Prepared by U.S. Legal Forms, Inc.
Copyright 2016 - U.S. Legal Forms, Inc.
COMMONWEALTH OF PENNSYLVANIA
NAME CHANGE
MINOR PACKET
Control Number – PA-NAME-2
This packet contains the following:
1. Instructions ;
2. Forms List ; and
3. Access to Pennsylvania Law Summary.
I. EXPLANATION OF PETITION FOR CHANGE OF NAME
A. In Pennsylvania, an action for a court ordered Change of Name for a
Minor Petitioner begins with the fling of a Petition in the Court of
Common Pleas in the county in which the Minor resides. The Petition
must contain certain information. The forms in this packet include the
necessary information for a Minor Name Change in the State of
Pennsylvania.
B. If both parents are asking for, or at least consenting to, the name
change of a child born in Pennsylvania, many changes to the frst,
middle or last name can be accomplished through administrative
modifcation of the birth certifcate. If this is your situation, please go
to the following site:
http://www.dsf.health.state.pa.us/health/cwp/view.asp?
a=168&q=229939
On the above site, scroll down until you fnd the section titled
“Procedures to Correct a Child’s Birth Record.” That link will take you
to the relevant information.
If you fall within the category of an administrative modifcation of the
birth certifcate, please contact customer service for a refund.
C. You can use this packet if:
► The Minor Petitioner is less than 18 years old and a resident in the
county in which the Petition is to be fled.
► There is proper and reasonable cause for the requested change of
name and it is in the best interest of the minor petitioner.
► You are not changing the minor’s name to avoid debts or defraud
creditors.
► The action is being fled on behalf of the minor petitioner by a
parent or legal guardian.
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-201) - This document
states the reasons and other required details for your name change.
C. Consent of Parent – (PA-NC-207 and PA-NC-208) – consent form for
parents who are not parties to the name change action to approve of
the requested name change for the minor. Provided in duplicate for
use when action is not brought by either parent.
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D. Order for Hearing and Notice of Hearing By Publication – (PA-NC-
204) This document is for use by the Judge to ofcially set the matter
for a hearing and order publication by Petitioner of Notice of the
Hearing. Also, this form also orders the Petitioner to obtain
certifcations of pending actions or indebtedness.
E. Notice of Filing Petition – (PA-NC-202) - Notice to the public and all
interested parties that that the Petition has been fled and the matter
has been set for hearing. This should be published in the newspaper
prior to the hearing.
F. Order - (PA-NC-112) This form requires that the Petitioner provide a
copy of the Petition and a set of fngerprints of the person seeking a
name change to the Pennsylvania State Police for a records and
identity check. Note that fngerprints are not reuuired unless the
minor is 12 years of age or older.
G. Certifcations of the Recorder of Deeds, Prothonotary, and Clerk of
Courts – (PA-NC-109, 110, 111) - Statements as to pending actions or
indebtedness – these will disclose any pending legal actions or records
of indebtedness such as mortgages. Note that the certifcations are
not reuuired unless the minor is 7 years of age or older.
H. Decree for Change of Name – (PA-NC-206) - This is the fnal
statement of the legalities and terms of the name change. Once this
form is signed by the Judge and fled with the court, the name change
is in efect.
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 (MINOR) 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.
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4. All forms with a heading – the name of the court, the Minor
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.
Step 2: Take the Original with fve copies, three self-addressed
envelopes and a fling fee in the amount of approximately
$109.00 to the Prothonotary’s Ofce in the county
courthouse. The Prothonotary’s Ofce will assign your
case a “docket” number and collect the fees.
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’s Ofce . The
Prothonotary’s 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 the Petitioner’s
fngerprints taken on an ofcial Name Change Fingerprint
Card.
If the minor is young, fngerprints are not required by
most Courts. Call the clerk to determine this in your
County. If required, present to the Court a set of
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fngerprints which will be sent to the Pennsylvania State
Police for a determination of name change eligibility.
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’s 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 newspaprt.
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’s 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’s Certifcation
which will be completed after you have conducted your
own search. Prior to your scheduled hearing, 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 (717-299- 8275) 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
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hearing. In the Recorder of Deeds Ofce you do not need
an appointment. You must prepare your own certifcation
and conduct your own search. 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’s Ofce, Clerk of Courts’ Ofce and
the Recorder of Deeds’ Ofce. The minor may or may
not be required to attend the hearing. Check with the
Clerk’s ofce to determine the practice in your county.
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. The following is a list of items for your
consideration:
Driver’s license or state issued I.D..
Social Security registration.
Voter’s registration.
State and federal tax authorities.
Insurance companies.
Social service or other entitlement programs.
Change car titles and notify your insurance company.
Bank and other institutions where you have loans,
checking accounts and savings.
Credit card accounts and other charge accounts.
Update records at school and university.
If the minor is of draft age, the registration ofce
should be informed of your new name.
Military benefts, if the minor has such rights.
Doctor’s ofce, dentist, pharmacy and hospital may
need to amend their records so your future insurance
claims can be properly processed with your insurance
carrier.
Postmaster and mail carrier.
Passport Ofce can be notifed by submitting a
Passport Amendment Form. See Passport agent for
details.
The following is a list of items for your consideration:
Driver’s license or state issued I.D..
Social Security registration.
Voter’s registration.
State and federal tax authorities.
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Insurance companies.
Social service or other entitlement programs.
Change car titles and notify your insurance company.
Bank and other institutions where you have loans,
checking accounts and savings.
Credit card accounts and other charge accounts.
Update records at school and university.
If the minor is of draft age, the registration ofce
should be informed of your new name.
Military benefts, if the minor has such rights.
Doctor’s ofce, dentist, pharmacy and hospital may
need to amend their records so your future insurance
claims can be properly processed with your insurance
carrier.
Postmaster and mail carrier.
Passport Ofce can be notifed by submitting a
Passport Amendment Form. See Passport agent for
details.
NAME CHANGE CERTIFICATIONS***
As a General Rule, the Minor Petitioner, age 7 years or older, 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.
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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 uuotation 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.
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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
PARTICULAR PURPOSE. IN NO EVENT SHALL U. S. LEGAL FORMS, INC. OR ITS
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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LAW SUMMARY
You may access the law summary by going to this URL address:
http://www.uslegalforms.com/pa/PA-NAME-2.htm
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