HomeMy WebLinkAbout93-0109IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA
CIVIL DIVISION
hoes 1,-/Wkir
Plaintiff . File No. X993 r0:)y$09'
vs.
/ IN DIVORCE c
oX /?AM /Okir\/11 *TIZ
Defendant Xr
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NOTICE TO RESUME PRIOR SURNAME
Notice is hereby given that the Plaintiff / Defendant in the above matter, >C
--s
(select one by marking "X").
prior to the entry of a Final Decree in Divorce, ,,//
or x after the entry of a Final Decree in Divorce dated 7~a8" Q , hereby elects to resume
the prior surname of Pn; / tips , and gives this written notice avowing
his / her intention pursuant to the provisions of 54 P.S. § 704.
Date:
,i/
Signature
(WdiVA&
Signature of name being resumed
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF L(/M9Qr4194 d
On the av?_•2 a day of, 020/Y, , before me, the
Prothonotary or a Notary Public, personally appeared theNmove affiant known to me to be the person
whose name is subscribed to the within document and acknowledged that he / she executed the
foregoing for the purpose therein contained.
In Witness Whereof, I have hereunto set my hand and official sea}.
Sas � L7
A
rothonotary or Nota
•
Prothonotary, Cumberland County, Carlisle, PA
My Commission Expires the First Monday of Jan: 20th