Pennsylvania > Local County > Philadelphia > Civil Trial
Name Change Petition Package 01-101A - Pennsylvania
| Name Change Petition Package Form. This is a Pennsylvania form and can be used in Civil Trial Philadelphia Local County . |
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Court of Common Pleas of Philadelphia County Trial Division For Prothonotary Use Only (Docket Number) Civil Cover Sheet PLAINTIFF'S NAME DEFENDANT'S NAME In Re: PLAINTIFF'S ADDRESS DEFENDANT'S ADDRESS PLAINTIFF'S NAME DEFENDANT'S NAME PLAINTIFF'S ADDRESS DEFENDANT'S ADDRESS PLAINTIFF'S NAME DEFENDANT'S NAME PLAINTIFF'S ADDRESS DEFENDANT'S ADDRESS TOTAL NUMBER OF PLAINTIFFS TOTAL NO. OF DEFENDANTS COMMENCEMENT OF ACTION 1 AMOUNT IN CONTROVERSY COURT PROGRAMS 0 Arbitration Jury Non-Jury Other: Mass Tort Complaint Writ of Summons X Petition Action Transfer From Other Jurisdictions Commerce Minor Court Appeal Statutory Appeals Notice of Appeal $50,000.00 or less More than $50,000.00 Settlement Minors W/D/Survival X Savings Action Petition CASE TYPE AND CODE (SEE INSTRUCTIONS) 8C NAME CHANGE - ADULT STATUTORY BASIS FOR CAUSE OF ACTION (SEE INSTRUCTIONS) RELATED PENDING CASES (LIST BY CASE CAPTION AND DOCKET NUMBER) IS CASE SUBJECT TO COORDINATION ORDER? Yes No TO THE PROTHONOTARY: Kindly enter my appearance on behalf of Plaintiff/Petitioner/Appellant: Papers may be served at the address set forth below. NAME OF PLAINTIFF'S/PETITIONER'S/APPELLANT'S ATTORNEY ADDRESS (SEE INSTRUCTIONS) PHONE NUMBER FAX NUMBER SUPREME COURT IDENTIFICATION NO. E-MAIL ADDRESS SIGNATURE DATE 01-101A American LegalNet, Inc. www.USCourtForms.com FIRST JUDICIAL DISTRICT OF PENNSYLVANIA COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY TRIAL DIVISION--CIVIL ________________________________ Name ________________________________ Address ________________________________ City, State & Zip Code ________________________________ Telephone Number ________________________________________________________________________ IN THE MATTER OF PETITION FOR CHANGE OF NAME OF : : : : : : : _______________TERM, ________ _______________________________ NO. __________________________ PETITION FOR CHANGE OF NAME TO THE HONORABLE, THE JUDGES OF SAID COURT: The Petition of ________________________________, Petitioner, respectfully represents: 1. Petitioner, ________________________________, is seeking a change of name for the following reasons: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 2. Petitioner has resided at the following address(es): ____________________ ________________________________________________________________ ________________________________________________________________ for ______ years prior to filing of this petition. American LegalNet, Inc. www.USCourtForms.com 3. There are no judgments or decrees of like character of record against Petitioner. WHEREFORE, Petitioner respectfully requests this Court, pursuant to the Act of December 16, 1982, P.L. 1309, No. 295, Section 2, 54 Pa. Cons. Stat. Section 702, for the following: a. To fix a hearing on this Petition; b. To direct that notice be given of this Petition and hearing; and, c. To enter a decree changing the Petitioner's name from ___________________________ to ____________________________. This Petition for Change of Name is respectfully submitted by: ____________________________________ (Please print name) ___________________________________ Signature of Petitioner Date: ___________________ American LegalNet, Inc. www.USCourtForms.com FIRST JUDICIAL DISTRICT OF PENNSYLVANIA COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY TRIAL DIVISION--CIVIL IN THE MATTER OF PETITION FOR CHANGE OF NAME OF : : : : : : _______________TERM, ________ _______________________________ NO. __________________________ VERIFICATION I, _____________________________________, Petitioner herein, hereby verify that the information contained in the Petition for Change of Name is true and correct to the best of my knowledge, information and belief. This verification is made subject to the penalties of 18 Pa. C.S. ยง4904 relating to unsworn falsification to authorities. ____________________________________ Petitioner American LegalNet, Inc. www.USCourtForms.com FIRST JUDICIAL DISTRICT OF PENNSYLVANIA COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY TRIAL DIVISION--CIVIL IN THE MATTER OF PETITION FOR CHANGE OF NAME OF : : : : : : _______________TERM, ________ _______________________________ NO. __________________________ ORDER FOR PUBLICATION AND NOW, this __________ day of _________________________, 200______, on motion of the above named Petitioner, it is ORDERED and DECREED that the within Petition for Change of Name be heard on the ___________ day of __________________, 200________, in Courtroom 285, City Hall, Philadelphia, Pa., at _____________o'clock ___.m., and that notice of the filing of the within petition and of the aforesaid date of hearing be published in The Legal Intelligencer, and a paper of general circulation. BY THE COURT: ______________________________ J. American LegalNet, Inc. www.USCourtForms.com FIRST JUDICIAL DISTRICT OF PENNSYLVANIA COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY TRIAL DIVISION--CIVIL IN THE MATTER OF PETITION FOR CHANGE OF NAME OF : : : : : : _______________TERM, ________ _______________________________ NO. __________________________ NOTICE OF NAME CHANGE NOTICE NOTICE IS HEREBY GIVEN that on the __________ day of _____________________, 200_____, the Petition for Change of Name, filed by Petitioner, _____________________________, was filed in the above-named Court, praying for a decree to change his/her name to _________________________________. The Court has fixed ___________________________________, at _____________o'clock ___.m., in ____________________________, Philadelphia, Pa., 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. ________________________________ Petitioner American LegalNet, Inc. www.USCourtForms.com FIRST JUDICIAL DISTRICT OF PENNSYLVANIA COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY TRIAL DIVISION--CIVIL IN THE MATTER OF PETITION FOR CHANGE OF NAME OF : : : : : : _______________TERM, ________ _______________________________ NO. __________________________ DECREE FOR CHANGE OF NAME AND NOW, this ________ day of ______________________, 200_____, on hearing of the within Petition, and on motion of Petitioner, and on presentation of proof of publication of notice as required by law together with proof that there are no judgments or decrees of record
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