Free Form #13M - Oregon

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ORDER ALLOWING ALTERNATIVE FORM OF SERVICE - Page 1 of 2 FC(3/1/04)(Form 13M)

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)

) ) ) ) ) ) ) ) ) ) ) ) ) )

Case No: *_____________ ORDER ALLOWING ALTERNATIVE FORM OF SERVICE

Based on the motion of petitioner and the supporting affidavit, IT IS HEREBY ORDERED THAT: service of notice of the petition for name change on *_____________________________ may be made as follows:
G By publication in a newspaper of general circulation in ____________ County in the

State of ______________ at least four times in successive calendar weeks; and by mailing regular and certified mail to the last known address of the other parent, which is: ___________________________________________________________________________ _________________________________________________________________________; or

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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 *Certificate of Document Preparation 20 21 22 23 24 25 26 27
ORDER ALLOWING ALTERNATIVE FORM OF SERVICE - Page 2 of 2 FC(3/1/04)(Form 13M) G By posting on the bulletin board at the Marion County Courthouse for not less than 14

days; or
G As follows: __________________________________________________________

____________________________________________________________________________

Dated:_________________

_______________________________ Circuit Court Judge _______________________________ Print, Type or Stamp Name

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

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