Order Change of Gender Issuance of New Birth Certificate

Cal. Super. - 6th Dist.May 3, 2021

NC-230 I ATrORNEY OR PARTY \MTHDUT ATTORNEY I STATE BAR NUMBER; FOR comusg ONLY ma.- CGss‘an Cl rq m .' Chane Fan;n FIRM NAME; STREETADDRESS: 15 20 B rah ham Ln, AP“ '55 cm; San jose STATE: C A 21130005: q5 [[8 TELEPHONE N0; (L40 3'] 3 1‘4 - 3 0 5 5 FAX No; EMAILADDRESS: Jules C go...Hn@ qma} I. COmAfloauev FOR (name): SUPERIOR coua'r or CALIFORNIA, coum'v or: 5an {-0. (Jarm, STREEMDDRESS= Jfl 1 Nor HA FIFS+ 8+ re Q 1' MAILING ADDRESS: cmmnzupcone: San 1051' qg [1% BRANCH NAME PETITION OF (name ofpetm'onerj: C Cl 55cmd rq m {cm “e FD“). “FOR CHANGE 0F NAME AND GENDER DEGREE CHANGING NAME AND ORDER RECOGNIZMG CHANGE 0F CASE NUMBER GENDER AND FOR ISSUANCE 0F NEW BIRTH CERTIFICATE 21 CV381 185 1. The petition was duly considered: a. E atthe nearing on (date): 6-29-2021 in Courtroom: of the above-entitled court. b.Z without hearing. THE COURT FINDS 2. a. All notices required by law have been given. b. Each person whose name is to be changed identified in item 3 belowZ is not E is required to register as a sex offender under section 290 ofthe Penal Code. This determination was made Z by using CLETSICJIS E based on information provided to the clerk of the court by a lowl lava: enforcement agency. QJZ No objections to the proposed change of name were made. d. E Objections to the proposed change of name were made by (name): e. It appears to'the satisfaction of the court that all the allegations in the petition are true and sufficient and that the petition should be granted. f. D Other findings (ifany): THE COURT ORDERS 3. The name of (present name): ngsan d Y'Q MIChQn e FOY'H Y'l is changed to (new name): j’vd iqn Cm For Hn THE COURT FURTHER ORDERS 4. The gender of (new name): ‘ . is changed to: TM ‘ ‘ an CQ‘ F0 Y1"h a. E female. b. male. c. E nonbinary. THE COURT FURTHER ORDERS 5. A new birth certificate shall be issued reflecting the changes in name and gender. 6. If petitioner was born in California. a certified copy of this order shall be filed by petitioner within 30 days with the State Registrar. When the State Registrar receives a certified copy of this order and payment of the appliuble fees, the State Registrar shall establish for the'petitioner a new birth certificate reflecting the new name and the gender of the petitioner as it has been aitered. Date: JUDGE or THESUPERIdR COURTE SIGNATURE 0F JUDGE FOLLows LAST AHACHMENT Page 1 of 1 ggggdggmogfggggm DEGREE CHANGING NAME AND ORDER RECOGNIZING CHANGE Hegmgggggfgammg NC-zao [Ram September1.2o1a] OF GENDER AND FOR ISSUANCE OF NEW BIRTH CERTIFICATE Signed: 7/19/2021 08:57 AM July 19, 2021 Filed July 19, 2021 County of Santa Clara Superior Court of CA Clerk of the Court 21CV381185 By: tngo JULIE A EMEDE