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HomeMy WebLinkAbout14-3719 Cb� �'�7 PSP L r.- w . PSP No. CI-2014- IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW IN RE: Change of Name of p q No. CI-2014- SHAWN WAYNE SMITH Cj�✓�� :r PETITION FOR CHANGE OF NAME OF SHAWN WAYNE SMITH-�'--' TO SHAWN WAYNE SAUNDERS TO THE HONORABLE, THE JUDGES OF SAID COURT: x' z ,- Your Petitioner, Shawn Wayne Smith, by and through his counsel, Christopher A. Dreisbach, Esquire, hereby petitions this Court to change his name from Shawn Wayne Smith to Shawn Wayne Saunders and sets forth the following in support thereof: 1 . Petitioner is an unmarried adult individual residing at 122 Hummel Avenue, Lemoyne, Pennsylvania 17043 . 2 . Your Petitioner, Shawn Wayne Smith, was born on September 11, 1975 in Dauphin County, Pennsylvania. Your Petitioner' s biological father is Alphonso Wayne Saunders . A copy of your Petitioner' s birth record is attached hereto and marked as Exhibit "A". 3. Petitioner desires to change his name from Shawn Wayne Smith to Shawn Wayne Saunders . 4 . There are no judgments or decrees of like character of record against Shawn Wayne Smith. r No. CI-2014- 5. This petition is brought pursuant to the provisions of the Act of December 16, 1982, P.L. 1309, No. 295, 54 PA. C. S .A. Section 701 et seq. WHEREFORE, Petitioner Shawn Wayne Smith hereby requests this Honorable Court to enter a decree changing his name from Shawn Wayne Smith to Shawn Wayne Saunders . Respectfully submitted, KLUXEN NEWCOMER & DREISBACH By: Christopher A. Dreisbach, Esquire Attorney I . D. No. 201434 Attorney for Petitioner, SHAWN WAYNE SMITH 339 North Duke Street P. O. Box 539 Lancaster, PA 17608-0539 (717) 393-7885 (717) 393-0382 (Fax) Email Address: cdreisbachknd@gmail .com No. CI-2014- y by .�' � _ :,• . r. VWCr�OLAzilz oW �►jlC m'IU"fM� t DATEOF09-11-1975 FILE -- - V1032420-1975 _.._ BIRTH N0. ATE 09 D -29-1975 75FILED COUNTY OF DAUPHIN 05-24-2001 BIRTH \` NAMES MA , SHAWN WAY FATHERS NAME ALPHONS,% 1 -Y ESA ? IiE'R MOTHERS MA•e� NAMF PATR I ANN H O�CiV, Q o "1p1TH Oif fp'"' .yp.� This Is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Hearth, p� < Z Y in accordance with Act 66•P.L.304,approved by the General Assembly,June 29,1953. v v Robert S.Zim ne an,J.,MPH =q9j �Q�11 Secretary of Heal H105.105(REV.09=) State Registrar ter "�MfNT�E0"d 1 ''i d ` �.� �'- "�(O f���y��'��. • • � ��j.�_��� •. ((.����GB`[�Z7.•li•\7 •• • •tel•.. ,//�� ��+.����w-�C'i 10775599 Exhibit "A" No. CI-2014- I, SHAWN WAYNE SMITH, verify that the statements made in the foregoing Petition for Change of .Name are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pennsylvania C. S. A. §4906, relating to unsworn falsification to authorities . Dated• j �✓\L j0 1 -1 --- SHAWN WAYNE SMITH SP 4-198 (11-99) PROTHONOTARY CUMBERLAND CO COURTHOUSE 1 COURT HOUSE SQUARE CARLISLE, PA 17013 PENNSYLVANIA STATE POLICE CENTRAL REPOSITORY 1800 ELMERTON AVENUE HARRISBURG, PA 17110 717-783-3762 DATE: Friday, June 27, 2014 RE: SID: 22-236-43-1 NAME: SMITH SHAWN WAYN SOC: COURT DOCKET #: CI -2014-3719 In accordance with the Name Change Act of 1998, the fingerprint cards of the above named individr lvho has applied for a name change, has been searched in the files of the Pennsylvania State Police, Criminal Rec ands Identification Division Central Repository, and: tel-- 1 k. 23 ' ( X) This person is not subject to 18 PA C.S. Chapter 91, and the fingerprints have been destroyed. t'CI; .`.,-. ( ) This person is subject to 18 PA C.S. Chapter 91, and the name change has been noted on the person's= e=`' L ; 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: CHANGE OF NAME OF SHAWN WAYNE SMITH : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION — LAW : NO. 14-3719 CIVIL TERM IN RE: PETITION FOR CHANGE OF NAME ORDER OF COURT AND NOW, this 7th day of July, 2014, upon consideration of the attached Petition for Change of Name, a hearing is scheduled for Monday, September 15, 2014, at 3:15 p.m., in Courtroom No. 5, Cumberland County Courthouse, Carlisle, Pennsylvania. IT IS FURTHER ORDERED that notice of the filing 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, Petitioners shall comply with all other requirements of C.C.R.P. 5, and the Act of December 16, 1982, P.L. 1309, §6 (see 54 Pa. C.S. §701 [Historical and Statutory Notes] [Main Volume]), and 54 Pa. C.S. §§701 et seq. Proof of these publications must be provided at the above -scheduled hearing. BY THE COURT, Christylee L. Peck, J. Christopher A. Dreisbach, Esq. 339 North Duke Street P.O. Box 539 Lancaster, PA 17608-0539 Attorney for Petitioner :rc ;:z -11 • -- C.; IN RE: CHANGE OF NAME OF SHAWN WAYNE SMITH : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW 2014-3719 CIVIL TERM RE: PETITION FOR CHANGE OF NAME ORDER OF COURT AND NOW,.this 15th day of September, 2014, this being the time and place set for a Petition for Name Change, and the Court having heard testimony from Shawn Wayne Smith that he desires his name to be changed, and the Court having admitted Proof of Publication in the Cumberland Law Journal and in the Sentinel, and also having received a search of the Prothonotary's records that there are no judgments issued against Shawn Wayne Smith, the Petition for Name Change is hereby granted. It is hereby ordered and decreed that from this day forward the legal name of Shawn Wayne Smith shall be changed to Shawn Wayne Saunders. By the Court, -Chris1y1ee L. Peck, J. istopher A. Dreisbach, Esquire 339 North Duke Street P.O. Box 539 Lancaster, PA 17608-0539 For the Petitioner :vae eciffrtu.t iszt_ 9//y fit