Kern — SUP CRT FL-2825

Source: https://www.kern.courts.ca.gov/system/files/general/sup-crt-fl-2825-ex-parte-application-order-confirming-retention-marital-surname.pdf

FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF KERN Metropolitan Division: 1215 Truxtun Avenue, Bakersfield, CA 93301 East Division: Mojave Branch 1773 Highway 58, Mojave, CA 93501 East: Division: Ridgecrest Branch 132 E. Coso Street, Ridgecrest, CA 93555 North Division: Delano/McFarland Branch 1122 Jefferson Street, Delano, CA 93215 North Division: Shafter/Wasco Branch 325 Central Valley Highway, Shafter, CA 93263

PETITIONER :

RESPONDENT :

CASE NUMBER:

EX PARTE APPLICATION AND ORDER CONFIRMING
RETENTION OF MARITAL SURNAME
(Family Law)

Petitioner / Respondent herein applies for an order confirming retention of marital surname and submits

the following:

1. A Judgment of Dissolution Legal Separation or Nullity was entered on (date): .

2. Applicant requests confirmation that his or her former name of was never restored in

these proceedings and confirms the martial surname of was retained as of the date

of Judgment and up to and including this date.

DATED: __________________________ _______________________________________

____________________________(Printed Name)
Petitioner / Respondent

ORDER

A. Court hereby acknowledges, subsequent to Judgment up to and including this date, Requesting Party has

never had their former name restored in the above-entitled matter.

B. Court confirms Requesting Party retains marital surname of as of this date of filing*.

*PARTIES ARE NOT PRECLUDED FROM SUBMITTING AN EX PARTE APPLICATION FOR RESTORATION OF FORMER NAME AFTER ENTRY
OF JUDGMENT FOLLOWING THIS FILING.

DATED: __________________________ _______________________________________

JUDGE OF THE SUPERIOR COURT

EX PARTE APPLICATION AND ORDER CONFIRMING RETENTION OF MARITAL SURNAME (Family Law) ADOPTED 8/06/2019

SUP CRT FL-2825 (Optional Form) G:/FamilyLaw/RetentionMaritalSurname.frm.2019