Prepared by U.S. Legal Forms, Inc.
Copyright 2016 - U.S. Legal Forms, Inc.
COMMONWEALTH OF PENNSYLVANIA
NAME CHANGE
ADULT PACKET
Control Number – PA-NAME-1
This packet contains the following:
1. Instructions ;
2. Forms List ; and
3. Access to Pennsylvania Law Summary.
Note: This package contains forms for use throughout your State. However, some
Counties, or Judges may require a diferent form, or modifcation to these
forms. If this happens, please consult with your local Court Clerk. If you are
required to use additional forms, please advise us by sending an e-mail to
orders@uslegalforms.com . and we will arrange to send you the forms,
The general procedure discussed below applies to the vast majority of
counties in Pennsylvania. But, with sixty-seven (67) counties in
Pennsylvania the procedure may vary to some extent in your particular
county.
I. EXPLANATION OF PETITION FOR CHANGE OF NAME
A. In Pennsylvania, an action for a court ordered Change of Name begins
with the fling of a Petition in the Court of Common Pleas in the county
in which the Petitioner resides. The Petition must contain certain
information. The forms in this packet include the necessary
information for an Adult Name Change in the State of Pennsylvania.
B. You can use this packet if:
► You are at least 18 years of age and reside in the county in which
you will fle.
► You have proper and reasonable cause for the requested change of
name.
► You are not changing your name to avoid debts or defraud
creditors.
► You satisfy the requirements of the Pennsylvania Code regarding
judicial change of name.
C. Age of Majority for purposes of fling a name change action in
Pennsylvania.
Section 5101 of the Pennsylvania Code provides:
“Attainment of full age
(a) Age for entering into contracts. — Any individual 18 years
of age and older shall have the right to enter into binding and
legally enforceable contracts and the defense of minority shall
not be available to such individuals.
(b) Age for suing and being sued. — Except where otherwise
provided or prescribed by law, an individual 18 years of age and
older shall be deemed an adult and may sue and be sued as such.”
II. WHAT FORMS ARE INCLUDED
A. Civil Cover Sheet – (PA-NC-100) This document provides the court
with certain necessary information needed to categorize the action and
provide needed statistics to the judicial system.
B. Verifed Petition for Change of Name – (PA-NC-101) This document
states the reasons and other required details for your name change.
C. Verifcation - (PA-NC-108) This sworn document avers to the truth of
the information contained in the Petition.
D. Order – Setting Hearing and Ordering Notice of Hearing By
Publication (PA-NC-107) –This document ofcially sets the matter for a
hearing and orders publication by Petitioner of Notice of the Hearing.
Also, this form orders the Petitioner to obtain certifcations of pending
actions or indebtedness.
E. Notice of Name Change (PA-NC-102) – Notice to the public and all
interested parties that your Petition has been fled and the matter has
been set for hearing. This should be published in the appropriate
newspaper(s) prior to the hearing.
F. Proof of Publication (PA-NC-104)– an afdavit to be completed by
personnel at the newspaper attesting to the publication of the Notice of
Name Change one time at least 30 days prior to the date of the
Hearing.
NOTE: As a general rule, the newspapers in Pennsylvania will provide
their own form for proving publication of notice of name change. The
above form is provided out of an abundance of caution for those cases
where the newspaper(s) do not have their own form.
G. Order – (PA-NC-103) fngerprints and criminal record certifcation by
the state police . This Order requires that the Petitioner provide a copy
of the Petition and a set of fngerprints of the person seeking a name
change to the state police for a records and identity check.
H. Certifcations of Recorder of Deeds, Prothonotary, and Clerk of
Courts – (PA-NC-109, 110, 111) statements as to the presence of any
pending actions or indebtedness. See “Name Change Certifcations”
on page 7 for additional information.
I. Decree for Change of Name (PA-NC-105) – This is the fnal
statement of the legalities and terms of your name change. Once this
form is signed by the Judge and fled with the court, the name change
is efective.
If you did not order a completion package and need access to the download
page again for any of the above forms, please check your email for a link to
that will redisplay the page for you.
III. PROCEDURE FOR CHANGE OF NAME (ADULT) FOR THE STATE OF
PENNSYLVANIA
A. Preliminary Note:
1. The attached forms may be completed by:
a. Printing the forms and completing by hand. Use black ink
and print neatly.
b. Printing the forms and completing using a typewriter.
c. By completing the forms on your computer using a word
processing program and then printing the forms.
2. Use complete names and not initials. Check your spelling
carefully, a misspelled word can delay your name change.
3. You will need an original and 5 copies of each form. You will
also need 3 self-addressed stamped envelopes.
4. All forms with a heading – the name of the court, the Petitioner’s
name, the case number, and the name of the document –
require that the heading be completed. You will need to add the
name of the court and the full name of the Petitioner. The
“Action/Cause No.” will be assigned by the court clerk at the
time of fling.
5. Forms that require your signature and include a notary block
MUST be signed in the presence of the notary or court clerk who
will complete the acknowledgement. Use your complete name –
frst name, middle name, last name.
6. When a form is fled with the court, request the clerk “fle-
stamp” one copy of the form for your fle.
7. A Law Summary is available and can be printed for your State.
To do so, go to the end of this package and select the Law
Summary link under the form title and print. Review the Law
Summary before beginning the process of completing the forms.
B. Procedure
Step 1: Complete all the forms using complete names – middle
names instead of middle initials. Sign the Petition before
a notary. Make 5 copies of the entire set of forms. Note:
the number of copies may vary from county to county
depending upon the procedure in your county. This
number of copies is an approximate number based on
information from several courts.
Step 2: Take the Original with fve copies of the forms, three self-
addressed envelopes and a fling fee in the amount of
$109.00 to the Prothonotary Ofce in the county
courthouse. The Prothonotary Ofce will assign your case
a “docket” number and collect the fees. It is suggested
that you verify the amount of the fling fee by contacting
the Ofce of the Prothonotary for your county.
Step 3: After the Judge reviews the petition and signs the order,
directing you to provide fngerprints and a copy of the
petition/order to Court Administration, the petition and
order are returned to the Prothonotary Ofce. The
Prothonotary Ofce will send one copy of the
petition/order to you in one of the self-addressed,
stamped envelopes.
Step 4: Take the Petition and Order with you to the local barracks
of the Pennsylvania State Police and have your
fngerprints taken on an ofcial Name Change Fingerprint
Card. In some counties the local police department may
provide the fngerprinting service. It is suggested you ask
the clerk about the agency to use.
Court Administration Ofce will forward the petition/order
and fngerprint card to the Pennsylvania State Police
Records Identifcation Division for review. When the
Pennsylvania State Police Records Identifcation Division’s
review is completed a report is mailed to the Prothonotary
Ofce.
Step 5: Once the report is received from the State Police, court
administration will then schedule a hearing. The hearing
will not be scheduled for at least 45 days in order to allow
time for publication.
The petition/order scheduling the hearing is returned to
you in the second self-addressed, stamped envelope.
Step 6: After you receive the information on your hearing date
and time, you must publish notice of the hearing. You
must publish the notice in two (2) local newspapers. One
of which must be the newspaper designated for
publication of ofcial notices. The clerk can provide the
name and address of the ofcial notice newspaper.
Written proof of publication will be provided by the
newspapers and must be presented at the hearing. Some
newspapers have their own proof of publication form and
others will require the petitioner provide the form. A
Proof of Publication form is included in this package.
Step 7: Prior to your hearing, you must have signed certifcations
of a name search from the Prothonotary Ofce, Clerk of
Courts Ofce, and the Recorder of Deeds Ofce. These
certifcations must be done within 48 hours of your
scheduled your hearing. ***
Included in this package is the Prothonotary Certifcation
which will be completed after the search is conducted.
Prior to your scheduled hearing, in most counties you
must provide the Clerk of Courts Ofce AT LEAST A 24-
HOUR NOTICE to prepare a certifed search of the
individual fling for a legal name change. Your request
must include your social security number and date of
birth. Submit this request by calling the Clerk of Courts for
an appointment. The Clerk of Courts fee for preparing and
certifying a search is approximately $20.00, payable by
cash or money order. You may pick up your prepared
search on the date of the scheduled Name Change
hearing.
In the Recorder of Deeds Ofce you usually do not need
an appointment. In most counties the staf will assist in
conducting the search but in others you conduct your own
search. Since these records are usually computerized, it is
basically a matter of searching for your name using the
Recorder’s computer. The Recorder of Deeds Ofce will
charge a nominal fee of approximately $1.50, payable by
cash only, for signature on the certifcation.
Step 6: On the day of your hearing, you must have the proof of
publication and signed certifcations of a name search
from the Prothonotary Ofce, Clerk of Courts’ Ofce and
the Recorder of Deeds’ Ofce.
Step 7: When all the requirements of the statutes
have been satisfed and the necessary hearing held,
the decree will issue. This will be mailed to you in the
third self-addressed, stamped envelope. You are now
ready to notify appropriate persons and governmental
agencies of the change.
USLF has available a package to assist in giving proper
notice. For more information, see PA-9087 at:
http://www.uslegalforms.com/pa/PA-9087.htm
NAME CHANGE CERTIFICATIONS***
As a General Rule, the Petitioner will be required to submit name change
certifcations from the Clerk of Courts, Prothonotary and Recorder of Deeds. In the
following counties the required certifcation of records is diferent:
(1) Delaware County: Certifcations will be required from the Ofce of Judicial
Support (combines ofces of the Clerk of Courts and Prothonotary) and Recorder of
Deeds.
(2) Erie County: Has an Ofce of the Clerk of Records with 4 divisions:
(Prothonotary (civil); Clerk of Courts (Criminal); Recorder of Deeds; and, Register of
Wills and Clerk of the Orphans’ Court. Erie County Name Change Petitioner’s will
still need certifcations from the Recorder of Deeds, Clerk of Courts and
Prothonotary.
(3) Lackawana County: Has the Ofce of Judicial Records that combines the duties
of the prothonotary and the clerk of courts. Name Change petitioners will need
certifcation of the Ofce of Judicial Records and the Recorder of Deeds.
(4) Lehigh County: A Name Change Certifcation must be obtained from the
Recorder of Deeds (Government Center Room 350) concerning the existence of any
recorded mortgages. You will be required to bring this Certifcation to your hearing.
No other certifcations I s required.
(5) Northampton County: The Department of Court Services is organized into the
following divisions: Clerk of Courts, Criminal Division, Clerk of Courts, Civil Division
(Prothonotary), Recorder of Deeds, Register of Wills and Clerk of Courts, Orphans’
Court Division.
NOTE ABOUT COMPLETING THE FORMS
The forms in this packet contain “form felds” created using Microsoft Word. “Form
felds” facilitate completion of the forms using your computer. They do not limit you
ability to print the form “in blank” and complete with a typewriter or by hand.
If you do not see the gray shaded form felds, go the View menu, click on Toolbars,
and then select Forms. This will open the forms toolbar. Look for the button on the
forms toolbar that resembles a shaded letter “a”. Click in this button and the form
felds will be visible.
The forms are locked which means that the content of the forms cannot be
changed. You can only fll in the information in the felds.
If you need to make any changes in the body of the form, it is necessary for you
“unlock” or “unprotect” the form. IF YOU INTEND TO MAKE CHANGES TO THE
CONTENT, DO SO BEFORE YOU BEGIN TO FILL IN THE FIELDS. IF YOU
UNLOCK THE DOCUMENT AFTER YOU HAVE BEGUN TO COMPLETE THE
FIELDS, WHEN YOU RELOCK, ALL INFORMATION YOU ENTERED WILL BE
LOST. To unlock click on “Tools” in the Menu bar and then selecting “unprotect
document”. You may then be prompted to enter a password. If so, the password is
“uslf”. That is uslf in lower case letters without the quotation marks . After
you make the changes relock the document before you being to complete the felds.
After any required changes and re-protecting the document, click on the frst form
feld and enter the required information. You will be able to navigate through the
document from form feld to form feld using your tab key. Tab to a form feld and
insert your data. If problems, please let us know.
LAW SUMMARY
You may access the law summary by going to this URL address:
http://www.uslegalforms.com/pa/PA-NAME-1.htm
DISCLAIMER
These materials were developed by U.S. Legal Forms, Inc. based upon statutes and
forms for the State of Pennsylvania. All Information and Forms are subject to this
Disclaimer: All forms in this package are provided without any warranty, express or
implied, as to their legal efect and completeness. Please use at your own risk. If
you have a serious legal problem we suggest that you consult an attorney. U.S.
Legal Forms, Inc. does not provide legal advice. The products ofered by U.S. Legal
Forms (USLF) are not a substitute for the advice of an attorney.
THESE MATERIALS ARE PROVIDED "AS IS" WITHOUT ANY EXPRESS OR IMPLIED
WARRANTY OF ANY KIND INCLUDING WARRANTIES OF MERCHANTABILITY,
NONINFRINGEMENT OF INTELLECTUAL PROPERTY, OR FITNESS FOR ANY
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AGENTS OR OFFICERS BE LIABLE FOR ANY DAMAGES WHATSOEVER (INCLUDING,
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LOSS OF INFORMATION) ARISING OUT OF THE USE OF OR INABILITY TO USE THE
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POSSIBILITY OF SUCH DAMAGES.
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