Petition FiledCal. Super. - 6th Dist.April 30, 2021j” n NC-1 00 ATTORNEY 0R PARTY WITHOUT ATTORNEY STATE BAR NUMBER: h U NAME Manue'la Salgado ' FIRMNAME: 2M! JUL [S ffi‘? [+8 STREETADDRESSI 80 Descanso Drive Unit 1220 CJTV: San Jose STATE: CA ZIPCODE: 95134 n: Fm, 0"? T; .1 co‘rm ELEPHONE No; (408) 910-7187 FAX No; ii, F 1‘ (f: < (x15 E‘MA'LADDRESSI nellysalgado107@grnail.com ~ v :"U': 7%3 - AITORNEY FOR (name); ‘ ' ' Q'Q ‘ . "22m {Y SUPERIOR COURT 0F CALIFORNIA. COUNTY 0F SANTA CLARA $?‘Q smamunasss; 191 North First Street (8% W'L'NGADDRESSI 191 North First Street San Jose. CA 951 13 \, 0mm” Z'P CODE: San Jose. CA 951 13 BRANCH “AME: Downtown Superior Court PETITION OF {name of each petitioner): Manuela Salgado CASE NUMBER: maid PETITION FOR CHANGE 0F NAME (:21! CU% KOQM t Before you complete this petition, you should read lhe Instructions for Filing a Petition (or Change ofName (form NC-1DO--INFO). You must answer all questlons and check all boxes lhat apply to you on this patltIon. You must file thls petition In the superior court of the county where the person whose name is to be changed resides. 1. Petitioner (presentname): Manuela Satgado resides in this county. 2. Petitioner requests that the court decree the following name changes (list every name that you are seeking to change): rese na e W a_ Manuela Salgado changed to Nelly Salgado b. changed to c. changed to d. changed to E Continued (if you are seeking to change additional names. you must prepare a list and attach it (o this petition as Attachment 2.) 3. Petitioner requests that the court issue an order directing all interested persons to appear 0r 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 ofpersons under 18 years of age whose names are 10 be changed is (specify): 0 5. lf this petition requests the change of name 0f any person or persons under 18 years, this request ls being made by D two parents.E one parent.D near relative {name and relationship):E guardian (name):E other (specify): 6. E This petiiion seeks to change name of {check one) E petitioner E (name): to conform to that person's gender identity. 9.0-9.3?” 7. For each person whose name is to be changed, petitioner provides the following information (you must attach a compIeted 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 {he items on the attached page or pages of Form NC-1 10.) Page 1 oi 1 Form Adopted 1o: Mandatory Use Coda oi Civil Pmcedure,§ 1275 at seq. mm, Com, amalgam PETITION FOR CHANGE 0F NAME m_mmmgw Nc-mn [Rem Septambar 1. 2mg] (Change of Name) LHI6043 SANTA CLARA NC-110 PETITION 0F (Name ofperifioner or petitioners): CASE NUMBER: Manuela Salgado FOR CHANGE OF NAME NAME AND INFORMATION ABOUT THE PERSON WHOSE NAME IS TO BE CHANGED Attachment 1 of 1 Attachment to Petition (form NC-100. form NC-ZUD. or form NC-500) {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-1 106), 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 {specifi}: Manuela Salgado (2) Proposed name (8.0901711): Nelly Salgado (3) 30m 0n ((1519 0f bin“): December 25, 1955 and presently E under 1B years of age over 1B years of age (4) Born at {place of birth): Mexico (5) Sex {as sfaled on original birth certificate): E Male Female (6) Current residence address (street, city, county, and zip code): 80 Descanso Drive Unit 1220. San Jose, CA, 95134 c. Reason for name change (expiain): | do not like my given birth name. | have always gone by Nelly. d. Relationship ofthe petitioner to the person whose name will be changed: (1) self (4) D near relative (indicate relationship): (2) E parent (5) E Other (specify): (3) E guardian e. If the person whose name wlll be changed Is under 18 years of age. provide the names and addresses. If known. 0f the foltowing persons: (1) Parent (name): (address): (2) Parent (name): (address): (3) {Only if neitherparent Is living) Near relatives (names, refaffonships, and addresses): f. lf the person whose name will be changed Is 1B years of age or older, that person must sign the following declaration: DECLARATION | deciare under penalty of perjury under the laws of the State 0f California ihat (check one) | am not E | am under the jurisdiction of the California Department 0f Corrections and Rehabilitation (in state prison or on parole) or in county jail and {check one) lam n01 E | am required to register as a sex offender under Penal Code section 290. Date: April 23. 2021 Manuela Salgado > "/W fl%7% (TYPE 0R PRINT NAME OF PERSON WHOSE NAME IS T0 BE CHANGED) ' (SIGNATURE OF PERSON WHOSE NAME(S TO BE CHANGED) (If petitioner is represented by an attorney, the attorney's signature follows): Date: > [TYPE 0R PRINT NAME) (SIGNATURE 0F 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.) I declare under penalty of perjury under the laws of the State of California that the information in the foregoing petition Es true and correct. Date: April 23, 2021 jManuela Salgado > W fl/fé (TYPE 0R PRINT NAME) (SIGNATURE 0F PETmONEé) Date: b (TYPE 0R PRINT NAME) (SIGNATURE 0F PETITIONER)E ADD ADDITIONAL SIGNATURE LINES FOR ADDmONAL PETmONERs E sxeNATURE 0F pE‘nTmNERs FOLLOWS LAST ATrACHMENT p39“ o, 1 Fonj1_Adopted f0! Magdalen Use ATTACHMENT T0 Code oICMl Pmbedure, § 1275 el seql iffiéffiflifiéflflimom PETITION FOR CHANGE 0F NAME mes'mg" LH16043 SANTA CLARA