On September 30, 2021 a
Complaint,Petition
was filed
involving a dispute between
Sae Hwan Chung,
and
for Unlimited Civil
in the District Court of Alameda County.
Preview
rr
wee
ee Te NC-100
ATTORNEYORPARTYWITHOUTATTORNEY STATEBARNUMBER:
NAME: SAC usar Chunsy
FIRMNAME:
STREETADDREss:LIA Camino Plz
cm LAMian Ch state: CAE zpcove: APSE FILE)
TELEPHONENO.:
SLO~30Z3—~S%E f FAXNO.: ALAMN
ADDRESS:
E-MAIL SACOZT% Gorna!
a
\.cem ee
MEDA
a) 12)
COM
iia
RFTY
ATTORNEYFOR(name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ALAMEDA SEP 3 0 2021
sTReeTaDoREss: 24405 Arnadsrc St warm e chic SUPPL: --
MAILING
ADDRESS: By hea
city ANDzIPcobE:Hayisard. , Cf ALSYY Deputy
BRANCHNAME:
PETITION OF (name of each
petitioner):
Sae Hwan Chun 1
CASENUMBER:
PETITION FOR CHANGE OF NAME HG2111434 5
Beforeyou complete thispetition,
you should readthe Instructions
forFiling
a Petition
forChange ofName (formNC-100-INFO). You
must answer allquestionsand check allboxesthatapply toyou on this
petition.
You must file
thispetitioninthesuperiorcourtofthe
county wherethe personwhose name isto bechanged resides.
1. Petitioner
(presentname): Soe Wwan hans i residesinthiscounty.
2. Petitioner
requests thatthecourt decree thefollowingname changes (list
every name thatyou areseeking fo change):
Present name ; Proposed name
a Sae Wwan Chuns changedto Simon Sage Chuns
b. ; changed to
C. changed to
d. changed to
[_] Continued (if you
are seeking tochange additionalnames, you must prepare a list
and attach it
to thispetition
as
Attachment 2.)
3. Petitioner
requests thatthecourt issuean order directing
allinterestedpersonsto appear orfileobjectionstoshow cause why
thispetition
forchange of name ofthepersons identified
initem2 should notbe granted.
4, The number ofpersons under 18 years ofage whose names areto bechanged is(specify):@
5. if this
petition
requeststhe change of name of any person orpersons under 18 years,thisrequest isbeing made by
. [_] twoparents.
oaoao%4#
. [_] one parent.
{___] near relative
(name and relationship):
. [] guardian (name):
. [_] other(specify):
6. [__] This petition
seeks tochange name of (check one) [__] petitioner [—_] (name):
toconform to thatperson'sgender identity.
7. For each personwhose name istobe changed, petitioner
providesthe followinginformation(youmust attach a completed copy of
the attachmentName and InformationAbout thePerson Whose Name IstoBe Changed (form NC-110) for
each person identified
in
item 2): ; ;
a. The number ofattachments includedin this
petitionis(specifynumber):
b-f.(These arethe items onthe attached page orpages ofform NC-110.) pane4 of 4
age 10
Form
Adopted
Council forof Mandatory
‘jodicia Use
California PETITION FOR CHANGE OF NAME Code ivi
of Civil
Procedure,
§ 1275
et seq.
www.courts.ca.gov
NC-100
(Rev.
September
1, 2018] (Change of Name)
NC-110
PETITION OF (Name of petitioner
or petitioners): CASENUMBER:
Sae Huan Chang FOR CHANGE OF NAME
NAME AND INFORMATION ABOUT THE PERSON
WHOSE NAME IS TO BE CHANGED Attachment / of /
Attachment toPetition (form NC-100, form NC-200, or form NC-500)
(You must use a separate attachment foreach person whose name is tobe changed. If petitioner
isa guardianof a minor,a
supplemental attachment, DeclarationofGuardian (formNC-110G), must alsobe completed and attached foreach minor whose name
istobe changed.)
7. (Continued)Petitionerappliesfora decree tochange the name ofthefollowingperson:
b. a Self [_] Other
Present name (specify);Sae Hwan Chung
) Proposed name (specify):
Simeon Sae Chunsy
(3) Born on (date ofbirth): Pususr 2B, ITT
and presently [_] under 18 years ofage over 18years ofage
(4) Born at (placeofbirth): Seoul , South Koren
(5).Sex (as statedon originalbirth
certificate).
(<) Male [_] Female
(6) Current residericejaddress(street,
city,
county, andzip code):
112 Camino Plo , Union cing » Alameda 7 1452)
c. Reason forname change (explain):
IL hee Bene by Me name Simon Sae. Chuns public my CNH TO. vi bude
oy TMemigcetton document Shoasg Sae Huwan Chury tHhecePore. requestia, 1 hove + chayeck,
d. Relationshipofthe petitioner
“ a person whose name willbe changed:
(1) [><] self 4) [__] near relative(indicate
relationship):
(2) {__] parent ) [__] Other (specify):
) [) guardian
e. If the
person whose name will
be changed isunder 18 yearsof age,provide thenames and addresses, if known,ofthe
followingpersons:
(1) Parent (name): (address):
(2) Parent (name): (address):
(3) (Onlyif neither
parent isliving)
Near relatives(names, relationships,
and addresses):
If the
person whose name willbe changed is18 yearsof age orolder,thatperson must signthe followingdeclaration:
al
DECLARATION
| declare
under penalty ofperjuryunder the lawsof theState ofCalifornia
that(check one) ><] |amnot [__] lam
under the jurisdiction
oftheCaliforniaDepartment ofCorrectionsand Rehabilitation
(instateprison oron parole)or incounty
jail
and (checkone) B<) tamnot [-_] lam __ required toregister
as a sex offenderunder Penal Code section290.
Date:
Soe Wan Chung » Cae Hn
(TYPEORPRINTNAMEOFPERSON WHGS#NAME IS TO
BECHANGED) (SIGNATURE
OFPERSON WHOSE NAMEIS TQQBE
CHANGED)
(If petitioner
isrepresented by an attorney, theattorney's signature follows):
Date:
(TYPEORPRINTNAME)
> {SIGNATURE
OFATTORNEY)
(Each petitioner must sign thispetition inthe space provided below or,if additionalpages are attached, atthe end of the last
attachment.) | declare
under penalty ofperjuryunder the lawsof theStateof California
thatthe informationintheforegoing petition
is
trueand correct.
Date. September RY, a-O2 |
Soe Hwan Chuas > aan He Cre
(TYPEORPRINTNAME}_) (SIGNATURE
OFPETITIONER)
Date:
(TYPEORPRINTNAME) (SIGNATURE
OFPETITIONER)
[_] ADDADDITIONAL
SIGNATURELINES
FORADDITIONAL
PETITIONERS [_]_ SIGNATURE
OF PETITIONERS
FOLLOWSLASTATTACHMENT page4 of 1
FormAdopted
for Mandatory
Use , ATTACHMENT TO — Codeof Civil Procedure,
§ 1275
et seq.
Judicial
Council
of California www.courts.ca.gov
NC-110
(Rev.
September
1,2018] PETITION FOR CHANGE OF NAME
Document Filed Date
September 30, 2021
Case Filing Date
September 30, 2021
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rr wee ee Te NC-100 ATTORNEYORPARTYWITHOUTATTORNEY STATEBARNUMBER: NAME: SAC usar Chunsy FIRMNAME: STREETADDREss:LIA Camino Plz cm LAMian Ch state: CAE zpcove: APSE FILE) TELEPHONENO.: SLO~30Z3—~S%E f FAXNO.: ALAMN ADDRESS: E-MAIL SACOZT% Gorna! a \.cem ee MEDA a) 12) COM iia RFTY ATTORNEYFOR(name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF ALAMEDA SEP 3 0 2021 sTReeTaDoREss: 24405 Arnadsrc St warm e chic SUPPL: -- MAILING ADDRESS: By hea city ANDzIPcobE:Hayisard. , Cf ALSYY Deputy BRANCHNAME: PETITION OF (name of each petitioner): Sae Hwan Chun 1 CASENUMBER: PETITION FOR CHANGE OF NAME HG2111434 5 Beforeyou complete thispetition, you should readthe Instructions forFiling a Petition forChange ofName (formNC-100-INFO). You must answer allquestionsand check allboxesthatapply toyou on this petition. You must file thispetitioninthesuperiorcourtofthe county wherethe personwhose name isto bechanged resides. 1. Petitioner (presentname): Soe Wwan hans i residesinthiscounty. 2. Petitioner requests thatthecourt decree thefollowingname changes (list every name thatyou areseeking fo change): Present name ; Proposed name a Sae Wwan Chuns changedto Simon Sage Chuns b. ; changed to C. changed to d. changed to [_] Continued (if you are seeking tochange additionalnames, you must prepare a list and attach it to thispetition as Attachment 2.) 3. Petitioner requests thatthecourt issuean order directing allinterestedpersonsto appear orfileobjectionstoshow cause why thispetition forchange of name ofthepersons identified initem2 should notbe granted. 4, The number ofpersons under 18 years ofage whose names areto bechanged is(specify):@ 5. if this petition requeststhe change of name of any person orpersons under 18 years,thisrequest isbeing made by . [_] twoparents. oaoao%4# . [_] one parent. {___] near relative (name and relationship): . [] guardian (name): . [_] other(specify): 6. [__] This petition seeks tochange name of (check one) [__] petitioner [—_] (name): toconform to thatperson'sgender identity. 7. For each personwhose name istobe changed, petitioner providesthe followinginformation(youmust attach a completed copy of the attachmentName and InformationAbout thePerson Whose Name IstoBe Changed (form NC-110) for each person identified in item 2): ; ; a. The number ofattachments includedin this petitionis(specifynumber): b-f.(These arethe items onthe attached page orpages ofform NC-110.) pane4 of 4 age 10 Form Adopted Council forof Mandatory ‘jodicia Use California PETITION FOR CHANGE OF NAME Code ivi of Civil Procedure, § 1275 et seq. www.courts.ca.gov NC-100 (Rev. September 1, 2018] (Change of Name) NC-110 PETITION OF (Name of petitioner or petitioners): CASENUMBER: Sae Huan Chang FOR CHANGE OF NAME NAME AND INFORMATION ABOUT THE PERSON WHOSE NAME IS TO BE CHANGED Attachment / of / Attachment toPetition (form NC-100, form NC-200, or form NC-500) (You must use a separate attachment foreach person whose name is tobe changed. If petitioner isa guardianof a minor,a supplemental attachment, DeclarationofGuardian (formNC-110G), must alsobe completed and attached foreach minor whose name istobe changed.) 7. (Continued)Petitionerappliesfora decree tochange the name ofthefollowingperson: b. a Self [_] Other Present name (specify);Sae Hwan Chung ) Proposed name (specify): Simeon Sae Chunsy (3) Born on (date ofbirth): Pususr 2B, ITT and presently [_] under 18 years ofage over 18years ofage (4) Born at (placeofbirth): Seoul , South Koren (5).Sex (as statedon originalbirth certificate). (<) Male [_] Female (6) Current residericejaddress(street, city, county, andzip code): 112 Camino Plo , Union cing » Alameda 7 1452) c. Reason forname change (explain): IL hee Bene by Me name Simon Sae. Chuns public my CNH TO. vi bude oy TMemigcetton document Shoasg Sae Huwan Chury tHhecePore. requestia, 1 hove + chayeck, d. Relationshipofthe petitioner “ a person whose name willbe changed: (1) [><] self 4) [__] near relative(indicate relationship): (2) {__] parent ) [__] Other (specify): ) [) guardian e. If the person whose name will be changed isunder 18 yearsof age,provide thenames and addresses, if known,ofthe followingpersons: (1) Parent (name): (address): (2) Parent (name): (address): (3) (Onlyif neither parent isliving) Near relatives(names, relationships, and addresses): If the person whose name willbe changed is18 yearsof age orolder,thatperson must signthe followingdeclaration: al DECLARATION | declare under penalty ofperjuryunder the lawsof theState ofCalifornia that(check one) ><] |amnot [__] lam under the jurisdiction oftheCaliforniaDepartment ofCorrectionsand Rehabilitation (instateprison oron parole)or incounty jail and (checkone) B<) tamnot [-_] lam __ required toregister as a sex offenderunder Penal Code section290. Date: Soe Wan Chung » Cae Hn (TYPEORPRINTNAMEOFPERSON WHGS#NAME IS TO BECHANGED) (SIGNATURE OFPERSON WHOSE NAMEIS TQQBE CHANGED) (If petitioner isrepresented by an attorney, theattorney's signature follows): Date: (TYPEORPRINTNAME) > {SIGNATURE OFATTORNEY) (Each petitioner must sign thispetition inthe space provided below or,if additionalpages are attached, atthe end of the last attachment.) | declare under penalty ofperjuryunder the lawsof theStateof California thatthe informationintheforegoing petition is trueand correct. Date. September RY, a-O2 | Soe Hwan Chuas > aan He Cre (TYPEORPRINTNAME}_) (SIGNATURE OFPETITIONER) Date: (TYPEORPRINTNAME) (SIGNATURE OFPETITIONER) [_] ADDADDITIONAL SIGNATURELINES FORADDITIONAL PETITIONERS [_]_ SIGNATURE OF PETITIONERS FOLLOWSLASTATTACHMENT page4 of 1 FormAdopted for Mandatory Use , ATTACHMENT TO — Codeof Civil Procedure, § 1275 et seq. Judicial Council of California www.courts.ca.gov NC-110 (Rev. September 1,2018] PETITION FOR CHANGE OF NAME