Party Statement: In the Matter of the Application of RACHELL ELAYN ANDERSON, As Parent and Natural Guardian of AMELIA KASSIDY ANDERSON, For Leave to Change the Minor’s Name to MELODY AIYANA PAZ.
On November 29, 2023 a
Party Statement
was filed
involving a dispute between
and
for Other Matters - Name Change/Sex Designation Change
in the District Court of Albany County.
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FILED: ALBANY COUNTY CLERK 11/29/2023 03:47 PM INDEX NO. 911471-23
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 11/29/2023
STATE OF NEW YORK SUPREME COURT
COUNTY OF ALBANY
RACHELL ELAYN ANDERSON,
Petitioner, INDEX NO.
ATTORNEY'S CERTIFICATION
PURSUANT TO CPLR §1101(e)
PETITION FOR INDIVIDUAL
As Parent and Natural Guardian of MINOR CHILD
CHANGE OF NAME
AMELIA KASSIDY ANDERSON,
For Leave to Change the Minor's Name to
MELODY AIYANA PAL
STATE OF NEW YORK )
COUNTY OF ALBANY ) SS:
I, Mallory Gibson, an attorney admitted to practice in the courts of New York State, hereby
affinns that:
1. I am an attorney employed by the Legal Aid Society of Northeastern New York,
Inc., with offices located at 95 Central Ave., Albany, NY 12206.
2. That this certification is made pursuant to CPLR 1101(e), which allows an
individual to proceed in court as a poor person without the necessity of a motion to the Court.
3, That RACHELL ELAYN ANDERSON is represented in this proceeding by a
private attorney working under the auspices of the Legal Aid Society of Northeastern New York,
Inc., and that the Society has, as its primary purpose, the furnishing of legal services to indigent
persons.
4. That the Legal Aid Society of Northeastern New York, Inc. has determined that
RACHELL ELAYN ANDERSON is unable to pay the costs, fees and expenses necessary to bring
this action, and
5. That, pursuant to CPLR 1101(e), all co ts fees a - x nses associated with the
prosecution of this proceeding shall be waived by the ult.
Date:
Mallory C. Gibson Esq.
1 of 1
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FILED: ALBANY COUNTY CLERK 11/29/2023 03:47 PM INDEX NO. 911471-23 NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 11/29/2023 STATE OF NEW YORK SUPREME COURT COUNTY OF ALBANY RACHELL ELAYN ANDERSON, Petitioner, INDEX NO. ATTORNEY'S CERTIFICATION PURSUANT TO CPLR §1101(e) PETITION FOR INDIVIDUAL As Parent and Natural Guardian of MINOR CHILD CHANGE OF NAME AMELIA KASSIDY ANDERSON, For Leave to Change the Minor's Name to MELODY AIYANA PAL STATE OF NEW YORK ) COUNTY OF ALBANY ) SS: I, Mallory Gibson, an attorney admitted to practice in the courts of New York State, hereby affinns that: 1. I am an attorney employed by the Legal Aid Society of Northeastern New York, Inc., with offices located at 95 Central Ave., Albany, NY 12206. 2. That this certification is made pursuant to CPLR 1101(e), which allows an individual to proceed in court as a poor person without the necessity of a motion to the Court. 3, That RACHELL ELAYN ANDERSON is represented in this proceeding by a private attorney working under the auspices of the Legal Aid Society of Northeastern New York, Inc., and that the Society has, as its primary purpose, the furnishing of legal services to indigent persons. 4. That the Legal Aid Society of Northeastern New York, Inc. has determined that RACHELL ELAYN ANDERSON is unable to pay the costs, fees and expenses necessary to bring this action, and 5. That, pursuant to CPLR 1101(e), all co ts fees a - x nses associated with the prosecution of this proceeding shall be waived by the ult. Date: Mallory C. Gibson Esq. 1 of 1