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  • JaTawn Leigh LewisOther Matters - Name Change/Sex Designation Change document preview
  • JaTawn Leigh LewisOther Matters - Name Change/Sex Designation Change document preview
  • JaTawn Leigh LewisOther Matters - Name Change/Sex Designation Change document preview
  • JaTawn Leigh LewisOther Matters - Name Change/Sex Designation Change document preview
						
                                

Preview

New York State Unified Court System nycourts.gov uCS-NCO1 Order Granting Name Change (o7/2023) * * Page 1 of 2 and/or Sex Designation Change . . nycourthelp.aov for Individual Adult (perSOn 18 or over) SUPREME Court County of BRONX Present: Hon. In the Matter of the Application of: index Number: Jatawn Leigh Lewis Upon the Petitioner's application verified on for a 8 Name Change Sex Designation Change, and the Court being satisfied that said petition is true and that there is no reasonable objection to the change(s) proposed; it is hereby, SECTION A: NAME CHANGE (complete this section for a name change) ORDERED that Petitioner, having been born on 04/12/1987 in Bronx, New York United States and provided the proof of birth: having following O Certified copy of birth certificate number issued by: O Certified transcript of birth certificate number issued by: O Certificate from stating that no birth certificate is available, O Other: , is authorized to assume the name of JaTawn Leigh Nathaniel in place Of Petitioner's present Jatawn Leigh Lewis Petitioner shall be known no other name, , and by name; and it is further, OPTIONAL PROVISIONS (check all that apply): O ORDERED that Petitioner shall serve a certified copy of this order upon the following parties based upon the following reasoning and good cause: O ORDERED that Petitioner shall serve a certified copy of this order upon the following city, state or federal agencies based upon the following reasoning and good cause: UCS-NCO1 (07/2023) Page 2 of 2 Index Number: Q ORDERED that, Petitioner having been convicted of an offense listed in Civil Rights Law section 64(2)(a), the court clerk shall deliver a certified copy of this order by first-class mail to the Division of Criminal Justice Services; and it is further, O ORDERED that Petitioner, being responsible for child support obligations pursuant to a court order, shall deliver certified copies of this order by first-class mail to the following court that issued the child support order: and to the Child Support Collection Unit: ; and it is further, ORDERED that Petitioner, being responsible for spousal support obligations pursuant to a court order, shall deliver a certified copy of this order by first-class mail to the following court that issued the spousal support order: ; and it is further, SECTION B: SEX DESIGNATION CHANGE (complete this section for a sex designation change) Please note: " A court order is not required under New York law to change your sex designation on an identity document (birth certificate, driver's license, photo ID, etc.) issued in New York. " state has its own requirements for a sex designation change. If you want to change an identity Every document issued in another state, you should check that state's requirements. " This is a declaratory judgment. A declaratory judgment states a fact under the law. This sex designation change order legally recognizes your gender identity. ORDERED that Petitioner, having attested to their gender identity or to the reason for the sex designation change, is authorized to assume the proposed sex designation of ; and it is further, SECTION C: GENERAL PROVISIONS (complete this section for all orders) ORDERED that, upon receipt of this order from the court, the Clerk of the Court shall enter the order and shall file the papers upon which it was granted; and it is further, OPTIONAL PROVISION (check if applicable): O ORDERED O at Petitioner's request O sua sponte that all paper and electronic records of this court proceeding are sealed and may be opened only by court order for good cause shown or at Petitioner's request; and it is further, ORDERED that the authorizations contained herein are contingent upon Petitioner's full compliance with the provisions and directives of this order. Dated: Judge Signature 5665WhitnallHwy,#2,NorthHollywood,CA91601