Petition Name Change

Cal. Super. - 6th Dist.April 7, 2021

. . NC-100 A‘ITORNEY 0R PARTY WITHOUT ATTORNEY STATE BAR NUMBER NAME: >099 b v @HEKO FIRM NAME: FE gtEaSTREET ADDRESS: Q0 TtMKW 92' cm: CAMprLL, STATE: CA amenaqsoog TELEPHONE NO.:W 378 rS'ngo‘ FAXNO.: APR U 7 202] E.MAIL ADDRESS: . , ATrORNEY F0R(name): aupefigégrk 9f. , I Courrtia ClareSUPERIOR COURT OF CALIFORNIA, COUNTY 0F BY _ -. ' DEPUTYSTREET ADDRESS: 191 NOTH FIRST STREET LEAMAILINGADDRESS: 191 NORTH FIRST STREET cmmoapcooa SANiJOSE. CA 95113 BRANcH NAME.- PRO‘BATE DEPARTMENT PETITION OF (name of each petitioner): I >0 “ERR! A . QC)Mm , - pETmON FOR CHANGE 0F NAME CASENUEEE C V3 7 9 l 3 9 Before you complete this petition, you should read the Instructions forFiling a Petition for Change ofName (form NC-100-INFO;. Youmust answer all questions and check all boxes that apply to you on this petitlon. You must file this petition ln the superior court of the county where the person whose name Is to be changed resides. 1. Petitioner (present name): >QHN‘ b” ' %“Em resides in this county. 2‘ Petitioner requests that the court decree the foltowing name changes (list every name thatyou are seeking to change): I Present name Progosed name - a‘bablrn‘ ANTHON QOHEKO changed to )obkn.‘ KQKERD eEblAV l DE Z _. b, ‘ . . changed to c‘ ‘ changed to d. Changed to D Continued (ifyou are seeking to change additional names, you must prepare a list and ah‘ach 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 t0 show cause whythis petition for change of name of the persons identified in item 2 should not be granted. 4V The number of persons under 18 years of age whose names are to be changed is (specify): 5v If this petition requests the change ofname of any person 0r persons under 18 years, this requestris being made by . E two parents. b. E one parent. ~ E near relative (name and relationship): A E guardian (name):E other(specify): 6. E This petition seeks to change name of (check one) w petitioner C] (name):to conforrIn to that person's gender identity. DJ an 7. For each persofi whose name is to be changed, petitioner provides the following information (you must anach a completed copy ofthe attachment Name and Information About the Person Whose Name [s to Be Changed (form NC-110) for each person identified initem 2): g a‘ The numbef of attachments included in this petition is (specify number): b-f. {These are'the items on the aflached page orpages of form NC-110‘) Page 1 of1 Form Ado ledturMandam Use - -Judida] Copuncil oYCalifomiray PETITION FOR CHA NGE OF NAME cude MCMI PmEdUwrmécgitl: :laSgeoqvNomomeu. Septemben, 20181 (Change of Name) NC-110 PETITION OF (Name ofperitioner or petitioners): CASE NUMBER >0 \A-IJ A -% MEIflO FOR CHANGE 0F NAME NAME AND INFORMATION ABOUT THE PERSON WHOSE NAME IS TO BE CHANGED Attachment of Attachment to Petition (form NC-100, form NC-ZOO, or form NC-500) (You must use a sepaqate atfachment for each person whose name is to be changed. pretitioneris a guardian of a minor, a suppiementai attachment, Deciaration of Guardian (form NC-1 10G), must also be compieted and attached for each minor whose name is {o be changed.) l 7. (Continued) Petitioner applies for a decree t0 change the name of the following person: b. Serf E Other P. hi ANTHQhm Romano 1) Presentname (specffi/J: V, (2) Proposedname(specify);)ob\l‘1 RQNERO 661,45 \DEL (3) Born on (date orbirth): 3 ~7- ta?- and preseptly E under 18 years of age $ over 18 years of age (4) Born at (p(ace ofbmh): 91.»! Diego ob- - (5) Sex (as stated on original bin‘h cediflcate): Male [j Female (6) Current residence address (street, city, county, and zip code): $0 “(Mask (:va ADV?" um‘pvau.)u:, qso°8 c' R3333. 3133?: Cw-ecfiglnafgi CLALH NAHELJ ’3 .DO “01' \CNOW‘gl-WWER ca MN 0Y5 ms ?Amuf MEMlaE'qs. d. Reiationship of the petitioner to the person whose name will be changed: (1) self (4) D near refative (indicate refationship): I (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. offhe following persons: (1) Parent (name): (address); (2) Parent (name): (address): (3) (Only ifngitherparentis 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 deciaration: DECLARATION l declare under penalty 0f perjury under the Jaws of the State 0f California that (check one) a | am not D l am under the jurisdlicflon 0fthe California Department of Corrections and Rehabilitation (in state prison or on paroie) or in county jail and (check one) E j am n01 E I am required to register as a sex off nder under Penal Code section 290. Date: 4'3“"Zl\obw A_‘gmgrko 9 f (TYPE 0R PRINT NAME 0F PERSON WHOSE NAME Is To BE CHANGED) (SIGNATWF PERs WHOSE Mme ts To BE CHANGED) (lfpetitioner is represented by an attorney, the attorney’s signature follows): Date: ! E awe 0R PRINT NAME) (SIGNATURE 0F ATrORNEv) (Each petitioner mustsign this petition in the space provided below or, if additionalpages are attached, at the end ofthe last attachment.) I declare under penalty 0f perjury under the laws of the State of California that the information in the foregoing petition is true and correct. i Date: 1’ 4-54am i bean! A. QDHERO § k . (TYPE 0R PRINT NAME) W PE‘mIONER)Date: V (TYPE 0R PRINT NAME) (SlGNATURE OF PETITIONER) ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS I SIGNATURE 0F PETITIONERS FOLLOWS LAST ATI'ACHMENT Fags 1 a] 1 Form Adopted for Mandalory Use ATTACHMENT T0 Code of Civil Procedure, § 1275 e1 seq JudiciaI Council of California mvwcouflstagovNc-110[Rev.Septembermme] PETITION FOR CHANGE OF NAME