Form 15 - Notice of Intention to Resume Prior Surname

The numbers on these instructions correspond with the numbers in the boxes on the form. Use the form with the boxes to guide you through filling out the blank form.

Box 1: Print the name of the county in which you filed exactly as it appears on Form 1.

Box 2: Print the name of the Plaintiff exactly as it appears on Form 1.

Box 3: Print the docket that the Prothonotary's Office wrote on Form 1 at the time of filing.

Box 4: Print the name of the Defendant exactly as it appears on Form 1

Box 5: Print your current full name

Box 6. Write either “Plaintiff” or “Defendant” (If you filed the original Divorce Complaint, then you are the Plaintiff. If you did not file the original Divorce Complaint then you are the Defendant.

Box 7. Write either the date the Divorce Complaint was filed or the date a Divorce Decree was granted in the appropriate space provided.

Box 8: Write the surname (last name) of the name you wish to resume.

Box 9. Write the date you sign the document.

Box 10: Sign your current name.

Box 11: Sign the name you are resuming.

IF YOUR COUNTY REQUIRES THIS FORM BE NOTARIZED, DO NOT SIGN THIS FORM UNTIL YOU ARE IN FRONT OF A NOTARY PUBLIC, AND COMPLETE THE REMAINDER OF THE INSTRUCTIONS ON PAGE 2 OF THE FORM:

  1. Write the name of the county you are filing in by arrowbox 1. Write exactly what you wrote on Form 1, by arrowbox 1.
  2. Write your name by arrowbox 2. Write your name exactly as you wrote it on Form 1, by arrowbox 2.
  3. Write your spouse's name by arrowbox 3. Write your spouse's name exactly as you wrote it on Form 1, by arrowbox 3.

Divorce Form 15

Notice to Resume Prior Surname

AOPC 7.1.14