Petition Name Change

Cal. Super. - 6th Dist.August 17, 2020

NC-1 00 ATFORNEY OR PARTY \MTHOUT ATTORNEY STATE BAR NUMBER: NAME: Mary Ellen Gonzales FIRM NAME: STREET ADDRESS: 2770 Cornwall Dr CITY: San Jose STATE; CA IJP CODE; 95127 TELEPHONE No; (408) 21 0-5828 FAX N0: E-MAIL ADDRESS? maryortega8002@gmail.oom ATTORNEY FOR (name): SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F SANTA CLARA STREET ADDRESS: 191 N First Street MAILING ADDRESS: C'TY AND ”P CODE: San Jose. CA 95113 BRANCH NAME: Civil Division PETITION OF (name of each petitioner): Mary Ellen Gonzales and Curtis Avery Armstrong CASE NUMBER: PETITION FOR CHANGE 0F NAME {A g: fl fl); ‘35 3 6 9 3 g] a Before you complete thls petitlon, you should read the Instructions for Filing a Petition for Change ofName (fon'n NC-100-INFO). You must answer all questions and check all boxes that apply to you on this petition. You must file this petition In the superior court o! the county where the person whose name is to be changed resldes. 1. Petitioner (presentname): Mary Ellen Gonzales and Curtis Avery Armstrong resides in this county. 2. Petitioner requests that the court decree the following name changes (list every name that you are seeking to change): 3mm Wm a Avery Jaliyah Ortega changed to Avery Jaliyah Armstrong b. changed to c. changed t0 d. changed to E Continued (ifyou are seeking to change additional names, you must prepare a list and attach it to this petition as Attachment 2.} 3. Petitioner requests that the court issue an order directing all interested persons to appear or file objections to show cause why this petition for change of name of the persons identified in item 2 should not be granted. 4. The number of persons under 1B years of age whose names are to be changed is (specify): 1 5. Ifthis petition requests the change of name of any person or persons under 18 years, this request I's being made by a. CE two parents. . E one parent . E nearrelative (name and relationship): . D guardian (name): - E other{specify): 6. D This petition seeks to change name of (check one) E petitioner E (name): to conform to that person's gender identity. (DG.OU' 7. For each person whose name is to be changed, petitioner provides the following information (you must attach a completed copy of the attachment Name and Information About the Person Whose Name ls to Be Changed (fonn NC-1 10) for each person identified in item 2): a. The number of attachments incluiied in this petition is (specify number): 1 b--f. (These are the items on the attached page or pages 0f Form NC-1 10.) Page1 0H Form Adopted for Mandatory Use Coda of CM! Procedure, § 1275 el se . JudicialCounciIofCaJifomIa PETITION FOR CHANGE 0F NAME wwmurrace‘gt: No.1uo [Ram Septemberz, 201a] (Change of Name) LH16043 SANTA CLARA NC-110 PETrTION OF (Name ofperitioner or petitioners}: CASE NUMBER: {I n n2 1 sand Curtis Ave ArmstronMary E e G0 a e ry g FOR CHANGE OF NAME NAME AND INFORMATION ABOUT THE PERSON WHOSE NAME IS TO BE CHANGED Attachment ‘t of 1 Attachment to Petition (form NC-1 OD, fon'n NC-ZOO, or foml NC-500) (You must use a separate attachment for each person whose name is to be changed. ”petitioner is a guardian of a minor, a supptemenraf attachment, Declaration of Guardian (form NC-1 TOG), must also be comprared and attached for each minor whose name is to be changed.) 7. (Continued) Petitioner applies for a decree to change the name of the following person: b. E Self Other (1) Presentname (specify): Avary Jaliyah Ortega (2) Proposed name (specify): Avary Jaliyah Armstrong (3) Born on (date ofbirth): May 21. 2015 and presently under 18 years of age E over 18 years of age (4) Bom at (place ofbirth): San Jose. CA (5) Sex {as stared on originalbirih certificate): E Male Female (6) Current residence address (street, city, county, and zip code): 2770 Cornwall Dr, San Jose, CA. 95127 Santa Clara 00W c. Reason for name change (explain): | would like to change my daughters last name to her fathers. d. Relationship ofthe petitioner to the person whose name will be changed: 1) E self (4) E] near relative {indicate reiarionship): (2) parent (5) E Other (specify): (3) E guardian e. lfthe person whose name will be changed is under 18 years of age. provide the names and addresses. if known. of the following persons: (1) Parent (name): Mary Ellen Gonzales (address):2770 Cornwall Dr. San Jose. CA, 95127 (2) Parent (name): Curtis Avery Armstrong (address):668 Youngs Court, San Jose, CA. 95127 (3) (Only if neither parent is living) Near relatives (names, relationships, and addresses): f. If the person whose name will be changed is 1B years of age or older, that person must sign the following declaration: DECLARATION | declare under penalty of perjury under the laws ofthe State 0f Cafifomia that (check one)E l am not E I am underthe jurisdiction ofthe California Department of Corrections and Rehabilitation (in state prison oron paroie) orin county jail and (check one) E | am not m l am required to register as a sex offender under Penal Code section 290. Date: > (TYPE OR PRINT NAME 0F PERSON WHOSE NAME l3 T0 BE CHANGED) (SIGNATURE OF PERSON WHOSE NAME IS T0 BE CHANGED) (pretitioner is represented by an attorney, the attorney's signature follows): Date: b (TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY) (Each petitioner must sign this petition in the space provided below or, if additional pages are attached, at the end of the last attachment.) ldeclare under penalty of perjury under the laws of the State of California that the information in the foregoing petition is true and correct. Date: August 13, 2020 Mary Ellen Gonzales ’ \x‘ump5 on palm NAME) (SIGNATURE 0F Date: August 13 2020Wmm > pw/za/fl‘%fl/J (rYPE on PRINT NAME) (SIGNA‘ru E o PETmoE ADD ADDITIONAL SIGNATURE LJNES FOR ADDmONAL PETITIONERS E SIGNATURE 0F PETmONE s FOLLo ST ATTACHMENT mg“ 1 o“ Form Adopted Var Mandalay Use ATTACHMENT TO Coda of Civil Procedure. § 1275 st seq. iffféf§3£°i£§$§§2232mm PETITION FOR CHANGE 0F NAME ”WWW” LHl6043 SANTA CLARA