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CUO
SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN FRANCISCO
Document Scanning Lead Sheet
Jul-16-2013 10:05 am
Case Number: CNC-13-549648
Filing Date: Jul-16-2013 10:03 am
Filed by: ELIAS BUTT
Juke Box: 001 Image: 04127451
PETITION FOR CHANGE OF NAME
IN RE: YUEJIN ZHENG
001004127451
Instructions:
Please place this sheet on top of the document to be scanned.NC-100
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY
CHAOBIN. ZHENG & JIAOE ZHAO
3539 B 24TH ST
SAN FRANCISCO CA 94110
TELEPHONE NO: 415-699-9570 FAXNO. (Optional)
E-MAIL ADDRESS (Optional):
artonNev FOR nome IN PRO PER Seti or eae arm
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO .
srreer aporess: 400 MCALLISTER ST. #103 JUL 162013
MAILING ADDRESS:
city ano zip cove: SAN FRANCISCO, CA 94102 CLERK OF THE COURT
BRANCH NAME: BY: aS
Pe auty Clerk
PETITION OF (Name of each petitioner):
CHAOBIN ZHENG & JIAOE ZHAO
PETITION FOR CHANGE OF NAME GH Greed 3 7 5 q y 64.8
Before you complete this petition, you should read the Instructions for Filing a Petition for Change of Name on the next page. You must
answer all questions and check all boxes on this petition that apply to you. You must file this petition in the superior court of the county
where the person whose name is to be changed resides.
4. Petitioner (name): CHAOBIN ZHENG & JIAOE ZHAO 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 Pre name
a. YUEJIN ZHENG changed to KELLY YUE ZHENG
b. changed to
c changed to
d. changed to
(1 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 and 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): 1
5. If this petition requests the change of name of any person or persons under 18 years, this request is being made by
a. both parents.
[1 mother only.
father only.
near relative (name and relationship):
guardian (name):
D1 other (specify):
6. 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): 1
moaog
b-f. (Attachment page or pages)
(Instructions on next page)
Fortis! Counce Catania PETITION FOR CHANGE OF NAME Code of Givi Procedure, § 1275 et seq
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BINVN JO SONVHO HOS
NOILLLAd ¥ ONMMd YOd SNOLLONUYLSNINC-110
PETITION OF (Name of petitioner or petitioners): CASE NUMBER:
| CHAOBIN ZHENG & JIAOE ZHAO
FOR CHANGE OF NAME
NAME AND INFORMATION ABOUT THE PERSON
WHOSE NAME IS TO BE CHANGED Attachment ___ of ___
Attachment to Petition (form NC-100 or form NC-200)
(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.)
6. (Continued) Petitioner applies for a decree to change the name of the following person:
b. self [7] Other
(1) Present name (specify): JUEJIN ZHENG
(2) Proposed name (specify): KELLY YUE ZHENG
(3) Born on (date of birth): 04/23/2007
and presently [7] under 18 years ofage [__] over 18 years of age
(4) Born at (place of birth): CHINA
(5) Sex (as stated on original birth certificate): [__] Male [7] Female
(6) Current residence address (street, city, county, and zip code):
3539B 24TH ST,SAN FRANCISCO, CA 94110
c. Reason for name change (explain): We would like to have KELLY YUE ZHENG as our daughter's legal name.
d. Relationship of the petitioner to the person whose name will be changed:
(1) J seit (4) 2) near relative (indicate relationship):
(2) 7) parent (5) other (specify):
(3) CL) 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) Father (name): CHAOBIN ZHENG (adaress):3537 B 2" St, San Francisco, CA 94110
(2) Mother (name): JIAOE ZHAO (address): SAME AS ABOVE
(3) (Only if neither 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 declaration:
DECLARATION
| declare under penaity of perjury under the laws of the State of California that [J] 1amnot [1] 1am_underthe
jurisdiction of the California Department of Corrections (in state prison or on parole) and lamnot [_] tam
required to register as a sex offender under Penal Code section 290.
Date:
>
(TYPE OR PRINT NAME OF PERSON WHOSE NAME IS TO BE CHANGED) (SIGNATURE OF PERSON WHOSE NAME IS TO BE CHANGED)
(If petitioner is represented by an attorney, the attorney's signature follows):
Date:
IN PRO PER »
(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
true and correct.
Date: 07/09/2013
CHAOBIN ZHENG (FATHER) > x cheo hin zheng
TBE OR PRINT NAME) (SIGNATURE OF PETTIONER)
Date: 07/09/2013
JIAOE ZHAO (MOTHER) bv Jiao uA ao
(TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)
[1] 00 abormoNa: stGNATURE LINES FOR ADDITIONAL PETITIONERS [CT stcnarure oF PETITIONERS FOLLOWS LAST ATTACHMENT
Form Adopted for Mandatory Use ATTACHMENT TO ‘Code of Givil Procedure, § 1275 et seq,
‘Judicial Council of California
NETO. Jonuary #2005) PETITION FOR CHANGE OF NAME[ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address). FOR COURT USE ONLY
F CHAOBIN ZHENG & JIAOE ZHAO
3539B 24TH ST
SAN FRANCISCO CA 94110
CM-01
TELEPHONE NO. 415-699-9570 FAXNO.
ATTORNEY FOR (Name):_IN PRO PER Superior Court of California
ISUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRA NCISCO ‘ounty of San Francisco
street appress) 400 MCALLISTER ST #103
VALNG ADDRESS JUL 16 2013
city ano zipcone. SAN FRANCISCO CA 94102
BRANCH NAME ~ CLERK OF THE CQURT
CASE NAME: BY:
CHAOBIN ZHENG & JIAOE ZHAO puty Cierk
we CASE COVER SHEET Complex Case Designation “STN -13-54964 8
Â¥] Unlimited Limited .
(Amount (Amount oO Counter oO Joinder Suose
demanded demanded is Filed with first appearance by defendant
exceeds $25,000) $25,000 or less) (Cal, Rules of Court, rule 3.402) DEPT:
Items 1-5 below must be completed (see instructions on page 2).
1. Check one box below for the case type that best describes this case:
Auto Tort Contract Provisionally Complex Civil Litigation
Auto (22) [1 Breach of contractwarranty (06) (Cal. Rules of Court, rules 3.400-3.403)
[__] Uninsured motorist (46) [_} collections (09) [1 AntitrustrTrade regulation (03)
Other PVPDIWD (Personal injury/Property [_] Insurance coverage (18) [1 construction defect (10)
Damage/Wrongful Death) Tort Other contract (37) LJ mass tort (40)
[_] Asbestos (04) Real Property [J securities ttigation (28)
Product liability (24) Eminent domain/inverse [__] EnvironmentalToxic tort (30)
Medical malpractice (45) condemnation (14) [1] insurance coverage claims arising from the
[J other PvPDiWD (23) [1 wrongful eviction (33) above listed provisionally complex case
Non-PI/PDIWD (Other) Tort [1 other real property (26) types (41)
Business tort/unfair business practice (07) Untawful Detainer Enforcement of Judgment
[_] civil rights (08) LJ commercial (31) Enforcement of judgment (20)
Defamation (13) [_] Residential (32) Miscollancous Civil Complaint
L_] Fraud (16) [J] prugs (38) RICO@7)
Intellectual property (19) Judicial Review Other complaint (not specified above) (42)
[1 Professional negligence (25) J Asset forfeiture (05) Miscellaneous Civil Petition
TJ other non-P/POWD ton (35) [2] Petition re: arbitration award (11) =] Partnership and comorate governance (21)
Employment Wit of mandate (02) Other petition (not specified above) (43)
- Name chong,
Wrongful termination (36) Other judicial review (39) “$ “f
[__] other employment (15)
2. This case OO is 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. |__] Large number of separately represented parties d. L_] Large number of witnesses
b. Extensive motion practice raising difficult or novel e. 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. [_] Substantial amount of documentary evidence f. Substantial postjudgment judicial supervision
3. Type of remedies sought (check ail that apply):
al) monetary b. nonmonetary; declaratory or injunctive relief —c. [9 punitive
4. Number of causes of action (specify):
5. This case is isnot a class 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: 07/09/2013
CHAOBIN ZHENG & JIAOE ZHAO »x ck oo b a zhong oF ha,
(TYPE OR PRINT NAME), (SIGNATURE OF PARTY OR ATTORNEY FOR PARTY)
NOTICE :
e 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 complex case, this cover sheet will be used for statistical purposes only.
Page 1 of2
Form Adopted for Mandatory Use Cal. Rules of Court, rules 3.220, 3400-3 403
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JKanfu| [euossed) GAVGd/id 4210
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paunsulun ue SenjOAU! BSED
‘841 41) (9p) ISUOIOW PaunsuIU
uwjeag InjGuoupyyabeweg
Ayadoig/Aunluy jeuossag—(ZZ) ony
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saseg xajdwiog u| sawed OL
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Kew ages |IA10 & ul pally Jaded yssy Sy} UYIM JBOYS JOAOO B BI 0} OiNjle4 “suaded papuoWe YIM JedYs JOAOD e JILUGNS 0} peau jou OP
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suadeg 3Su14 Buyy sueyio pue synuleld OL
13JHS YAO FHL 3LIIdNOS OL MOH NO SNOILONULSNI
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