Fill and Sign the Name Change Selfhelp Center Locaons Superior Form

PROOF OF SERVICE OF ORDER TO SHOW CAUSE (Change of Name) Form Adopted for Mandatory Use Judicial Council of California NC-121 [Rev. January 1, 2019] Code of Civil Procedure, § 1277 (SIGNATURE OF DECLARANT) At the time of mailing or personal delivery, I was at least 18 years of age and not a party to this proceeding. I personally delivered or mailed a copy of the ( title of document): as follows (complete either a or b): b. The envelope was addressed and mailed as follows: a. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 1. 2. 3. I enclosed a copy in an envelope and mailed the sealed envelope to the person served by first-class mail, postage prepaid, return receipt requested, to the address outside of California listed below. (1) My residence or business address is (specify): Personal delivery. I personally delivered a copy to the person served as follows: Mail. I am a resident of or employed in the county where the mailing occurred. Name of person served: Address where delivered: Date delivered: Time delivered: Name of person served: Address on envelope: Date of mailing: Place of mailing (city and state): Date: (TYPE OR PRINT NAME OF DECLARANT) (d) (2) (c) (b) (1) (2) (3) (4) (a) SUPERIOR COURT OF CALIFORNIA, COUNTY OF BRANCH NAME: CITY AND ZIP CODE: STREET ADDRESS: MAILING ADDRESS: PETITION OF (name of each petitioner): FOR CHANGE OF NAME CASE NUMBER: PROOF OF SERVICE OF ORDER TO SHOW CAUSEPERSONAL DELIVERY MAILING (OUTSIDE CALIFORNIA ONLY) BY NC-121 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE: ZIP CODE: CITY: STREET ADDRESS: FIRM NAME: NAME: STATE BAR NO: TELEPHONE NO.: FAX NO. : E-MAIL ADDRESS: ATTORNEY FOR ( name): Page 1 of 1 Print this form Save this form Clear this form For your protection and privacy, please press the Clear This Form button after you have printed the form.