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14-3864
_ iLI_,1..1 4� Hubert X. Gilroy, Esquire 2514 JUL -2 All 1 ; � I.D. 29943 'CUMBERLAND Cli?Ur�Ty Katie J. Maxwell, Esquire PENNSYLVANIA����S�LVl��f�� I.D. No. 206018 MARTSON DEA.RDORFF WILLIAMS OTTO GILROY & FALLER MARTSON LAW OFFICES 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Petitioners IN RE: CHANGE OF NAME OF IN THE COURT OF COMMON PLEAS OF SITYANNE KEILA FAKE CUMBERLAND COUNTY, PENNSYLVANIA NO. 14 - CIVIL ACTION - LAW CHANGE OF NAME PETITION FOR CHANGE OF NAME AND NOW, comes the Petitioner, Shyanne Keila Fake, by and through her attorneys, MARTSON LAW OFFICES, and in support of her request for a name change pursuant to 54 Pa. C.S. §701 et seq., avers as follows: 1. Petitioner is an adult individual residing at United Methodist Home for Children located at 5120 Simpson Ferry Drive, Mechanicsburg, Cumberland County, Pennsylvania 17050. 2. Petitioner was born on September 20, 1995, and is 18 years old. 3. Petitioner is now desirous of changing her name to Shyanne Keila Becker. 4. Prior to residing at 5120 Simpson Ferry Drive, Mechanicsburg, Pennsylvania, Petitioner has resided in the following locations over the last five years; (a) Sarah A. Reed Children's Center in Erie, Pennsylvania; (b) a foster home in Lititz, Pennsylvania; (c) 152 East Chestnut Street, Lancaster, Lancaster County, Pennsylvania; (d) 509 Lafayette Street, Lancaster, Lancaster County, Pennsylvania; (e) 330 Mill Street, Lancaster, Lancaster County, Pennsylvania. 5. Petitioner is currently in the custody of the Lancaster County Children and Youth Services Office and attends school at Cedar Cliff High School where she has recently completed her junior year. r(0 3 9S��a Y 4f 40 ?SIP ;y 6. Petitioner's mother's maiden name was Becker, and while Petitioner's mother has predeceased her, Petitioner desires to change her name to her mother's maiden name. Petitioner's father, Sean Fake,is wanted for rape of a child,and Petitioner has had no contact with him since she was 9 years old. Accordingly,it is in Petitioner's best interest to take her mother's maiden name of Becker. 7. Petitioner has no criminal record. 8. There are no judgments or decrees of like character of record against the Petitioner as indicated on the attached Certification. WHEREFORE, Petitioner respectfully requests that this Honorable Court: (a) Fix a hearing on this Petition; (b) Direct that notice be given of this Petition and hearing; and (c) Enter a decree changing Petitioner's name from Shyanne Keila Fake to Shyanne Keila Becker. Respectfully submitted, MARTSON LAW OFFICES By: WA4P Katie J. kax ell, Esquire 10 East High Street Carlisle, PA 17013 (717) 243-3341 Date: /yam /� Attorneys for Petitioner VERIFICA The foregoing Petition for Change of Name is based upon information which has been gathered by my counsel in the preparation of the Petition. The language of the document is that of counsel and not ray own. I have read the document and to the extent that it is based upon information which I have given to counsel, it is true and correct to the best of nay knowledge, information and belief. To the extent that the content of the document is that of counsel, I have relied upon counsel in making this verification, This statement and verification are made subject to the penalties of 18 Pa.C.S.Section 4904 relating to unsworn falsification to authorities, which provides that if I make knowingly false averments,I may be subject to criminal penalties. -9'I'azte e Keila F e t f 1 i ftp P R0 i H0ti G' ri Hubert X. Gilroy, Esquire JUL I.D. 29943 ?"D K Katie J. Maxwell, Esquire rUMBFRLAND COUNTY I.D.No. 206018 PE NSYLVANIA MARTSON DEARDORFF WILLIAMS OTTO GILROY& FALLER MARTSON LAW OFFICES 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Petitioners IN RE: CHANGE OF NAME OF IN THE COURT OF COMMON PLEAS OF SITYANNE KEILA FAKE CUMBERLAND COUNTY, PENNSYLVANIA NO. 14 - 3 rod`I CIVIL ACTION - LAW CHANGE OF NAME CERTIFICATION OF LIEN SEARCH Martson Deardorff Williams Otto Gilroy&Faller,a professional corporation organized under the laws of the Commonwealth of Pennsylvania,hereby certifies that it has caused to be conducted a lien search of the public records of the County of Cumberland for a five year period prior to June 24, 2014, in the name of Shyanne Keila Fake. Martson Deardorff Williams Otto Gilroy & Faller hereby certifies that no outstanding judgments or decrees of record or any other matter of like character were indexed against Shyanne Keila Fake during the applicable time period. MARTSON LAW OFFICES : BY Katie J. a ell, Esquire 10 East gh Street Carlisle, PA 17013 (717) 243-3341 Date: 2 t Attorneys for Petitioner SP 4-198 (11-99) E ILED-JF F.ICE .)t= THE PROTHONOTAR 2Q(il JUL I © PM 2: 23 CUMBERLAND COUNTY PENNSYLVANIA 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: Tuesday, July 08, 2014 RE: SID: NAME: FAKE SOC: COURT DOCKET #: 14 -3864 -CV SHYANNE KEIL In accordance with theName 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. ( ) 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. h. ; Sincerely Director, Criminal Records and Identification Division IN RE: CHANGE OF NAME OF SHYANNE KEILA FAKE• : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 14 - 3 ro CIVIL ACTION - LAW CHANGE OF NAME ORDER OF COURT AND NOW, this / N day of July, 2014, upon consideration of the attached Petition of Shyanne Keila Fake for a change of name, it is hereby ordered and directed as follows: 1. A hearing is scheduled in Courtroom No. - of the Cumberland County Courthouse on the 7 day of Qa' 12✓" , 2014, at 3.00 , m. 2. The Petitioner is directed to give notice of the filing of the Petition and of the date of the hearing by publication one time in the Sentinel and one time in the Cumberland Law Journal. D. i ution: Hubert X. Gilroy, Esquire atie J. Maxwell, Esquire L£C : Li, 7iffilf t rti� v Hubert X. Gilroy, Esquire I.D. 29943 Katie J. Maxwell, Esquire I.D. No. 206018 MARTSON DEARDORFF WILLIAMS MARTSON LAW OFFICES 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Petitioners . _ :_ED -O ICE_ � HL PROTHONU IA; 2t I SEP 18 PM 12 5 1 CUMBERLAND COUNTY PENNSYLVANIA OTTO GILROY & FALLER IN RE: CHANGE OF NAME OF SHYANNE KEILA FAKE : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : NO. 14 - 3864 CIVIL ACTION - LAW : CHANGE OF NAME AFFIDAVIT I, Katie J. Maxwell, Esquire, Attorney for the Petitioner in the within matter, hereby certify that written notice of the filing of the Petition for Change of Name and the Hearing scheduled thereunder was caused to be published in the Cumberland Law Journal on August 1, 2014, and in The Sentinel on July 23, 2014; see proofs of publication attached hereto as Exhibits "A" and "B." A copy of the written notice as published is attached hereto and marked Exhibit "C." Sworn to and subscribed before me this / day of September, 2014. Ofhi,c& Notary Public By: Katie J. ,. xwell Esquire COMMONWEALTH OF PENNSYLVANIA Notarial Seal Mary M. Price, Notary Public Carlisle 8oro, Cumberland County COmmis ion Expires Aug. 18, 2015 NRY6VANIA ASSO'--. ON OF NOTARIES PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, Viz August 1, 2014 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. isa Marie Coyne, Editor SWORN TO AND SUBSCRIBED before me this 1 day of August, 2014 COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL DEBORAH A COLLINS Notary Public CARLISLE BORO., CUMBERLAND CNTY My Commission Expires Apr 28, 2018 CUMBERLAND LAW JOURNAL NOTICE In the Court of Common Pleas of Cumberland County, Pennsylvania NO. 2014-3864 CIVIL TERM IN RE: NAME CHANGE OF SHYANNE KEILA FAKE NOTICE IS HEREBY GIVEN that on July 2, 2014, the Petition of Shyanne Keila Fake was filed in the above-named Court, requesting a de- cree to change the name of Shyanne Keila Fake to Shyanne Keila Becker. The Court has fixed Tuesday, October 7, 2014 at 3:00 p.m. in Courtroom No. 2 of the Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania, as the time and place for the hearing of said Petition, when and where all persons interested may appear and show cause, if any they have, why the prayer of the said Petition should not be granted. KATIE J. MAXWELL, ESQUIRE Supreme Court ID # 206018 MARTSON LAW OFFICES Attorneys for Petitioner Ten East High Street Carlisle, PA 17013 (717) 243-3341 Aug. 1 • r • • ' EXHIBIT "B" • EXHIBIT "C" IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 2014 - 3864 CIVIL TERM IN RE: NAME CHANGE OF SHYANNE KEILA FAKE NOTICE NOTICE IS HEREBY GIVEN that on July 2, 2014, the Petition of Shyanne Keila Fake was filed in the above-named Court, requesting a decree to change the name of Shyanne Keila Fake to Shyanne Keila Becker, The Court has fixed Tuesday, October 7, 2014, at 3:00 p.m. in Courtroom No. 2 of the Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania, as the time and place for the hearing of said Petition, when and where all persons interested may appear and show cause, if any they have, why the prayer of the said Petition should not be granted. MARTSON LAW OFFICES Katie J. Maxwell, Esquire Supreme Court ID # 206018 Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Petitioner Dated: IN RE: NAME CHANGE SHYANNE KEILA FAKE : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : 14-3864 CIVIL TERM IN RE: HEARING CONTINUED ORDER OF COURT AND NOW, this 7th day of October, 2014, this being the time and place set for name change in the above -captioned matter, and the petitioner having failed to appear, however, her counsel having appeared and having requested a general continuance of the matter, IT IS HEREBY ORDERED AND DIRECTED that hearing in this matter will be generally continued to the call of the petitioner. By the Court, ✓ Katie Maxwell, Esquire For the Petitioner :mtf Co�a , .11 ,drz3 � /y M. L. Ebert, Jr., J. €C:01WV CZ130iio7,