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HomeMy WebLinkAbout14-5539Name: Sue E Kauffman/Lori I Fisher (Name(s) of Parent(s) of Minor Child Who Wants to Change Child's Name) Address: 1345 Yarmouth Lane (Address of Person Who Wants to Change His/Her Name) City: New Cumberland, PA Zip: 17070 Phone: 253-347-5252 Email: kauflac a(�.msn.com IN RE: NAME CHANGE OF Sue E Kauffman/Lori 1 Fisher (NAME OF PARENTS) Arden Fisher Kauffman (NAME OF MINOR CHILD) THF SEP 18 PM 12: 08 CUMBERLAND COUNT) PENNSYLVANIA : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA :NO. I4-5539 Gr. PETITION FOR CHANGE OF NAME TO THE HONORABLE JUDGES OF SAID COURT: The Petition of Sue E Kauffman & Lori I Fisher represents: (Name of Parent(s) of Minor Child) 1. Minor Child is Arden Fisher Kauffman, who (Name of Person Who Wants to Change His/Her Name) resides at 1345 Yarmouth Lane, New Cumberland PA 17070. (Complete Address of Person Who Wants to Change His/Her Name) 2. Minor Child's date of birth is: August 8, 2009. (Minor Child's Date of Birth) 3. Minor Child has resided at the following addresses for the five (5) years previous to the filing of this Petition: • 1345 Yarmouth Lane, New Cumberland, PA 17070 (current) • 427 East Elm Street, Lebanon, PA 17042 (TEMPORARY ADDRESS; forwarded mail to this address at time of move from WA to PA) • 991 Stone Brook Dr SW, North Bend, WA 98045 (TEMPORARY ADDRESS before move to East coast) • 240 Janet Ave N, North Bend, WA 98045 • We were not allowed (by law) to have the address of Arnie's previous care -giver prior to the finalization of his adoption Revised 10-10 © Cumberland County Court of Common Pleas us -2c Fd, fffiree,s4 P. 4. Minor Child desires and intends to change his/her name to: Arnie Fisher Kauffman. (What is the Name that the Person Wants the Court to Change His/Her Name To) 5. Please state the names and addresses of the minor child's parents: Sue E. Kauffman & Lori I. Fisher 1345 Yarmouth Lane, New Cumberland PA 17070 (List the Name and Address of the Child's Parents) 6. Petitioner or Minor Child provides the following reasons for this request: (State In Detail Why You Want to Change Child's Name) He has always been called `Arnie'. We thought at the time of the adoption that it would be better to provide a more formal name other than `Arnie'. We realize now that he is and always will be `Arnie'. He doesn't identify with Arden and he doesn't like to be called Arden. 7. The proposed change in Minor Child's name, if granted, will not be detrimental to the interests of any other person and is not against public interest. 8. The Petition is not filed to defraud creditors. 9. WHEREFORE, Petitioner on Behalf of Minor Child requests the Court, pursuant to the Act of December 16, 1982, P.L. 1309, No. 295 § 2, 54 Pa.C.S. § 701, for the following: a. to fix a hearing on this Petition; b. to direct that notice be given on this Petition and hearing; and c. to enter a decree changing the Minor Child's name from Arden Fisher Kauffman to Arnie Fisher Kauffman. (Complete Present Name) (Complete Proposed New Name) GNATURES OF PETITIONERS Sue E. Kauffman Lori I. Fisher Print Names of Petitioners Revised 10-10 © Cumberland County Court of Common Pleas VERIFICATION I/we, Sue E. Kauffman and Lod 1. Fisher , verify that the facts set forth in the (Name of Parent(s) of Minor Child) PETITION FOR CHANGE OF NAME are true and correct to the best of my/our knowledge, information and belief. Uwe understand that the statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. 14( Date S natures of Petitioners Sue E. Kauffman Lori L Fisher Print Names of Petitioners Revised 10-10 © Cumberland County Court of Common Pleas 3 IN RE: CHANGE OF NAME OF : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA Sue Ellen Kauffman/Lori Irene Fisher : NO. ///- SS:39 ezod (NAME OF PARENTS) Arden Fisher Kauffman (NAME OF MINOR CHILD) ORDER OAND NOW, this Pday of , 20/t is hereby ordered that a hearing in the above -captioned name change matter is scheduled for the IP day of tQerr-e'v"4P-— , 20/Vat r00 . /p.m. in Courtroom No. , 4441' Floor, Cumberland County Courthouse, 1 Courthouse Square, Carlisle, PA. rri -c; r N.) Lfl0) INJ It is further ordered that an official search be conducted by the county office where the Petitioner resided within the past five (5) years no more than 48 hours prior to the scheduled hearing date. Proper certification from the Prothonotary's Office verifying that there are no judgments, decrees of record, or any other of like character against the Petitioner shall be submitted at the hearing. It is further ordered that a notice of said hearing shall be made by one (1) publication in both the Cumberland County Law Joumal and in a newspaper of general circulation in Cumberland County, PA. Such publication shall take place at least one (1) week prior to said hearing. Proof of publication shall be submitted prior to or at the hearing. If a parent is requesting that the name of a minor child be changed, the filing parent is directed to send a copy of the petition and this order to the other parent. IF THE OTHER PARENT DOES NOT ATTEND THE HEARING, PROOF THAT THE OTHER PARENT RECEIVED A COPY OF THE PETITION AND NOTIFICATION OF THE NAME CHANGE HEARING MUST BE SUBMITTED TO THE COURT AT THE HEARING. JUDGE DISTRIBUTION: Sue Kauffman/Lori Fisher 1345 Yarmouth Lane. New Cumberland. PA 17070 Petitioners Name and Address eopy mailed IV /14 Revised 10-10 Cumberland County Court of Common Pleas IN RE: CHANGE OF NAME OF : IN THE COURT OF COMMON PLEAS OF ARDEN FISHER KAUFFMAN : CUMBERLAND COUNTY, PENNSYLVANIA : NO. 14-5539 CIVIL TERM ORDER OF COURT AND NOW, this 6th day of November, 2014, after hearing and it appearing that the statute has been complied with, Arden Fisher Kauffman shall hereafter be known as Arnie Fisher Kauffman. Sue Kauffman/Lori Fisher 1345 Yarmouth Lane New Cumberland, PA 17070 :lfr By the Court, Edward E. Guido, J. 1)1 wke{ 110/, C -D ••"0