1
IN THE COURT OF COMMON PLEAS OF COUNTY, PENNSYLVANIA
CIVIL ACTION
PLAINTIFF
4 vs.
DEFENDANT
Case No. 3
IN DIVORCE
NOTICE OF INTENTION TO RESUME PRIOR SURNAME
Pursuant to Title 54 P.S. 704
NOTI c____6 hereby given that I, _____，
the ___ (Plaintiff or Defendant) in the above-
capt id 7 se in which a:
Complaint in Divorce was filed on: ___.
___ Decree in Divorce was filed on: ___.
hereby elect to resume the prior surname of 8