Civil Cover Sheet Page 6

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F
J
D
P
IRST
UDICIAL
ISTRICT OF
ENNSYLVANIA
C
C
P
P
C
OURT OF
OMMON
LEAS OF
HILADELPHIA
OUNTY
T
D
—C
RIAL
IVISION
IVIL
IN THE MATTER OF
:
_______________TERM, ________
PETITION FOR CHANGE OF
:
NAME OF
:
:
:
_______________________________
:
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

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