On September 21, 2021 a
Complaint,Petition
was filed
involving a dispute between
Giao Jennifer Thuy Lai,
and
for Unlimited Civil
in the District Court of Alameda County.
Preview
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23133830 . -
ATTORNEYOR PARTYWITHOUTATTORNEY STATEBAR NUMBER:
NAME: Gigo JenniferThuy Lai
FIRMNAME:
STREETADDRESS: 34325 Sandburg Drive
cimy:Union City STATE:CA ZIP CODE:
94587
TELEPHONENO.: (510) 364-0560 FAXNO.:
E-MAILADDRESS: jenniferthuylai@gmail.com
ATTORNEYFOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ALAMEDA
STREETADDRESS: 24405 Amador Street
MAILING
ADDRESS: 24405 Amador StreetHayward, CA 94544
S-P 21707
A
Criee, e
L
CITYANDZiPCODE: Hayward, CA 04544
BRANCHNAME:
PETITION
Giao
OF
Jennifer
Hayward
(name
Thuy
Hall
of each
Lai
ofJustice
petitioner): e,
WE81113338- -
CASE NUMBER:
PETITION FOR CHANGE OF NAME
Before you complete thispetition,
you should readthe InstructionsforFiling
a PetitionforChange of Name (form NC-100-INFO).You
must answer allquestionsand checkallboxes thatapply toyou on thispetition.
You must file
thispetitioninthesuperior courtofthe
county where theperson whose name isto be changed resides.
1. Petitioner(presentname): Giao JenniferThuy Lai resides inthiscounty.
2. Petitionerrequests thatthe courtdecree the followingname changes (list
every name thatyou are seeking to change):
Present name Proposed name
a. Giao JenniferThuy Lai changed toJennifer Thuy Lai Huang
b. changed to
c. changed to
d. changed to -
[ ] Continued (if you
are seeking tochange additionalnames, you must prepare a listand aftachit to
thispetitionas
Attachment 2.)
3. Petitionerrequests thatthe courtissue an order directing
allinterestedpersons toappear orfileobjectionstoshow cause why
thispetitionforchange ofname of thepersons identified
initem 2 should notbe granted.
4. The number of persons under 18years of age whose names are tobe changed is(specify): 0
5. If this
petition
requests the change ofname of any person or persons under 18 years, thisrequest isbeing made by
a. [___| two parents.
. [_] one parent.
T
- [] near relative(name and relationship):
oo O
. [] guardian (name):
. [::l other (specify):
6. [__] This petition
seeks tochange name of (checkone) [ ]petitioner [ 1(name):
toconform tothat person'sgender identity.
For each person whose name is tobe changed, petitioner
provides the followinginformation(you must aftach a completed copy of
the aftachment Name and InformationAbout the Person Whose Name Is toBe Changed (form NC-110) for each person identifiedin
item 2):
a. The number of attachments included inthispetitionis(specifynumber): 1
b—f.(These arethe items on the aftachedpage orpages ofForm NC-110.)
Page1 of 1
FormAdopted
for Mandatory
Use
Judicial
Council
of California PETITION FOR CHANGE OF NAME Codeof Civil Procedure,
§ 1275
et seq.
WWW.COoUrts.ca.gov
NC-100
{Rev.
September1, 2018] (Change of Name)
LHI6043 ALAMEDA
NC-110
PETITION OF (Name of petitioner
or petitioners): CASENUMBER:
Giao JenniferThuy Lai
FOR CHANGE OF NAME
NAME AND INFORMATION ABOUT THE PERSON
WHOSE NAME IS TO BE CHANGED Attachment 1 of 1
Attachment to Petition(form NC-100, form NC-200, or form NC-500)
(You must use aseparate attachment foreach person whose name istobe changed. If petitioner
is aguardian of a minor,a
supplemental attachment,Declaration ofGuardian (form NC-110G), must also be completed and aftached foreach minor whose name
isto be changed.)
7. (Continued) Petitionerappliesfora decree to change the name ofthe followingperson:
b. Self [ ] Other
(1) Present name (specify): Giao Jennifer Thuy Lai
(2) Proposed name (specify).
Jennifer Thuy Lai Huang
(3) Born on (date ofbirth):
january 9,1990
and presently [ | under 18 years ofage over 18 years ofage
(4) Born at (placeofbirth):San Jose, CA
(5) Sex (as stated onoriginalbirthcertificate):[__| Male Female
(6) Current residence address (street,city,
county, and zipcode):
34325 Sandburg Drive, Union City,CA, 24587 Alameda County
c. Reason forname change (explain):
Got married!
d. Relationship ofthe petitioner
to theperson whose name willbe changed:
©) self (4) ] nearrelative (indicaterelationship):
(2 ] parent (5) ] Other (specify):
(3 [_] guardian
e. If the
person whose name will
be changed isunder 18 years ofage, provide thenames and addresses, if known,of the
following persons:
(1) Parent (name): (address):
(2) Parent (name): (address):
(3) (Only if neither
parentis living)
Near relatives(names, relationships,and addresses):
. If the
person whose name will
be changed is 18years of age or older,thatperson must sign the followingdeclaration:
DECLARATION
| declareunder penalty ofperjury under thelaws of theState ofCaliforniathat (checkone) lamnot [ ] lam
under the jurisdiction
of theCaliforniaDepartment of Correctionsand Rehabilitation
(instate prisonor on parole)or incounty
jail
and (check one) lamnot [__| lam requiredto registeras asex offender under Penal Code section 290.
Date; September 21, 2021
Giao Jennifer Thuy Lai ’ (\/Q/\,J
(TYPEORPRINTNAME OFPERSON WHOSE NAMEIS TO
BE CHANGED) MTURE OFPERS(}'N‘,WHOSE
NAME IS TO
BECHANGED)
(If petitioner
is represented by an attorney, the attorney's signature follows):
Date:
(TYPEORPRINTNAME)
) (SIGNATURE
OF ATTORNEY)
(Each petitioner must sign thispetition in thespace provided below or,if additionalpages are attached, at theend of thelast
attachment.) | declareunder penaltyof perjuryunder the laws ofthe Stateof California
that the informationinthe foregoing petition
is
trueand correct.
Date: September 21, 2021
Giao Jennifer Thuy Lai ’ (l( @(’J
(TYPEORPRINTNAME) (SIGN E OFPETITIONER)
Date:
(TYPEORPRINTNAME)
) (SIGNATURE
OF PETITIONER)
l_| ADDADDITIONALSIGNATURE
LINESFORADDITIONALPETITIONERS m SIGNATUREOFPETITIONERS
FOLLOWS LASTATTACHMENT Page 1 of 1
Forr_nAAdopled
for Man_datqy
Use ATTACHMENT TO Codeof Civil Procedure,
§ 1275
et seq.
NG-110(Rev. Septomber
12018 PETITION FOR CHANGE OF NAME i couts
agox
LHI6043 ALAMEDA
Document Filed Date
September 21, 2021
Case Filing Date
September 21, 2021
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