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  • In the Matter of STRAUCHARMAS, ROBYNChange of Name: Unlimited  document preview
  • In the Matter of STRAUCHARMAS, ROBYNChange of Name: Unlimited  document preview
  • In the Matter of STRAUCHARMAS, ROBYNChange of Name: Unlimited  document preview
  • In the Matter of STRAUCHARMAS, ROBYNChange of Name: Unlimited  document preview
						
                                

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NC-100 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER: FOR COURT USE ONLY NAME: Robyn Strauch- Armas FIRM NAME: STREET ADDRESS 1005 Chukar Way ease CITY: Newman STATE CA ZIP CODE: 95360 TELEPHONE NO.: 209—585—631 53 FAX NO.: MAR 2 2 2024 E-MAIL ADDRESS: robyn.strauch@me.com CLERK OF THE SUPERIOR COUFIT ATTORNEY FOR (name): COUNTY OF STANISLAUS SUPERIOR COURT OF CALIFORNIA, COUNTY OF Stanislaus STREET ADDRESS: 801 10th Street BEE'LJ'TY a" , 1'1 MAI LING ADDRESS: CITY AND ZIP CODE: Modesto. 95354 BRANCH NAMEICity Towers Courhouse '35 PM? PETITION OF (name of each petitioner): Rebyn—StFauch—Amasiomalefleidsrose m Q'Woxu ChefirmcL'S 0O beIraIIi ma Code/b Rel GYOSCICLIYVYIOF 90kg)" CASE NUMBER: PETITION FOR CHANGE OF NAME angflfiflfiz Before you complete this petition, read the Instructions for Filing a Petition for Change of Name (form NC-100-INFO). (To change your name as part of a petition to recognize a change of gender, and obtain a new California birth certificate for yourself or your child, or a marriage certificate reflecting those changes, use form NC-300.) E Petitioner (present name): [@3:n~_811"QEVV'?6\—YWS 'FO" (web Red(check orb) a _L é'ros e _ a. resides in this couniy. b. E does riot live in California and (check 1 or 2) (1.) D wants a name change on a marriage license, and was married in this county. (2.) E wants a name change on their or their child's birth certificate, which was issued 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. Caleb Reid Grose changed to Caleb Reid Strauch—Armas b. changed to c. . changed to E 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): 1 5. 'lfthis petition requests the change of name of any person or persons under 18 years, this request is being made by a. E two parents. " b. one parent. c. E ne'ar relative (name and relationship): d. E guardian (name): e. E attorney for an individual under the jurisdiction of the juvenile court (name): f. E other (specify): 6. E This petition seeks to change the name of (check one) to conform to that person's gender identity. E petitioner E (name); 7. For each'person whose name is to be changed, petitioner provides the following information (you must attach Name and information About the Person Whose Name ls to Be Changed (form NC—110) for each person identified in item 2): a. Number of pages attached (specify number): i b.—f. (These items are on the attached page or pages of form NC—110.) Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California PETITION FOR CHANGE 0F NAME Code of Civil Procedure, 1275 t m'wfmuflsgqqz . NC-100 [Rem January 1, 2023] (Change of Name) NC-110 Q? 01: QCIICIQQeKRé'YdSC 5;: a; RPE'£)TIOI\¢\OIgnameofgetitionerorpetitioners):l I Q mMOr FOR CHANGE OF NAME CASENUMBER: 26f". NAME AND INFORMATION ABOUT THE PERSON Attachment to Petition (form NC-100, form NC-300, or form NC-500) WHOSE NAME IS TO BE CHANGED Attachment / of / (You must use a separate attachment for each person whose name is to be changed. If petitioner is a guardian of a minor, a declaration of guardian (form NC-11OG) 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 following person: te b. I: Self Other [Z] (1) Present name (specify): Caleb Reid Grose (2) Proposed name (specify): Caleb Reid Strauch- Annas (3) Born on (date of birth): 07/15/2013 and presently under 18 years of age )1] 18 years of age or older I:] (4) Born at (place of birth): Clovis. California (5) Sex (as stated on original birth certificate): Male Female [:I [:I (6) Current residence address (street, city, county, state, and zip code): 1005 Chukar Way, Newman, Santinslaus County, CA 95360 0. Reason for name change (explain): Caleb is tired of being bullied at school and being called "gross". He also wants his name to match his mom and his new sister. \ d. Relationship of the petitioner to the person whose name will be changed: [:1 Self (4) 1:] Guardian ad litem or attorney for minor appointed byjuvenile court (1) 2) [1] Parent (5) Near relative (indicate relationship): E] 3) I: Guardian (6) Other (specify): 1: 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): Robyn Strauch-Armas (address): 1005 Chukar Wav. Newman. CA 95360 (2) Parent (name): Jonathan Grose (address): 356 N 15th Street. Chowchilla, CA 93610 (3) (Only if neither parentis 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: DEC LARATION l declare under penalty of perjury under the laws of the State of California that (check one) am not l am under the jurisdiction of the California Department of Corrections and Rehabilitation (in state prison or on parole) or in county E: l E jail and (check one) j l am not l am | E required to register as a sex offender under Penal Code section 290. Date: (TYPE OR PRINT NAME OF PERSON WHOSE NAME |S T0 BE CHANGED) i (SIGNATURE OF PERSON WHOSE NAME IS TO BE CHANGED) (If petitioner is represented by an attorney, the attorney's signature follows): Date: F (TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY) (Each petitioner must sign this petition in the space provided below or, if additional ' pages ar ttached, at the end of the last declare under penalty of perjury under the laws of the State 0 fomiéthat t attachment.) I Inform atio\Ir(the foregoing petition Is true and correct. Dateatgji—lfblq Robyn Strauch- Annas (TYPE OR PRINT NAME) Date: U(SIGNWF PErITIoNER) ( ) (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) I: _ [:1 ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS SIGNATURE OF PETITIONERS FOLLOWS LAST ATTACHMENT Page 1 of1 Form Adopted tor Mandatory Use J d" Ic 'l fCal'I ' Ntlffolé'fifi'ia'iuaw'fimzli'zs] NAME AND INFORMATION ABOUT THE PERSON WHOSE NAME Is TO BE CHANGED W Code ofCivil Pmcedure.§ 1275 etseq. (Attachment to Petition for Change of Name) For yoiIr protection and privacy, pléasépress the Clearl This Form bbutton after yyou'have h pr nted th V,P.rinAt-:thi§,f9rm Save this formf ?§T€a_6.t!li§Ai°rm L .... .-. ..__._.. ............'...- .4............ ...-.4~... ..