California > Local County > San Diego > Probate
Petition To Establish Fact Of Birth PR-142 - California
| Petition To Establish Fact Of Birth Form. This is a California form and can be used in Probate San Diego Local County . |
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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO.(Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, MADGE BRADLEY, 1409 4TH AVE., SAN DIEGO, CA 92101 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 JUDGE/DEPT. CASE NUMBER IN THE MATTER OF (NAME): PETITION TO ESTABLISH FACT OF BIRTH 1. Petitioner (name): Is a beneficially interested person, entitled under Health and Saf. Code 103450 to an order establishing the fact and the date and place of the birth of the person named in item 3. 2. Petitioner's beneficial interest in this matter is stated below stated in attachment 2. 3. Petitioner requests the court to establish the birth of: a. Name: b. Father's name: c. Date of birth: d. Place of birth: City: State: Mother's name: Time: County: Country: Gender: Male Female 4. (Check one of the following): a. b. There is no official record of the fact, date, and place of the birth of the person named in item 3. A certified copy of the official record of the birth of the person named in item 3 cannot be obtained for the reasons stated below stated in attachment 4b. 5. The person named in number 3 now resides at (street address, city, county, and state): . SDSC PR-142 (New 8/09) PETITION TO ESTABLISH FACT OF BIRTH Health & Saf. Code, § 103450-103490 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com IN THE MATTER OF (NAME): CASE NUMBER 6. Petitioner requests that the court make an order determining that the birth of the person named in item 3 did in fact occur on the date and at the place stated in item 3 above, as shown by the Declaration in Support of Petition to Establish Fact of Birth (SDSC Form #PR-143), filed herewith, and by proof offered as evidence to this court. 7. Number of pages attached: ______ I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: Attorney's Signature Date: Petitioner's Signature SDSC PR-142 (New 8/09) PETITION TO ESTABLISH FACT OF BIRTH Health & Saf. Code, § 103450-103490 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com
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