HomeMy WebLinkAbout05-08-14 IN RE: : IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
ELISE CYNTHIA MECK
A minor child : NO. a ' (9oH - d467
: ORPHANS' COURT DIVISION
PETITION TO AMEND RECORD OF BIRTH
AND NOW comes the Petitioner, Michelle L. Mansell, and respectfully requests
this Honorable Court grant the following relief, and in furtherance thereto avers the following:
1. The subject minor child is Elise Cynthia Meck, a female child born April 17,
2009 in Harrisburg Hospital, Harrisburg, Dauphin County, Pennsylvania. The subject minor
child was born out of wedlock.
2. Petitioner, Michelle L. Mansell,the natural mother of the subject minor child,
is an adult individual currently residing at 42 Key Largo Drive, Carlisle, Cumberland County,
Pennsylvania 17015. The maiden name of Petitioner, Michelle L. Mansell is Michelle L. Meek.
She is an accounts receivable clerk, Caucasian, and was born in Harrisburg, Pennsylvania. She
currently has two children.
3. Charles D. Mansell is an adult individual currently residing at 42 Key Largo
Drive, Carlisle, Cumberland County, Pennsylvania 17015. He is warehouse loader, Caucasian,
and was born in Birmingham,Alabama. At the time of birth of the subject minor child, Elise
Cynthia Meck, he was 42 years of age.
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4. Dean Howard McNaughton is identified as the father on the subject minor
child's birth certificate, a copy of which is attached hereto and marked Exhibit"A".
5. A DNA test performed on December 8, 2009 confirmed that Dean Howard
McNaughton is not the biological father of the subject minor child. The DNA test confirmed
that Charles D. Mansell is the biological father with a probability of 99.999 percent. A copy of
the results from the DNA test is attached hereto and marked Exhibit`B".
6. Michelle L. Mansell, Dean Howard McNaughton, and Charles D. Mansell all
desire and consent to Dean Howard McNaughton's name being removed from the subject minor
child's birth certificate. Affidavits are attached hereto and marked Exhibit"C", Exhibit"D" and
Exhibit"E".
7. At the time of the subject minor child's birth, natural mother, Michelle L.
Mansell was single and 35 years of age. As well, she was single one year prior to the birth of the
subject minor child.
8. On February 17, 2012, Michelle L. Mansell and Charles D. Mansell were
married in Dauphin County, Pennsylvania.
9. Pursuant to 35 PS 450.603 and 35 PS 492,the Orphans Court division of the
Court of Common Pleas in the State of Pennsylvania is empowered to amend the birth certificate
upon good cause shown.
10. Pursuant to 20 Pa.C.S.A. § 711(9), in all matters which a petition is addressed
to a court in connection with matters of birth records,the filing of which petition is not in the
nature of an appeal but is an original proceeding, shall be filed and determined by the orphans'
court division of the county in which the petitioner resides. The Petitioner, Michelle Mansell,
currently resides in Cumberland County, Pennsylvania.
11. It is the desire of the parties that the subject minor child's birth certificate be
amended to reflect the last name of"Mansell" so as to give the child the same name as her
biological father, Charles D. Mansell, and her mother, Michelle L. Mansell.
12. There is no reason to keep the subject minor child's last name as"Mcck"
because that is the maiden name of her mother, Michelle L. Mansell.
WHEREFORE Petitioner requests this Honorable Court issue an Order declaring
Charles D. Mansell the father of the subject minor child and changing the child's name to Elise
Cynthia Mansell.
Date: 5-/7 Respectfully Submitted,
THE LAW OFFICES OF
SILLIKER&REINHOLD
Mark T. Silliker, Esquire
5922 Linglestown Road
Harrisburg, PA 17112
I.D.No. 33671
(717) 671-1500
Attorney for Petitioner
IN RE: : IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
ELISE CYNTHIA MECK
A minor child NO.
ORPHANS' COURT DIVISION
AFFIDAVIT
Subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn
falsification to authorities, I,Mark T. Silliker, Esquire, declare that I am the attorney for
Petitioner, Michelle L. Mansell; that I am authorized to make this verification on her
behalf; that the facts set forth in the aforegoing Petition to Amend Record of Birth are
based upon information supplied to me by my client and upon my own knowledge which
I believe to be true and correct, and time is of the essence.
Date: ��7 //4—
Mark . Silliker, Esquire
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EXHIBIT
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IN RE: IN THE COURT OF COMMON PLEAS
94MBERL-A-Wn'COUNTY, PENNSYLVANIA
ELISE CYNTHIA MECK Co-t^6rIL#W0
A minor child ORPHANS COURT DIVISION
NO.
AFFIDAVIT
The undersigned, Michelle L. Mansell, an adult individual currently residing at 42
Key Largo Drive, Carlisle, Cumberland County, Pennsylvania hereby voluntarily sets forth the
following:
1. I am the natural mother of the subject minor child, Elise Cynthia Meek, born
April 17, 2009.
2. I fully consent and otherwise ask that this Honorable Court amend the subject
minor child's birth certificate so as to reflect that the natural father of the child is Charles D.
Mansell.
3. The father listed on the birth certificate, Dean Howard McNaughton is not the
actual father pursuant to a paternity test that was subsequently performed.
I hereby make this statement voluntarily, of my own free, fully understanding the
consequences hereto.
witness Date Michelle LLMa&A Date
EXHIBIT
W C
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF DAUPHIN
On this day of 2014, before me, a Notary
Public,the undersigned officer,personally appeared Michelle L. Mansell, known to me, (or
satisfactorily proven)to be the person whose name is subscribed to the within instrument, and
acknowledged that she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official Seal.
Notary Public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
RENEE DREISBACH,Notary Public
Lower Paxton Twp.,Dauphin County
My Commission Expires November 30,2014
•
IN RE: 4'' : IN THE COURT OF COMMON PLEAS
—HIvH� COUNTY, PENNSYLVANIA
ELISE CYNTHIA MECK
A minor child ORPHANS COURT DIVISION
NO.
AFFIDAVIT
The undersigned, Dean Howard McNaughton, an adult individual with a current
mailing address of P.O. Box 76, Grantville, Dauphin County, Pennsylvania, 17028, hereby
voluntarily sets forth the following:
1. I am listed on the birth certificate as the father of the subject minor child, Elise
Cynthia Meek, born Apri l 17, 2009. However, I am not the actual father pursuant to a paternity
test that was subsequently performed.
2. I fully consent and otherwise ask that this Honorable Court amend the subject
minor child's birth certificate so as to reflect that the natural father of the child is Charles D.
Mansell.
I hereby make this statement voluntarily, of my own free, fully understanding the
consequences hereto.
0 d�Q
fitness Date ean Howard M aughton Date
EXHIBIT
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA .
SS:
COUNTY OF
On this `day of V1 2013, before me, a Notary
Public, the undersigned officer,personally appeared Dean Howard McNaughton, known to me,
(or satisfactorily proven)to be the person whose name is subscribed to the within instrument, and
acknowledged that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official Seal.
Notary Public
COMMONWEALTH OF PENNSYLVANIA
NO SEAL
RENEE DREISBACH,Notary Public
Lower Paxton Twp.,Dauphin County
My Commission Expires November 30,2014
IN RE: IN THE COURT OF COMMON PLEAS
OUNTY, PENNSYLVANIA
ELISE CYNTHIA MECK 19rciepiltm cam eerw0Nn
A minor child ORPHANS COURT DIVISION
NO.
AFFIDAVIT
The undersigned, Charles D. Mansell, an adult individual currently residing at 42
Key Largo Drive, Carlisle, Cumberland County, Pennsylvania hereby voluntarily sets forth the
following:
1. I am the natural father of the subject minor child, Elise Cynthia Meek, born
April 17, 2009.
2. I fully consent and otherwise ask that this Honorable Court amend the subject
minor child's birth certificate so as to reflect that the natural father of the child is Charles D.
Mansell.
3. The father listed on the birth certificate, Dean Howard McNaughton is not the
actual father pursuant to a paternity test that was subsequently performed.
I hereby make this statement voluntarily, of my own free, fully understanding the
consequences hereto.
t°)y
Wi - Date Charles D. Mansell Date
EXHIBIT
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF DAUPHIN
On this L4-t'day of 2014, before me, a Notary
Public,the undersigned officer,personally appeared C arles D. Mansell, known to me, (or
satisfactorily proven)to be the person whose name is subscribed to the within instrument, and
acknowledged that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official Seal.
Notary Public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL 4
RENEE DREISBACH,Notary Public
Lowor PaMon Twp.,Dauphin County
M Gammlealon Ex ires November 30,20.14_