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______________________, IN PRO PER

SUPERIOR COURT OF THE STATE OF CALIFORNIA
FOR THE COUNTY OF SACRAMENTO

IN RE: ______________________

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DECLARATION OF DILIGENT SEARCH AND REQUEST TO DISPENSE WITH NOTICE	

I, ______________________________________________________, declare:

1. I am the  mother  father of a minor child currently named ____________________________, born on __________________________.
2. I am requesting the minor’s name be changed to _________________
___________________________________for the reason specified on the Attachment to Petition for Change of Name (Form NC-110).  I request that the court not require notice to the minor’s other parent as I am unable to locate him/her. 
3. The minor’s other parent is: ___________________________________
4. Last known address for this person: ____________________________ ___________________										  
5. Approximate date when the person named above was last known to reside there: ____________________________________________________
My attempts to locate the person named above include the following:
6. I contacted the following relatives of the person named above:
Name		Relationship to person named above		 Address 				Telephone number
___________________________________________________________________
______________________________________________________________________________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Results of interview and additional information received:__________
___________________________________________________________________
______________________________________________________________________________________________________________________________________
___________________________________________________________________
7.	I contacted the following friends and acquaintances of the person named above:
Name		Relationship to person named above		Address 				Telephone number
___________________________________________________________________
______________________________________________________________________________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Results of interview and additional information received:__________
___________________________________________________________________
______________________________________________________________________________________________________________________________________
___________________________________________________________________
8.	I contacted the following employers of the person named above:
Name and Title 		Business Name	 	Address 		telephone number		Dates of employment
___________________________________________________________________
______________________________________________________________________________________________________________________________________
___________________________________________________________________

Results of interview and additional information received:__________
___________________________________________________________________
______________________________________________________________________________________________________________________________________
___________________________________________________________________
___________________________________________________________________

9.	I reviewed the city telephone directories of _________________         _______________and contacted directory assistance on  _____________
Results additional information received:___________________________ ___________________________________________________________________ ___________________________________________________________________      ___________________________________________________________________

10. I searched the real and personal property indexes in the Recorder’s and Assessor’s Offices of ______________________________ County on ___________________________________________.
Results additional information received:___________________________       
______________________________________________________________________________________________________________________________________

11. I conducted an internet search using __________________________                      ____________________________________ on __________________________.
Results and additional information found:__________________________
______________________________________________________________________________________________________________________________________
___________________________________________________________________

12.	I contacted all applicable criminal justice agencies on ______    ______________________.
Results and additional information received:_______________________                     ___________________________________________________________________
______________________________________________________________________________________________________________________________________
13.	Other relevant information:
___________________________________________________________________
______________________________________________________________________________________________________________________________________
___________________________________________________________________

Despite my diligent efforts, I have been unable to find ___________                              ___________________________, and therefore ask the Court permission to dispense with notice to ____________________.
I declare under penalty of perjury, under the laws of the State of California, the foregoing is true and correct.

DATED: _    __________________________________________

	
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In Pro Per