Santa Clara — CV-5101

Source: https://santaclara.courts.ca.gov/system/files/forms/cv-5101_rem.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY

ATTORNEY FOR (NAME):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: 191 North First Street, San José, CA 95113

MAILING ADDRESS: 191 North First Street

CITY AND ZIP CODE: San José, California 95113

IN RE THE PETITION OF

FOR CHANGE OF NAME

REQUEST REGARDING NOTICE TO NON-CONSENTING PARENT

1. I am the mother father guardian of the minor child whose name I am seeking to change.

2. The non-consenting parent’s name is: ______________________________

   The non-consenting parent lives in California and I am unable to personally serve the non-consenting parent with the Petition for Change of Name.

OR

The non-consenting parent does not live in California and I am unable to personally serve and/or serve the non-consenting parent by first class mail, postage pre-paid and requiring a return receipt with the Petition for Change of Name.

I am unable to serve them because:

3. I can give the non-consenting parent notice by one of the following other methods, and I ask the Court to consider this method of notice sufficient to allow the petition for name change to be granted:

   Email _____________________________

   Publication in this newspaper of general circulation: ____________________________________

   Other: ________________________________________________________________________

4. Check here if you need more space. Label a piece of paper “REQUEST REGARDING NOTICE TO

   NON-CONSENTING PARENT – Attachment 1” and write the additional information on it.

I declare under penalty of perjury that the above information is true and correct.

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(Date and Place signed within the State of California) (Signature)

NEW 07/01/2020 Optional Use REQUEST REGARDING NOTICE CCP § 1277(a)(4) CV-5101 TO NON-CONSENTING PARENT