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    Attachment To Petition (Form NC-100, Form NC-200, or Form NC-500)

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    Sal Munguia
    This document is a petition for a name change that includes sections for providing information about the person whose name is to be changed such as their present name, proposed name, date of birth, place of birth, gender, address and reason for the name change. It also includes sections for the petitioner's relationship to the person, required signatures, and contact information for parents/guardians if the person is a minor. The petitioner must sign to affirm the information provided is true and correct.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Attachment To Petition (Form NC-100, Form NC-200, or Form NC-500)

    Uploaded by

    Sal Munguia
    28 views1 page
    This document is a petition for a name change that includes sections for providing information about the person whose name is to be changed such as their present name, proposed name, date of birth, place of birth, gender, address and reason for the name change. It also includes sections for the petitioner's relationship to the person, required signatures, and contact information for parents/guardians if the person is a minor. The petitioner must sign to affirm the information provided is true and correct.

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    nc110

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    This document is a petition for a name change that includes sections for providing information about the person whose name is to be changed such as their present name, proposed name, date of birth, place of birth, gender, address and reason for the name change. It also includes sections for the petitioner's relationship to the person, required signatures, and contact information for parents/guardians if the person is a minor. The petitioner must sign to affirm the information provided is true and correct.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    28 views1 page

    Attachment To Petition (Form NC-100, Form NC-200, or Form NC-500)

    Uploaded by

    Sal Munguia
    This document is a petition for a name change that includes sections for providing information about the person whose name is to be changed such as their present name, proposed name, date of birth, place of birth, gender, address and reason for the name change. It also includes sections for the petitioner's relationship to the person, required signatures, and contact information for parents/guardians if the person is a minor. The petitioner must sign to affirm the information provided is true and correct.

    Copyright:

    © All Rights Reserved
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    NC-110

    PETITION OF (Name of petitioner or petitioners): CASE NUMBER:

    FOR CHANGE OF NAME


    NAME AND INFORMATION ABOUT THE PERSON
    WHOSE NAME IS TO BE CHANGED Attachment of
    Attachment to Petition (form NC-100, form NC-200, or form NC-500)
    (You must use a separate attachment for each person whose name is to be changed. If petitioner is a guardian of a minor, a
    supplemental attachment, Declaration of Guardian (form NC-110G), must also be completed and attached for each minor whose name
    is to be changed.)
    7. (Continued) Petitioner applies for a decree to change the name of the following person:
    b. Self Other
    (1) Present name (specify):
    (2) Proposed name (specify):
    (3) Born on (date of birth):
    and presently under 18 years of age over 18 years of age
    (4) Born at (place of birth):
    (5) Sex (as stated on original birth certificate): Male Female
    (6) Current residence address (street, city, county, and zip code):

    c. Reason for name change (explain):

    d. Relationship of the petitioner to the person whose name will be changed:


    (1) self (4) near relative (indicate relationship):
    (2) parent (5) Other (specify):
    (3) guardian
    e. If the person whose name will be changed is under 18 years of age, provide the names and addresses, if known, of the
    following persons:
    (1) Parent (name): (address):
    (2) Parent (name): (address):
    (3) (Only if neither parent is living) Near relatives (names, relationships, and addresses):

    f. If the person whose name will be changed is 18 years of age or older, that person must sign the following declaration:
    DECLARATION
    I declare under penalty of perjury under the laws of the State of California that (check one) I am not I am
    under the jurisdiction of the California Department of Corrections and Rehabilitation (in state prison or on parole) or in county
    jail and (check one) I am not I am required to register as a sex offender under Penal Code section 290.
    Date:

    (TYPE OR PRINT NAME OF PERSON WHOSE NAME IS TO BE CHANGED) (SIGNATURE OF PERSON WHOSE NAME IS TO BE CHANGED)

    (If petitioner is represented by an attorney, the attorney's signature follows):


    Date:

    (TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY)

    (Each petitioner must sign this petition in the space provided below or, if additional pages are attached, at the end of the last
    attachment.) I declare under penalty of perjury under the laws of the State of California that the information in the foregoing petition is
    true and correct.
    Date:

    (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)

    Date:

    (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)

    ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS SIGNATURE OF PETITIONERS FOLLOWS LAST ATTACHMENT Page 1 of 1

    Form Adopted for Mandatory Use ATTACHMENT TO Code of Civil Procedure, § 1275 et seq.
    Judicial Council of California www.courts.ca.gov
    NC-110 [Rev. September 1, 2018] PETITION FOR 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 Clear this form

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