VERIFIED PETITION FOR CHANGE OF NAME CAUSE NO. 20C01-1908-MI-330 IN THE ELKHART CIRCUIT COURT FOR THE STATE OF INDIANA, COUNTY OF ELKHART, SS: IN RE THE NAME CHANGE OF: Claudia Gonzalez, PETITIONER Petitioner, Claudia Y. Gonzalez, pro se, respectfully petitions the Court to change her name. In support of this Petition, Petitioner states as follows: 1.That my current name is Claudia Yuette Gonzalez. 2.That my date of birth is October 26, 1981. 3.That I will bring my Indiana driver's license or identification card to my Change of Name Hearing for verification. 4.That my mailing address is 1611 S. 10th St. #2, Goshen, IN 46526. 5.The following is a list of all of my previous names: Claudia Y. Gonzalez, Claudia Y. Mendoza, Claudia Y. Schmerber. 6.That I do not hold a valid United States passport. My proof that I am a United States citizen is birth certificate. I will bring this document to my Change of Name Hearing for verification. 7.That the following judgments of criminal conviction of a felony under the law of any state or the United States have been entered against me, or I have stated immediately below that I have no felony convictions: I have no felony convictions. 8.That I am not seeking to defraud creditors by changing my name. 9.That I have published notice of my request for Change of Name in a local publication as required by law, and will bring proof of publication to the hearing. 10.That I am not a sex or violent offender who is required to register under Indiana Code 11-8-8. 11.That I wish to change my name to Yuette Schmerber. 12.That I request that the name on my birth certificate not be changed. WHEREFORE, I respectfully request that this Court grant my Petition for Name Change, and for all other just and proper relief. I affirm under penalties for perjury that the foregoing representations are true. Claudia Gonzalez August 23, 30 September 6 hspaxlp
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