SUPERIOR COURT OF CALIFORNIA
              COUNTY OF ____________________

In the Matter of the              |  NO. ____________________
Application of                    |
YOUR BIRTH NAME,                  |  ORDER CHANGING NAME AND
                  Petitioner,     |  FOR ISSUANCE OF NEW
For Change of Name and            |  BIRTH CERTIFICATE
New Birth Certificate             |
__________________________________|


The petition of (Birth Name) for an order changing his
name from (Birth Name) to (Proposed Name), and for issuance
of a new birth certificate came on regularly for hearing on
___________, in Department _________ of this court, the
Honorable ___________________, presiding.

 Proof having been made to the satisfaction of the
court, the court finds the following:

 1. Notice of the application has been given in
accordance with the order of this court dated (DATE OF OSC),
to show cause why said petition should not be granted.

 2. The allegations of the petition are sufficient and
true.
                            [EITHER, if no objections]
 3. No objections to the proposed change of name have
been made.

  [OR, if objections]
 3. The objection to the petition made by (NAME) is
without merit and constitutes no substantial reason why the
petition should not be granted.

 4. The petition should be granted.
 IT IS THEREFORE ORDERED AND DECREED that petitioner's
name shall be changed from (BIRTH NAME) to (PROPOSED NAME).
 IT IS FURTHER ORDERED that a new birth certificate
shall issue reflecting said change of name, and also showing
petitioner's sex to be (male or female), and that said
certificate shall be filed in state records in lieu of the
original record of petitioner's birth.

Dated:____________________

     ___________________________
     JUDGE OF THE SUPERIOR COURT