) IN CIRCUIT COURT )ss: COUNTY OF __________________ ) ____________ JUDICIAL CIRCUIT ) ********************************************************************************* In the Matter of the Petition regarding ) ) _________________________________ ) CIV: _______________ (Birth Certificate Name), A Minor Child. ) ) For a Change of Name to ) NOTICE OF HEARING ) FOR NAME CHANGE __________________________________ ) OF A MINOR CHILD (Proposed Name) ) (UNCONTESTED) ) ********************************************************************************* NOTICE IS HEREBY GIVEN that a Verified Petition for Name Change of a Minor Child has been filed by _______________________________________ the object and prayer of which is to change their minor child's name from _________________________________________ ___________________________ to ___________________________________________________. On the ___________ day of ___________________, 20______, at the hour of ____:____ am/pm said Verified Petition will be heard by this Court before the Honorable STATE OF SOUTH DAKOTA ______________________________ Presiding, at the Court Room in the __________________ County Courthouse, City of ____________________, _______________________ County, South Dakota, or as soon thereafter as is convenient for the court. Any interested party may come and appear at that time and place and show reasons, if any, why said name should not be changed as requested. Dated this _____ day of ____________________, 20____ at ___________________, South Dakota. ____________________________________ Circuit Court Judge or Clerk of Court ATTEST: _____________________________ Clerk of Court By:__________________________ Deputy Page 1 of 1 UJS-031 Notice of Hearing For Name Change of a Minor Child Rev. 06/2011 American LegalNet, Inc. www.FormsWorkFlow.com