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Pennsylvania Notice of Intention to Retake Prior Name

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Pennsylvania law provision 54 Pa. C.S.A. 704 permits you to take your earlier name as a divorcee wife. You need to file Praecipe to Transmit Record form in addition to this intention to retake prior name form.


However, please ensure to file both forms with the clerk of the court of common pleas of Pennsylvania family court division within five working days since the date of the issuance of the divorce decree. Notarization of the plea is necessary before filing it. Please carry valid proof of identity along with you to establish your identity before the notary public.


You may request to take back your maiden name or any other name you were known as prior to your marriage using this form. Use this Pennsylvania Notice of Intention to Retake Prior Name in the county court of common pleas in of Pennsylvania family court division.

Before Proceeding

  • Please sign this Pennsylvania Notice of Intention to Retake Prior Name petition before a notary public of Pennsylvania State. You must sign your name after the marriage.
  • Please enter the date of the final decree in divorce accurately and file the form within five days of the said date.
  • Please enter your name as either plaintiff or defendant and strike out the other option.
  • Please retain a copy of duly completed, signed, and notarized Pennsylvania Notice of Intention to Retake Prior Name form for your record purpose.
  • You must file Pennsylvania Notice of Intention to Retake Prior Name and Praecipe to Transmit Record form together in the Court of Common Pleas of your county in Pennsylvania State.

Pennsylvania Notice of Intention to Retake Prior Name

Steps to prepare Pennsylvania Notice of Intention to Retake Prior Name

  1. Enter your name after the marriage as plaintiff or defendant and strike out the other option.
  2. Enter the name of the county of the court of the common pleas in Pennsylvania State where you intend to file this petition.
  3. Enter case number on the next line.
  4. Strike out either plaintiff or defendant on the next line of the Pennsylvania Notice of Intention to Retake Prior Name.
  5. Then enter the date of granting the final decree of divorce in the required format starting from date, month, and year.
  6. Enter your name before the marriage. It may be your maiden name or any other name you are known prior to your marriage. This name needs to be your legal name prior to marriage. You intend to resume / retake this name by filing this petition in the county of the court of the common pleas in Pennsylvania State.
  7. Sign this petition before a notary public of the Pennsylvania State.
  8. Enter the name you intend to retake / resume on the next line.

The notary public of Pennsylvania State must acknowledge your identity and signature by endorsing the same with his/her seal and signature.

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Pennsylvania Notice of Intention to Retake Prior Name

Pennsylvania Notice of Intention to Retake Prior Name

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