Complaint,Petition: In the Matter of Saffron Hansen et al

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                                ATrORNEY OR PARTYWITHOUT Al-rORNEY                                           STATE BAR NUMBER:                                             FOR COURT USE ONLY
~„„„ Vanitha Raja-Hansen on behalf of Saffron Liv                                                  a minor


       Los Altos
                    (626) 841-0555
E-MAIL ADDRESS

                   (fl,iRe): in    Pro    Per


 srREET ADDREss. 191              North First Street
 MAILING ADDRESS
                        San Jose 94024
                        Downtown Superior Court
 PETITION OF (name
  Vanitha Raja-Hansen on behalf of Saffron Hansen, a minor
                                                                                                                             CASE NUMBER
                                         PETITION FOR CHANGE OF

  Before you            this petition,     the Instructions for Filing a                                               of Name (form
        as part of a petItIon to recognize change of            and obtain                                                               for yourself or your child, or
  marriage certificate reflecting thosa changes, use

                                                                                               of Saffron Liv
     a. [X
     b. n          does not live in California                (check 7 or

           (1,)[        ] wants a name change on a marriage license, and was married in this
           (2.)E]          wants a name change on their or their child's birth certificate,                            was issued
                                    that the court decree             following name changes (list                   name that             seekIng to change)


        SaFron Liv Hansen                                                                      ,hanged to       Tallulah Quinn Liv

                                                                                               changed to



                                  (if you are seeking to change additional names,                        must prepare a list                  to this petition as

                          that the court issue an      directing all interested persons to appear or                                     objections to show cause why
     this petition for change of       of the persons identifIed in item
     The number of persons under 18 years                          age whose names                   to be changed               : One
                           requests the                                     any person                               years, this request is being made



                    near relative (name and


                                   for an                              jurisdictIon of             juvenile court



6•            ::   Iso E :::      Tosfhea:sPtorsTS   : g;e Pdee ? ?dE :t:     a(ch e ck o n e) =              Dner    naa        me) :

                            whose name is to be changed, petitioner                                    the following            (you must attach Name
                        About the Person Whose Name is to Be Changed                                          la) for each person identified in item
     a. Number of pages
     b.–f. (These items                   on the attached             or pages of form NCH la.)
                                                                                                                                                                                    1 of
              fbr Mandatory Use
Judicial CouncII of California                                       PETITION FOR                                                                  Code of Civil Procedure. S 1275 et seq,

NC.100 [Rev. January 1, 2023]