Fill and Sign the Service Name Change Form

NC-121 PETITIONER OR ATTORNEY (Name, state bar number, and address): FOR COURT USE ONLY       , on behalf of       , a minor                   TELEPHONE NO.       FAX NO. (Optional):       E-MAIL ADDRESS (Optional):       ATTORNEY FOR (Name):       SUPERIOR COURT OF CALIFORNIA, COUNTY OF       STREET ADDRESS       MAILING ADDRESS       CITY AND ZIP CODE       BRANCH NAME       PETITION OF (Names of each petitioner):       , on behalf of       , a minor FOR CHANGE OF NAME PROOF OF SERVICE OF ORDER TO SHOW CAUSE BY PERSONAL DELIVERY MAILING (OUTSIDE CALIFORNIA ONLY) CASE NUMBER:       1. At the time of mailing or personal delivery, I was at least 18 years of age and not a party to this proceeding. 2. My residence or business address is (specify): 3. I personally delivered or mailed a copy of the Order to Show Cause for Change of Name as follows (complete either a orb): a. Personal delivery. I personally delivered a copy to the person served as follows: (1) Name of person served: (2) Address where delivered: (3) Date delivered: (4) Time delivered: b. Mail. I am a resident of or employed in the county where the mailing occurred. (1) 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. (2) The envelope was addressed and mailed as follows: (a) Name of person served: (b) Address on envelope: (c) Date of mailing: (d) Place of mailing (city and state): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME OF DECLARANT) (SIGNATURE OF DECLARANT) ) Form Adopted for Mandatory Use Judicial Council of California NC-121 [New January 1 2001] PROOF OF SERVICE OF ORDER TO SHOW CAUSE (Change of Name) Code of Civil Procedure, § 1277