Petition Name ChangeCal. Super. - 6th Dist.December 4, 2020NC-1 00 MTORNEY 0R PARTY WITHOUT ATrORNEY STATE BAR NUMBER NAME: Peilin Huang FIRM NAME: STREET ADDRESS: 1086 Bigleaf Place Unit 106 4 ‘ CITY: San Jose STATE: CA ZIP CODE: 951 31 TELEPHONE No.: (51 O) 771-7250 FAX No.: g f 1, E-MAIL ADDRESS molly_huang@yahoo.com j '- AWORNEY FOR (name): ‘ ‘ SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F SANTA CLARA STREET ADDRESS: 191 North First Street DEC 0 1 2020 MAILING ADDRESS: 191 North First Street, San Jose, CA 95113 Clerk of th Court CITY AND ZIP CODE: San Jose] CA 951 13 Superior Co CA nly 0f Santa Ciara BRANCH NAME: Downtown Superior Court BYM’ DEPUTY PETITION OF (name ofeach petitioner): Peilin Huang- CASE NUMBER: PETITION FOR CHANGE 0F NAME ' a O C V 3?: 8 2 5 Before you complete this petition, you should read the Instructions for Filing a Pefition for Change ofName (form NC-1004NFO). 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 of the county where the person whose name is to be changed resides. ' 1. Petitioner (present name): Peilin Huang resides in this county. 2. Petitioner requests that the court decree the following name changes (list every name that you are seeking to change): Present name Proposed name a_ Peilin Huang changed to Molly Peilin Huang b. I . changed to c. ‘ changed to 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 18 years of age whose names are to be changed is (specify): 0 5. If this petition requests the change of name of any person or persons under 18 years, this request is being made by a. E two parents. . E one parent.E near relative (name and relationship): . E guardian (name): - E other (specify): 6. E This petition seeks to change name of (check one) m petitioner E (name): to conform to that person's gender identity. mapc 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 (form NC-110) for each person identified in item 2): A a. The number of attachments included in this petition is (specify number): 1. b-f. (These are the items on the attached page or pages of Form NC-1 10.) Page 1 of 1 F°"" “°P‘ed'°”"a"da*°'y”* PETITION FOR CHANGE 0F NAME ' WWW"Wm: 5127mm- Judiu'al Coundl of California NC-100 (Rev. September 1, 2018] (Change of Name) LHI6043 SANTA CLARA www.counawgov NC-1 10 PETITION 0F (Name ofpetitioner orpetitioners): CASE NUMBER: Peilin Huang ' '- a FOR CHANGE OF NAME . NAME AND INFORMATION ABOUT THE PERSON WHOSE NAME IS TO BE CHANGED Attachment 1 of 1 Attachm‘ent to Petition (form NC-1 00, form NC-200, or form NC-500) V" (You must use a separate attachment for each person whose namejs to be changed. lfpetitioner is a guardian of a minor, a supplemental attachment, Declaration of Guardian (form NC-1 106), must also be completed 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. Self E Other (1) Present name (specify): Peilin Huang (2) F’fOpOSEd name (SPeCifiI)-' Molly Peilin Huang (3) Born on (date of birth): March 9, 1959 and presently D under 18 years of age over 18 yearsof age (4) Born at (place ofbirth): Taipei, Taiwan (5) Sex (as stated on original birth certificate): E Male E Female (6) Current residence address (street, city, county, and zip code): 1086 Bigleaf Place Unit 106, San Jose, Santa Clara County, 95131 c. Reason for name change (explain): Molly is the English name I've been using on my driver's license. V\fith the REAL ID deadline in 2021, l need to have my passport updated with Molly shown in order to be compliant. d. Relationship of the petitioner to the person whose name will be changed: (1) ‘7‘] self (4) E near relative (indicate relationship): (2) ‘3 Parent (5) E Other (specify): (3) E guardian e. If the 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): (address): (2) Parent (name): . (address): (3) (Only if neither parent is living) Near relatives (names, relationships, and addresses): f. If the person whose name will be changed is 18 years of age or older. that person must sign the following declaration: DECLARATION l declare under penalty of perjury under the laws of the State of California that (check one)E Lam not E | am under the jurisdiction of the California Department of Corrections and Rehabilitation (in state prison or on parole) or in county jail and (check one) | am not D l am required to register as a sex offender under Penal Code section 290. Date: November 17, 2020 Peilin Huang > KW /W (TYPE OR PRINT NAME OF PERSON WHOSE NAME IS T0 BE CHANGED) (SIGNATURE OF PERSON WHOSE NAME IS TOWHANGED) (Ifpetitioner is represented by an attorney, the attorney's signature follows): V Date: ‘ D (TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY) { (Each petitioner must sign this petition in the space provided below or, ifadditional pages are attached, at the end of the last attachment.) l declare 'under penalty of perjury under the laws of the State of California that the information in the foregoing petition is true and correct. ' Date: November 17, 2020 Peifin Huang I ’ KW W (TYPE 0R PRINT NAME) (SIGNATURE OF PETITIONER) fl ' Date: b (TYPE 0R PRINT NAME) I (SIGNATURE 0F PETITIONER) [-1 ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS [j SIGNATURE 0F PETITIONERS FOLLOWS LAST ATFACHMENT page 1 o“ Fortn-Adopted for Maqdatqry Use ATTACHMENT To I Code of Civil Procedure. § 1275 e: seq. $351“er?pi’euflé’p'éi'g‘émml PETITION FOR CHANGE 0F NAME - W”“”s‘°a‘g°" LHI6043 SANTA CLARA