On January 19, 2022 a
Complaint,Petition
was filed
involving a dispute between
Williams, Garrett Brandon,
and
for 43 Unlimited - Other Petition (not specified)
in the District Court of Fresno County.
Preview
NC-200
Arronuev on PARTY WITHOUT ATTORNEY STATE BAR NUMBER;
‘
NAME: Garrett Brandon Williams
FIRM NAME:
STREET ADDRESS:1398 E. Tenaya Way
CITY:Fresno STATE:CA cone:
ZIP 9371 o
E
.
TELEPHONENo.: 5599706601 FAX NO-:
®
N“
E-MAIL ADDRESS:
ATTORNEY F0R(name):
In Pro Per
JAN 1 9 2022
SUPERIOR COURT OF CALIFORNIA, COUNTY OF FRESNO
STREET ADDRESS:1130 O St.
FRESNO SUPERIOR COURT
MAILING ADDRESS:
1130 O St. By
CITYAND ZIP CODE:
Fresno 93721
DEPUTY
BRANCH NAME: Civil
PETITION OF (name):
Garrett Brandon Williams
PETITION FOR CHANGE OF NAME, RECOGNITION OF CHANGE OF CASE NUMBEFéz
GENDER, AND ISSUANCE OF NEW BIRTH CERTIFICATE CE CG 00 1 8 0
Befor_e you comfilete this petition, you should read the Instchtions for Filin on the ne_)gt pa_ge. You mu_st answer all
questions and c eck all boxes that app_ly to you on thls petgtlon. You must Ie this petltlon In the superior court of the
county where the person whose name Is to be changed resndes.
'
1. Petitioner (presentname): Garrett Brandon Williams is 18 years old or older
and a resident of this county.
2. decree that
Petitioner requests that the court petitioner’sname ischanged, conform
in order' to gender
to petitioner's identity, to
(proposed name): Gwendolyn Jane Williams
Petitioner requests a decree recognizing that thepetitioner'sgender changed
E
3. is to:
a. female.
b.
c.
E
E
male.
nonbinary.
4. a new
Petitioner requests that the court order that be issued
birth certificate gender and name changes sought by
reflecting the
this petition.
5. Petitioner requests that the court issue an order directing
any interested persons to written objections to
file show cause why
the petition for change ofname should not be granted.
6. Petitioner provides the following information
in support of this
petition:
a. The declaration below.
b—f. The information contained in the attachment (attach a completed copy of the attachment Name and Information About the
Person Whose Name lsto Be Changed (form NC-1 10)).
DECLARATION
E E E
W
|(present name).Garrett Brandon Williams declare under penalty of perjury under the laws of the state of California that the
request for a change ingender to(check one) female male nonbinary isto conform my legalgenderto my
gender identityand is any fraudulent purpose.
not for
Date: January 14, 2022
Garrett Brandon Williams
(TYPEOR PRINT NAME OF
PETITIONER)
/
.
.
’-
on next page)
(Instructions
U1
gl/“x/IZ/IW/
,
'
W k 9
"'(SIGNATURE OF PETITIONER)
Page1 o1 2
Form Adopted
forMandatory Use PETITION FOR
Judicial Council of California
CHANGE OF NAME, RECOGNITION OF CHANGE Code § 1275
ofCivil Procedure,
e! seq.;
Health and Safely Code, §§ 103430, 103435
No.2oomev.September1,2o1a] OF GENDER, AND ISSUANCE OF NEW BIRTH CERTIFICATE www.couns.ca.gov
NC-110
PETITION OF (Name ofpetitioner orpetitioners):
Garrett Brandon Williams CASE NUMBER:
2 2 CE CG 00 1 8 0
>
FOR CHANGE OF NAME
NAME AND INFORMATION ABOUT THE PERSON
WHOSE NAME IS TO BE CHANGED Attachment of
Attachment to Petition (form NC-1 00, form NC-200, or form NC-500)
(You must use a separate attachment for each person whose name is to be changed. pretitioner is a guardian of a minor, a
supplemental attachment, Declaration of Guardian (form NC-1 106), must also be completed and attached for each minor whose name
is to be changed.)
7.
b.
E
(1)
Self
Present
E Other
name (specify):
name
(Continued) Petitioner applies for a decree to change the
Garrett Brandon Williams
of the following person:
(2) Proposed name (specify): Gwendolyn Jane Williams
1997
(3)
and presently E
Born on (date ofbirth): October 9,
under 18 years ofage E over 18 years of age
(4)
(5)
(6)
Born
Sex
at (place ofbirth):Clovis,CA
E
(as stated on original birth certificate):
Current residence address
Male E
and zip code):
(street, city, county, 1398
Female
E. Tenaya Way, Fresno, CA 9371 0
c. Reasonforname change (explain): Genderldentity
d.
(1) E
E self (4) E
E
whosename
Relationship of the petitidner to the person
nearrelative
willbe changed:
(indicate relationship):
e.
(2)
(3)
lf
E parent
guardian
the person whose name will
(5)
be changed
Other(specify):
isunder 18 years of age, provide the names and addresses, ifknown, of the
following persons:
(1) Parent (name): (address):
(2) Parent (name): (address):
(3) (Only ifneither parent Near
is living) relatives(names, relationships, and addresses):
'
. Ifthe perso‘nwhose name willbe changed is18 years of age or person must sign the following declaration:
older, that
DECLARATION
|
E
declare under penalty of perjury under the laws of the State of California that (check one) | am not E |am
under the
jail and
Date:
(check one)
January 14, 2022
E |am not E
Department
of the California
jurisdiction
Iam
of Corrections and Rehabilitation (instate prison oron parole) or
required to register as a sex offender under PenalCode
~
incounty
section 290.
Garretthandon Williams -
OH PRINT NAME OF PERSON WHOSE NAME
(TYPE ISTO BE CHANGED)
b
V
w
//%‘W
WHOSE NAME IS TO BE CHANGED)
(SIGNATURE OF PERSON
(If petitionerisrepresented by an attorney, the attorney's signature follows):
Date: V
~
(TYPEOR PRINT NAME) (SIGNATU RE OF ATTORNEY)
(Each petitioner must sign this petition in the space provided below or, if additionalpages are attached, at the end of th‘e last
attachment.) l inthe foregoing petition
declare under penalty of perjury under the laws of the State of California that the information is
trueand correct.
Date: January 14, 2022 . .1 Ag»
GarrettBrandon Williams >3 l; EJ; g5}: i/b/fl’fl-
(TYPE0R PRINT NAME) (SIGNATURE 6F PETITIONER)
Date: V
m
(TYPE
Use
on PRINT NAME)
ADD ADDITIONAL SIGNATURE LINES Fon ADDITIONAL PETITIONERs
Forr'n'Adopted for Maqdatqry
$3.“????n":v".°'s‘§$£;‘{§2$”{,a2mel PETITION
ATTACH MENT To
I;
Fon CHANGE‘OF
-44 .LL ‘_____
|"—’]
1 l
NAME
‘54.; ".5- .;_._- 'l
Code
m
(SIGNATURE 0F PErITIONER)
SIGNATURE 0F PETITIONERS FOLLows LAST ATTACHMENT
of Civil
”WWW
Fag“ o, 1
Procedure, § 1275
et seq‘
Document Filed Date
January 19, 2022
Case Filing Date
January 19, 2022
Category
43 Unlimited - Other Petition (not specified)
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