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NC-100
[ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER:
NAME: Jim Panquito Pataa
FIRM NAME:
STREET ADDRESS: 101 Whipple Avenue
lorry: San Francisco STATE:CA ZIPCODE: 94112
eLE>HOWe NO: 415,606 8403 AK NO. F I i R D
E-MAIL ADDRESS:
ATTORNEY FOR (name): In Pro Per San Francisco County Superior Court
SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Francisco DEC 02 2020
STREET ADDRESS: 400 McAllister St
MAILING ADDRESS:
city ano zip cove: San Francisco, CA 94102 K OF THE GOURT
BRANCH NAME: BY: Onn
PETITION OF (name of each petitioner): Deputy Clerk
Jim Panguito Patag
PETITION FOR CHANGE OF NAME ENC=2 0 BD 6 o a 5
Before you complete this petition, you should read the Instructions for Filing a Petition for Change of Name (form NC-400-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.
1. Petitioner (present name): 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. Jim Panguito Patag changed to Pedro P. Patag
b. changed to
c. changed to
d. changed to
[) Continued (if you are seeking to change additional 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):
5. If this petition requests the change of name of any person or persons under 18 years, this request is being made by
a. [__] two parents.
. [] one parent.
~ [] near relative (name and relationship):
b,
c.
d. (-_] guardian (name):
e. [_] other (specify):
6. [__] This petition seeks to change name of (check one) [—] petitioner [1] (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 Is to Be Changed (form NC-110) for each person identified in
item 2):
a. The number of attachments included in this petition is (specify number):
b-f. (These are the items on the attached page or pages of form NC-110.)
Page 1 0f1
Form Adopted for Mandatory Us :
Jodelal Counel of Galion PETITION FOR CHANGE OF NAME Code of Cv Prosedire § (27s oee8
NC-100 [Rev. September 1, 2018] (Change of Name)
For youir protection and’ press thé Clear.
[Clear this form
This Form button after you have printed the form.
[into [Sav i YomNC-110
PETITION OF (Name of petitioner or petitioners): ‘CASE NUMBER:
Jim Panguito Patag FOR CHANGE OF NAME
NAME AND INFORMATION ABOUT THE PERSON
WHOSE NAME IS TO BE CHANGED Attachment of
Attachment to Petition (form NC-100, form NC-200, or form NC-500)
(You must use a separate attachment for each person whose name is to be changed. If petitioner is a guardian of a minor, a
supplemental attachment, Declaration of Guardian (form NC-110G), 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. [3] Self [__] Other
(1) Present name (specify): Jim Panguito Patag
(2) Proposed name (specify): Pedro P. Patag
(3) Born on (date of birth): June 28, 1955
and presently [_] under 18 years ofage [x ] over 18 years of age
(4) Born at (place of birth): Philippines
(5) Sex (as stated on original birth certificate): [KX] Male [__] Female
(6) Current residence address (street, city, county, and zip code): 101 Whipple Avenue, San Francisco, CA 94112
c. Reason for name change (explain):
When my citizenship paperwork was done, | changed my first name to Jim but i want to go back to my birth first name Pedro.
d. Relationship of the petitioner to the person whose name will be changed:
(1) G2) self (4) [7] near relative (indicate relationship):
(2) LJ parent (5) [__] Other (specify):
(3) [-) 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) (Only if neither parent is living) Near relatives (names, relationships, and addresses):
f. Ifthe person whose name will be changed is 18 years of age or older, that person must sign the following declaration:
DECLARATION
|. declare under penalty of perjury under the laws of the State of California that (check one) [X] !amnot [—] tam
under the jurisdiction of the California Department of Corrections and Rehabilitation (in state prison or on parole) or in county
jail and (check one) [X] |amnot [__] |am__ required to register as a sex offender under Penal Code section 290.
Date: /Z2~2-2Ze Zo |
Jim Panguito Patag > ww
(TYPE OR PRINT NAME OF PERSON WHOSE NAME IS TO BE CHANGED) (SIGNATURE OF PERSON wrost YAME 1S TO BE CHANGED)
(if petitioner is represented by an attorney, the attorney's signature follows):
Date:
>
(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.) | declare under penalty of perjury under the laws of the State of California that the information in the foregoing petition is
ba (hod 220 a
p Jum Fal
(TYPE OR PRINT NAME) (SIGNATURE OF rene
Date:
>
(TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)
[] 400 ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS [I] SignaTuRE OF PETITIONERS FOLLOWS LAST ATTACHMENT page 1 of1
Form Adopted for Mandatory Use ATTACHMENT TO Code of Civil Procedure, § 1275 et seq.
NEMO Rev, September 201] PETITION FOR CHANGE OF NAME smrcounscagor
Save this formCM-010
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): ‘FOR COURT USE ONLY
Jim Panguito Patag
101 Whipple Avenue —y
San Francisco, CA 94112 i D
‘TeLePHoNe No: 415.606 8403 FAX NO. Ld
ATTORNEY FOR (ame): In Pro Per San Francisco County Superior Court
~
ISUPERIOR COURT OF CALIFORNIA, COUNTY OF San Francisco
strecr aopress: 400 McAllister St DEC 02 2020
MAILING ADDRESS:
cry ano 2 cove: San Francisco, CA 94102 oe OF THE GOQURT
RANCH NAME: By._c)ououin é
CASE NAME: Deputy Clerk
Jim Panguito Patag
CT Untintea “mtd Complex Case Designation “ENC= 2 0 ~556 0 2 3
(Amount (Amount [5] counter ~[—] Joinder
demanded demanded is Filed with first appearance by defendant
exceeds $25,000) $25,000 or less) (Cal. Rules of Court, rule 3.402) DEPT:
JUDGE:
Items 1-6 below must be completed (see instructions on page 2).
. Check one box below for the case type that best describes this case:
Auto Tort Contract Provisionally Complex Civil Litigation
‘Auto (22) [J Breach of contractwarranty (06) (Cal. Rules of Court, rules 3.400-3.403)
Uninsured motorist (46) [] Rule 3.740 collections (09) [J] Antitrust/Trade regulation (03)
Other PI/PDIWD (Personal Injury/Property [_] other cottections (09) [_] construction defect (10)
Damage/Wrongful Death) Tort [J insurance coverage (18) LJ Mass tort (40)
[J Asbestos (04) [1 other contract (37) [J Securities litigation (28)
Product liability (24) Real Property LJ EnvironmentaiToxic tort (30)
[_] Medical malpractice (45) [J Eminent domain/inverse [J insurance coverage claims arising from the
[J other pvpDwo (28) condemnation (14) above listed provisionally complex case
Non-PY/PDIWD (Other) Tort [1 wrongful evietion (33) 'ypes (41)
[1] Business tortiunfair business practice (07) [] other real property (26) Enforcement of Judgment
[J civ rights (08) Unlawful Detainer [1 enforcement of judgment (20)
[1 Defamation (13) Commercial (31) Miscellaneous Civil Complaint
(J Fraua (16) LJ Residential (32) [) rico (27)
[J intettectual property (19) C1 bugs (38) [1 other complaint (not specified above) (42) ~
[J Professional negligence (25) Judicial Review Miscellaneous Civil Petition
LJ other non-PUPDAWD tort (35) Asset forelure (05) on Partnership and corporate governance (21)
Employment tition re: arbitration award (11 it
ci Wrongful termination (36) [1 writ of mandate (02) BZ] other petion (nat specs above) (43)
[1 other employment (15) [1_ other judicial review (39)
2. Thiscase L_Jis IZ isnot complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the
factors requiring exceptional judicial management:
a. Oo Large number of separately represented parties d. CI Large number of witnesses
b. | Extensive motion practice raising difficult or novel e. [1 Coordination with related actions pending in one or more courts
issues that will be time-consuming to resolve in other counties, states, or countries, or in a federal court
c. Oo Substantial amount of documentary evidence f. Oo Substantial postjudgment judicial supervision
3. Remedies sought (check all that apply): a.[__] monetary b.[__] nonmonetary; declaratory or injunctive relief. [_]punitive
4. Number of causes of action (specify):
5. Thiscase [_Jis isnot aclass action suit.
6. If there are any known related cases, file and serve a notice of related case. (You may use form CM-015.)
Date: (2- 2- Zezo
Jim Panguito Patag > ~lyn Falen.
(YPE OR PRINT NAMED GIGNATURE OF PAR RUPR ATTORNEY FOR PARTY)
NOTICE
Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed
under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result
in sanctions.
* File this cover sheet in addition to any cover sheet required by local court rule.
* If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all
other parties to the action or proceeding.
* Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only. ord
Form Adopted for Mandatory Use
2m Adopted for Mandatoy CIVIL CASE COVER SHEET ‘Cal. Rules of Court rules 2.30, 3.220, 3.400-3.403, 3.740;
Cal. Standards of Judicial Administration, sid. 3.10
‘CM-010 (Rev. July 1, 2007} ‘www. courtinfo.ca.gov
Preview
NC-100 [ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER: NAME: Jim Panquito Pataa FIRM NAME: STREET ADDRESS: 101 Whipple Avenue lorry: San Francisco STATE:CA ZIPCODE: 94112 eLE>HOWe NO: 415,606 8403 AK NO. F I i R D E-MAIL ADDRESS: ATTORNEY FOR (name): In Pro Per San Francisco County Superior Court SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Francisco DEC 02 2020 STREET ADDRESS: 400 McAllister St MAILING ADDRESS: city ano zip cove: San Francisco, CA 94102 K OF THE GOURT BRANCH NAME: BY: Onn PETITION OF (name of each petitioner): Deputy Clerk Jim Panguito Patag PETITION FOR CHANGE OF NAME ENC=2 0 BD 6 o a 5 Before you complete this petition, you should read the Instructions for Filing a Petition for Change of Name (form NC-400-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. 1. Petitioner (present name): 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. Jim Panguito Patag changed to Pedro P. Patag b. changed to c. changed to d. changed to [) Continued (if you are seeking to change additional 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): 5. If this petition requests the change of name of any person or persons under 18 years, this request is being made by a. [__] two parents. . [] one parent. ~ [] near relative (name and relationship): b, c. d. (-_] guardian (name): e. [_] other (specify): 6. [__] This petition seeks to change name of (check one) [—] petitioner [1] (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 Is to Be Changed (form NC-110) for each person identified in item 2): a. The number of attachments included in this petition is (specify number): b-f. (These are the items on the attached page or pages of form NC-110.) Page 1 0f1 Form Adopted for Mandatory Us : Jodelal Counel of Galion PETITION FOR CHANGE OF NAME Code of Cv Prosedire § (27s oee8 NC-100 [Rev. September 1, 2018] (Change of Name) For youir protection and’ press thé Clear. [Clear this form This Form button after you have printed the form. [into [Sav i YomNC-110 PETITION OF (Name of petitioner or petitioners): ‘CASE NUMBER: Jim Panguito Patag FOR CHANGE OF NAME NAME AND INFORMATION ABOUT THE PERSON WHOSE NAME IS TO BE CHANGED Attachment of Attachment to Petition (form NC-100, form NC-200, or form NC-500) (You must use a separate attachment for each person whose name is to be changed. If petitioner is a guardian of a minor, a supplemental attachment, Declaration of Guardian (form NC-110G), 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. [3] Self [__] Other (1) Present name (specify): Jim Panguito Patag (2) Proposed name (specify): Pedro P. Patag (3) Born on (date of birth): June 28, 1955 and presently [_] under 18 years ofage [x ] over 18 years of age (4) Born at (place of birth): Philippines (5) Sex (as stated on original birth certificate): [KX] Male [__] Female (6) Current residence address (street, city, county, and zip code): 101 Whipple Avenue, San Francisco, CA 94112 c. Reason for name change (explain): When my citizenship paperwork was done, | changed my first name to Jim but i want to go back to my birth first name Pedro. d. Relationship of the petitioner to the person whose name will be changed: (1) G2) self (4) [7] near relative (indicate relationship): (2) LJ parent (5) [__] Other (specify): (3) [-) 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) (Only if neither parent is living) Near relatives (names, relationships, and addresses): f. Ifthe person whose name will be changed is 18 years of age or older, that person must sign the following declaration: DECLARATION |. declare under penalty of perjury under the laws of the State of California that (check one) [X] !amnot [—] tam under the jurisdiction of the California Department of Corrections and Rehabilitation (in state prison or on parole) or in county jail and (check one) [X] |amnot [__] |am__ required to register as a sex offender under Penal Code section 290. Date: /Z2~2-2Ze Zo | Jim Panguito Patag > ww (TYPE OR PRINT NAME OF PERSON WHOSE NAME IS TO BE CHANGED) (SIGNATURE OF PERSON wrost YAME 1S TO BE CHANGED) (if petitioner is represented by an attorney, the attorney's signature follows): Date: > (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.) | declare under penalty of perjury under the laws of the State of California that the information in the foregoing petition is ba (hod 220 a p Jum Fal (TYPE OR PRINT NAME) (SIGNATURE OF rene Date: > (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) [] 400 ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS [I] SignaTuRE OF PETITIONERS FOLLOWS LAST ATTACHMENT page 1 of1 Form Adopted for Mandatory Use ATTACHMENT TO Code of Civil Procedure, § 1275 et seq. NEMO Rev, September 201] PETITION FOR CHANGE OF NAME smrcounscagor Save this formCM-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): ‘FOR COURT USE ONLY Jim Panguito Patag 101 Whipple Avenue —y San Francisco, CA 94112 i D ‘TeLePHoNe No: 415.606 8403 FAX NO. Ld ATTORNEY FOR (ame): In Pro Per San Francisco County Superior Court ~ ISUPERIOR COURT OF CALIFORNIA, COUNTY OF San Francisco strecr aopress: 400 McAllister St DEC 02 2020 MAILING ADDRESS: cry ano 2 cove: San Francisco, CA 94102 oe OF THE GOQURT RANCH NAME: By._c)ououin é CASE NAME: Deputy Clerk Jim Panguito Patag CT Untintea “mtd Complex Case Designation “ENC= 2 0 ~556 0 2 3 (Amount (Amount [5] counter ~[—] Joinder demanded demanded is Filed with first appearance by defendant exceeds $25,000) $25,000 or less) (Cal. Rules of Court, rule 3.402) DEPT: JUDGE: Items 1-6 below must be completed (see instructions on page 2). . Check one box below for the case type that best describes this case: Auto Tort Contract Provisionally Complex Civil Litigation ‘Auto (22) [J Breach of contractwarranty (06) (Cal. Rules of Court, rules 3.400-3.403) Uninsured motorist (46) [] Rule 3.740 collections (09) [J] Antitrust/Trade regulation (03) Other PI/PDIWD (Personal Injury/Property [_] other cottections (09) [_] construction defect (10) Damage/Wrongful Death) Tort [J insurance coverage (18) LJ Mass tort (40) [J Asbestos (04) [1 other contract (37) [J Securities litigation (28) Product liability (24) Real Property LJ EnvironmentaiToxic tort (30) [_] Medical malpractice (45) [J Eminent domain/inverse [J insurance coverage claims arising from the [J other pvpDwo (28) condemnation (14) above listed provisionally complex case Non-PY/PDIWD (Other) Tort [1 wrongful evietion (33) 'ypes (41) [1] Business tortiunfair business practice (07) [] other real property (26) Enforcement of Judgment [J civ rights (08) Unlawful Detainer [1 enforcement of judgment (20) [1 Defamation (13) Commercial (31) Miscellaneous Civil Complaint (J Fraua (16) LJ Residential (32) [) rico (27) [J intettectual property (19) C1 bugs (38) [1 other complaint (not specified above) (42) ~ [J Professional negligence (25) Judicial Review Miscellaneous Civil Petition LJ other non-PUPDAWD tort (35) Asset forelure (05) on Partnership and corporate governance (21) Employment tition re: arbitration award (11 it ci Wrongful termination (36) [1 writ of mandate (02) BZ] other petion (nat specs above) (43) [1 other employment (15) [1_ other judicial review (39) 2. Thiscase L_Jis IZ isnot complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the factors requiring exceptional judicial management: a. Oo Large number of separately represented parties d. CI Large number of witnesses b. | Extensive motion practice raising difficult or novel e. [1 Coordination with related actions pending in one or more courts issues that will be time-consuming to resolve in other counties, states, or countries, or in a federal court c. Oo Substantial amount of documentary evidence f. Oo Substantial postjudgment judicial supervision 3. Remedies sought (check all that apply): a.[__] monetary b.[__] nonmonetary; declaratory or injunctive relief. [_]punitive 4. Number of causes of action (specify): 5. Thiscase [_Jis isnot aclass action suit. 6. If there are any known related cases, file and serve a notice of related case. (You may use form CM-015.) Date: (2- 2- Zezo Jim Panguito Patag > ~lyn Falen. (YPE OR PRINT NAMED GIGNATURE OF PAR RUPR ATTORNEY FOR PARTY) NOTICE Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result in sanctions. * File this cover sheet in addition to any cover sheet required by local court rule. * If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all other parties to the action or proceeding. * Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only. ord Form Adopted for Mandatory Use 2m Adopted for Mandatoy CIVIL CASE COVER SHEET ‘Cal. Rules of Court rules 2.30, 3.220, 3.400-3.403, 3.740; Cal. Standards of Judicial Administration, sid. 3.10 ‘CM-010 (Rev. July 1, 2007} ‘www. courtinfo.ca.gov