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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