Decree Name Gender ChangeCal. Super. - 6th Dist.May 4, 2021NC-230 WPMTY WUHOUTATTORNEY STATE BAR NUMBER: FOR COURTUSE ONLY NAME: Chris-l-opher Lam and ‘TTma ?Lorcs FIRM NAME: smEETADDRess:_ [024? 506% cmr; San Jose swim CA zwcooE: QSIZCp TELEPHONE No; 4 0 8 - C04 (0.. qt2,? FAX Mo; EMAIL ADDRESS: C luCb01463 ma t l x LD'm ATTORNEY FOR (name): PRO P SUPERIOR COURT OF CALIFORNIA, COUNTY OF santa Clara STREErADDRESS: l 9 l North First Street MAILING wnness: cnYANDZIP cone San Jose, CA 95 113 3mm NAME: Probate Division PETITION OF (name ofpetitioner): Christopher Luebcke and Tina Flores FOR CHANGE OF NAME AND GENDER GENDER AND FOR ISSUANCE OF NEW BIRTH CERTIFICATE DECREE CHANGING NAME AND ORDER RECOGNIZING CHANGE OF cASE NUMBER" 21 C V 3 8 1 3 2 3 1. The petition was duly considered: a. m atthe hearing on (date): '1 I 7 l Z! in Courtroom: ofthe above-entitled court. b. D 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 below m is not D is required to register as a sex offender under section 290 of the Penal Code. This determination was made D by using CLETSICJIS D based on information provided to the clerk of the court by a local law enforcement agency.m No objections to the proposed change of name were made.D 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. D Other findings (if any): 9-.“ rt. THE COURT ORDERS 3. The name of (presentname): Gabriel James Fleming Luebcke is changedto (newname): Tara Jane Flores THE COURT FURTHER ORDERS 4. The genderof (new name): Tara Jane Flores is changed to: a. m female. b. D male. c. D 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 applicable 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 altered. Date: JUDGE 0F THE SUPERIOR COURTD SIGNATURE 0F JUDGE FOLLows LASTATrACHMENT Pane 1 0H Form AdomedrorMandatmyUse DECREE CHANGING NAME AND ORDER RECOGNIZING CHANGE Codeovcmpmcedma, 127a. 1279; Judicial Council o1 Califomla "c.2somev.s€membm,2o1al 0F GENDER AND FOR ISSUANCE 0F NEW BIRTH CERTIFICATE “wms‘mm' 55‘ ggtfasfiggfig! Flores, Tara Jane .103435 Signed: 9/6/2021 02:07 PM September 6, 2021 Filed September 7, 2021 County of Santa Clara Superior Court of CA Clerk of the Court 21CV381323 By: vamartinez Julie Emede
