Free 5F-P-177MotionSvsPublication - Hawaii

Petitioner Pro se or Attorney Name & ID Address

Telephone Number

IN THE FAMILY COURT OF THE FIFTH CIRCUIT STATE OF HAWAI`I
In the Matter of the Change of Name of ) ) __________________________________________) (NAME) ) ) Born on ____________________________________) (DATE) ) ) Minor. ) __________________________________________) FC-M No. MOTION FOR SERVICE BY PUBLICATION; AFFIDAVIT OF __________________________
(NAME)

__________________________ ORDER FOR SERVICE BY PUBLICATION

MOTION FOR SERVICE BY PUBLICATION Petitioner moves pursuant to HRS 560:1-401 and Hawai`i Family Court Rules 4(e)(3)(ii) and 88 for an order setting the time and place of hearing of the cause and of such time and place of hearing by publication and in support thereof submits the attached affidavit of _____________________________________________________________ .
(NAME)

DATED: Li hu`e, Kaua`i, Hawai`i, ______________________________________

_____________________________________ Signature of Petitioner, Pro se Petitioner's Attorney

Reprographics (06/08)

(1)

5F-P-177

N THE FAMILY COURT OF THE FIFTH CIRCUIT STATE OF HAWAI`I
In the Matter of the Change of Name of ) ) __________________________________________) (NAME) ) ) Born on ____________________________________) (DATE) ) Minor. ) __________________________________________) FC-M No. AFFIDAVIT OF _______________________
(NAME)

_______________________

AFFIDAVIT OF ____________________________________
(NAME)

STATE OF HAWAI`I COUNTY OF KAUA`I

) ) )

ss.

USE SEPARATE PAGE WITH BELOW INFORMATION, SIGN, AND ATTACH. (Include in affidavit specific facts of all reasonable attempts to locate and contact the nonconsenting parent) Murphy standards are to be used. Your search should include as appropriate, but not be limited to, the following sources checked: last place of employment common friends and contact with them with dates relatives and contact with them with dates operator assistance (where? and when?) last known address dates of attempts made include recent attempts include copy of "return receipt requested" as exhibit date of last contact with nonconsenting parent a due and reasonable search was conducted for not less than fifteen (15) days in attempts to locate the nonconsenting parent ____________________________________ (Name of Affiant) Subscribed and sworn to me this _______ day of _______________ , 20 _____ . ________________________________________ Notary Public, State of Hawai`i My Commission Expires: ____________________
Reprographics (06/08)

(2)

5F-P-177

N THE FAMILY COURT OF THE FIFTH CIRCUIT STATE OF HAWAI`I
In the Matter of the Change of Name of ) ) __________________________________________) (NAME) ) ) Born on ____________________________________) (DATE) ) ) Minor. ) __________________________________________) FC-M No. ORDER FOR SERVICE BY PUBLICATION

ORDER FOR SERVICE BY PUBLICATION It appearing to the satisfaction of the undersigned that service by publication is appropriate and reasonable, IT IS HEREBY ORDERED that this cause be set for hearing at______:_____A.M. / P.M. on___________________________, 20____, in Courtroom #______, of said day in the Family Court, Pu'uhonua Kaulike Building, 3970 Ka'ana Street, Lihu`e, Kaua`i, Hawai`i 96766. IT IS HEREBY FURTHER ORDERED that notice of the pendency of this cause and of the above ordered time and place of hearing thereof be given to the nonconsenting parent_________________________________________, by publication of such notice in the
(NAME)

______________________________________, a newspaper suitable for the advertisement of
(NAME OF NEWSPAPER)

notices of judicial proceedings, published in this State, which publication shall be at least once in each of four (4) successive weeks, the last publication to be not less than twenty-one (21) days prior to the time above set for hearing; and IT IS HEREBY FURTHER ORDERED that such notice include the statement that in the event___________________________________fails to appear and defend, as required
(NAME)

further action may be taken in this cause, including judgment for the relief demanded in the petition without further notice to the nonconsenting parent,____________________________.
(NAME)

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(3)

5F-P-177

There shall be filed in this proceeding prior to the time of hearing of the Petition, an affidavit of publication, pursuant to this order which shall constitute proof of service under the provisions of this order.

DATED: Li hu`e, Kaua`i, Hawai`i, ______________________________________

_____________________________________ Judge of the above-entitled Court

In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require a reasonable accommodation for a disability, please contact the ADA Coordinator at the Circuit Court Administrative Office at PHONE NO. 482-2314, FAX 482-2553, or TTY 482-2533 at least ten (10) working days prior to your hearing or appointment date.
Reprographics (06/08)

(4)

5F-P-177

CLEAR