Notice To Resume Prior Surname (Divorce) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Notice To Resume Prior Surname (Divorce) Form. This is a Pennsylvania form and can be use in Luzerne Local County.
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Tags: Notice To Resume Prior Surname (Divorce), T-1F-3, Pennsylvania Local County, Luzerne
IN THE COURT OF COMMON PLEAS OF _______________ COUNTY, PENNSYLVANIA
CIVIL DIVISION
:
_____________________________________ :
Plaintiff
:
:
vs.
:
:
_____________________________________ :
Defendant
:
File No. __________________________
IN DIVORCE
NOTICE TO RESUME PRIOR SURNAME
Notice is hereby given that the Plaintiff / Defendant in the above matter,
[select one by marking “x”]
_____ prior to the entry of a Final Decree in Divorce,
or
_____ after the entry of a Final Decree in Divorce dated ___________________,
hereby elects to resume the prior surname of _________________________, and gives this
written notice avowing his / her intention pursuant to the provisions of 54 P.S. § 704.
Date: __________________
____________________________________
Signature
____________________________________
Signature of name being resumed
T-1F-3
(Rev. 4/01)
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