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Petition To Establish Fact Of Birth FL05050 - California
| Petition To Establish Fact Of Birth Form. This is a California form and can be used in Family Law Yuba Local County . |
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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) FOR COURT USE ONLY TELEPHONE NO: ATTORNEY FOR (NAME): FAX NO: SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901 (530) 749-7600 IN THE MATTER OF THE PETITION OF: TO ESTABLISH THE FACT OF BIRTH OF: PETITION TO ESTABLISH FACT OF BIRTH [H&S § 103450] CASE NUMBER: The undersigned respectfully alleges: 1. 2. Petitioner is a resident of the County of Yuba, State of California. Petitioner seeks to establish the fact of birth of ___________________________, said birth having occurred _______________ in the County of __________________________, State of __________________________, or in the Country of . Said birth has not been registered in conformity with the provisions of law in effect at the time of said birth, or such record has been lost or destroyed after having been filed. 3. WHEREFORE, Petitioner prays that an order of the Court be made establishing the fact of birth of _________________________ which occurred as set forth hereinabove, and for such other relief as the Court deems proper. Dated: ____________________ ................................... Type or Print Name ___________________________________ Signature of Petitioner VERIFICATION I declare under penalty of perjury the laws of the State of California that the foregoing is true and correct. Dated: ____________________ ................................... Type or Print Name ___________________________________ Signature of Petitioner Yuba County Superior Court Effective 8/10/05 PETITION TO ESTABLISH FACT OF BIRTH FL05050 American LegalNet, Inc. www.USCourtForms.com [H&S § 103450]
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