Petition Name Change

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

‘4‘ .HH NC-100 AWORNEY 0R PARTY w1THOUT ATTORNEY STATE BAR NUMBER: 171 627 NAME: JESIROS D. BAUTlSTA. ESQ FIRM NAME: LAW OFFICES OF JESIROS D. BAUTISTA ‘3' STREETADDRESSI 310 8TH STREET. SUITE 309 E E a E iCITYI OAKLAND STATE: CA ZIP 0005:94507 am: u TELEPHONE N0; (510) 465-3309 FAX NO-i (510) 465-3315 EMAIL ADDRESS: JBAUTISTALAW©PACBELLNET MAY 0 3 2021 ATTORNEY FORWBMG): AUDREY HAGER FOR JADEN AARON GREGORY (MINOR) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREETADDRESSi191 NORTH FIRST STREET MAILING ADDRESS: CITY AND ZIP CODEiSAN JOSE. CALIFORNIA 951 13 BRANCH NAME: PETITION OF (name of each peb’tioner): AUDREY HAGER FOR JADEN AARON GREGORY (MINOR) CASE NUMBER: PETITION FOR CHANGE 0F NAME 21 C V3 8 1 J], 9 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 this petition. You must file this petition in the superior court of the county where the person whose name is to be changed resides. Judicial Council of California 1. Petitioner (present name): AUDREY HAGER > resides in this county. 2. Petitioner requests that 1he court decree the following name changes (list every name that you are seeking to change):W 3mm a. JADEN AARON GREGORY changed to JADEN HARLEY HAGER b. changed to c. changed to d. changed to D Continued (ifyou are seeking to change additional names, you must prepare a list and attach it t0 this petition as Aflachment 2.) 3. Petitioner requests that the court issue an order directing aII 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 (specifiz): -01- 5. lfthis petition requests the change 0f name 0f any person or persons under 18 years, this request is being made by a. E two parents. b. E one parent. 0- E near relative (name and relationship): d. D 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 identifiedin item 2): a. The number of attachments included in this petition is (specify number): 03 b-f. {These are the items on the attached page orpages of form NC-1 10.) b) NCJOO’ c) B'rth cemficate' d) order 0f Full Custory raga on Form Adopted for Mandatory Use PETITION FOR CHANGE OF NAME Code of Civil Procedure, 5 1275 el seq. wwwcourtsvcagov Nc-1oo [Rem September 1. 2018] (Change of Name) for your prothtIon and'filvacy, please press thFClEfi IhiSfiDl’mbUttOfl aflervouftave Drinted me form‘ , l [I Drin} thin fnrm l I Qaun fhic fnrm l “Plagi- ‘hic 'Fnrrn g {u k, .. I Nc-11o PETITION OF (Name or puml'oner or permaners): CASE nuuBiR AUDREY HAGER FOR JADEN AARON GREGORY (MINOR) FOR CHANGE OF NAME NAME AND INFORMATION ABOUT THE PERSON m m - WHOSE NAME IS TO BE CHANGED Anachmem o! Attachment lo Petition (form NC-100, form NC-ZDD, or form NC-SDD) {You must use a separate attachment Ior each person whose name is r0 be changed. If petiuoneris a guardian of a minor. a supplemental auachrnent, Declaration 0f Guardian (form NC-1 106). mus: also b9 compfcled and attached for each minor whose name is Io be changed.) 7. (Continued) Petitioner applies for a decree to change me name of the fcliowing person‘ b. D Sei! Other (1) Present name (specify): JADEN AARON GREGORY (2) Proposed name (specify) JADEN HARLEY HAGER (3) Born on {dam of bfrflu: 02/132200? and presently E under 18 years of age a over 13 years of age (4) Born at (place of bfdh): (5) Sex (as stated on originaibinh carzificale) E Male [:3 Female (6) Current residence address {s:reor. city. county. and zip code): 51 COHANSEY AVENUE, APT 102, GILROY. CA 95020 c‘ Reason [or name change {explam}. d. Relationship of lhé petitioner to lhe pexson whose name will be changed: (1) D self (4) a near relative {indicate reIarionship): :2) E parent (5) D Other (specify): (3f C3 guardian e. If the person whose name will be changed Is under 18 years 0f age provide the names and addresses. if known. of lhe following perSOns: (1) Parent (name): AUDREY HAGER (address); 51 COHANSEY AVENUE. APT 102. GILROY. CA 95020 (2) Parent (name): RYAN GREGORY (addreSSJI2075 PARK AVENUE , OROVILLE . CA 95966 (3) (Onlyi! neimer pawn! is liwng) Near re}atrvas (names, relationships, and addresses)‘ f. If the person whose name will be changed is 18 years. oi age or older. that person must sngn the lollowang declaration: DECLARATION I declare under penalty of perjury unaer the laws of the Slate of California ma! (check one)E l am no: m l am under 1he iurlsdiclion of the California Department o! Corrections and Rehabilitation (in stale pfison or on parole) or in county jail and (chock one) [:3 J am no: E l am required to register as a sex offender under Penal Code seclion 290. > Date: mPE 0P. FRI!“ IJ-‘J-‘E 0F PERSOH '.‘.‘r‘.05€; .‘iAS'E IS T0 E3 CHANGED) |SIGFMTUHE OF PERSON \‘u‘r’OSE HAVE ISTO BE CnANGEUJ (I! petitioner i5 represented by an attorney, the attorney's signature foIJOWS): Date: JSEIROS D. BAUTISTA p HYPE OR PRINT 31-92(1) ISISNAIURE OF ATTORNEY) {Each petitioner must sign this petition in the space provided below or. if additional pages are attached, a: the end of the last attachment.) | declare under penalty o! penury under the laws o! the Stale of California that the information in the foregoing petition is true and correc Daze Oé/Zf/ZflZ/ AUDREY HAGER .' b pflg&k-~ mpg op. ma: rm-E, Wmuae c»- FETmszr-u Date: 0%2f/ZA ,6/ .r , JADEN AARON GREGORY > fl@<€$lcémh mm: 0R pmnr “ms: (Slavamae rf: PsmmasmE wa accmoraa; 5'-3:.:m.=15 unis F24: mammal Psms'eas E chrcatufis c= 52111011253 muons us: arracm-Eta‘ pm 1 o” Eizgégfigfilgfio? use AWACHMENT To Coda u! Cum Pmctifii‘fiéis u: mu}5mm; Emma. m, PETITION FOR CHANGE 0F NAME ' “’9" Eo‘rypurmrolocupn and priyacyvplaa'ga pross‘th‘o’Clear ?Th‘fifof'j bulf‘m aficr'vmthain primed 0'0 f6"? X [FP?ifi'Fffiigfom I l Save this form I g'ClEE‘thflié'fbfifi ‘ COUNTY 0F ORANGE i “R.“ «=33? \ .jj‘. _fw __.V.('J .V 'éc’S‘; . y , _ q ‘ _ ‘ I .n c -WW+WW$H}WflMIFMWWHHWMHH i 1 l S'I'A'I'E 0F CALIFORNA COUNTY 0F ORANGE } m‘flllhnlw CERTIFIED COPY OF VITAL RECORDS DATEISSUED- QCT‘ 24m I This Is a [n.le and exact reproduction of lhe documenl ofiic‘ally Iegislered and placed 0n file [n lha olfice o! lhe Orange Counly Clerk Hecalden I This copy nol vnlid unlit“ prepared on engraved bnrderdispIuying sculgnd signature OfClcrk-Recorder _ ,_,__- ._...__~ ._.,-.__ __..V_._ TOM DALY CLERK-HECOHDER ORANGE COUNTY, CALIFOBNiA RH-kwimum; +84 / CLERK-RECOHQER ' \ CERTIFICATE OF LIVE BIRTH * STATE or: CALIFORNIA 1200730005752”TENN“ use BLACK INK ONLY Lowmsmmouwuaza ‘ urszOchLD-MSI I&MDOLE 1C.LA3T E 9 JADE}! 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HANDLERiMD E l 02‘21‘2007 HIHIIWJEWIWIEIMHWHHH *002079745* .bfia u‘ Kw q fix hm z \fi/‘y FL-341 PETITIONERI RYAN GREGORY CASE NUMBER- RESPONDENTI AUDREY HAGER OTHER PARENT/PARTYI CV“SQ-08-894 CHILD CUSTODY AND VISITATION (PARENTING TIME) ORDER ATTACHMENT TO Findings and Order After Hearing (form FL-34D) D Judgment (form FL-180) f Judgment (form FL-250)D Stipulation and Order for Custody and/or Visitation or Children (form H-355)E Other (specify): 1. Jurisdiction. This court has jurisdiction to make child custody orders in this case under the Uniform Child Custody Jurisdiction and Enforcement Act (Fam. Code, §§ 3400-3465). 2. Notice and opportunity to be heard. The responding party was given notice and an opportunity to be heard. as provided by the laws of the State of California 3. Country of habitual residence. The country of habitual residence of the child or children in this case is the United States D Oiher(specify): Penalties for violating this order. If you violate this order, you may be subject to civil or criminal penalties, 0r both. Child Custody. Custody ofthe minor children ofthe parties is awarded as follows: Leqal custody lo: (person who makes Physical custody t0: Child's Name Birth Date decisions about health, education, etc.) (person with whom child lives) JADEN AARON GREGORY 02/13/2007 AUDREY HAGER AUDREY HAGER 6. E Child abduction prevention. There is a risk that one of the parties wi1l take the children out of California without the other party's permission. (Chfld Abduction Prevention Orders Attachment (form FL-341(Bn must be attached and must be obeyed.) 7. E Visitation(Parenting Time) a. E Reasonable right of visitation to the partywithout physical custody (not appropriate in cases involving domestic violence) b. D Seethe attached -page document - c. a The parties will go to child custody mediation or child custody recommending counseIing at (specify date, time, and location): d. E No Visitation (Parenting Time) e. Visitation (Parenting Tume) for the petitioner E respondent a other (name): will be as follows: (1) E Weekends starting{date): (Note: The firs! weekend of the month is the first weekend with a Saturday.)E 1st E 2nd E 3rd E 4th D 5th weekend ofthe month from at D am. E pmJifapplicable. specify: E Stan 0f SChOOI . after school (day of Week) (t/me) to at E am. D p.m./if applicable. specify: E Start 0f 53h?“-(a'ay orweek) (time) afie’ ““00 - (a) D The parties will alternatethe fifth weekends. withthe E petitioner D respondentE other parenUpaflyhaving the initial fifth weekend, which starts (date): (b) E The E petitioner E respondent D other parent/party wifl have the fiflh weekend in E odd E! even numbered months. THIS IS A COURT ORDER. Page 1 o”, fjflg‘fggfll'gf'gafiflm‘auw, CHILD CUSTODY AND VISITATION (PARENTING TIME) _al agjg‘flg’o‘jgf’gfigéfigi‘fifiofl FL-341 [Rem JuIy 1. 2016] ORDER ATTACHMENT SO uLi) HS' wwwoounscagov ' US L FL-341 PETITIONER: RYAN GREGORY CASE NUMBER: RESPONDENT: AUDREY HAGER OTHER PARENTIPARTY: CVHSQ-O8-894 7. Visitation (Parenting Time) (continued) e. (2) E Alternate Weekends starting(dare): E start of schoolfrom at E am.E p.m./if applicable, specify: afler school(day of week) (time) to at D a.m. D p.m.l Ef applicable. specify: E Stflan 0f SOTO](day ofweek) (time) a er ““00 3 l I Weekda sstartin date:( ) y g{ ) . . . D stan of schoolfrom at E am a p.m./Ifappl|cable, Specufy: CI afierschoo!(day of week) (time) to at a am. D p.m./if applicable, specify: D Start Of SChOO' (day or week) (time) E afleFSChOO' (4) Other visitation (parenting time) days and restrictions are: l: listed in Attachment 7e(4) (formM0025 may be used for(his purpose) E as follows: FATHER SHALL HAVE NO VISITATION WITH THE MINOR OUTSIDE A THERAPEUTIC SETTING. 8. m Supervised visitation (parenting time). Until E further order ofthe court D other(specify): The D petitioner E respondent D other(name): will have supervised visitation (parenting time) with the minor children according to the schedule set forth on page 1. (You must attach Supervised Visitation Order (form FL-341 (A1.) 9. D Transportation for visitation (parenting time) a. The children must be driven only by a licensed and insured driver. The car or truck must have legal child restraint devices. b. a Transportation to begin the visits will be provided bythe E petitioner D respondentE other(specr‘fy%: c. D Transportation from the visits will be provided by the a Petitioner respondenta other(specify): d. a The exchange point at the beginning ofthe visit will be at (address): e. a The exchange point at the end of the visit will be at (address): f. D During the exchanges, the party driving the children will wait in the car and the other party wiIl wait In his or her home (or exchange location) while the children go between the car and the home (or exchange location). g. D Other {specz'lj/I 10.E Travel with children. The D petitioner D reSpondentE other parentlpartyfname): must have written permission from the other parent or a court order to take the children out of a. D ‘the state of California. b. E the following counties (specifil): c. E other places (specifi/J: THIS IS A COURT ORDER. Fm rRev- Mmmel CHILD CUSTODY AND VISITATION (PARENTING TIME) Pascws ORDER ATTACHMENT LK kw" FL-341 PETITIONER: RYAN GREGORY CASE NUMBER: RESPONDENT: AUDREY HAGER OTHER PARENTIPARTY: CVFSQ-OB -8 94 11.D Holiday schedule. The children will spend holiday time as listedS below E in the attached schedule (Children's Holiday Schedule Attachment (form FL-341 {01) may be used for this purpose.) 12.U Additional custody provisions.The parties will follow the additional custody provisions listed E below D in the attached schedule. (Additional Provisions-Physical Custody Attachment (form FL-341(D)) may be used for this purpose.) 13.E Joint legal custody. The parties will share joint legal custody as listed E below D in the attached schedule. (Joint Legal CustodyAftachment (form FL-341(E1) may be used for this purpose.) 14. Access to children's records. Both the custodial and noncustodia! parent have the right to access records and information about their minor children (including medical, dental, and schoot records) and consuit with professionals who are providing services to the children. 15. Other (Specify): SOLE LEGAL AND PHYSCIAL CUSTODY OF THE MINOR CHILD IS SUBJECT TO FUTURE WRITTEN ORDER OF THE COURT. PETITIONER SHALL PAY $25 FOR INVESTIGATION FEE AS PER ATTACHED ORDER FROM THE COURT. THIS IS A COURT ORDER. H.341 [Rev.Juiy1.2°15| I CHILD CUSTODY AND VISITATION (PARENTING TIME) P399 3°” ORDER ATTACHMENT