FL-825 PARTY WITHOUT ATTORNEY OR ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: MARRIAGE OR DOMESTIC PARTNERSHIP OF PETITIONER 1: PETITIONER 2: JUDGMENT OF DISSOLUTION AND NOTICE OF ENTRY OF JUDGMENT MARRIAGE DOMESTIC PARTNERSHIP CASE NUMBER: Use this form ONLY if the Joint Petition for Summary Dissolution (form FL-800) was filed after January 1, 2011. If the Joint Petition for Summary Dissolution was filed before January 1, 2011, use Request for Judgment, Judgment of Dissolution, and Notice of Entry of Judgment (form FL-820) instead. 1. THE COURT ORDERS a. 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): b. c. The former name of Petitioner 1 is restored (specify): The former name of Petitioner 2 is restored (specify): Both petitioners must comply with any agreement attached to this judgment. Date: JUDICIAL OFFICER NOTICE: Dissolution may automatically cancel the rights of a spouse or domestic partner under the other spouse or domestic 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 instrument. It does not automatically cancel the rights of a spouse or domestic partner as beneficiary of the other spouse's or domestic 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. NOTICE OF ENTRY OF JUDGMENT 2. You are notified that a judgment of dissolution of marriage a. b domestic partnership was entered on (date): Date: Clerk, by , Deputy The date the judgment of dissolution is entered is NOT the date your divorce or termination of your domestic partnership is final. For the effective date of the dissolution of your marriage and/or domestic partnership, see the date in item 1a. Page 1 of 2 Form Adopted for Mandatory Use Judicial Council of California FL-825 [New January 1, 2012] JUDGMENT OF DISSOLUTION AND NOTICE OF ENTRY OF JUDGMENT (Family Law--Summary Dissolution) Family Code, § 2403 www.courts.ca.gov. American LegalNet, Inc. www.FormsWorkFlow.com PETITIONER 1: PETITIONER 2: CASE NUMBER: CLERK'S CERTIFICATE OF MAILING I certify that I am not a party to this cause and that a true copy of the Judgment of Dissolution and 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): on (date): Date: Clerk, by , Deputy California, ADDRESS OF PETITIONER 1 ADDRESS OF PETITIONER 2 FL-825 [New January 1, 2012] JUDGMENT OF DISSOLUTION AND NOTICE OF ENTRY OF JUDGMENT (Family Law--Summary Dissolution) Page 2 of 2