Free Form #2 - Oregon

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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) Petitioner to:_________________________________________ (Proposed New Name)

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Case No: ________ NOTICE OF PETITION FOR CHANGE OF NAME

TO ALL INTERESTED PERSONS: This notice is posted to advise all persons that ___________________________ has filed a petition to change his/her name to _______________________________. If you object to this petition, you must file written objections showing cause why the petition for change of name should not be granted. Your objection must be filed by ___________________. Your objection must be filed with the Marion County Circuit Court (mailing address: P.O. Box 12869, Salem, OR 97309-0869). Dated______________ _________________________________ Petitioner

DO NOT REMOVE THIS NOTICE BEFORE ________________________________ Submitted by: _____________________________________________________________________________ Attorney/Petitioner's Name Bar No. (if any) Address _____________________________________________________________________________ City State Zip Phone No. Trial Attorney (if other than above) Bar No. Certificate of Document Preparation

24 25 26 27 28 NOTICE OF PETITION OF CHANGE OF NAME - Page 1 of 1 FC(3/1/04)(Form 2) 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