Free __________________________________County, Colorado ? County Court ? District Court - Colorado

County Court District Court _________________________________________ County, Colorado Court Address:

IN THE MATTER OF THE PETITION OF: Parent/Petitioner:
Minor Child: to change the child's name to:

for:

COURT USE ONLY Case Number:

Attorney or Party Without Attorney (Name and Address):

Phone Number: FAX Number:

E-mail: Atty. Reg. #: Division NOTICE TO NON-CUSTODIAL PARENT BY PUBLICATION

Courtroom

NOTICE TO: _______________________________________________________________________, non-custodial parent. Notice is given that a hearing is scheduled as follows: DATE: TIME: LOCATION: __________________________________________ __________________________________________ __________________________________________

for the purpose of requesting a change of name for _________________________________________________________. At this hearing the Court may enter an order changing the name of the minor child. To support or voice objection to the proposed name change, you must appear at the hearing.

Date: _______________________________________

___________________________________________
Signature of Parent/Petitioner

___________________________________________
Type or Print Name

___________________________________________
Address

___________________________________________

NEWSPAPER: PUBLISH THIS NOTICE ONCE WEEKLY FOR FIVE SUCCESSIVE WEEKS.

JDF 425 R5/02

NOTICE TO NON-CUSTODIAL PARENT BY PUBLICATION (Change of Name of Minor)