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  • In re: Adalina Elena Rodriguez Print Petition for Change of Name  document preview
  • In re: Adalina Elena Rodriguez Print Petition for Change of Name  document preview
  • In re: Adalina Elena Rodriguez Print Petition for Change of Name  document preview
  • In re: Adalina Elena Rodriguez Print Petition for Change of Name  document preview
						
                                

Preview

M {m Ha 06 OVUhSR‘fW ATTORNEY OR PARTY WITH OUT ATTORNEY NR m7 USE ONLY NC-‘l 00 mm: _M fr H’fiew W,K% Z o me f. “A9 sm's:CA'zIPcoos: FAX NO.: @2331 NV? '- ’ ‘ Rm go'lflLTgFDCAUFO COUNTY 0F SAN BERNAR HNIA DINO fSan Bernardinq = County WWWss= . San Bernardino District-CMI _ 247 W831 Third Stree‘ MLm APR 1 1 2024 ‘ San Bemardino. CA 9241 5-0210 - , PETITION or (name omen puma.- ' BY ' [A ' ’ "A ‘ Before Mm uyoupmcomple a te of this petulon, potltlon to mad m Instrucfl A’ ons for Filing a Petition for momma a change of cond Chung. of Name msmw ' (tom NC-1oo-WFO). (To chi MARIAH MORA. DEPUTY marriag- ebrtlflau nfloctl ng or. Ind ebuln a now thou chug... uu form MOM. ) c.lflomh birth com for youmu or you na. your r child, or a 1. Petlflo r(present name): a. b. DD (1.) resides In this county. does not live In California and (check 1 or 2) wants a name change on (check a orb) w (2.) Petitioner requests a marriage license. and was mar wants a name change on thei r or their child's birth cert Mat the court decree the foll ried in this county. ificate. which was issu ed in this county. a-AMLmaemxaaomqm 2mm owing name changes (list every name that yuu am seeking to Emmgam: change): “W“? V€h€wp€ AA MmA ‘ ‘b. change d to MQV-GW c. D Continued (lfyou era seekin 2.) g to change additional names, changed to you must prapara a list and attach it to this petlfion as Attachment Petitioner requests that the court issue an order directing all interesCed petition for change of name of persons to appear or fiIe obje the persons Identified in Item dions to show cause why this 2 should not be granted. The number of persons under 18 years of age whose names are to be changed is (specifl): If thgs petition requests the change of nam e of any person or persons under 1B E] a. b. c Z a two parents. one parent. years, this request ls being made by d. e. . E D near relative (name guardian (name): and relationship): f. D attorney for an Individual und other (speciM: er the jurisdiction of the juvenile court (name): 6. D This petition seeks to m conform to that person‘s gendernam change e of (check one) identity. the D petitioner g(nge): D 7. For each person whose name ls to be changed. petitioner provides the foll Information About the Per owing Information son Whose Name ls toBe Changed (form NC-1 10) for each per (you must attach Name and a. Number of pages attached (spe son Identifie d In Item 2): W cify number): b.-f. (These Items era on the anachedpage or pages of for NC- m 1 10.) mm ew' mfi'cum‘“ ""I m "" PETrrION FOR cHANGE 0F NAME V r 1 a‘ noioo (aw. Jammy 1,2023) God. o! CM Procoaum I 1276 M m. (Change of Nam.) For your probation Ind priv acy. plus. pron tho Clear This Form bunon Ihor you have pflnlod tho form. s‘"""’"“‘i NC-1 10 NAME AND INFORMATION ABOUT FORCHANGEOFNAME IV SB 2‘0 8 3 5 9 THE WHOSE NAME l8 TO BE CHANGEPER D SON ’ Attachment to Potlflon (form Nc-1 Attachment r o! (You must use a separate attachme oo, form NO-aoo, or form nt for «ch person whose Nc-500) declaration ofguardlan name ls to be changed. ”petitioner (form NC-1 106) must also Is a guardian of a mino be completed and attached for r, a each minor whose name Is 7. b- D Self Otherw (Continued) Petitioner applies for a dome to changotho ma ‘e name of the following person: to be changed.) g; (3) Pre en na Proz-éstea Born an (date ammu: spew,- a "Tm; rspecIQA—e H R6? 6 6 r ?ODEl V62 A harm vcffl Prol Ll and presenfiy mu dar 18 yozarsfi of ag (4) (5) Born at (place ofth): Sex (as stated on original Lemmas)“ Hem1:T\EK]1rlantnm 18 years of age or older (6) Current residence address (street, city, and county, state, zip code): na Reason n; ’rrok’rek wh—e Fa rwahnr 0&0115‘3'1 c. name change for (explaln). POW€hT \S Nor 1—h—6 Fafh'C K A d. Relationship of the petitioner (1) self (4) D to the person whose name will E be changed: Guardian ad mam or attomoy for minor appointed by juvenile e. (2) (3) D Parent Guardian If the person whos e name (5) Near relat will (6) D be changed ive (Indicate Other (specify): Is court mlaflonshlp): under 18 years of age, provide followin ersons: the names and addrasses, if known, of the (1) (2) Page?“ (name). Parent (name): WMQ\ 060 m~s(addross):‘ 1&2 1'20 WLah‘C F(rTranA (3) (Only If neither parent Is living) (addnés): Near relafives (names, relationships, and addresses): 0A azaaj f. If the person whose name will be changed ls 18 years of age or older. that penon must sign the following declaration: DECLARATION I declare under penalty of under the jurisdiction oft Jan and (chock one) perjury underthe laws of the Stat Califomla Department of Comc I am not e of Califomla that (check one) E tions and Rehabilitaflon (tn state priso lam required reglster as a sex offender m lam not l am n or on parole) or In coun under Penal Code section ty m D Date: 290. UYPEORPRINTNAMEOFPERSONWHOSE \t! \qu t ~,,.. WISTOBECHANGED) E2 k2 (SIGNATUREOFPRSONMOENAME .__\ (If pofltlor'm' ls npruontod by an anamoy, ISTO BECHANGED) tho utomay's signature follows): Date: ("PE OR PRINT NAME) (Each petitioner must sign this podt (SIGNATURE OF ATTOMEY) lon In the space provided belo w or, If Iddluonll pages an Imc attachment.) I declare under p'enalty hod, at tho 0nd of tho last of perjury under the laws of the true andoorract State of Callfomia that the Information In the foregoin 04H M24 g petition Is (TYPE 0R PRmT NAME) Date: (SIGNATURE OF PETITCONER) D (TYPE OR PRINT NAME) E W Ann AoDrnorw. slamwns muss son Anom (SIGNATURE OF PETITIONER) oNAL Psmnouens snmrua: or Pmmns Fouows ua'r Armament m ‘ . NAME AND INFORMATION ABOUT THE PERSON r 1 mgxfimg'mm . WHOSE NAME Is To BE CHANGED Cod. otcm Procedure. 5 1215 mug. For your promotion Ind (A mmm to Pfllflon for Chang. of Nam.) privacy, plan pm. the Char This Form butt on aflor you haw prlntod tho form. t Ml? Save (his form- rm'w-W"