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  • In the Matter of Garrett Brandon Williams43 Unlimited - Other Petition (not specified) document preview
  • In the Matter of Garrett Brandon Williams43 Unlimited - Other Petition (not specified) document preview
  • In the Matter of Garrett Brandon Williams43 Unlimited - Other Petition (not specified) document preview
  • In the Matter of Garrett Brandon Williams43 Unlimited - Other Petition (not specified) document preview
						
                                

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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‘