Free Form #3M - Oregon

1 2 3 4 5 6 7 8 9 10 __________________________________________ 11 12 13 14 TO ALL INTERESTED PERSONS: 15 This notice is to advise all persons that I have filed a petition to change 16 ______________________________________________________ `s name to 17 ______________________________________________________. If you object to this petition, 18 you must file written objections showing cause why the petition for change of name should not 19 be granted. Your objections must be filed by ________________. Your objections must be filed 20 with the Marion County Circuit Court (mailing address: P.O. Box 12869, Salem, OR 9730921 0869). 22 Dated____________ 23 24 DO NOT REMOVE THIS NOTICE BEFORE _________________________________ 25 26 27 28 NOTICE OF PETITION FOR CHANGE OF NAME - Page 1 of 2
FC (3/1/04)(Form 3M)

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: __________ NOTICE OF PETITION FOR CHANGE OF NAME

_______________________________ Petitioner/Guardian Ad Litem

1 Submitted by: 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 NOTICE OF PETITION FOR CHANGE OF NAME - Page 2 of 2
FC (3/1/04)(Form 3M)

______________________________________ 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 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