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Form preview California budget change propo... As provided by Code of Civil Procedure section 1277 b the current legal name of the petitioner must be kept confidential by the court and must not be published or posted in the court s calendars indexes or register of actions or by any means or in any public forum. This Confidential Cover Sheet must be affixed to the first page of the petition and to any other documents filed in this name change action. See Information Sheet for Name Change Proceedings Under Address Confidentiality Program Safe at Home form NC-400-INFO. Code Civ. Proc. 1278 b. Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California NC-400 Rev. January 1 2019 UNDER ADDRESS CONFIDENTIALITY PROGRAM SAFE AT HOME Change of Name For your protection and privacy please press the Clear This Form button after you have printed the form. Print this form Save this form Code of Civil Procedure 1277 1278 Cal. Rules of Court rule 2. CONFIDENTIAL ATTORNEY leave blank if no attorney NC-400 STATE BAR NUMBER FOR COURT USE ONLY NAME FIRM NAME STREET ADDRESS CITY STATE TELEPHONE NO. ZIP CODE FAX NO. E-MAIL ADDRESS ATTORNEY FOR name SUPERIOR COURT OF CALIFORNIA COUNTY OF CITY AND ZIP CODE BRANCH NAME PETITION OF name of each petitioner ADDRESS CONFIDENTIALITY PROGRAM SAFE AT HOME CASE NUMBER INSTRUCTIONS This petition for change of name is being brought by a petitioner who is a participant in the Secretary of State s address confidentiality program under Government Code section 6205 et seq. and who is petitioning 1 to avoid domestic violence 2 to avoid stalking 3 to avoid sexual assault or 4 to avoid human trafficking. This cover sheet is affixed to the following documents check all that apply Petition for Change of Name form NC-100 Attachment to Petition for the Name Change form NC-110 Order to Show Cause for Change of Name form NC-120 Decree Changing Name form NC-130 Civil Case Cover Sheet form CM-010 Application to File Documents Under Seal in Name Change Proceeding Under Address Confidentiality Program Safe at Home form NC-410 Declaration in Support of Application to File Documents Under Seal in Name Change Proceedings Under Confidentiality Program Safe at Home form NC-420 Order on Application to File Documents Under Seal in Name Change Proceeding Under Address Confidentiality Program Other describe Date The name of the petitioner is to remain confidential UNLESS The petitioner s participation in the address confidentiality program is ended Gov* Code 6206. 7 or The court finds by clear and convincing evidence that the allegations of domestic violence or stalking in the petition are false. CONFIDENTIAL ATTORNEY leave blank if no attorney NC-400 STATE BAR NUMBER FOR COURT USE ONLY NAME FIRM NAME STREET ADDRESS CITY STATE TELEPHONE NO. ZIP CODE FAX NO. E-MAIL ADDRESS ATTORNEY FOR name SUPERIOR COURT OF CALIFORNIA COUNTY OF CITY AND ZIP CODE BRANCH NAME PETITION OF name of each petitioner ADDRESS CONFIDENTIALITY PROGRAM SAFE AT HOME CASE NUMBER INSTRUCTIONS This petition for change of name is being brought by a petitioner who is a participant in the Secretary of State s address confidentiality program under Government Code section 6205 et seq.
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