On April 11, 2024 a
Complaint,Petition
was filed
involving a dispute between
Duenas, Beatrice,
and
for Petition for Change of Name
in the District Court of San Bernardino County.
Preview
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COUNTY 0F SAN BERNAR HNIA
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San Bernardino District-CMI
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247 W831 Third Stree‘
MLm APR 1 1 2024
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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"
Document Filed Date
April 11, 2024
Case Filing Date
April 11, 2024
Category
Petition for Change of Name
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