California Name Change Petition-Public Access MA A CUENCA MUNOZ
California Name Change Petition-Public Access MA A CUENCA MUNOZ
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
Maria Alexandra Cuenca
4492 Camino de la Plaza 1489
San Ysidro, CA, 92173
TELEPHONE NO.: FAX NO. (Optional):
(664) 413-4252
E-MAIL ADDRESS: [email protected]
ATTORNEY FOR (Name):
CASE NUMBER:
PETITION FOR CHANGE OF NAME
Before you complete this petition, you should read the Instructions for Filing a Petition for Change of Name (form NC-100-INFO). You
must answer all questions and check all boxes that apply to you on this petition. You must file this petition in the superior court of the
county where the person whose name is to be changed resides.
b. changed to
c. changed to
d. changed to
Continued (if you are seeking to change additional names, you must prepare a list and attach it to this petition as
Attachment 2.)
3. Petitioner requests that the court issue an order directing all interested persons to appear or file objections to show cause why
this petition for change of name of the persons identified in item 2 should not be granted.
4. The number of persons under 18 years of age whose names are to be changed is (specify): 0
5. If this petition requests the change of name of any person or persons under 18 years, this request is being made by
a. two parents.
b. one parent.
c. near relative (name and relationship):
d. guardian (name):
e. other (specify):
7. For each person whose name is to be changed, petitioner provides the following information (you must attach a completed copy of
the attachment Name and Information About the Person Whose Name Is to Be Changed (form NC-110) for each person identified in
item 2):
a. The number of attachments included in this petition is (specify number): 1
b–f. (These are the items on the attached page or pages of Form NC-110.)
Page 1 of 1
Form Adopted for Mandatory Use Code of Civil Procedure, § 1275 et seq.
Judicial Council of California PETITION FOR CHANGE OF NAME www.courts.ca.gov
NC-100 [Rev. September 1, 2018] (Change of Name)
f. If the person whose name will be changed is 18 years of age or older, that person must sign the following declaration:
DECLARATION
I declare under penalty of perjury under the laws of the State of California that (check one) X I am not I am
under the jurisdiction of the California Department of Corrections and Rehabilitation (in state prison or on parole) or in county
jail and (check one) X I am not I am required to register as a sex offender under Penal Code section 290.
December
Date: January 26,7,2022
2021
Maria Alexandra Cuenca
(TYPE OR PRINT NAME OF PERSON WHOSE NAME IS TO BE CHANGED) (SIGNATURE OF PERSON WHOSE NAME IS TO BE CHANGED)
(Each petitioner must sign this petition in the space provided below or, if additional pages are attached, at the end of the last
attachment.) I declare under penalty of perjury under the laws of the State of California that the information in the foregoing petition is
true and correct.
Date: January
December26,7,2022
2021
Maria Alexandra Cuenca
(TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)
Date:
ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS SIGNATURE OF PETITIONERS FOLLOWS LAST ATTACHMENT Page 1 of 1
Form Adopted for Mandatory Use ATTACHMENT TO Code of Civil Procedure, § 1275 et seq.
Judicial Council of California www.courts.ca.gov
NC-110 [Rev. September 1, 2018] PETITION FOR CHANGE OF NAME
NOTICE OF HEARING
3. a. A copy of this Order to Show Cause shall be published at least once each week for four successive weeks prior to the date
set for hearing on the petition in the following newspaper of general circulation, printed in this county (specify newspaper):
b. Other (specify):
Date:
JUDGE OF THE SUPERIOR COURT
NOTE: When a Petition for Change of Name has been filed for a child and the other parent, if living, does not join in
consenting to the name change, the petitioner must have a notice of the time and place of the hearing or a copy of the
Order to Show Cause served on the other parent not less than 30 days prior to the hearing under Code of Civil
Procedure section 413.10, 414.10, 415.10, or 415.40. If a petition to change the name of a child has been filed by a
guardian, the guardian must (1) provide notice of the hearing to any living parent of the child by personal service at
least 30 days before the hearing, or (2) if either or both parents are deceased or cannot be located, serve notice of the
hearing on the child's grandparents, if living, not less than 30 days before the hearing under Code of Civil Procedure
section 413.10, 414.10, 415.10, or 415.40. (This Note is included for the information of the petitioner and shall not be
included in the Order to Show Cause published in the newspaper.)
Form Adopted for Mandatory Use ORDER TO SHOW CAUSE Code of Civil Procedure, § 1277
Judicial Council of California
NC-120 [Rev. July 1, 2007] FOR CHANGE OF NAME
(Change of Name)
LHI6043 SAN DIEGO
NC-130
ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER:
NAME: Maria Alexandra Cuenca
FIRM NAME:
STREET ADDRESS: 4492 Camino de la Plaza 1489
CITY: San Ysidro STATE: CA ZIP CODE: 92173
TELEPHONE NO.: (664) 413-4252 FAX NO.:
E-MAIL ADDRESS:
[email protected]
ATTORNEY FOR (name):
b. is changed to
c. is changed to
d. is changed to
e is changed to
Additional name changes are listed on Attachment 3.
Date:
JUDGE OF THE SUPERIOR COURT
1. Where to File
The petition for change of name must be filed in the superior court of the county where the person whose name is to be changed is
a resident.
The petition may be used to change your own name and, under certain circumstances, the names of others (e.g., children under 18
years of age).
If you are a participant in the Secretary of State's address confidentiality program (Safe at Home), your current and proposed names
may be kept confidential. (Code Civ. Proc., § 1277(b).) See Information Sheet for Name Change Proceedings Under Address
Confidentiality Program (Safe at Home) (form NC-400-INFO) for additional instructions.
b. Name and Information About the Person Whose Name Is to Be Changed (Attachment to Petition for Change of Name) (form
NC-110) (attach as many copies as necessary)
c. Order to Show Cause for Change of Name (form NC-120) or, if applicable, Order to Show Cause for Change of Name to
Conform to Gender Identity (form NC-125)
d. Decree Changing Name (form NC-130 or, for guardians, form NC-130G)
e. Civil Case Cover Sheet (form CM-010)
In addition, a guardian must prepare and attach a Declaration of Guardian (Supplemental Attachment to Petition) (form NC-110G)
for each child whose name is to be changed.
Prepare an original Civil Case Cover Sheet (form CM-010). File the original petition and Civil Case Cover Sheet with the clerk of
the court and obtain two filed-endorsed copies of the petition. A filing fee will be charged unless you qualify for a fee waiver. (If you
want to apply for a fee waiver, see Request to Waive Court Fees (form FW-001) and Information Sheet on Waiver of Court Fees
and Costs (form FW-001-INFO). There is no filing fee for minors in the State's address confidentiality program (Safe at Home).
6. Requesting a Court Hearing Date and Obtaining the Order to Show Cause
You should request a date for the hearing on the Order to Show Cause for Change of Name (form NC-120) at least six weeks in the
future. Take the completed form to the clerk's office. The clerk will provide the hearing date and location, obtain the judicial officer's
signature, file the original, and give you a copy.
If you are changing your name to conform to gender identity, you need not request a hearing date. Instead, complete the Order to
Show Cause for Change of Name to Conform to Gender Identity (form NC-125) and take the completed form to the clerk's office.
The clerk will obtain the judicial officer's signature, file the original, and give you a copy.
Page 1 of 2
If no written objection is filed at least two court days before the scheduled hearing, the court may grant the petition and sign the
decree without a hearing. Check with the court to find out if a hearing will be held. If there is a hearing, bring copies of all
documents to the hearing. If the judge grants the petition, the judge will sign the original decree.
If you filed a petition for name change to conform to gender identity, and timely objections were filed, the court may set a hearing
date after receiving the objections. If it does, you will be sent a notice of the hearing date. Check with the court after the deadline for
filing objections to see if a hearing date has been set. If there are no objections, the court will grant the petition and sign the decree
without a hearing.
11. If you were born in California and want to amend a birth certificate to show the name change, you should contact the following
office:
California Department of Public Health
Vital Records - MS 5103
Phone: 916-445-2684
P.O. Box 997410
website: www.cdph.ca.gov
Sacramento, CA 95899-7410
Local courts may supplement these instructions. Check with the court to determine whether supplemental information is available.
For instance, the court may provide you with additional written information identifying the department that handles name change
petitions, the times when petitions are heard, and the newspapers that may be used to publish the Order to Show Cause.