Complaint,Petition: IN THE MATTER OF GERALDINE MILDRED TYSON

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                                        pat ldree                                                                                                                        NC-100

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JATTORNE)         PARTY |      HOUT ATTORNE   {widew cts Bar number, and addross). STATE BAR NO:

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NAME:          LM                No
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                                    1
                                                                  Corrxo.                                                           FILED
                                                                                                                  ‘Stuperor           Court of Cafifomia
 E-MAIL ADORESS:                                                                                                                 untv of Los Angeles
 JATTORNEY FOR (Name);
    SUPERIOR COURT OF CALIFORNIA, COUNTY OF
      street appress: / //A4- Af (/ $7
                                                                                                                                  MAR 02 2018
     MAILING ADDRESS;                                                                                           ShertR.                        ve OfficerClerk
                    S-& Aatg eles y
    CITY AND ZIP Col                                                                                            oy
         BRANCH NAME;
                                                                                                                                                          Deputy
PETITION ‘OF (Nama ‘ofeach
                    ¢      petitioner):

\Cevebdin                       Let _foleed            6 1
                                                                                                                              CASE NUMBER:
                                       PETITION FOR CHANGE OF NAME

    Before you complete this petition, you should read the Instructions for Filing a Petition for Chan:                               Nem                whee. You must
    answer all questions and check all boxes that apply to you on this petition. You must file this petition in the super                             Court of the county
    where the person whose name Is to be changad resides.

1      Petitioner (1                  Ceveldine             ver laved WYSE                                                                          resides in this county.
       Petitioner requests that the court decree the following name changes                         {list every name that you are seeking to change):
        -

       a Geraldine faldre LT yS0~                                                        changed to Tothe                     Gere ldinre Toys or”
       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.)                                                                              -

      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.
      The number of persons under 18 years of age whose names are to be changed is (specify): 0
       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.
      b. 7] mother only.
      ¢. (7) father only.
   d.(] near relative (name and relationship):
   e.(—_] guardian (name):
ee . [J other (specify):
   [) This petition seeks to conform petitioner's name to his or her gender identity.
      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. (Attachment page or pages)                                                                       |
                                                                              (Instructions on naxt page)                                                                  Page 1 of2
Form Adopted for Mandatory      Use                             PETITION FOR CHANGE OF NAME                                                     Code of Chi! Procedure, § 1275 et seq.
   dudielal Council af Calfomia                                                                                                                                    wvew courts.ca.gov
     NC-100 (Rev.
              Juty 1, 2014)                                                    (Change of Name)