Fill and Sign the Ex Parte Application 497298955 Form

FL-395 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) : TELEPHONE NO.: ––––– ––––– ––––– ––––– ––––– ATTORNEY FOR (Name) : ––––– FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF ––––– STREET ADDRESS: ––––– MAILING ADDRESS: ––––– CITY AND ZIP CODE: ––––– BRANCH NAME: ––––– MARRIAGE OF PETITIONER: ––––– ––––– RESPONDENT: ––––– EX PARTE APPLICATION FOR RESTORATION OF FORMER NAME AFTER ENTRY OF JUDGMENT AND ORDER CASE NUMBER: ––––– APPLICATION 1. A judgment of dissolution or nullity was entered on (date) : ––––– 2. Applicant now requests that her former name be restored. Her former name is (specify) : ––––– ––––– ––––– ––––– Date: ––––– ––––– (TYPE OR PRINT NAME) (SIGNATURE OF APPLICANT) (USE CURRENT NAME) ORDER 3. IT IS ORDERED that applicant's former name is restored to (specify) : ––––– ––––– ––––– ––––– Date: ––––– JUDGE OF THE SUPERIOR COURT COMMISSIONER OF THE SUPERIOR COURT [SEAL] CLERK'S CERTIFICATE I certify that the foregoing is a true and correct copy of the original on file in my office. Date: Clerk, by , Deputy page 1 of 2 Form Adopted by for Manditory Use Judicial Council of California FL-395 [Rev. January 1, 2003] EX PARTE APPLICATION FOR RESTORATION OF FORMER NAME AFTER ENTRY OF JUDGMENT AND ORDER Family Code, § 2080 electronic form ã 2002 WWW.LawCA.com Law Publishers