Verification Form Re Petition For Name Change {C-31}

SUPERIOR COURT OF CALIFORNIA COUNTY OF EL DORADO CIVIL DIVISION 3321 Cameron Park Drive 1354 Johnson Blvd., Suite 2 Cameron Park, CA 95682 South Lake Tahoe, CA 96150 (530) 621-5867 (530) 573-3075 Fax (530) 672-2413 Fax (530) 544-6532 VERIFICATION FORM RE: PETITION FOR NAME CHANGE (ADULTS AGES 18 & OVER) TO: EL DORADO COUNTY SHERIFF'S OFFICE The applicant below has requested and has received a Decree for Change of Name. Pursuant to a court order, the clerk is directed to submit the following information to the El Dorado County Sheriff's Office for entry into the California Law Enforcement Telecommunications System (CLETS). Upon entry into CLETS, please return form to the Court . El Dorado Superior Court Case No.:________________________________________________ Previous Name of Applicant:______________________________________________________ New Name of Applicant:_________________________________________________________ _____________________________________________________________________________ Verification of Entry into CLETS:__________________________________________________ Date of Entry:__________________________________________________________________ Date:______________ ____________________________________ Sheriff's Office Clerk Local Form C-31 VERIFICATION FORM 4/24/07 American LegalNet, Inc. www.FormsWorkflow.com