Ex Parte Application for Restoration of Former Name after

FL-395 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):

TELEPHONE NO.:

FOR COURT USE ONLY

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ATTORNEY FOR (Name):

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 his or her former name be restored. The applicant's former name is (specify):

Date:

(SIGNATURE OF APPLICANT) (USE CURRENT NAME)

(TYPE OR PRINT NAME)

ORDER

3. IT IS ORDERED that applicant's former name is restored to (specify):

Date: JUDICIAL OFFICER

[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 1

Form Adopted for Mandatory 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 Law)

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Family Code, § 2080 www.courtinfo.ca.gov

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