Name, Address, Phone # & State Bar # of Attorney or Party without Attorney FOR COURT USE ONLY Attorney for: SUPERIOR COURT, STATE OF CALIFORNIA YOLO COUNTY 725 Court Street, #103 Woodland California 95695 530/405-6704 In the Matter of the Petition of: Case Number: PETITION TO ESTABLISH FACT OF MARRIAGE (FC 309 or HS 103450s & Ev. Code 663) Petitioner, _________________________________, prays this Court for an order establishing the fact of the marriage of _________________________________ and _______________________________________. In support of the above, petitioner alleges as follows: 1. Petitioner is a person beneficially interested in establishing of record the fact of this marriage because: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 2. On the ___________ day of ___________________, _________ the marriage of _________________________________ and ________________________________ occurred and was solemnized at _____________________________ in the County of _______________________, State or country of ____________________________. Petitioner has the following evidence of such marriage: _______________________ _____________________________________________________________________ _____________________________________________________________________ (Attach all declarations to the Petition) 3. Said marriage (check ONLY ONE) _____ has not been registered in conformity with the provisions of law, in effect at the time of said marriage. _____ was registered in conformity with the provisions of law, in effect at the time of said marriage, but such CV 0177 Page 1 of 2 PETITION TO ESTABLISH FACT OF MARRIAGE American LegalNet, Inc. www.FormsWorkflow.com record has been (check ONLY ONE) ____ lost or ____ destroyed after having been filed. WHEREFORE, petitioner prays as follows: That the fact of the marriage of ______________________________________ and ____________________________________________ be established. Dated: _________________________ ________________________________ Petitioner VERIFICATION I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at ________________________________ (city and state). Dated: _________________________ ________________________________ Signature of Petitioner ________________________________ Type or Print Name of Petitioner Rev. 10/5/1999 CV 0177 Page 2 of 2 PETITION TO ESTABLISH FACT OF MARRIAGE American LegalNet, Inc. www.FormsWorkflow.com