HomeMy WebLinkAbout14-7005IN THE MATTER OF THE
CHANGE OF NAME OF
Layla Nicole Hampton
BY
Alison Jane Morrow
350 W. Penn St
Carlisle, Pa 17013
FOR CHANGE OF NAME TO
Layla Nicole Shields
IN THE COURT OF COMMON
PLEAS
COMMONWEALTH OF
PENNSYLVANIA
FOR Cumberland
COUNTY
FAMILY DIVISION
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Action/Cause No. /I Ma)
PETITION TO CHANGE NAME OF A MINOR
COMES NOW, Alison Jane Morrow
Layla Nicole Hampton
on behalf of
, by this Petition and upon being duly sworn, respectfully
represents unto this Honorable Court as follows:
1. That the Petitioner, Alison Jane Morrow
2. Layla Nicole Hampton
Cumberland County
, is the Mother
of the minor.
was born on June 8,2014 in
Carlisle
3. The minor child presently resides at 350 W. Penn St Carlisle Pa 17013
with Alison Jane Morrow ( her Mother) . The minor child has lived with
Alison Jane Morrow ( her Mother) in Cumberland
County, Commonwealth of Pennsylvania for 5 mo year(s) immediately prior to filing this
Petition. The minor child has also lived in the following places for the past five years
preceding the filing of said Petition:
Dates (to/from) Address
06/14 / 07/14 350 W. Penn Street Carlisle, Pa 17013
07/14 / 10/14
334 W. Penn Street Carlisle, Pa 17013
10/14 / present 350 W. Penn Street Carlisle, Pa 17013
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4. The mother of the minor is Alison Jane Morrow
350 W. Penn St Carlisle, Pa 17013
who resides at
5. The father of the child is Kaleb-Lee Russell Shields who resides at
945 Dean Street, Mulberry , Fla 33860
6. The guardian(s) of the child is/are
was/were appointed
guardian(s) on
. Corresponding documentation is
attached hereto for the Court's review.
7. The minor child's present name is Layla Nicole Hampton . This is the current name of
the minor child on his/her social security card and all other records.
8. That Layla Nicole Hampton wishes to change his/her name to
Layla Nicole Shields
9. That the Petitioner prays for the change of name for the following reason(s) (describe in
detail): DNA has been done and proof that Kaleb Shields is the father is provided. (see DNA results)
Natural parents wish to change her last name as the father listed on birth certificate is no longer involved in her
life. Natural parents are planning to be married and move to Florida/
10. That the proposed change of name, if granted, will not be detrimental to the interests of any
other person and is not against the public interest.
11. The petition is not being filed to defraud creditors. The minor child has never been
convicted of a felony.
12. That the minor child has not been known by another name.
13. It is in the best interests of the minor child to change his/her name.
WHEREFORE, the Petitioner prays that by an Order of this Honorable Court, made and
entered herein, the minor child's name be changed from, Layla Nicole Hampton
decreed to be Layla Nicole Shields
Respectfully Submitted,
Signature
Address: 350 W. Penn St
to and
City, State Zip:
Phone:
&Auric 1*. /7o/3
01) 76 I 0172
VERIFICATION
COMMONWEALTH OF PENNSYLVANIA
TO WIT;
I HEREBY CERTIFY, that on this "24 day of A 04,4Der , 20 /1
before me, the subscriber, a Notary Public of the Commonwealth of Pennsylvania, in and for
S06.14....n4 aforesaid, personally appeared
/Ai/sop Jrlh/ ' /!%dA,eo V, and made oath in due form of law that the matters and
facts set forth in the foregoing Petition are true to the best of his/her knowledge, information, and
belief.
AS WITNESS my hand and Notarial Seal.
My Commission Expires: OF-Ar /°,, Z -o/7
NWEALTH 0P PENNSYLVANIA
NOTARIAL SEAL :
Douglas Shields, Notary Public
Southampton Twp, Franklin County
M commission ex fires October 10, 2017
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH ,
VITAL RECORDS
7A,11741
WARNING; IT IS ILLEGAL TO DUPLICATE THIS COPY BY PHOTOSTAT OR PHOTOGRAPH
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Certification of Birth
Date of Birth: JUNE 08, 2014
Date Issued: JUNE 25, 2014
Name: LAYLA NICOLE HAMPTON
State File Number: 056325-2014
Date Filed: JUNE 09, 2014
Sex: FEMALE
Place of Birth: CUMBERLAND COUNTY
Mother's Malden N' w w
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,
Father's Name: DILLAN GENE .HAMPTON,
This is to certify that this is a true copy of the record which is on file in the Pennsylvania
Department of Health, in accordance with the Vital Statistics Law of 1953, as amended.
H105.105.1D Rev. (7/2012)
Marina O'Reilly Matthew
State Registrar
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IMENT %��'.m '
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THE DOCUMENT FACE CONTAINS A YELLOW BACKGROUND AND EMBOSSED SEAL?' �y�A�• �•ErA �/'M �•�� 1
THE BACK CONTAINS SPECIAL LINES WITH TEXT. , *•2 �2.4�.,,,, w .
WARNING: THIS DOCUMENT IS PRINTED ON SECURITY WATERMARKED PAPERKM
0 0 013 7 4 8 5 6
DO NOT ACCEPT WITHOUT VERIFYING THE PRESENCE OF THE WATERMARK.
DNA Diagnostics Center
DNA Test
Report
Ref No.103375
DDC is accredited/certified by AABB, CAP, ACLASS, ISO/IEC 17025, CLIA, NYSDOH & ASCLD/LAB-International.
Case 535713
Name
Race
Date Collected
Test No.
MOTHER
Alison J. Morrow
Caucasian
11/3/2014
535713-10
CHILD
Layla N. Hampton
11/3/2014
535713-20
Alleged FATHER
Kaleb-Lee R. Shields
Caucasian
11/3/2014
535713-30
Locus PI
Allele Sizes
Allele Sizes
Allele Sizes
D3S1358 4.19
15 16
14 16
14 15
TH01 1.64
6 8
8 9.3
5 9.3
D21S11 5.69
31 31.2
31.2 32.2
30 32.2
018S51 7.05
16 17
17 18
16 18
Penta E 4.28
7 10
10 13
5 13
D5S818 1.35
10 12
11 12
11 13
D13S317 1.78
12
12
12 13
D7S820 3.12
10 13
8 10
8 11
D16S539 3.39
11 12
12
12
CSF1 PO 3.78
11 12
10 11
10
Penta D 2.57
9 12
9 13
9 13
vWA 5.78
18
18 19
15 19
D8S1179 15.97
10 13
10 16
11 16
TPDX 1.94
9 11
11
8 11
FGA 3.42
21 23.2
23 23.2
23 24
D19S433 4.46
13 14
13
13
D2S1338 12.50
18 20
16 18
16 23
Amelogenin
X
X
X Y
Interpretation: RN: 1076028
Combined Paternity Index: 9,894,254,256
Probability of Paternity:
99.99999998%
The allegedfather is not excluded as the biological
father of the tested child. Based on
testing results obtained from
analyses of the DNA loci listed, the probability of paternity is 99.99999998%. This probability of paternity is calculated
by comparing to an untested, unrelated, random individual of the Caucasian population (assumes prior probability equals
0.50).
Subscribed and',5wo"-a ore me on November 6, 2014
Jaime Byers,,
Notary Public: State of Ohio,O-
My Commission Expires Ji tic 6, 2016
I, the undersigned Laboratory Director, verify that the
interpretation of the results is correct as reported on 11/6/2014.
Michael L. Baird, Ph.D. Tho . . '. Reid, Ph.D.
Tricia D. Frye, Ph.D. Joh W. eterson, Ph.D.
Debra L. Davis, Ph.D. Joy Johnson, Ph.D.
Zachary Spicer, Ph.D. Melissa Kahsar, Ph.D.
Richard Chmelo, Ph.D. Yong Ji, Ph.D.
1.513.881.7800 One DDC Way Fairfield, OH 45014 U.S.A.
www.DNAcenter.com
IN THE MATTER OF THE
CHANGE OF NAME OF
Layla Nicole Hampton
BY
Alison Jane Morrow
350 W. Penn St
Carlisle, Pa 17013
FOR CHANGE OF NAME TO
Layla Nicole Shields
IN THE COURT OF COMMON
PLEAS
COMMONWEALTH OF
PENNSYLVANIA
FOR Cumberland
COUNTY
FAMILY DIVISION
Action/CauseNo. /y 7605
C J- -Fe1,i
NOTICE OF FILING OF PETITION TO CHANGE THE NAME OF A MINOR
PLEASE TAKE NOTICE that a Petition to Change Name of a Minor in the above case
wherein Petitioner, Alison Jane Morrow on behalf of Layla Nicole Hampton
is seekin ame change to Layla Nicole Shields will come on for hearing on
the day of itease , 20 /S' , atcrioo'clock a.m.414n. in this Court.
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Judge
Sutlmitted By:
Petitioner's gnature
Petitioner: Alison Jane Morrow
Address: 350 W. Penn St
City, State Zip: Carlisle, Pa 17013
Phone: 717-701-0172
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IN THE MATTER OF THE IN THE COURT OF COMMON PLEAS OF
CHANGE OF NAME OF
LAYLA NICOLE HAMPTON CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
2014-7005 CIVIL TERM
ORDER OF COURT
AND NOW, this 15th day of January, 2015, this matter
having been called for hearing, the within petition for
change of name of a minor is granted. The minor child,
Layla Nicole Hampton, shall hereafter be known as Layla
Nicole Shields.
Alison Jane Morrow
Kaleb-Lee Russell Shields
111 Carter Road
Lot 5
Lakeland, Florida 33813
Petitioners
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