HomeMy WebLinkAbout08-4462NAME CHANGE PETITION IN RE
MAR.A LINDSAY D'ALESSANDRO
IN THE COURT OF COMMON
PLEAS OF
CUMBERLAND COUNTY,
PENNSYLVANIA
Of- VVII -Z CZ4?fd-
M"C. - - CV
PETITION FOR CHANGE OF NAME OF MINOR MARA LINDSAY
D'ALESSANDRO
AND NOW COMES, KELLIE LYNN MCINROY, (hereinafter the "Petitioner") mother
and primary caregiver of Mara Lindsay D'Alessandro ("The Minor") who HEREBY
petitions to this honorable Court for an Order Changing Name of The Minor to "Mara
Lindsay D'Alessandro McInroy". In support of this Petition, the Petitioner avers as
follows:
On July 10, 2008 Petitioner (Kellie Lynn McInroy) resumed her maiden name
by filing notice. (See Notice to Resume Prior Surname and Birth Certificate
of Petitioner attached hereto and marked as Exhibit "A")
2. The Petitioner was born Kellie Lynn McInroy on September 27, 1964 in
Lowell, Massachusetts and currently resides at 901 Allenview Drive,
Mechanicsburg, Cumberland County, Pennsylvania with The Minor. (See
Exhibit "A" and copy of Petitioner's Pennsylvania driver's license attached
hereto and marked Exhibit `B").
3. The Petitioner and Anthony T. D'Alessandro were married on June 18, 2002
in the Commonwealth of Puerto Rico. (See Marriage Certificate attached
hereto and marked Exhibit "C').
4. On December 04, 2002 Mara Lindsay D'Alessandro (The Minor) was born to
Father Anthony T. D'Alessandro and Mother (Petitioner) Kellie Lynn
McInroy (formerly also "D'Alessandro") at the Milton S. Hershey Medical
Center in Dauphin County, Pennsylvania. (See Birth Certificate of Minor
attached hereto and marked Exhibit "D").
5. The Petitioner and Anthony T. D'Alessandro were divorced by Decree
ordered October 31, 2006 in the Court of Common Pleas of Cumberland
County. (See Divorce Decree attached hereto and marked Exhibit "E")
6. No formal custody agreement is in place for the custody and care of The
Minor, but by agreement of the parties the Petitioner has undertaken the role
of the primary caregiver with physical custody of The Minor here in
Mechanicsburg, Cumberland County, Pennsylvania.
7. Anthony T. D'Alessandro (father of The Minor) relocated from the
Commonwealth and currently resides at 10136 East Southern Avenue, Mesa,
Arizona 35209.
8. On April 9, 2007, Anthony T. D'Alessandro consented to a change of The
Minor's name to "Mara Lindsay D'Alessandro McInroy". (See April 9, 2007
memorandum attached hereto and marked Exhibit "F').
9. The Petitioner and The Minor live at 901 Allenview Drive, Mechanicsburg,
Cumberland County, Pennsylvania and are in the jurisdiction of this Court.
10. The Minor is reaching school-age and the best interests of The Minor would
be served if she shared the last name of the Mother with whom she resides in
Cumberland County, Pennsylvania.
11. The Minor's best interests would be served if she had the same last name as
her Mother (Petitioner) as she could be readily identified in school, at work,
and in other situations as the daughter of Kellie Lynn McInroy, Petitioner.
12. Anthony T. D'Alessandro is being be provided notice of the date, time, and
place of any hearing on this petition in order to afford him ample opportunity
to respond and/or appear should he desire to do so. (See Notices attached by
addendum at the time of the hearing marked as Exhibit "G`).
13. Anthony T. D'Alessandro acknowledges that this application is made solely
for the best interests of The Minor and will not in any way release him from
any obligations incurred or harm any rights of property or action in any
original name.
The contents of the petition are true and correct to the best of my knowledge and
belief
Signature of Petitioner
a 3 Q?
e 111?j
Acknowledged before me this date:
NOTARIAL SEAL
SHELLY L NESTER
Notary Public
TY
C3 C??-Jp
N be
CU\A
?n 576-
' d? L-?kc_ -W '5 7?7?
`?'
????b,
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
KELLIE L. D'ALESSANDRO _
Plaintiff
Vs File No. 2006-3635
ANTHONY T. D'ALESSANDRO_ IN DIVORCE
Defendant
NOTICE TO RESUME PRIOR SURNAME
Notice is hereby given that the Plaintiff in the above matter,
prior to the entry of a Final Decree in Divorce,
or X after the entry of a Final Decree in Divorce dated October 31, 2006, hereby
elects to resume the prior surname of Kellie Lynn McInrov and gives this written notice
avowing her intention pursuant to the provisions of 54 P. S. 704.
Date:
Sign re o Kellie Lynn D'Alessandro
1? L;;?
Signature of Kellie Lynn McInroy
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND)
On the _ day of ? 2008, before the notary public, personally
appeared the above affiant kn to be the person whose name is subscribed to the
within document and ackno edged that she executed the foregoing for the purpose
therein contained.
In Witness Whereof, I have hereunto set my hand and official seal.
NOTARAL SEAL
SHELLY L NESTER
Notary Public
CARLISLE BOROUGH,CUMBERLAND COUNTY
My Commission Expires Jul 31, 2008
Form R-56
50M-8/97
cZ4c Toinmonfucaltlt of Aussar4usetts
12 EXECUTIVE OFFICES OF HEALTH AND HUMAN SERVICES A694929
STATE DEPARTMENT OF PUBLIC HEALTH REGISTRY OF VITAL RECORDS AND STATISTICS
.: TIIC Q.t1111111u B111raltil of flaseadjusetts
+ L( r',LLL .t ?`.
MIDDLE SF X :... KEVIN H. WHITE
"- SECRETARY OF THE COMMONWEALTH
.••••••••""' -
" " " (l.lly or Town making this return)
(r 0 _ - a DIVISION OF VITAL STATISTICS
STANDARD
` ..J i
'
' ..............
. . Registered No. . _
or Town?. CERTIFICATE OF LIVE BIRTH
r City
well General HO SPita REET WARD i III birth occurred in it hospital or institition.
b
)
d
d
f
gi num
er
street an
o
ve its NAME inslea
Y -
ynn Me InrQ
Kellie L i I child is not yet named, make
di
t
d
l
.
.
?14E OF CHILD ................ ....... . • • • .. • . • _ " report, as
rec
e
.
supplementa
4 If Twin or Triplet? .............. r5Toal number of children born
2 6 Date (? 2?
7
plural
Births If so, born Ist, 2nd or 3rd? ...
revious to this birth........ of IIirth .
........
........ 7. .
.
. r.)
(Month) (Day) (Yea.
FATHER 18 MOTHER
MAIDEN
nn
L
A
?Z'
h
rZnt
S
C
is..
..
.
NA AI E .
. .
..........................
.,
.
t
t.NT An
n
L.
NA McInroy
...
.
..
F .
.....................
IJ
T PERMANENT
9 G
9
STR E ET
O
7
QQd O
d
G. O
STREET
'l.
NO. _
. . . . . ...... . . . . . . . . . .
.
................. ...
.
...
RESIDENCE, N
.
....
*?,,
TOWN .... Billerica....STATE. -1`aS.S..... ? CITY Olt TOWN ..Biller).c.a.....STATF..MaSS....
1' ] 0 I S
•' I l li
t . AGE
T TIME OF 3 0 COLOR W AGE: AT TIME OF 27
l
Y
IS BIRTH
1
.
.................. .. ...IYear., Olt RACE ...............
S .(
ea
........
... rs
... TH
- ( 1
Pa. I14GE
Reading
Lancaster, Pa.
,
.if }iTfi ..
(City or T-nl 16tate or country) Icily .... ...... .........
or Town) (State or touot•y'
A Dr?y, Id u?.I
ON .. j.llycJ? G a an .............. OCCUPATION .. !1 .."
.. ............ ..
2:33 a.m.
"•?. Certify that I attended the birthuf this child %,h<, -s I-o at the hou r of. ...m. un the date above s"iteii. The information given
' furnished by w t.he r._ ....related to this child as .... . ......?.??
- ATURE OF
ll77h T•1
D
IrJ
ClOU
r S
alt
e
.
..
. .•
. ..
.................................... .......
.
.
b
DANT AT BIRTH
1 Name
.................................... .
(Physician,arent or other, etc.1
1f
......... ...,.... ..... .......
................ ........ - .. ... ... .............,.
iPRINT OR TYPE NAME - CHAPTER 48 ACTS OF 1959.1
ChelmS ford
1'14$
5 ....
J 96
4
pt.
??
S
e
,1 DATE ... ..................
,.
1
RESS NO.... .
...
, .
..
.
.
X
..... NO ......
VERIFIED tChap. 46. Sec. 4A1 YES ...21 Birth weight .Y... Ib. ..uz.
•:.
' ` led (Chap. 111, Sec. 109A1 ............ ....... ..... ... ^6... .....
' Z 1 l
O ............. .. .... ......
. .
D AT OFFICE OF CITY OR TOWN CLERK .
I MunthI (Day) (Year)
)! COPY ATTEST: ..........
I Registrar)
A A A
IITTT\T L. ('?r,V p, tl. ?iC (I. UIit lltU lltti C:ti l?l of _{{:ISS:t CIIItSCItB L-U Vi LL L
1 «? )?.1
t L:: ?I L'-S! ..-• KEVIN H. WHITE .... .....................a ..:, .< .
(Coo w { SECRETARY OF THE COMMONWEALTH (City or Town making this return)
DIVISION OF VITAL STATISTICS
?,r, r, I ? 1 ?• '
y
(city ar Townib STANDARD ? CERTIFICATE OF LIVE BIRTH Registered No.
.Lowell General Ho Sp it&IREET WARD I (if birth occurred in at hospital or instilition,
give its NAhl E insteadof street and number)
Kellie
SAME OF CHILD Lynn Me InrQ
y - ff if child is not yet named, make
?
.....
................ .
.... .... ............ ........... ..
... .. so )plemental report, as directed.
4 If Twin or Triplet?
lura
Dl _
.. D Total number of children horn
2 6 Date
9 27 64
Births
If so, born Ist, 2nd or 3rd? .
....
live previous to this birth.....
., of Bi
rth .......
(Month) IDayl (Year)
FATHER 13 MOTHER
MAIDEN
A
nn
NAME
L
z
Sch
ant
.
..
. .
,..
.
.
......_ ..............._..
?.:..R.4bert D
. M
GInro
Y PRESENT Ann L. McInro?/
Y
.
. NA NI F : ........... ..... .............
.........................
L;.
. LENT ((?? ,,77
N0
7
QQ
ICE PERMANENT
STREET ('?
9 GooC?
. . ...
..
........ ....... ..
, ......
RESIDENCE, NO. .....
...... ... ..........ST
BEET
D
TOWN ....Billerijca...STATE ff^^
..?ldss.•_. PITY OR TOWN . .BillerI.C.a..... .STATE. .Ma,ss....
AGE AT TIME OF
THIS IiIkT}i
?B l (ILOIt T, AGE AT TIME OF
30
11
?
I
?
....
.. ..
_.
- ....Il ar,? Olt RACE: ...... r
- --
- - ..... ..
THIS RIRTff ...
.(,.IYearsl
-- -- - -- - --
Feat, na
Pa
- a3 . 1
;
P "; Lancaster
Pa.
• ....... ..... ...
......
- (City or Tow n i St
' ,
,t ar
...............
ate or countr y) - -
>
--- -- ,
o
IClly or Town)
IS[ate or country;
t ON
Phyaic ian /'
..
............... ..
OCCUPATION .... .t
"............. ...........................
2:33 a.m. ---
'? ' certify that 1 attended the birth of this child who was burn at the hour of. ....m. on the date above slated. Th e information given
th
'
- furnished by mo
er. _ .... related to this child as ... ........7..
ATURE OF Vialter S.
' NDANT AT DIRTH ................. ................ Clou h II D
..
•
.......... g.
..
IName
11 .
.......
..
.. ....... .........
(Physician, paren ............. .
t or other, etc.)
l .......................... ...
?i PRINT OR TYPE NAME -
fo
rd
Ch?ltrs
RESS No CHAPTER 4a ACTS OF 1959.)
S t
.
.
........
. ... .
6 VERIFIED (Chap. 46, Sec. 4Ai YES .....X- ......... ....NO . ................ ... 21 Birth weight .. .$...lb. ..?.2..oz.
{rented (Chap. 111, Sec. 109A) ........................... ... ..
.
OCt . ............
l
1964 ..................... ...................
ED AT OFFICE OF CITY OR TOWN CLERK ... 1 _ .....
-
(Month) .
..
..........
IDay)
..................
(Year)
COPY ATTEST: ... .................... ... ........ ............................. ....
I Registrar) ................. ...................
(
I, the undersigned, hereby certify that I am the Registrar of Vital Records
and Statistics; that as such I have custody of the records of birth, marriage
and death required by law to be kept in my office; and I do hereby certify
that the above is a true copy from said records. WITNESS my hand and the
SEAL OF THE DEPARTMENT OF PUBLIC HEALTH at Boston on the date
inscribed hereon:
J/NUA1Z-`Y G) 1999
2.C
ELAINE B. TRUDEAU
Regismir
IT IS ILLEGAL TO ALTER OR REPRODUCE THIS DOCUMENT IN ANY MANNER
t ;I
r", 4,bo 8
7
A
N n g
H CS-C,
Q.
S.
1AG7
'ENNDOT Driver and Vehicle Services - Online Documents https://www.dot3.state.pa.us/driver_services/AmsServletjsphV?M.
PENNSYLVANIA DEPARTMENT OF TRANSPORTATION
.,. TEMPORARY INTERNET VEHICLE REGISTRATION
*ADDRESS CHANGE ONLY*
16 IMPORTANT: You must print this document for your records.,
Your confirmation number is 081912620010591
This Temporary Internet Vehicle Registration should be carried with your most recent Vehicle
Registration. You will receive your new Vehicle Registration in the mail within ten (10) days.
Transaction Date: 07/09/2008
Transaction Time: 1:25 PM
VEHICLE INFORMATION
Name:
Address:
Title Number:
Plate Number:
Vehicle Identification Number (VIN):
KELLIE L DALESSANDRO
901 ALLENVIEW DR
MECHANICSBURG, PA 17055
60436417
EG18219
134GW48S24C412073
Emission Inspection
Required/Diesel Vehicles exempt
Signature: -&A `-4? /7
(Please sign on the line above.)
1 of 3
7/9/08 1:26 PM
DEPARTAMENTO DE SAWD
(DEPARTMENT OF HEALTH)
REGISTRO DEMOGRAFICO
(DEMOGRAPHIC REGISTRY)
CERT)FICACFON DE MATRIMONIO r
(CERTIFICATION OF MARRIAGE)
NUMERO DE CERTIFICADO (CERTIFICATE NUMBER)
152-2002-00591-011486-064231
NOMBRE'DEL CONTRAYENTE (GROOM'S NAME')
ANTHONY T D ALESSANDRO
FECHA NACIMIENTO (BIRTHDACE) EDAD (AGE)
12 JUL 1961 40
LUGAR NACIMIENTO (BIRTHPLACE)
NEW.JERSEY, ESTADOS UNIDOS
NOMBAR DEL 'PADRE ( FAT R'S 00NME) > M :LA MADRE, < (MOTHER'S Nffl4r ,
ANTHONY D'ALESSANDRO KEN D'ALESSANt RD
NOMBRE DE LA CONTRAYENTE (BRIDE'S NAME)
KELLIE L Mc INROY
EECHA NACIMIENTO (BIRTHLATE) EDAD (AGE)
27 SEP 1964 37
LUGAR NACIMIENTO (BIRTHPLACE)'
MASSACHUSETTS, ESTADOS UNIDOS
NOMBRE DEL PADRE (FATHER'S NAME) NOMBRK DE LA MADRE (MOTHER`.$ NAI )
ROBERT 'D Mc INROY ANN L MC'INROY
LUGAR DE CELEBRACION (CELEBRATION PLACE)
CAROLINA, PUERTO RICO
FECHAS (DATES) : CELEBRACION (CELEBRATION) INSCRIPCION (REGISTRATION)
18 JUN 2002 01 JUL 2002
CELEBRANTE (OFFICIANT) NOMBRE D'EL CELEBRANTE (OFFICIANT N
JUEZ (JUDGE) WALESKA I ALDEBOL
FECHA EXPEDICION (DATE ISSUED) -
02 JUL 2002
ESTE' ES: UN ABSTRACTO DEL CERTIF1CADO DE THIS IS ANABSTRACT OF THE RECORDS FILED
MX"MONIO OFICIALMENTE INSCRITO EN EL IN THE DEMOGRAPHIC REGISTRY OF PUERTO {r
REGISTRO DEMO&AFICO DE PUERTO RICO SAJO RICO ISSUED UNDER THE AUTHORITY OF
LA AUTORIDAD CONFERIDA FOR LA LEY 24 DEL LAW 24, APRIL 22, 1931
22 DE APRIL DE 1931
Amw
DP/,r gU?
R?Gt?? 1?I?f3
SECRETAR10 DE SALUD
{SECRETARY OFHEAI.TH) DEPARTA `NTO DE
C;DlIE /UEflfO Af W J -
QiRECTOR:REGISTRO DEMOCGRAFICO -
(STATE REGISTRAR)
Dando Sc#W;. , , a fu Wid4r.
. , . A,pyE?TE?f?Gt#?: Ct???s a?l??extr!?. o b?r?7lll.??? ?!4'u??+!!f?! .- '? _ -:s
?,yb??
?x
?+ O ?/ o N ! ?o Z m D °?m
- to _ x x ?, T
Z °o r La H cn z '
[TJ
H i
xd x ?
1-0 z
x7 ?" ?S CrJ H b t-•I I i =
v n d -
z ?K IC o i ?.
Da
n a n cn
z ? ° m z ?' d r ? '?
°
b m O
o Ul .,
ca z
and d O I €
U) i •
2 m O C+1 vmiy f=n° zoS I
m ?c y ?m x Cm om m i
? Nd
C? ? I 1
N N N
g C.,. t, I N I
m
N N O I ? "
O O I I : -?
nu ,?iil p?ullll ry. -.?• '?
On
u III I:.o.
L-j
'1?1191r il„?u,£
II Ild T\
02
?' y*,YIN, n1*
c",k, 6-,+ c
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
STATE OF PENNA.
i?
KELLIE L. D'ALESSANDRO,
Plaintiff
VERSUS
ANTHONY T. D'ALESSANDRO,
Defendant
DECREE IN
DIVORCE
AND NOW, October 31
KELLIE L. D'ALESSANDRO
DECREED THAT
2006
, IT IS ORDERED AND
ANTHONY T. D'ALESSANDRO
AND
ARE DIVORCED FROM THE BONDS OF MATRIMONY.
, PLAINTIFF,
,DEFENDANT,
THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE
BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT
YET BEEN ENTERED;
NONE
BY THE COURT:
Edgar B. Bayley
ATTEST: J
Certified Copy Issued: October 31, 0006 PROTHONOTARY
N O. 2006-3635
E,w4 F
baelc. ?a l?r rru.idcn 1-"7a,w?.-
w,11 bc, Kell; e, L hn i'Vl ??? rm? z
c? se, feni-qssi?nt./ ?r k?v add MTh O
fci read.
`?O ?n r d a uSI?cF?s n 9n44
v
°n
1,14
C)
C
r;5
f;
N
c ?.
ra
cJl
c_
-n
JUL 2 8 LUU8
NAME CHANGE PETITION IN RE
MARA LINDSAY D'ALESSANDRO
IN THE COURT OF COMMON
PLEAS OF
CUMBERLAND COUNTY,
PENNSYLVANIA
- yyk, CC./ T&?
ORDER SCHEDULINING HEARING ON NAME CHANGE PETITION
AND NOW this , ?6'day of 200B a hearing on the Petition for Change of
Name of Minor Mara Lindsay D' Alessandro is hereby scheduled as follows:
On a`9 , 200_6 J5 4.m, before me in Courtroom o an
opportunity for interested parties will be afforded to be heard on this petition.
Aellie L. Mclnroy (mother)
901 Allenview Drive,
Mechanicsburg, Pennsylvania 17155
thony T. D'Alessandro (father)
10136 East Southern Avenue
Mesa, Arizona 35209
y
d-
& A3 `
h? :3
3 f^i1
NAME CHANGE PETITION IN RE
MARA LINDSAY D'ALESSANDRO
: IN THE COURT OF COMMON
: PLEAS OF
CUMBERLAND COUNTY,
PENNSYLVANIA
ORDER CHANGING NAME OF MINOR
Upon Consideration of the Petition of Kellie Lynn McInroy and a hearing having
been held following proper notice to Anthony T. D'Alessandro, the Court makes the
following findings:
1. This case has come before this Court to change the legal name of the minor
named above.
2. This Court has jurisdiction to change the legal name of The Minor.
3. Good cause exists to grant the petition to change the legal name of The Minor.
4. It is in, the best interest of The Minor to change the legal name as set forth below.
Accordingly, the Court Orders:
1. The legal name of Mara Lindsay D'Alessandro born December 04, 2002 in
Dauphin County, Pennsylvania, United States of America, whose mother is Kellie
Lynn McInroy,
IS CHANGED FROM: Mara Lindsay D'Alessandro
TO: Mara Lindsay D'Alessandro McInroy
2. The Pennsylvania State Division of Vital Records is hereby ordered to amend the
birth record to reflect the new name as ordered above.
3. This Order does not release the minor child or ei ar?from any
obligations incurred or harm any rights of p or any original name.
1FV
l'=lf f1W11,JW
J.
a C)
Lu C _7..:
f -;
Cl-
Cl- N
7
MU
N