Free Form #6M - Oregon

1 2 3 4 5 6 7 8 9 10 __________________________________________ 11 12 13 14 TO ________________________: 15 This notice is to advise you, as a parent or guardian, 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). If you do not file written objections by the date listed above, the name change will be 22 granted without further notice to you. 23 24 Dated____________ 25 26 27 28 NOTICE TO PARENT OR GUARDIAN (Minor) - Page 1 of 2 FC (3/1/04)(Form 6M) _______________________________ Petitioner/Guardian Ad Litem __________________________________________ (Proposed Name(s) of Minor Child/ren) __________________________________________ (Petitioner/Guardian Ad Litem) In the Matter of the Change of Name of: __________________________________________ __________________________________________ (Present Name(s) of Minor Child/ren) ) ) ) ) ) ) ) ) ) ) ) ) ) ) IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE THIRD JUDICIAL DISTRICT

Case No: __________ NOTICE TO PARENT OR GUARDIAN

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 NOTICE TO PARENT OR GUARDIAN (Minor) - Page 2 of 2 FC (3/1/04)(Form 6M) __________________________ Signature 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 ______________________________________ Trial Attorney if other than above Bar No. ______________________________________ Address ______________________________________ City State Zip Phone No. Submitted by: ______________________________________ Attorney/Petitioner's Name Bar No. (if any)