FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):
ATTORNEY FOR (Name):
MARRIAGE OF PETITIONERS
REQUEST FOR JUDGMENT, JUDGMENT OF
DISSOLUTION OF MARRIAGE, AND NOTICE OF ENTRY OF JUDGMENT
1. The Joint Petition for Summary Dissolution of Marriage was filed on (date):
2. No notice of revocation has been filed and the parties have not become reconciled.
3. I request that judgment of dissolution of marriage be
entered to be effective now.
entered to be effective (nunc pro tunc) as of (date):
for the following reason:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Wife, who did not request her former name be restored when she signed the joint petition, now requests that it be
restored (type former name):
(For Court Use Only)
JUDGMENT OF DISSOLUTION OF MARRIAGE
5. THE COURT ORDERS
a. A judgment of dissolution of marriage shall be entered, and the parties are restored to the status of unmarried persons.
The judgment of dissolution of marriage shall be entered nunc pro tunc as of (date):
Wife's former name is restored (specify):
d. Husband and wife shall comply with any agreement attached to the petition.
JUDGE OF THE SUPERIOR COURT
Please review your will, insurance policies, retirement benefit plans, credit cards, other credit accounts and credit reports, and other
matters you may wish to change in view of the dissolution of your marriage. Ending your marriage may automatically change a
disposition made by your will to your former spouse.
(See reverse for Notice of Entry of Judgment)
REQUEST FOR JUDGMENT, JUDGMENT OF DISSOLUTION
OF MARRIAGE, AND NOTICE OF ENTRY OF JUDGMENT
(Family Law—Summary Dissolution)
Form Adopted by Rule 1295.20
Judicial Council of California
1295.20 [Rev. January 1, 1995]
Family Code, § 2403
(SIGNATURE OF HUSBAND OR WIFE)
(TYPE OR PRINT NAME)