HomeMy WebLinkAbout14-3719 Cb� �'�7 PSP
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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.
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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-
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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,
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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
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Robert S.Zim ne an,J.,MPH =q9j �Q�11
Secretary of Heal H105.105(REV.09=) State Registrar ter "�MfNT�E0"d 1
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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
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• --
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
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