Petition Name Change

Cal. Super. - 6th Dist.April 30, 2021

NC-100 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER; NAME: Manuela Salgado FIRM NAME: STREET ADDRESS: 80 Descanso Drive Unit 1220 CITY: San Jose STATE: CA ZIP CODE: 951 34 TELEPHONE No.: (408) 910-71 87 FAX No.: E-MA'L ADDRESS: nellysalgado1 07@gmai|.com ATTORNEY FOR (name): SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F SANTA CLARA sTREET ADDRESS: 191 North First Street _ MA'UNG ADDRESS= 191 Nodh First Street San Jose, CA 951 13 CITY AND ZIP CODE: San Jose, CA 951 13 BRANCH NAME: Downtown Superior Court PETITION 0F (name of each petitioner): Manuela Salgado PETITION FOR CHANGE 0F NAME CASgi‘BEfi V3 8 0 9 7 9 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 thls petition. You must file this petitlon In the superior court of the county where the person whose name is to be changed resides. 1. Petitioner (presentname): Manuela Salgado 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. ManuelaSalgado changed t0 Nelly Salgado b. _ changedto c. changed to d. changed to E Continued (ifyou are seeking to changeadditional 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 thispetition 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 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) E petitioner E (name): to conformto that person's gender identity. (DQO 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): 1 b-f. (These are the items on the attached page or pages of Form NC-1 10.) Pago 1 of 1 Form Adopted for Mandatory Use Code of Civil Procedure. § 1275 e! Seq. Judicial Council of California PETITION FOR CHANGE OF NAME www.courts.ca.gov NC-mo (Rev. September 1. 2018] ' (Change of Name) LH|6043 SANTA CLARA NC-110 PETITION OF (Name ofpetitioner or petitioners): - CASE NUMBER. Manuela Salgado 2 1 C V 3 8 0 9 7 9 FOR CHANGE OF NAME NAME AND INFORMATION ABOUT THE PERSON WHOSE NAME IS T0 BE CHANGED Attachment 1 of 1 Attachment to Petition (form NC-100, form NC-ZOO, or form NC-500) (You must use a separate attachment for each person whose name is lo be changed. pretitioner 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 (specifiy): Manuela Salgado (2) Proposed name (specify): Nelly Salgado (3) Born on (date ofbirth): December 25, 1955 and presently D under 18 years of age over 18 years of age (4) Born at (place of bidh): Mexico (5) Sex (as stated on original birth cedificate): 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 (explain): l do not like my given birth name. l' have always gone by Nelly. d. Relationship of the petitioner to the person whose name will be changed: (1) self (4) E nearrelative (indicate relationship): (2) E parent (5) E Other(specify): (3) D 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) (Onlyifneither 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 declaratipn: DECLARATION ‘l declare under penalty of perjury under the laws of the State of California that (check one) | am not D | 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 E | am required to register as a sex offender under Penal Code section 290. Date: April 23, 2021 Manuela Salgado ’ (TYPE 0R PRINT NAME OF PERSON WHOSE NAME IS T0 BE CHANGED) (SIGNATURE 0F PERSON WHOSE NAME IS T0 BE CHANGED) (If petitioner is represented by an attorney, the attorney's signature follows): Date: b (TYPE OR PRINT NAME) (SIGNATURE OF 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 is true and correct. Date: April 23, 2021 Manuela Salgado /‘\lm J' flflé (TYPE 0R PRINT NAME) (SIGNATURE OF PETITIONER)V Date: } (TYPE OR PRINT NAME) (SIGNATURE 0F PETITIONER)E ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS E SIGNATURE OF PETITIONERS FOLLOWS LAST ATTACHMENT page 1 of 1 FonfiAdopted fqr Maqdalofy Use ATTACHMENT T0 Code of Civil émcedure, § 1275 el seq. $3233‘fré'Sf's'é’Jt‘éfliIEmml PETITION FOR CHANGE 0F NAME "WWW"Q LHl6043 SANTA CLARA