FOR COURT USE ONLY
TELEPHONE NO.:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
MARRIAGE OF
PETITIONER:
RESPONDENT:
CASE NUMBER:
EX PARTE APPLICATION FOR RESTORATION OF FORMER NAME
AFTER ENTRY OF JUDGMENT AND ORDER
APPLICATION
1. A judgment of dissolution or nullity was entered on (date):
2. Applicant now requests that his or her former name be restored. The applicant's former name is (specify):
Date:
(SIGNATURE OF APPLICANT)
(USE CURRENT NAME)
(TYPE OR PRINT NAME)
ORDER
3. IT IS ORDERED that applicant's former name is restored to (specify):
Date:
JUDICIAL OFFICER
[SEAL]
CLERK'S CERTIFICATE
I certify that the foregoing is a true and correct copy of the original on file in my office.
Clerk, by
Date:
, Deputy
EX PARTE APPLICATION FOR RESTORATION OF FORMER NAME
AFTER ENTRY OF JUDGMENT AND ORDER
(Family Law)
Family Code, § 2080
www.courtinfo.ca.gov
Form Adopted for Mandatory Use
Judicial Council of California
FL-395 [Rev. January 1, 2003]
FL-395
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