Petition Name ChangeCal. Super. - 6th Dist.April 2, 2021NC-1 00 ATTORNEY 0R PARTY WITHOUT ATTORNEY STATE BAR NUMBER: NAME: Miflhu Agarwal FIRM NAME: N/A STREET ADDRESS: 1310 Montclaire Way cm/z Los Altos STATE: CA ZIP cone: 94024 TELEPHONE No‘: 650-426-8660 FAX N0: EMAILADDRESS: agarwalmitthu@gmail.com ATTORNEY FOR (name): Self-Represented SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREETADDRESS: 191 North First Street MAILINGADDRESS: 191 North First Street crrY AND ZIP coDE: San Jose 951 1 3 BRANCH NAME: Civil Division PETITION OF (name of each petitioner): Mitthu Agamal V. AGUAYO-MARTINEZ ' CASE NUMBER ‘ PETITION FOR CHANGE OF NAME $1 C V3 ? 9 O 4 l Before you complete this petition, you should read the Instructions for Filing a Petition for Change ofName (form 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 of the county where the person whose name is to be chalnged resides. 1. Petitioner (present name): Minhu Agarwal 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 Progosed name a. Mitthu AganNal ‘ changed to Meera Garg b. 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): 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. E bne parent. C- E near relative (name and relationship): d. E guardian (name): e. E other (specify): 6. E This petition seeksto change name of (check one) E petitioner E (name); to conform 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): On b-f. (These are the items on the attached page or pages of form NC-1 10.) Page 1 of 1 Form Adopted 'or Mandatory Use Code of Civil Procedure, § 1275 e! seq‘ Judicial Council o! California PETITION FOR CHANGE 0F NAME wwwoouflsxagov NC-1DO[Rev. September 1. 2018] (Change of Name) ffiyour protfitlon and pfivacy, please press thiClé’a‘r] E I I IE NC-110 PETITION OF (Name ofpetitioner orpetitioners): Mitthu AganNaI CASE NUMBER: FOR CHANGE 0F NAME NAME AND INFORMATION ABOUT THE PERSON WHOSE NAME IS TO BE CHANGED Attachment 1 of 1 Attachment to Petition (form NC-1 00, form Nc-ZOO, or form Nc-SOO) (You must use a separate attachment for each person whose name is to be changed. pretitioneris a guardian ofa minor, a supplemental attachment, Declaration of Guardian (form NC-1 1OG), 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. E Self E Other (1) Presentname (specify): Mitthu Agarwal (2) Proposed name (specify): Meera Garg (3) Born on (date ofbirth): 02/02/1 988 and presently E under 18 years of age E over 18 years of age (4) Born at (place ofbirth): Rishikesh, India (5) Sex (as stated on original birth certificate): D Male E Female (6) Current residence address (street, city, county, and zip code): 1310 Montclaire Way, Los Altos, Santa ‘Clara, 94024 c. Reason for name change (explain): Wanted to change first name and last name after marriage. d. Relationship of the petitioner to the person whose name will be changed: (1) E self (4) E nearrelative (indicate relationship): (2) E Parent (5) E Other(specify): (3) E guardian e. If the perspn whose name wi|| 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 neitherparent is living) Near relatives (names, relationships, and addresses): f. lf the person whose name will be changed is 18 years of age or older, that person 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 | 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) E | am not E l am required to register as a sex offender under Penal Code section 290. Date: 03/23/2021 MgMitthu Agarwal } . (TYPE 0R PRINT NAME OF PERSON WHOSE NAME IS T0 BE CHANGED) ‘SIGNATURE OF PERSON WHOSE NAME IS T0 BE CHANGED) (lfpetitioner is represented by an attorney, the attorney's signature follows): Date: b (TYPE 0R PRINT NAME) (SIGNATURE OF A‘I'I'ORNEY) (Each petitioner must sign this petition in the space provided below or, if additionalpages 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 infor ation in the foregoing petition is true and correct. Date} 03/31/2021 ‘ Mitthu Agarwal ’ (TYPE 0R PRINT NAME) (SIWE 0F PETITIONER) Date: ‘ (TYPE 0R PRINT NAME) (SIGNATURE 0F PETITIONER) ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERs SIGNATURE 0F PETITIONERS FOLLOWS LAST ATrACHMENT p39“ o” Form Adopled Vor Mandatory Use ATTACHMENT To Code of Civil Procedure, § 1275 st seq. Judicial Couna‘l n! California www.courlscagov NGHomem September1.2o1a) PETITION FOR CHANGE OF NAME