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NC-110 Attachment to Petition for Change of Name

CASE NUMBER:I declare under penalty of perjury under the laws of the State of California that under the jurisdiction of the California Department of Corrections (in state prison or on parole) and required to register as a sex offender under Penal Code section 290. I am not I am I am not I am (3) MaleFemaleATTACHMENT TO Petition FOR Change OF NAMENAME AND INFORMATION ABOUT THE PERSON WHOSE name IS TO BE CHANGED Attachment to Petition (form NC-100 or form NC-200)(You must use a separate Attachment for each person whose name is to be changed. If petitioner is a guardian of a minor, a supplemental Attachment , Declaration of Guardian (form NC-110G), must also be completed and attached for each minor whose name is to be changed.)(Continued) Petitioner applies for a decree to Change the name of the following person:and presentlyRelationship of the petitioner to the person whose name will be changed:If the person whose name will be changed is under 18 years of age, provide the names and addresses, if known, of the following persons:If the person whose name will be changed is 18 years of age or older, that person must sign the following declaration:DECLARATION(If petitioner is represented by an attorney, the attorney's signature follows):(Each petitioner must sign this peti)

Form Adopted for Mandatory Use Judicial Council of California NC-110 [Rev. September 1, 2018] ATTACHMENT TO PETITION FOR CHANGE OF NAME Code of Civil Procedure, § 1275 et seq.

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  Name, Change, Attachment, Petition, Attachment to petition for change

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