricted
delivery return receipt requested as requested by the Petitioner (see attached).
I hereby further certify that I am over eighteen (18) years of age and am not a party to this
action.
Yetiautukki
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SENDER: COMPLETE THIS SECTION.
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
3d6 7)1r‘ecf eid
Ia5,3at`rl�
COMPLETE THIS SECTION ON DELIVERY
D. Is delivery address different from ite
If YES, enter delivery address to
3. Seryjce Type
lUtertified Mar 0 Priority Mai
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail 0 Collect on Delivery
4. Restricted Delivery? (Extra Fee)
0 Yes
2. Articlebe
Numr . e� ` 17�13� 3�2D� Oti0`1 I'9384! �4
(Transferfi533, � I
PS Form 3811, July 2013
Domestic Return Receipt
U.S. Postal ServiceTM
CERTIFIED MAILTM RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
For delivery Information visit our website at www.usps.como
Return
(Endorseme
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Total Post
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Here
UL 14 2614
07/14/2014
PS Form 3800, August 2006 , See Reverse for Instructions
IN THE MATTER OF THE
CHANGE OF NAME
Alexis Carroll Rynard
BY
Katherine E Rynard
103 Cambridge Drive
Mechanicsburg, Pennsylvania 17055
FOR CHANGE OF NAME TO
• Alexis Carroll Sheffield
IN THE COURT OF COMMON
PLEAS
COMMONWEALTH OF
PENNSYLVANIA
FOR Cumberland
COUNTY
FAMILY DIVISION
Action/Cause No. 14- 3073
RETURN OF5iecmcie
I hereby certify that I executed service of process, upon 336 `Lt' elc i. (Name),
on the (L\ day of JU\`1 , 20 (L\ , at
La 5, 3a C tt4 <\ ('7 [ ( (Address), delivering the Petition to
Change Name of a Minor, Notice to Interested Persons and summons by certified mail, restricted
delivery return receipt requested as requested by the Petitioner (see attached).
I hereby further certify that I am over eighteen (18) years of age and am not a party to this
action.
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IN THE MATTER OF THE
CHANGE OF NAME OF
Alexis Carroll Rynard
BY
Katherine E Rynard
103 Cambridge Drive
Mechanicsburg, Pennsylvania 17055
FOR CHANGE OF NAME TO
Alexis Carroll Sheffield
IN THE COURT OF COMMON
PLEAS
COMMONWEALTH OF
PENNSYLVANIA
FOR Cumberland
COUNTY
FAMILY DIVISION
Action/Cause No.a6M-OW13
CERTIFICATION OF PUBLICATION
The undersigned hereby certifies that notice was given in the
The ?Ot II* MeAcj newspaper at least I times, a newspaper published in
the county where such person is residing.
Katherine E Rynard
103 Cambridge Drive
Mechanicsburg, Pennsylvania 17055
(717)701-5908
C7 r y C ,
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G) C.,
The Patriot -News Co.
Z(20 Tpchnoiogy Pkwy
Suite 300
Mechanicsburg, PA 17050
Inquiries - 717-255-8213
BENDER
103 CAMBRIDGE DRIVE
MECHANICSBURG PA 17055
he patriot*News
Now you know
THE PATRIOT NEWS
THE SUNDAY PATRIOT NEWS
Proof of Publication
Under Act No. 587, Approved May 16, 1929
Commonwealth of Pennsylvania, County of Dauphin) ss
Marianne Miller, being duly sworn according to law, deposes and says:
That she is a Staff Accountant of The Patriot News Co., a corporation organized and existing under the laws of the
Commonwealth of Pennsylvania, with its principal office and place of business at 2020 Technology Pkwy, Suite 300, in the
Township of Hampden, County of Cumberland, State of Pennsylvania, owner and publisher of The Patriot -News and The Sunday
Patriot -News newspapers of general circulation, printed and published at 1900 Patriot Drive, in the City, County and State
aforesaid; that The Patriot -News and The Sunday Patriot -News were established March 4th, 1854, and September 18th, 1949,
respectively, and all have been continuously published ever since;
That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular
daily and/or Sunday/ Community Weekly editions which appeared on the date(s) indicated below. That neither she nor said
Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as
to the time, place and character of publication are true; and
That she has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on
behalf of The Patriot -News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the
stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds
in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317.
PUBLICATION COPY
NOTICE IS HEREBY GIVEN that on
16 June 2014, the petition of Katherine
Bender (Rynard)- was filed In the Court
of Common Pleas of Cumberland
County, Pennsylvania, for a decree to
change a minors name from Alexis
Carroll Rynard to Alexis Carroll
Sheffield.
The court has scheduled a hearing on
this matter on 7 August 2014 at 9:30 a.m.
In Court Room No. Six, Cumberland
County Courthouse, One Courthouse
Square. Carlisle, Pennsylvania when
and where all persons may appear at
that time and show cause, should they
have any, why the petition should not be
granted.
This ad # 0002307290 ran on the dates shown below:
July 17, 2014
Sworn to and subscribed before me this 17 day of July, 2014 A.D.
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Donna M. Maldonado, Notary Public
Susquehanna Twp., Dauphin County
My Commission Expires Nov, 5, 2017
MEMBER, PENNSYLVANIA ASSOCIATION OF NOTARIES
The Patriot -News Co.
2L;20,T.echnology Pkwy
Suite 300
Mechanicsburg, PA 17050
Inquiries - 717-255-8213
BENDER
103 CAMBRIDGE DRIVE
MECHANICSBURG - PA 17055
ACCT# NAME
STATEMENT
AD ORDER # DATE EDITION ADDTL. INFO.
he atriotXews
Now you know
ALL CHARGES ARE NET
TYPE OF CHARGE AMOUNT
248146 BENDER 0002307290 07/17/14 REGULAR
BASIC AD CHARGE $80.19
AFFIDAVIT CHARGE $5.00
TOTAL: $85.19
This is not an invoice. Please do not remit payment from this Statement.
An invoice will be generated at the end of the month. --Thank you.
NOTE: This Statement replaces the Order Confirmation which we previously sent with Proofs of Publication
IN THE MATTER OF THE
CHANGE OF NAME OF
Alexis Carroll Rynard
BY
Katherine E Rynard
103 Cambridge Drive
Mechanicsburg, Pennsylvania 17055
FOR CHANGE OF NAME TO
Alexis Carroll Sheffield
IN THE COURT OF COMMON
PLEAS
COMMONWEALTH OF
PENNSYLVANIA
FOR Cumberland
COUNTY
FAMILY DIVISION
Action/Cause No. abo -Oars 3
CERTIFICATION OF PUBLICATION
The undersigned hereby certifies that notice was given in the
-Tht Ste\ -i rve.\
newspaper at least ± times, a newspaper published in
the county where such person is residing.
Katherine E Rynard
103 Cambridge Drive
Mechanicsburg, Pennsylvania 17055
(717)701-5908
RE:CHANGE OF NAME OF IN THE COURT OF COMMON PLEAS
LEXIS CARROLL RYNARD OF THE NINTH JUDICIAL DISTRI
2014-03073 CIVIL ACTION
IN RE: PETITION TO CHANGE NAME OF A MINOR
ORDER OF COURT
AND NOW, this 16th day of June 2014, upon consideration of the Petition to
Change Name of a Minor, a HEARING shall be held on 7'August 2014 at
9:30 a.m. in Courtroom Number Six of the Cumberland County
Courthouse, One. Courthouse Square, Carlisle, Pennsylvania.
At least TEN (10) DAYS prior to the hearing, NOTICE of the filing of the petition
and of the date, time and place of the above -scheduled hearing shall be
given to Joel D. Sheffield, Jr., the'non-petitioning parent, and shall be
published in two newspapers of general circulation in Cumberland County
or an adjoining county, one of which may be the Cumberland County Law
Joumal, in accordance with 54 Pa.C.S. § 701 and C.C.R.P. 5. Proof of
publication and service to the non -petitioning parent must be filed with the
Cumberland County Prothonotary prior to the above -scheduled heari.
BY THE CO RT,
Thomas A. Placey, C P.J.
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7/1`4/2014~
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IN RE: CHANGE OF NAME IN THE COURT OF COMMON PLEAS OF
OF ALEXIS CARROLL RYNARD CUMBERLAND COUNTY, PENNSYLVANIA
. THE NINTH JUDICIAL DISTRICT
. 2014-3073 CIVIL TERM
IN RE: PETITION TO CHANGE NAME OF A MINOR
ORDER OF COURT
AND NOW, this 7th day of August, 2014, following
a hearing on the petition to change the name of a minor, at which
the parents and the minor were present, the Court finds valid
personal reasons for the name change and shall grant the
petition.
The name of the minor child, Alexis Carroll
Rynard, shall be changed, and henceforth she shall be known
Alexis Carroll Sheffield.
By the Court,
Thomas
✓ Katherine Rynard
103 Cambridge Drive
Mechanicsburg, PA 17055
:mae
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A. Placey
C.P.J.
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