Free Form #11M - Oregon

1 2 3 4 5 6 7 8 9 10 __________________________________________ 11 12 13 14 15 I, petitioner, hereby move this court for an order allowing service of notice of the petition 16 for name change on the other parent: 17
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IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE THIRD JUDICIAL DISTRICT

In the Matter of the Change of Name of: __________________________________________ __________________________________________ (Present Name(s) of Minor Child/ren)

___________________________________________ (Proposed Name(s) of Minor Child/ren) __________________________________________ (Petitioner/Guardian Ad Litem)

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Case No:__________ MOTION TO ALLOW ALTERNATIVE FORM OF SERVICE

By posting By publication By other method: ____________________________________ __________________________________________________

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MOTION TO ALLOW ALTERNATIVE FORM OF SERVICE - Page 1 of 2 FC(3/1/04)(Form 11M)

_______________________________ Petitioner/Guardian Ad Litem

1 2 3 4 5 6 7 8 9 Certificate of Document Preparation 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
MOTION TO ALLOW ALTERNATIVE FORM OF SERVICE - Page 2 of 2 FC(3/1/04)(Form 11M)

Submitted by: ______________________________________ Attorney/Petitioner's Name Bar No. (if any) ______________________________________ Address ______________________________________ City State Zip Phone No. ______________________________________ Trial Attorney if other than above Bar No.

If this document was not completed by an attorney, I hereby certify that the following statements are true: (check all boxes and complete all blanks that apply) A. G I selected this document for myself, and I completed it without paid assistance. B. G I paid or will pay money to _________________ for assistance in preparing this form/document __________________________ Signature