Preview
OCT 25064895
NY-TUU
ATTORNEYOR PARTYWITHOUTATTORNEY STATEBARNUMBER:
name:xxxxxx xxx & xxxxxxx xxxxxxxxx on behalf of Reina xxxxxxxxx, a minor
FIRMNAME:
sTreeT
city:
aporess:
TELEPHONENO.
649B
Pleasanton
(408)
Palomino
203-8265
Drive
state:
FAXNO.:
CA zipcove:94566 FILE’
ALAMEDA COU!” ny
E-MAIL
ADDRESS:
ATTORNEYFOR (name):
IN Pro Per SEP ~ 7 2021
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ALAMEDA
STREETADDRESS:1225 Fallon Street
MAILING
ADDRESS:
cityanozip cope:
Oakland 94610
y
BRANCH NAME:Rene C, Davidson County Courthouse
PETITION OF (name of eachpetitioner):
xxxxxx xxx & xxxxxxx xxxxxxxxx on behalf of Reina xxxxxxxxx, a minor
PETITION FOR CHANGE OF NAME
“Ree Tl 3159
ay
Before youcomplete thispetition,
you should readthe Instructions
forFilingaPetitionforChange of Name (formNC-100-INFO). You
must answer all
questions and check all
boxes thatapply toyou on thispetition.
You must file
thispetitioninthesuperiorcourtof the
county where the person whose name istobe changed resides.
1. Petitioner(present name):xxxxxx xxx & xxxxxxx xxxxxxxxx on behalf of Reina xxxxxxxxx, a minor resides inthiscounty.
2. Petitionerrequeststhatthe court decreethe followingname changes (list
every name thatyou areseeking to change):
Present name Proposed name
a. Reina xxxxxxxxx changedto Reina xxx
b. changed to
Cc. changed to
d. changed to
[__] Continued (if youareseeking to change additionalnames, you must prepare a list
and attachit tothis
petitionas
Attachment 2.)
3. Petitionerrequeststhat thecourt issuean order directing
allinterestedpersons to appear orfileobjectionstoshow cause why
thispetition
for change of name ofthepersons identified
initem 2should not be granted.
4. The number of persons under 18 years ofage whose names areto be changed is(specify):1
5. If this
petition
requests thechange ofname of any person orpersons under 18 years,thisrequest isbeing made by
xX | two parents.
®
RECD
[_} one parent.
oo F
| near relative
(name and relationship):
9
07
guardian (name):
other (specify):
SEP
6. [J This petition
seeks to change name of (check one) [J petitioner [| (name):
toconform tothatperson's gender identity.
For each person whose name istobe changed, petitioner
provides thefollowinginformation(you must attach a completed copy of
the attachment Name and InformationAbout thePerson Whose Name Isto Be Changed (form NC-110) for each person identified
in
item 2):
a. The number of attachments includedin thispetition
is(specifynumber): 1
b-f.(These are the itemson the attached page orpages ofForm NC-110.)
Page1 0f1
of
Councl
judicial Calfornig PETITION FOR CHANGE OF NAME Codeof Civil Procedure,
§ 1275
et seq.
www.courts.ca.gov
NG-100
[Rev.
September
1, 2018] : (Change of Name)
EZd3 me
ange
dba Nationwide
$665
Legal Network,
Whitnall
Hwy,
Inc. (818)
#2, North
505-6189
Hollywood,
CA91601
LA County
Reg No.
LDA-564,
Exp 2/5/22
NC-110
PETITION OF (Name of petitioner
or petitioners): . . . CASENUMBER:
xxxxxx xxx & xxxxxxx xxxxxxxxx on behalf of Reina xxxxxxxxx, a minor .
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 a separate attachment foreach person whose name istobe changed. If petitioner
isa guardian ofa minor,a
supplemental attachment, Declaration ofGuardian (form NC-110G), must also be completed and attached foreach minor whose name
isto be changed.)
7. (Continued) Petitioner
applies fora decree tochange thename ofthe followingperson:
b. [_] Self Other
(1) Present name (specify):Reina xxxxxxxxx
(2) Proposed name (specify):
Reina xxx
(3) Born on (dateof birth): 06/20/2017
and presently under 18 years ofage [ } over 18 years ofage
(4) Born at(place ofbirth):Santa Clara, California
(5) Sex (as statedon originalbirth
certificate):[[_] Male Female
(6) Current residence address (street,
city,
county, and zipcode):
649B Palomino Drive, Pleasanton, Alameda County, 94566
c. Reason forname change (explain):
Our childhas a duel citizenshipin the U.S. and Japan. After the parent's divorce,
the last name of the child changed in Japan to mother’s maiden name. Changing her lastname to have a
consistent name in the U.S. and Japan and with the mother who she liveswith.
d. Relationshipof thepetitionertothe person whose name willbe changed:
(1) self (4) near relative(indicaterelationship):
(2) |X] parent (5) Other (specify):
(3) guardian
e. If thepersonwhose name willbe changed isunder 18 years ofage, providethe names and addresses, ifknown, ofthe
following persons:
(1) Parent (name): xxxxxx xxx (address):649B Palomino Drive,Pleasanton, California 94566
(2) Parent (name): xxxxxxx xxxxxxxxx (address):73 Esfahan Drive, San Jose, California 95111
(3) (Only if neither
parent isliving)
Near relatives
(names, relationships,and addresses). .
f. If the
person whose name willbe changed is 18 yearsof age orolder,thatperson must signthe followingdeclaration:
DECLARATION
| declareunder penalty ofperjuryunder the laws ofthe Stateof California
that(check one) LC] }am not [J lam
under the jurisdiction
ofthe CaliforniaDepartment of Correctionsand Rehabilitation
(instateprison oron parole)or incounty
jail
and (check one) LC] lam not Cc) lam required toregisteras a sex offenderunder Penal Code section290.
Date:
(TYPEORPRINTNAMEOF PERSONWHOSE NAMEIS TOBECHANGED)
> (SIGNATURE
OF PERSONWHOSE NAMEIS TO
BE CHANGED)
(If petitioner
isrepresented by an attorney, the attorney'ssignature follows):
Date:
(TYPEORPRINTNAME)
> (SIGNATURE
OF ATTORNEY)
(Each petitioner must sign this petitionin thespace provided below or, if additional
pages are attached, atthe end of the last
attachment.) |declare under penaltyof perjuryunder thelaws ofthe State ofCaliforniathattheinformation intheforegoing petition
is
true"OT, /
Date: Zo/2l
xxxxxx xxx > Fradbtee Co
p/20
/ (
(>|
(TYPEORPRINTPARENTNAME) (SIGNATURE
OFPETITIONER)
Date: ¥Y/zL
Fl\ de
xxxxxxx t/t > sit | Fi26/2
(TYPEOR PRINTOTHERPARENTNAME) (SIGNATURE
OFPETITIONER)
[| ADDADDITIONAL
SIGNATURELINESFORADDITIONAL
PETITIONERS [| SIGNATUREOFPETITIONERS
FOLLOWS LASTATTACHMENT Page1 of 1
FormAdopted
for Mandatory
Use ATTACHMENT TO Codeof Civil Procedure,
§ 1275
et seq.
NG-110Rew:
Septomber
1, 2018) PETITION FOR CHANGE OF NAME rem coUns
co GN
EZ dame dba Nationwide
Legal
Network,
Inc. (818)
505-6189LA County
Reg No.
hange 5665
Whitnall
Hwy,
#2, North
Hollywood,
CA91601LDA-564,
Exp 2/5/22
Preview
OCT 25064895 NY-TUU ATTORNEYOR PARTYWITHOUTATTORNEY STATEBARNUMBER: name:xxxxxx xxx & xxxxxxx xxxxxxxxx on behalf of Reina xxxxxxxxx, a minor FIRMNAME: sTreeT city: aporess: TELEPHONENO. 649B Pleasanton (408) Palomino 203-8265 Drive state: FAXNO.: CA zipcove:94566 FILE’ ALAMEDA COU!” ny E-MAIL ADDRESS: ATTORNEYFOR (name): IN Pro Per SEP ~ 7 2021 SUPERIOR COURT OF CALIFORNIA, COUNTY OF ALAMEDA STREETADDRESS:1225 Fallon Street MAILING ADDRESS: cityanozip cope: Oakland 94610 y BRANCH NAME:Rene C, Davidson County Courthouse PETITION OF (name of eachpetitioner): xxxxxx xxx & xxxxxxx xxxxxxxxx on behalf of Reina xxxxxxxxx, a minor PETITION FOR CHANGE OF NAME “Ree Tl 3159 ay Before youcomplete thispetition, you should readthe Instructions forFilingaPetitionforChange of Name (formNC-100-INFO). You must answer all questions and check all boxes thatapply toyou on thispetition. You must file thispetitioninthesuperiorcourtof the county where the person whose name istobe changed resides. 1. Petitioner(present name):xxxxxx xxx & xxxxxxx xxxxxxxxx on behalf of Reina xxxxxxxxx, a minor resides inthiscounty. 2. Petitionerrequeststhatthe court decreethe followingname changes (list every name thatyou areseeking to change): Present name Proposed name a. Reina xxxxxxxxx changedto Reina xxx b. changed to Cc. changed to d. changed to [__] Continued (if youareseeking to change additionalnames, you must prepare a list and attachit tothis petitionas Attachment 2.) 3. Petitionerrequeststhat thecourt issuean order directing allinterestedpersons to appear orfileobjectionstoshow cause why thispetition for change of name ofthepersons identified initem 2should not be granted. 4. The number of persons under 18 years ofage whose names areto be changed is(specify):1 5. If this petition requests thechange ofname of any person orpersons under 18 years,thisrequest isbeing made by xX | two parents. ® RECD [_} one parent. oo F | near relative (name and relationship): 9 07 guardian (name): other (specify): SEP 6. [J This petition seeks to change name of (check one) [J petitioner [| (name): toconform tothatperson's gender identity. For each person whose name istobe changed, petitioner provides thefollowinginformation(you must attach a completed copy of the attachment Name and InformationAbout thePerson Whose Name Isto Be Changed (form NC-110) for each person identified in item 2): a. The number of attachments includedin thispetition is(specifynumber): 1 b-f.(These are the itemson the attached page orpages ofForm NC-110.) Page1 0f1 of Councl judicial Calfornig PETITION FOR CHANGE OF NAME Codeof Civil Procedure, § 1275 et seq. www.courts.ca.gov NG-100 [Rev. September 1, 2018] : (Change of Name) EZd3 me ange dba Nationwide $665 Legal Network, Whitnall Hwy, Inc. (818) #2, North 505-6189 Hollywood, CA91601 LA County Reg No. LDA-564, Exp 2/5/22 NC-110 PETITION OF (Name of petitioner or petitioners): . . . CASENUMBER: xxxxxx xxx & xxxxxxx xxxxxxxxx on behalf of Reina xxxxxxxxx, a minor . 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 a separate attachment foreach person whose name istobe changed. If petitioner isa guardian ofa minor,a supplemental attachment, Declaration ofGuardian (form NC-110G), must also be completed and attached foreach minor whose name isto be changed.) 7. (Continued) Petitioner applies fora decree tochange thename ofthe followingperson: b. [_] Self Other (1) Present name (specify):Reina xxxxxxxxx (2) Proposed name (specify): Reina xxx (3) Born on (dateof birth): 06/20/2017 and presently under 18 years ofage [ } over 18 years ofage (4) Born at(place ofbirth):Santa Clara, California (5) Sex (as statedon originalbirth certificate):[[_] Male Female (6) Current residence address (street, city, county, and zipcode): 649B Palomino Drive, Pleasanton, Alameda County, 94566 c. Reason forname change (explain): Our childhas a duel citizenshipin the U.S. and Japan. After the parent's divorce, the last name of the child changed in Japan to mother’s maiden name. Changing her lastname to have a consistent name in the U.S. and Japan and with the mother who she liveswith. d. Relationshipof thepetitionertothe person whose name willbe changed: (1) self (4) near relative(indicaterelationship): (2) |X] parent (5) Other (specify): (3) guardian e. If thepersonwhose name willbe changed isunder 18 years ofage, providethe names and addresses, ifknown, ofthe following persons: (1) Parent (name): xxxxxx xxx (address):649B Palomino Drive,Pleasanton, California 94566 (2) Parent (name): xxxxxxx xxxxxxxxx (address):73 Esfahan Drive, San Jose, California 95111 (3) (Only if neither parent isliving) Near relatives (names, relationships,and addresses). . f. If the person whose name willbe changed is 18 yearsof age orolder,thatperson must signthe followingdeclaration: DECLARATION | declareunder penalty ofperjuryunder the laws ofthe Stateof California that(check one) LC] }am not [J lam under the jurisdiction ofthe CaliforniaDepartment of Correctionsand Rehabilitation (instateprison oron parole)or incounty jail and (check one) LC] lam not Cc) lam required toregisteras a sex offenderunder Penal Code section290. Date: (TYPEORPRINTNAMEOF PERSONWHOSE NAMEIS TOBECHANGED) > (SIGNATURE OF PERSONWHOSE NAMEIS TO BE CHANGED) (If petitioner isrepresented by an attorney, the attorney'ssignature follows): Date: (TYPEORPRINTNAME) > (SIGNATURE OF ATTORNEY) (Each petitioner must sign this petitionin thespace provided below or, if additional pages are attached, atthe end of the last attachment.) |declare under penaltyof perjuryunder thelaws ofthe State ofCaliforniathattheinformation intheforegoing petition is true"OT, / Date: Zo/2l xxxxxx xxx > Fradbtee Co p/20 / ( (>| (TYPEORPRINTPARENTNAME) (SIGNATURE OFPETITIONER) Date: ¥Y/zL Fl\ de xxxxxxx t/t > sit | Fi26/2 (TYPEOR PRINTOTHERPARENTNAME) (SIGNATURE OFPETITIONER) [| ADDADDITIONAL SIGNATURELINESFORADDITIONAL PETITIONERS [| SIGNATUREOFPETITIONERS FOLLOWS LASTATTACHMENT Page1 of 1 FormAdopted for Mandatory Use ATTACHMENT TO Codeof Civil Procedure, § 1275 et seq. NG-110Rew: Septomber 1, 2018) PETITION FOR CHANGE OF NAME rem coUns co GN EZ dame dba Nationwide Legal Network, Inc. (818) 505-6189LA County Reg No. hange 5665 Whitnall Hwy, #2, North Hollywood, CA91601LDA-564, Exp 2/5/22