HomeMy WebLinkAbout05-6715
IN RE: CHANGE OF NAME FOR
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
; NO, t!)..j~. G- 7;/ CIVIL TERM
HENRY FREDERICK HEILMAN
: CIVIL ACTION - LAW
PETITION FOR CHANGE OF NAME
AND NOW, comes the Petitioner, Henry Heilman, by and through his attorney, Mark F.
Bayley, Esquire, and hereby presents this Petition requesting that this Court order a change of
Petitioner's name, pursuant to 54 Pa.C.S. S7012 et seq, and in support thereof makes the
following averments:
1. Petitioner was born on March 23, 1978, and is over the age of 21 years.
2. During the five (5) years preceding the filing of this Petition down to the and
including the date thereof, Petitioner has resided continuously at the following locations:
631 North West Street, Apt. #1, Carlisle, PA from September 5, 2005 to present;
144 N. College St., Carlisle, PA from June 4, 2004 to September 5, 2005;
220 S. 7th Street, Indiana, P A 15701 from February, 2004 to June, 2004;
Iraq from February 2003 to February 2004; and
616 Berwick Street, White Haven, PA from February 2001 to February 2003,
3. There are no judgments or decrees of like character of record against the
Petitioner, certification of an official search is attached hereto as Exhibit "A",
4. Petitioner has no criminal record, certification of a State Police Criminal Record
check is attached as Exhibit "B",
5. Petitioner requests that his name be changed from Henry Frederick Heilman to
Henry Fritz Cserny.
6, The reasons for the requested change of name are the following:
(a) Heilman is the name of Petitioner's step-father; Petitioner would prefer to
assume Cserny which is his mother's maiden name; and
(b) Petitioner's middle name of Frederick is random and he prefers to assume
Fritz which is his maternal grandfather's first name,
Wherefore, Petitioner, Henry Frederick Heilman, respectfully prays that this Honorable
Court enter an Order fixing a time for a hearing on the instant petition before this Court, no less
than one (I) month nor more than three (3) months from the filing of the Instant Petition. And
that after the hearing, that this Honorable Court issue an Order authorizing the change of the
Petitioner's name to Henry Fritz Cserny,
lUzt~
Date
Respectfully Submitted
ROMINGER, BAYLEY & WHARE
LAAF-
Mark F. Bayley, ES~
155 S. Hanover St.
Carlisle, PA 17013
(717) 241-6070
Supreme Court ID # 87663
Attorney for Petitioner
VERIFICATION
I verify that the statements made in this Petition are tme and correct. I understand
that false statements herein are made subject to the penalties of 18 Pac Cons. Stat. !I 4904
relating to unsworn falsification to authorities,
Date:
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Henry Heilman, Plaintiff
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OCT-04-2D05 01: 1UM' FROM-
T-223 P.OD2/DD7 F-836
TITLE REPORT SUMMARY
DATE~~ober3,2005
CLIENT: Bayley
LOCATION: 631 N. West street. carlisle
DESCRIPTION:
Cumberland County. Carlisle Borough
Parcel Nr_
Plan:
Lot:
Plan Book:
Page:
PRESENT OWNERS: Henry F. HeUman
GRANTOR:
DEED BOOK: 271 Page 122
DATE OF DEED:
DATE REe:
MORTGAGES:
FROM: Henry F. Heilman
DATED; 9/8/05
IN MTG. VOL: 1923
FROM: Henry F, Heilman
DATED: 9/6105
IN MTG. VOL. 1923
TO: America's Wholesale Lender
RECORDED; 9/20105
PAGE: 3004 AMOUNT OF $100,800
TO~ MERS ( Countrywide Bank)
RECORDED~ 9/20/05
PAGE;3027 AMOUNT OF $25.200
DOMESTIC RELATIONS ARREARAGE (Iffull names provided): Nne
DELINQUENT TAXES: NONE
JUDGMENTS/LlENS (Includes buyel'9 11 full names provided);
NONE
RESTRICTIONS: N/A
EASEMENTSIRIGHTS OF WAY: NIA
ASSESSMENTS: LAND: NIA
IMPROVE:
TOTAL~
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HSNRV F. HEILMAN
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OCT-04-200S 01: lUM FRONl-
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NIVEN J. BAIRD
37 S. Hanover Sn-t. Carli.le. PCIllUi;ylvauia 17013
(717) 243-5732
FAX (717) 243-8110
STATEMENT FOR TITLE WORK PERFORMED
DATE: October 3,2005
TO: Mark F, Bayley, Esq.
RE: Heilman
PROPERTY SEARCHED:
Lien S=h
AMOUNT TO REMIT: $30
THANK YOU
T-223 P 001/007 F-836
SP 4-164 (12-99)
FOR CENTRAL REPOSITORY USE ONLY
(LEAVE BLANK)
PENNSYLVANIA STATE POLICE
REQUEST FOR CRIMINAL RECORD CHECK
;t'~~t;~~~~~~~ ii~;E;~~5
- TYPE OR PRINT LEGIBLY WITH INK-
NOTE:: IF TIftS FORM IS NOT LEGtBLE OR NOT PROPERLY COMPLETED, IT WILL BE RETURNED UPtPROCESSED TO THE:
REQUESTER A RESPONSE MAY TAKE TIfiEE WEEKS OR LONGER TO PROCESS.
WARNING: A PERSON COMMITS A MISDEMEANOR OF THE THIRD DEGREf IF HfJSHE MAKES A WRITTEN FAUrE:
STATEMeNT, WHICH HE/SHE DOES NOT BEUEVE TO fiE TRUE.
8 4 I 4 I 8 IWV II, ,
REQUESTER :
NAME:
ADDRESS :
REQUESTER IDENTIFICATION lONLY CHECK ONE BLOCK)
N INDIYIDUAUHONCRIMINALJUSTICE AGENCY - ENCLOSE A CERTIFIED CHECK/MONEY ORDER IN THE AMOUNT OF $10.00 PAYABLE TO: .. COIMfONWEAL 1H OF PENNSYLVANIA"
THE FEE IS NONREFUNDMLE.
o FEE EXEMPT NONCRlMINALJUSllCE llGEMCY
- 00 NOT SEND CASH OR PERSONAL CHECK-
I
MAID NAME AN ALIASES
IAL S CURl HUM ER (SOC)
DA OFBIRl"H(D08)
05/.;3/7S
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{F\RS1)
(MIDDLE)
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02"" -6'?-/3ff1
REASON FOR REQUEST {CHECK ONE BLOCK}
o EMPLOYMENT (IF APPLICABLE, CHECK ONE OF THE FOLLOWING) 0 ELDER CARE 0 CHILD CARE 0 SCHOOL DISTRICT
o ADOPTION/FOSTER CARE
~ OU<ER{SPECIFY} C j..~ ~ ~.
ONLY CHECK THIS BLOCK IF YOU WANT TO REVIEW YOUR ENTIRE CRIMINAl. HISTORY
o INDIVIDUAL ACCESS AND REVIEW OR FIREARMS CHAlLENGE-ENTIRE CRIMINAL HISTORY
(AVAILABLE ONLY TO SUBJECT OF RECORD CHECK OR LEGAL REPRESENTATIVE WITH lEGAl.AFFIDAVIT OF LEGAl REPRESENTATIVE ATTACHED)
REQUESTER CHECKLIST
DID YOU ENTER THE FULL NAME, DOB, AND SOC?
DID YOU ENCLOSE THE $10.00 FEE (CERTIFIED CHECKlMONEV ORDER)?
- DO NOT SEND CASH OR PERSONAL CHECK -
AFTER COMPLETION MAIL TO
DID VOl} ENTER VOUR COMPLETE ADDRESS INCLUDING ZIP CODE AND
TELEPHONE HUMBER IN tHE BLOCKS PROVIDED?
pAR'17I1:..g5~~tiETg;j$trORY.RESi:icJNS~.OfllLY
INFORMATION DISSEMINATED
Iia' NO RECORD 0 CRIMINAL RECORD ATTACHED
THE INFORMATION EMINATED BY'mE CENTRAL REPOSITORY IS BASED THE
FOl101/VlNG IDENTIFIERS lliAT MATCH THOSE FURNISHED BY THE REQUESTER..
PENNSYLVANIA STATE POLICE
CENTRAL REPOSITORY -164
1 BOO ELMERTON AVENUE
HARRISBURG, PA 17110-9758
717-783-9973
BUSINESS HOURS 8:15 am- 4:15 pm (Monday- Friday)
''''00 NOT WJVTE irfEiow THIS iINp"
INQUlRY DlSSEMINAl"ED BY
SIONJ....."r.-.. ,',0
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CERTI 0 BY
o NAME 0 SOCIAL SECURITY NUMBER
o DATE OF BIRTH 0 RACE
o SEX 0 MAlDEN/AUAS NAME (DIRECTOR, CENTRAL REPOSITORY)
This response Is based on a comparison of data provided by the requester in Part! against t~ InforTI1ation contained in the fiies
of the Pennsylvania Stale Police Cenll'al Repository only, and does not preclude the existence of crImtnal records which might be
contah1ed in the reposltorles of other local, ..-, or federal criminal usllce a ncles,
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IN RE: PETITION FOR
CHANGE OF NAME OF
HENRY FREDERICK HEILMAN
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
05-6715 CIVIL TERM
ORDER OF COURT
AND NOW, this 24th day of January, 2006, upon consideration of the attached
Petition for Name Change, a hearing is scheduled for Wednesday, April 5, 2006 at
10:45 a,m., in Courtroom No.5, of the 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, Petitioner shall comply with all other requirements of the
C,C.R. P. 5, and the Act of December 16, 1982, p, L. 1309, S6 (see 54 Pac C.S. S701
[Historical and Statutory Notes] [Main Volume]), and 54 Pa, C.S, SS701 et seq.
By the Court,
.irk F, Bayley, Esquire
Attorney for Petitioner
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M. L, Ebert, Jr., J. ~
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IN RE: CHANGE OF NAME FOR
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: ...-
: NO. (f;'-(p 7 IS CIVIL TERM
HENRY FREDERICK HEILMAN
: CIVIL ACTION - LAW
ORDER OF COURT
AND NOW, this
5th day of _1\ ~ i'\ \
, 200",-, upon consideration of
the attached Petition of Henry Frederick Heilman for Change of Name, and upon presentation of
Proof of Publication of Notice as required by law, together with proof that there are no
judgments or decrees ofrecord or any other matter of like character against the Petitioner, and it
appearing that there is no lawful objection to the request ofthe Petition, it is hereby Ordered that
the name of Petitioner Henry Frederick Heilman is changed to Henry Fritz Csemy.
BY THE COURT,
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