FL-395 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO.: FOR COURT USE ONLY 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: (TYPE OR PRINT NAME) (SIGNATURE OF APPLICANT) (USE CURRENT 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 Family Code, § 2080 www.courtinfo.ca.gov 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) 2002 © American LegalNet, Inc.