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Fill and Sign the And Now This Day of 20 a Hearing on the Form

Fill and Sign the And Now This Day of 20 a Hearing on the Form

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IN THE COURT OF COMMON PLEAS OF __________________ COUNTY, PENNSYLVANIA IN RE: CHANGE OF NAME OF : NO. : : O R D E R AND NOW, this ______ day of __________________ , 20______, a hearing on the Petition for Change of Name is scheduled for the ______ day of __________________, 20 ______, at _______ o'clock ______.m. in Courtroom No. ______ in the __________________ County Courthouse, ________________________, __________________, Pennsylvania.Petitioner is directed to give notice of the hearing by publication in the __________________ and one newspaper of general circulation in __________________ County, once a week for twoconsecutive weeks.Petitioner will obtain certifications of actions filed of record from Clerk of Courts andinstruments of indebtedness from Prothonotary and Recorder of deeds dated no more than twodays prior to the hearing. BY THE COURT: _________________________________ J.cc: PetitionerCourt Administration

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