Petition Name ChangeCal. Super. - 6th Dist.April 2, 2021NC-100 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER; NAME: Catherine Renee Raves FIRM NAME: smssrAnnREsa 350 s. 2nd StAnt 316 ' _, _.~, CITY: San Jose STATE: CA ZIP CODE 951 1 3 " ‘ ' ":37f, ‘ TELEPHONE No.: FAX N0; PC: E-MAIL ADDRESS: ' ' ATTORNEV FOR (name): [n Pro Per SUPERIOR COURT OF CALIFORNIA. COUNTY OF Santa Clara w! STREET ADDRESS C? GEL: (V ‘ .- MAILINGADDRESS:191 N First Street S Jpeuo u”. = ' ‘ cm/ AND zu: conE:San Jose CA 951 13 B". . .V .9; s BRANCH NAME PETITION 0F (name ofeach péfifianer): Catherine Renee Reyes ' Asa Nu : ' PETITION FOR CHANGE 0F NAME c ‘ T1 C V 3 '3 9 0 3 7 Before you complete thls pefltlon. you should read the lnshuctions fur Filing a Pefitlon for Change olName (form Nc-100-INFO). You must answer all questlons and check all boxes that apply to you on thls petition. You must fllo this petlllon In the superior court of the county where the person whose name Is to be changed msides. 1. Petitioner (presantname): CMYW/Vrmb Web ?,ui 55 resides in this county. 2. Petitionér requests that the court decree the following name changes (list every name thatyou are seeking to change): Prgsent name Erogosed name a. Catherine Renee Reyes changed to Catherine Renee Vallejo b. changed to c. changed to d. changed to E Contlnued (ifyou are seeking to change additional names, yau must prepare a list and attach if 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 (special): o 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. b. D one parent. c- E near relative (name and relationship): d. E guardian (name): e- E other (specify): 6. E This petition seeks to change name of (check one) f." petitioner E (name): to oonfonn to that person's gender identity. 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-1 10) for each person identified in item 2): a. The number of attachments included In this petition is (specify number): b-f. (These are the Items on the attached page orpages of form NC-1 10.) P 1m , age Farm Adoptsd for Mandatmy Use PETn-‘ON FDR CHANGE OF NAME Coda of CMI Procedure. § 12:30! 5-93..Judicial Counca cf California NC-110 PETITION OF (Name afpefitloner or petitioners): CASE NUMBER- “ - Catherine Renee Reyes FOR CHANGE 0F NAME 3'6 21 C g 3 E g D 3 7 NAME AND INFORMATION ABOUT THE PERSON WHOSE NAME IS TO BE CHANGED Aflachment of Attachment to Petition (form Nc-100, form NC-zoo, or form Nc-SOO) (You must use a separate attachment for each person whose name Is to be changed. prafitloner Is a guardian ofa minor, a supplemental attachment, Declaration of Guardian (fonn NC-1 106), must also b9 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. E SeIf D Other (1) Present name (specify): Catherine Renee Reves (2) Proposed name (specify): Catherine Renee Valleio (3) Bom on (date ofbirth): 02/04/1 985 and presently E under 18 years of age E over 18 years of age (4) Born atmtace orbirth): 50m dose A (5) Sex (as statedon originalblnh certificate): j Male m Female (6) Current residence address (street, city, county, and zip code): 29% 5 1M 31’ saméoéfi m quz c. Reason for name change (explain): Would like to change last name to Ir‘latfiers last name d. Relationship of the petifionar to the person whose name wlll be changed: (1) x se|f (4) E near relative (Indicate relationship): (2) parent (5)E Other (specify): (3) E guardian ' e. lf 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) (Onlyifneitherparent ls living) Near relatives (names, relationships. and addresses): _-w If the person whose name will be changed is 18 years of age or older, that petson must sign the following declaration: DECLARATION I declare under penalty of perjury under the laws of the State of California that (check one)E l am not E l am under the jurisdiction of the California Department of Corrections and Rehabilitation (in state pn'son or on parole) or in county jail and (check one) E | am not E I am required to register as a sex offender under Penal Cod ction 290. Date: 02/26/2021 1 Catherine Renee Reyes ’ a (TYPE 0R PRINT NAME OF PERSON WHOSE NAME IS TO BE CHANGED) (SIGNATURE OF PRSONWHOSE NAME IST0 5E CHANGED) (”petitioner is represented by an attorney, the attorney's signature follows): Date: b mp5 0R palm NAME) (susmnma OFATmRNEY) (Each petitionermust slgn this petition in the space provlded below or, ifadditlona!pages are attached, at the end ofthe last attachment.) l declare under penalty of pevjury under the laws of the State of Califomla that the Information ' e foregoing petition is true and correct. Date: 02/26/2021 - Catherine Renee Reyes ’ (TYPE OR PRINT NAME) (SIGNATURE OF PEITTIONE) Date: mp5 0Rmm NAME) (sIGNA-runs 0FPmoum) [' AonAuumoNAL SIGNATURE Lmes Fan AnnmounL Pennonans r | snsNAwRE 0F PETmouERs Fouowsmsrm-rAcHMENr m“ 0,1 Faun Adopted {or Mammary Use ATrAcHMENT To Code av CM! Procedure, § 1275 en ssq. Judlrlnl Clumra n! finflhnlu u... -uu. w. nan: