On March 27, 2017 a
Complaint,Petition
was filed
involving a dispute between
Nymann, Emily Rose,
and
for (43) Unlimited Other Petition (Not Spec)
in the District Court of San Mateo County.
Preview
NC-‘lOO
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): STATE BAR NO:
5
NAME: EIM {II/lK054 (Vii) IMMt bx
FIRM NAME: 1
-
STREETA DRESS: @ n H—{Ujf ) 1"
A ”H 002
FIL
CITY: STATE:C ZIP CODE:
\ ‘VIIUAASQ’
TELEPHONE NO.:
Lg I
%) 52L! , 0}
q 7 fi’ FAxNo: W“?
Qt‘nv IIMMKQ ‘3"“0‘ i
E-MAIL ADDRESS: ,( ow SAN MATEO
ATTORNEY FOR (Name): COLIN“!
SUPERIOR COURT OF CALIFORNIA. COUNTY OF
(JEWEL
g AM 94’4t'0 MAR 2 7
.
STREETADDRE881H00 CDVNTY 2017
MAILING ADDRESS:
REDWED
CITY AND ZIP CODE; C 1W, ‘N O 6;
_BRANCH NAME:
.
PETITION OF (Name of each petitioner):
Emily Rose Nymann
CASE NUMBER:
PETITION FOR CHANGE OF NAME 0 2 9 5
17 C I V 1
Before you complete this petition, you should read the Instructions for Filing a Petition for Change of Name on the next page. You must
answer all questions and check all boxes that apply to you on this petition. You must file this petition in the superior court of the county
where the person whose name is to be changed resides.
1. Petitioner (name): Emilv Rose Nymann resides in this county.
2. (list every name that you are seeking to Change):
Petitioner requests that the court decree the following name changes
Present name Proposed name
_____a_._E_m_i fl§§NWiLaDfl »
changed to Rio Lorem Nymann
17—CIV—01296 .
PFNc changed to
Petition for Name Change “
i
432235
:
changed to
/
_ __
[:j
_ '
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 and 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):
5. If this petition requests the change of name of any person or persons under 18 years. this request is being made by
a. (:3 both parents.
b. |:| mother only.
c. [:3 father only.
|:]
d.
e.
f.
[j
:1
near relative (name and relationship):
guardian (name):
other (specify):
6. This petition seeks to conform petitioner‘s name to his or her gender identity.
7. For each person whose name is to be changed, (you must attach a completed copy cf
petitioner provides the following information
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 next page) Page1:f2
~
Form AdoptedforMandatéry User -
It.: 'codeoictviIProcedure.§1275'er;eq.
Judicial Counciloi California.
__
-’:
_
PETITION FOR CHANGE OF NAME _-
www.courtscagov
‘
NC-100 [Rev. July 1, 2014] (Change of Name)
‘1 NC-‘I10
PETITION OF (Name ofpetitionerorpetitioners): CAPEVJ®BQI I V (I 1 Z 3 6
FOR CHANGE OF NAME
NAME AND INFORMATION ABOUT THE PERSON
WHOSE NAME IS TO BE CHANGED Attachment of
Attachment to Petition (form NC-100 or form NC-200)
(You must use a separate attachment for each person whose name is to be changed. If petitioner is
a guardian of a minor, a
supplemental attachment, 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 ofthe following person:
b. E]
(1)
Self |:] Other
Present name (specify): Emilv Rose Nvmann
(2) Proposed name (specify): Rio Lorem Nvmann
(3) Born on (date of birth):
8/7/1991
4)
and presently I:] under 18 years
Born at (place of birth):
Greenbrae. CA
Of age [I] over 18 years of age
A
(5)
(6) Current residence address (street,
|:]
Sex (as stated on original birth certificate):
county,
city,
Male [:l
and zip code):
Female
811 Hiller St, Belmont. CA 94002
°~ Reason for name change (explain): Name change to conform to gender idendity.
d. Relationship of the petitioner to the person whose name will be changed:
( 1) x self (4) l:] near relative (indicate relationship):
(2) parent (5) [:1 Other (specify):
(3) 1:] guardian
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) Father (name): (address):
(2) Mother (name): (address):
(3) (Only if neither parent is 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:
DECLARATION
I
[I]
declare under penalty of perjury under the laws of the State of California that I am not
II]
jurisdiction of the California Department of Corrections (in state prison or on parole) and
Q
am not
Iam
[:3
under the
am
W
I I
required to register as a sex offender under Penal Code section 290.
Date: 3/7/17
EmfIt/ Reva I\)JII’V1(’\l/Ih
(TYPE OR PRINT NAME OF PERSON WHOSE NAME IS TO BE CHANGED)
P 619% 2M
(SIGNATUREOF PERSON WHOSE NAME IVTO BE CHANGED)
(If petitioner is represented by an attorney,the attorney's signature follows):
Date:
>
(TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY)
(Each petitioner must sign this petition in the space provided below or, if additional pages are attached, at the end of the last
attachment.) Ideclare under penalty of perjury under the laws of the State of California that the information
in the foregoing petition
3
true and correct.
Date:
Date:
3/7/17
gmlfl‘,’ )QOSQ NWWMAMA
(TYPE OR PRINT NAME)"
} M/ QDMo //Zi4m
(SIGNATURE OF PETrTIONER/
(TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)
|:] .ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS
"‘
Adopted for, Mandatory Use
SIGNATURE OF PETITIONERs FOLLOWS LAsT ATTACHMENT
'
5
ATTACHMENT TO
*
. -
F_orr_n v
.
' ,
' .
Code otCiVIlProcedure.§ 1275 etaeq.
Judicial Council of CaIItornia ‘
. .
‘ ‘ '
fiNC-t‘lOlRevi JiIly1.2014) j
'
PETITION FOR CHANGE OF NAME -'
t
I --
PrIntthIsforml I
Save this form' IeEFthIsfoFfi
re
Document Filed Date
March 27, 2017
Case Filing Date
March 27, 2017
Category
(43) Unlimited Other Petition (Not Spec)
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
NC-‘lOO ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): STATE BAR NO: 5 NAME: EIM {II/lK054 (Vii) IMMt bx FIRM NAME: 1 - STREETA DRESS: @ n H—{Ujf ) 1" A ”H 002 FIL CITY: STATE:C ZIP CODE: \ ‘VIIUAASQ’ TELEPHONE NO.: Lg I %) 52L! , 0} q 7 fi’ FAxNo: W“? Qt‘nv IIMMKQ ‘3"“0‘ i E-MAIL ADDRESS: ,( ow SAN MATEO ATTORNEY FOR (Name): COLIN“! SUPERIOR COURT OF CALIFORNIA. COUNTY OF (JEWEL g AM 94’4t'0 MAR 2 7 . STREETADDRE881H00 CDVNTY 2017 MAILING ADDRESS: REDWED CITY AND ZIP CODE; C 1W, ‘N O 6; _BRANCH NAME: . PETITION OF (Name of each petitioner): Emily Rose Nymann CASE NUMBER: PETITION FOR CHANGE OF NAME 0 2 9 5 17 C I V 1 Before you complete this petition, you should read the Instructions for Filing a Petition for Change of Name on the next page. You must answer all questions and check all boxes that apply to you on this petition. You must file this petition in the superior court of the county where the person whose name is to be changed resides. 1. Petitioner (name): Emilv Rose Nymann resides in this county. 2. (list every name that you are seeking to Change): Petitioner requests that the court decree the following name changes Present name Proposed name _____a_._E_m_i fl§§NWiLaDfl » changed to Rio Lorem Nymann 17—CIV—01296 . PFNc changed to Petition for Name Change “ i 432235 : changed to / _ __ [:j _ ' 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 and 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): 5. If this petition requests the change of name of any person or persons under 18 years. this request is being made by a. (:3 both parents. b. |:| mother only. c. [:3 father only. |:] d. e. f. [j :1 near relative (name and relationship): guardian (name): other (specify): 6. This petition seeks to conform petitioner‘s name to his or her gender identity. 7. For each person whose name is to be changed, (you must attach a completed copy cf petitioner provides the following information 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 next page) Page1:f2 ~ Form AdoptedforMandatéry User - It.: 'codeoictviIProcedure.§1275'er;eq. Judicial Counciloi California. __ -’: _ PETITION FOR CHANGE OF NAME _- www.courtscagov ‘ NC-100 [Rev. July 1, 2014] (Change of Name) ‘1 NC-‘I10 PETITION OF (Name ofpetitionerorpetitioners): CAPEVJ®BQI I V (I 1 Z 3 6 FOR CHANGE OF NAME NAME AND INFORMATION ABOUT THE PERSON WHOSE NAME IS TO BE CHANGED Attachment of Attachment to Petition (form NC-100 or form NC-200) (You must use a separate attachment for each person whose name is to be changed. If petitioner is a guardian of a minor, a supplemental attachment, 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 ofthe following person: b. E] (1) Self |:] Other Present name (specify): Emilv Rose Nvmann (2) Proposed name (specify): Rio Lorem Nvmann (3) Born on (date of birth): 8/7/1991 4) and presently I:] under 18 years Born at (place of birth): Greenbrae. CA Of age [I] over 18 years of age A (5) (6) Current residence address (street, |:] Sex (as stated on original birth certificate): county, city, Male [:l and zip code): Female 811 Hiller St, Belmont. CA 94002 °~ Reason for name change (explain): Name change to conform to gender idendity. d. Relationship of the petitioner to the person whose name will be changed: ( 1) x self (4) l:] near relative (indicate relationship): (2) parent (5) [:1 Other (specify): (3) 1:] guardian 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) Father (name): (address): (2) Mother (name): (address): (3) (Only if neither parent is 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: DECLARATION I [I] declare under penalty of perjury under the laws of the State of California that I am not II] jurisdiction of the California Department of Corrections (in state prison or on parole) and Q am not Iam [:3 under the am W I I required to register as a sex offender under Penal Code section 290. Date: 3/7/17 EmfIt/ Reva I\)JII’V1(’\l/Ih (TYPE OR PRINT NAME OF PERSON WHOSE NAME IS TO BE CHANGED) P 619% 2M (SIGNATUREOF PERSON WHOSE NAME IVTO BE CHANGED) (If petitioner is represented by an attorney,the attorney's signature follows): Date: > (TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY) (Each petitioner must sign this petition in the space provided below or, if additional pages are attached, at the end of the last attachment.) Ideclare under penalty of perjury under the laws of the State of California that the information in the foregoing petition 3 true and correct. Date: Date: 3/7/17 gmlfl‘,’ )QOSQ NWWMAMA (TYPE OR PRINT NAME)" } M/ QDMo //Zi4m (SIGNATURE OF PETrTIONER/ (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) |:] .ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS "‘ Adopted for, Mandatory Use SIGNATURE OF PETITIONERs FOLLOWS LAsT ATTACHMENT ' 5 ATTACHMENT TO * . - F_orr_n v . ' , ' . Code otCiVIlProcedure.§ 1275 etaeq. Judicial Council of CaIItornia ‘ . . ‘ ‘ ' fiNC-t‘lOlRevi JiIly1.2014) j ' PETITION FOR CHANGE OF NAME -' t I -- PrIntthIsforml I Save this form' IeEFthIsfoFfi re