The URL can be used to link to this page

Home My WebLink About05-3750 Brianna Augusta Salinas, Petitioner : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : DOCKET NO,: 05~- 37S-o CIVIL ~ IN RE: CHANGE OF NAME OF ADULT From: Brianna Augusta Salinas To: Brianna Augusta Salinas-Morrison PETITION FOR CHANGE OF NAME OF ADULT AND NOW comes Petitioner. Brianna Augusta Salinas, by and through her Attorney, Paul Bradford Orr, Esquire. and respectfully represents the following: 1. Birth Date and Place: Petitioner was born on May 7. 1965. in the Frankfurt Army Regional Medical Center. Frankfurt Am Main, Hessen, Germany, A copy of Petitioner's birth certificate is attached hereto and marked as Petitioner's Exhibit "A", 2. Birth Name: Petitioner was named Brianna Augusta Salinas at birth, and has been known by that name with the following exception, 3. Residence: Petitioner resides at 516 School Avenue. Carlisle. Cumberland County. Pennsylvania, and has lived at this address for twelve (12) years, 4. Petitioner's Parents: The father of the Petitioner is named Brian Morrison. and he resides in Carlisle, Cumberland County. Pennsylvania, The mother of the Petitioner is named Chiquita Maria Salinas and she resides in Carlisle. Cumberland County. Pennsylvania, 5. Reason for Name Change: Petitioner seeks to change her name for the following reason: A, To use name being presently used for school purposes, (See attached and marked as Petitioner's Exhibit "B") B, To use name presently to Social Security No,: 603-40-552.7, (See attached and marked as Petitioner's Exhibit "C") 6. LeQal and Creditor Status: Petitioner does not have any outstanding judgments; has never been charged nor convicted of any crime, and is not involved in any pending legal actions, 7. Additional Declarations: In addition to the foregoing statements. the Petitioner further declares: None WHEREFORE, the Petitioner requests that this Honorable Court issue an Order changing Petitioner's name from: Brianna Augusta Salinas to Brianna Augusta Salinas- Morrison, TH aul Bradford r. Es 50 East High Street Carlisle, PA 17013 (717) 258-8558 Supreme Court ID # 71786 1/5fOS Date: By: VERIFICATION I verify that I am the defendant and that the statements made in the foregoing l';amc Change Petition ate true ctnd correct. lunderst;md that false statements herein are m,de subject to the pemIries ofPa. C.S. ~ 4904. relating to unsworn falsification to authorities. DA TE:~\lJ 5 ~(rJ< ( ) ,r 7)/ 't '" " " '" .., e 4" " .~ ~ :':;' ~ - t;j " t;. r.l! "'" -<: .. ~ " "'"" ~ .~ 0' '" ..~ '" ... 'i::> ., " ., .15 ., S .. oS ~ tI:l " 0' ~ e '" ~ '" .., .~ .. ~ 'j; ~ CO l,; 'i::> "" ., .. r\ tIJ "" e \ S - " ~ id ..:. . 0' '" '" " " r\ e f-; ~ $-t '" '" " -< !:M ~ \lS c :;: .. r\ Q ::: <: ... g .. ~ ~ ~ f-; ~ .. " = " 0 0' "" ~ " en ...: <Il ,.l~ .. '" S ~ (Il ,J:{' 'S '0 ~ ~ '" .. '" ~ 0_ ~ l-< "..... '" .i s ~ . <J1 IF.J,If:, 0 '" ~~ - ~" "'~ .. "'" .", ~\ 6 eo';P. 0 . ... ., ~.. ~~ .., .. ., ., \0-"' ~ (fJ-. W .. .", " t:: ~ Ie l3 ~ p!.,v~ % .:; ,.... w" ,.... .., 0> ( '7...." Z .. ., ~ .~.. ... '" \ ... "'" - .f".. 0 ~ ... .~ " ~ l:: "" oS ,.- - " w ill " ~ .1; ., ~ ... " ~ ~ .~ .0 ~ ~ .. ., 0' ~ a Si: ~ ~ '" .. '$ '" ... - H ... ~ .. 0 ... s ""' 0 t:I ~ ~ :\ t-' I() l:: '" .", .~ .I> ..... .. .", ~ ., 1 <;A 7 ~ ... .., ., g .~ ... ..:.w, ... ., \ .., r\ ... ... '" \% :;: \-4 ~ s " .., g if) ~ :.. p.. '1, .~ 1$ "" '" \ ... ... " ... c "" .... 9- ..... t:I ~ ,g ~ 0' .. .. "'~ 13 ., '" ~ .. 0. ~ $-t ~ .. " ... ~ e " " ., ... ...:< .. I"'~ '" "" -<: ~ ., H '" 6 '" ~ ""' tIJ '" '" Ci> ~ ~ "" ..... l,; r\ 'S ..., ~ ., ... S t- ., i "" ~ '" ~ ~ " .~ .~ '" " r\ & '" "" ., ..., .~ ~ "" ~ t; 1 .~ ~ ~ ~ .. \3 -< S ~ '';< il> .. tIJ 0' - c" ~... :~ petitioner's Exhibit HAft ...-- DEPARTMENT OF STATE PLACE OF REPORT (Foreign Service Post) REPORT OF BIRTH ABROAD Frankfurt am Main. GeImanv OF A CITIZEN OF THE UNITED STATES OF AMERICA DATE OF REPORT (Month, Day, Year} JUly 12, 1985 NAME OF CHILD IN FULL / (First name) IMiddle name) (Last name) SEX Bdanna Augusta Salinas o MALE []I FEMALE DATE OF BIRTH (Month, Day, Year) Hour PLACE OF BIRTH IN FULL (Hospital, City. State, Country) IiOl: Frankfurt Army lle9ional Medical Center May 7, 1985 13.06 PM Frankfurt Am Main, Hessen, Germany THE FOLLOWING ITEMS MUST BE COMPLETED FOR BOTH FATHER AND MOTHER, FATHER ITEM MOTHER N/A FULL NAME (Also give Mother's name Chiquita Maria Salinas before marriage) N/A DATE OF BIRTH April 28, 1957 (Month, Day. Year) -~. "--" ."..-- PLACE OF BIRTH- ,','~ ~'"""-...~- .- N/A - - (City, State, Country) Aqana, Guam PRESENT ADDRESS SChwarzwald Strasse lI53 N/A (Street No., City. State) Walldorf, Germany ADDRESS IN UNITED STATES 367 Chelan Drive N/A (Street No., City. State) Vacaville California 95688 EVIDENCE OF U.S, CITIZENSHIP Birth oert:ificate filed in (If naturalized, give date, place and cert. no. lfnaturalized through parentIs) give Aqana QU\III an May 3, 1957 N/A date your lawful admission to U.S. for ~ birth Of CHIOOITA permanent residence and date, place, and SALINAS. + N1\MIn AFFIDAVIT. Cert. No. parentis) naturalization(s)) IF ALIEN, SHOW NATIONALITY PRECISE PERIODS OF PHYSICAL Apr Ui7: 1~6l PRESENCE IN UNITEO STATES N/A (00 not list individual States) 1;';! _ h~.;- PRECISE PERIODS ABROAD IN U,S" 1961 1964 ~,..,.J3" ARMED FORCES, IN OTHER U.S. - DaU. N/A GOVERNMENT EMPLOYMENT. WITH 1967 - 1969 l'hillipinesDep QUALIFYING INTERNATIONAL ORGAN I. 1983 - 1984 1\DAF. ZATION. OR AS DEPENDENT OF SUCH PERSON ISpecify) .- PREVIDUS MARRIAGES SHOW DATE AND MANNER OF N/A TERMINATION OF ALL, IF DIVORCED None SUBMIT DIVORCE DECREE 151 DATE AND PLACE OF PRESENT MARRIAGE (Month, Day, Year. City, State, Country) Not Married SIGNATURE OF PARENT. PHYSICIAN, NURSE, OR OTHER PERSON ADDRESS (Street address, city, state, country) FURN~HING ABOVE INFORMATION (Mother) Schwar%wald Serasse *53 l' '-. 'fl-_ M. 9.. _(..- , Walldorf, Germany THIS SECTI~ TO BE COMPLETED BY CONSULAR OFFICER, NOTARY PUBLIC OR OTHER P.RSON QUALIFIED TO ADMINISTER OATH, Subscribed and sworn to before me this 5~h day of JulY 19..llS...- . at tmAF Cljni~ ~hAfn_M~in 1\.Rr l"'~1""many WILLIAM J .H. SLAUSON , lLt, USAF, MSC &::.-~\<5;....~.. ~t>V'- Director, Patient Affairs (SEAL) (Title of Officer Administering Oath) (Signature of Officer) FranJd:urt am Main, GeImany JUly 12, 1985 This report completed at on 19_ (Foreign Service Post) (Month, Day) The information was furnished bV lfather, mot.her, physician, norse or other person hav'lng knowledge of birth) and supported by the documents listed below. This report has been trtmsmitted to the Depattment of State, Washington, D.C. for filing in the Archives of the Department. l:ld.J:th,~ DOClJMENTS P,esent;ci, SeIt te- Ilejjd:-Oi.€ S1iat.e1 -If---child''1l-i:r.lrt.ll CeR.* ~, III J) ~"'..name f,ff~. 4) r-tMenoe affidavit. se - -- li~lJ1UjJ !\of. "OLLIS'f , " ,- ~l\n\k~\1'Atl~1r VIC" '. (SEAL) United States of AmenCll (Signature ;-~Typed Name and Title of Consular Officer completing. report) FORM C~},)JI"" ,-.rU\IC::lll AR ()r=l=lrr=R~ MIIC::T Q!=nIIIRI= ANn I I~T nnr.l 'M~NT~ NFr.fSSARY TOSUPPORT FACTS REPORTED --------.------------------....-.--.. -------.----.--...' Card lsswed on 07 .. .{_'~.i'" OL;. .::l .,~ " 4.'...... '+CL~ i:::r):~;T HIt.:iH 3'TFEE-T '?.1 ;"- ':- ~24":;"-:3::3:;~(7' SAL.INAS-M()RRISO~~~ .., ~ANN 2 .:.? 0;"2 () ~.t 3\::';2 {) ;~7' sUb~WllillllllllWl.lI store for deWls. Property of &@1998Blockbuster Inc. petitioner'S Exhibit IIBu _ t -~ ~ ~ ~ ~ ~~ I ~ ~ '="> ~ ~~ ~ . '%,~ . ~ "l l ~ 0 . ,,~I "" , ~~ "l ~ '" ~ ~ ~ l - ft!t~ @. ~~ ~~ ~ ~ ~"ISJI .~ 1 ,~I ~ _~'t ~ ~ ~ .""d' Petitioner's Exhibit lie" ~} ~ ? ~l 1: ~ f I ~ ~f\ tt 0\ '-- ........ lA ~ .z ,\ ~ ~ & '-0 ~ ~ ~ ~ ~ ~ t ~.~ n,_ C) ._--, ,. ~~; =: <- ::::-rl F~ ri.i~i f'.) (.:3 (J i ~~; 1:0~ ( ) ~. )\1\ N __I .-~ ()l ~ -l Brianna Augusta Salinas, Petitioner ~ECEIVED AUG 032005 D : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY. PENNSYLVANIA : DOCKET NO,: 05~ .3 7S' 0 CIVIL IN RE: CHANGE OF NAME OF ADULT From: Brianna Augusta Salinas To: Brianna Augusta Salinas-Morrison AND NOW, this ORDER OF COURT >~ day of ~ , 2005, upon consideration of the Petition for Change of Name of Adult, it is hereby ORDERED ()~ ~ that a hearing be held on the 3 '" day of at to I> o'clock P. M, in courtroom number Distribution: vPaul Bradford Orr, Esquire Attorney for Petitioner 50 East High Street Carlisle, PA 17013 ,2005, J. }aX: 6 1)11fr..~ ~'jjD ":;"M,\OJJ ~I"')';J Brianna Augusta Salinas. Petitioner : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : DOCKET NO,: 05-3750 CIVIL IN RE: CHANGE OF NAME OF ADULT From: Brianna Augusta Salinas To: Brianna Augusta Salinas-Morrison ORDER OF COURT AND NOW, this 3rd day of October, 2005, after a hearing on the Petitioner's request for Change of Name of Adult, it is hereby GRANTED and ORDERED that Brianna Augusta Salinas shall now be known as Brianna Augusta Salinas-Mo BY Edward E. Guido, J. ~l Bradford Orr, Esquire LAW OFFICES OF PAUL BRADFO 50 East High Street Carlisle, PA 17013 For Defendant M(\!nc:.:~' ". C"I~" ...., :1-..1 60 :8 Wi i- .c:mOOl Ai::!V10NG:ilCHd 3H1 :10 3:Ji:!:!()'0311:l