Petition for Change of Name filed by Nickerson, Donnell Lavon on 11/30/2022. Filed By: Nickerson, Donnell Lavon(Petitioner)

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                          RECEIVED FOR SCANNING
VENTURA SUPERIOR COURT

_ _ NC-100
|ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUN
hae DOMME Laven Nickerson NOV 30 2022
| URM NAME:
street aooress ALS West Firse STrect
ery OXNaVA sit, CR recov A3030
TELEPHONE No:(POS) 3b - Gr0s FAXNO
Ewan aporess: Yadi 1148 & Qmar \-com
|ATTORNEY FOR (name)

ISUPERIOR COURT OF CALIFORNIA, COUNTY OF VV enwra
strEeTADDREss; @OO Sot Victoria Ave
MauNncanoriss: @OO Sovtn victoria Ave

cITy AND ZIP CODE: WENUTA QA2a004A
BRANCH NAME: FALL ef SUStICE
PETITION OF (name of each petitioner):

Donnell Lavon Nickersoyny
PETITION FOR CHANGE OF NAME

‘CASE NUMBER:

Before you complete this petition, you should read the Instructions for Filing a Petition for Change of Name (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.

1. Petitioner (present name): DOWNE\\ Lavon Nic…