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Box 17: Print your spouse's name exactly as you wrote in on Form 1. The Notary Public will complete the rest of this form.§704 . The process is pretty simple. Complaint in Divorce was filed on: , or. Decree in Divorce was granted on: . Sect. 704. I verify that the statements made in this notice are true and correct to the best of my knowledge, information and belief. NoticeTo Resume Prior Surname Form. This is a Pennsylvania form and can be use in Bucks Local County. Your divorce attorney can prepare a one page, notarized document to file called a Notice of Intention to Resume a Prior Surname.