FL-395 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):
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
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):
(SIGNATURE OF APPLICANT) (USE CURRENT NAME)
(TYPE OR PRINT NAME)
3. IT IS ORDERED that applicant's former name is restored to (specify):
Date: JUDICIAL OFFICER
CLERK'S CERTIFICATE I certify that the foregoing is a true and correct copy of the original on file in my office.
, 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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