ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FOR COURT USE ONLY FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE STREET ADDRESS: 341 The City Drive MAILING ADDRESS: CITY AND ZIP CODE: Orange, CA 92868 BRANCH NAME: Lamoreaux Justice Center MARRIAGE AND/OR DOMESTIC PARTNERSHIP OF PETITIONER: and PETITIONER: JUDGMENT OF DISSOLUTION AND NOTICE OF ENTRY OF JUDGMENT MARRIAGE CASE NUMBER: DOMESTIC PARTNERSHIP If the Joint Petition for Summary Dissolution was filed before January 2011, use Request for Judgment, Judgment of Dissolution and Notice of Entry of Judgment (form FL-820) instead. 1. The Joint Petition for Summary Dissolution of Marriage and/or Domestic Partnership (form FL-800) was filed on (date): 2. The petitioners requested the dissolution of their: a. marriage, entered into on (date of marriage): registered domestic partnership, entered into on (date of registration): b. 3. No notice of revocation has been filed and the parties have not become reconciled. 4. THE COURT ORDERS A judgment of dissolution of marriage and/or domestic partnership will be entered, and the parties are restored to the status of single persons effective (date): a. The judgment of dissolution of marriage and/or domestic partnership will be entered nunc pro tunc as of (date): b. The former name of Petitioner ________________________ is restored (specify): The former name of Petitioner ________________________ is restored (specify): c. Both Petitioners must comply with any agreement attached to the petition. Date: JUDGE OF THE SUPERIOR COURT NOTICE: Dissolution may automatically cancel the rights of a spouse or partner under the other spouse's or partner’s will, trust, retirement benefit plan, power of attorney, pay on death bank account, transfer on death vehicle registration, survivorship rights to any property owned in joint tenancy, and any other similar thing. It does not automatically cancel the rights of a spouse or partner as beneficiary of the other spouse's or partner’s life insurance policy. You should review these matters, as well as any credit cards, other credit accounts, insurance policies, retirement benefit plans, and credit reports to determine whether they should be changed or whether you should take any other actions. For Optional Use New January 1, 2011 Local FL-825 JUDGMENT OF DISSOLUTION AND NOTICE OF ENTRY OF JUDGMENT Page 1 of 2 Family Code 2403 American LegalNet, Inc. www.FormsWorkFlow.com CASE NAME: CASE NUMBER: NOTICE OF ENTRY OF JUDGMENT 5. You are notified that a judgment of dissolution of: marriage a. domestic partnership b. was entered on (date): Date: Clerk, by , Deputy CLERK'S CERTIFICATE OF MAILING I certify that I am not a party to this cause and that a true copy of the Notice of Entry of Judgment was mailed first class, postage fully prepaid, in a sealed envelope addressed as shown below, and that the notice was mailed at (place): California, on (date): Date: Clerk, by , PETITIONER'S ADDRESS For Optional Use New January 1, 2011 Deputy PETITIONER'S ADDRESS JUDGMENT OF DISSOLUTION AND NOTICE OF ENTRY OF JUDGMENT Page 2 of 2 Family Code 2403 American LegalNet, Inc. www.FormsWorkFlow.com