COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC-230
......... ..
PETITIONER OR ATTORNEY (Name, state bar number, and address):
: FOR COURT USE ONLY
Index No.
: Calendar No.
:
TELEPHONE NO.: Plaintiff(s)
FAX NO. (Optional): JUDICIAL SUBPOENA
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
-against- :
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: :
MAILING ADDRESS:
CITY AND ZIP CODE: :
BRANCH NAME:
PETITION OF (Name of petitioner):
Defendant(s) :
......................................................
FOR CHANGE OF NAME AND GENDER
CASE NUMBER:
DECREE CHANGING NAME AND GENDER
THE PEOPLE OF THE STATE OF NEW YORK
1. The petition came regularly for hearing on (date): in Courtroom: of the above-entitled court.
TO
THE COURT FINDS
2. a. All notices required by law have been given.
b. Each person whose name is to be changed identified in item 3 below
GREETINGS:
(1) is not is under the jurisdiction of the Department of Corrections, and
(2) is not is required to register as a sex offender under section 290 of the Penal Code.
by business and excuses being laid aside, you and each of youclerk of the
WE COMMAND YOU, that all using CLETS/CJIS
These determinations were made based on information provided to the attend before
the Honorable
court by a local law enforcement agency. at the Court ,
c. County objections to the proposed change of at
No of located name were made.
Objections to theon the
d. in room day of
, proposed change of name were made by (name):
, 20 , at o'clock in the noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
e. It appears to the satisfaction of the court that all the allegations in the petition are true and sufficient and that the petition should
be granted.
f. Other findings (if any):
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
THE COURT ORDERS
result of your failure to comply.
3. The name of (present name):
is changed to (new name):
Witness, Honorable , one of the Justices of the
Court in
THE COURT FURTHER ORDERS County, day of , 20
4. The gender of (new name):
is changed:
a. from male to female.
(Attorney must sign above and type name below)
b. from female to male.
THE COURT FURTHER ORDERS
5. A new birth certificate shall be issued reflecting the changes in name and gender.
Attorney(s) for
Office and P.O. Address
Date:
Telephone No.: OF THE SUPERIOR COURT
JUDGE
Facsimile No.: FOLLOWS LAST ATTACHMENT
SIGNATURE OF JUDGE
E-Mail Address: Page 1 of 1
Code of Civil Procedure, §§ 1278, 1279;
Form Adopted for Mandatory Use
Judicial Council of California
Mobile Tel. No.:
DECREE CHANGING NAME AND GENDER Health & Safety Code, §§ 103430, 103435
NC-230 [New January 1, 2003]
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