In the Court of Common Pleas

IN THE COURT OF COMMON PLEAS OF DAUPHIN COUNTY PENNSYLVANIA

Docket No:

PETITION FOR CHANGE OF NAME

NOTICE

NOTICE IS HEREBY GIVEN that on , the Petition of a/k/a was filed in the above named court, requesting a decree to change his/her name from to . The Court has fixed in Courtroom No. , at , , , Harrisburg, PA as the time and place for the hearing on 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. Attorney

The charge for publication in the Reporter is $90.00. Please send your check with your notice to the Dauphin County Reporter, 213 North Front Street, Harrisburg, PA 17101. You must publish at least 7 days before your hearing. Deadline is 12:00 noon on Tuesday for publication on Friday . Please note, we publish on FRIDAY only .

You must also mail a copy of the notice to one of the following: YOU ALSO NEED TO PUBLISH YOUR NOTICE IN A NEWSPAPER OF GENERAL CIRCULATION (PICK ONE) SUCH AS LISTED BELOW:

Patriot News Paxton Herald P.O. Box 2265 101 Lincoln Street Harrisburg, PA 17105 Harrisburg, PA 17112 (717) 255-8119 (717) 545-8762

Central Pennsylvania Business Journal 1500 Paxton Street Harrisburg, PA 17104 (717) 236-4300