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Fill and Sign the California Name Change 497299343 Form

Fill and Sign the California Name Change 497299343 Form

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PETITION OF (Name of petitioner or petitioners) :       , on behalf of       , a minor FOR CHANGE OF NAME CASE NUMBER:       DECLARATION OF GUARDIAN Supplemental Attachment to Petition for Change of Name (Form NC-100) Attachment 2 of 2 (If you are petitioning as a guardian of a minor, you must use a separate supplemental attachment for each minor whose name is to be changed.) 7. a. Petitioner (name) :       b. Petitioner's address (street, city, county, and zip code) :             c. Petitioner is the guardian of the following minor whose name is to be changed: (1) Name (present name of child):       (2) Address (street, city, county, and zip code):             d. Petitioner was appointed guardian of the minor identified in item 7c by (specify) : (1) Superior Court of California, County of (name) :       (2) Department (check one) : Juvenile Probate (3) Case number (specify):       (4) Date of appointment (specify) :       e. The grandparents of the minor whose name is to be changed are (provide names and addresses, if known) : (1) Grandfather (name) :       (address) :       (2) Grandmother (name) :       (address) :       (3) Grandfather (name) :       (address) :       (4) Grandmother (name) :       (address) :       f. The minor identified in item 7c is likely to remain under the guardian's care until the minor reaches the age of majority because (explain) :                         Continued (if you need additional space, check the box, prepare an Attachment 7f, and attach it to this declaration) . g. The minor identified in item 7c is not likely to be returned to the custody of his or her parents because (explain) :                   Continued (if you need additional space, check the box, prepare an Attachment 7g, and attach it to this declaration) . h. Other relevant information about the guardianship and why the proposed name change is in the best interest of the minor (specify) :             Continued (if you need additional space, check the box, prepare an Attachment 7h, and attach it to this declaration) . I declare under penalty of perjury under the laws of the State of California that the information in the foregoing declaration is true and correct. Date:       (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) Guardian of (name of minor) : Form Adopted for Mandatory Use SUPPLEMENTAL ATTACHMENT TO Code of Civil Procedure, § 1275 et seq. Judicial Council of California PETITION FOR CHANGE OF NAME NC-110G [New January 1, 2001] (Declaration of Guardian)

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