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Fill and Sign the Pennsylvania Petition 497324746 Form

Fill and Sign the Pennsylvania Petition 497324746 Form

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IN THE COURT OF COMMON PLEAS OF __________________ COUNTY, PENNSYLVANIA IN RE: CHANGE OF NAME OF : NO. :       : PETITION FOR CHANGE OF NAME TO THE HONORABLE, THE JUDGES OF SAID COURT: The Petition of       , by       , respectfully represents: 1. Petitioner,       , wishes to have his name changed because:             2. That petitioner has resided at:                                                                         during the five years preceding the filing of this Petition. 3. That there are no judgments or decrees of like character of record against the petitioner. Petition for Change of Name Page 1 of 2 WHEREFORE, Petitioner requests the Court, pursuant to the Act of December 16, 1982, P.L. 1309, No. 295, § 2, 54 Pa. Cons. Stat. Ann. § 702, for the following: a. To fix a hearing on this Petition; b. To direct that notice be given on this Petition and hearing; and c. To enter a decree changing the petitioner’s name from       to       . _________________________________ Petitioner Petition for Change of Name Page 2 of 2

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