IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF WASHINGTON In the Matter of the Name Change of Case No. ______________ _________________________________ (Minor's Present Legal Name ­ First Middle Last) to _________________________________ (Minor's New Name ­ First Middle Last) DECLARATION OF POSTING NOTICE OF NAME CHANGE HEARING (Form 9) I, _________________________________ certify and affirm that in accordance with (Guardian Ad Litem's Name) ORS 33.420, written notice stating the time, day, place and subject of the hearing for name change of the Petitioner was posted on the Washington County Courthouse Bulletin Board, 150 North First Avenue, Hillsboro, Oregon and remained posted for the statutory number of days beginning: ______________________________,20___, and ending ___________________________,20___. (Date Notice was Posted) (Today's Date) I hereby declare that the above statement is true to the best of my knowledge and belief, and that I understand it is made for use as evidence in court and is subject to penalty of perjury. Dated:_______________________ ____________________________________ Signature of Guardian Ad Litem Page 1 - DECLARATION OF POSTING NOTICE OF NAME CHANGE HEARING American LegalNet, Inc. www.FormsWorkFlow.com