For Clerk’s Use Only Person Filing Document: ___________________________________________ Mailing Address: ___________________________________________ City, State, Zip: ___________________________________________ Day/Evening Phone: ___________________________________________ ATLAS Number (if applicable) ___________________________________________ Attorney Bar Number (if applicable___________________________________________ Represented by: Self or Attorney SUPERIOR COURT OF ARIZONA MOHAVE COUNTY In the Matter of: Case Number: NOTICE OF HEARING REGARDING APPLICATION FOR CHANGE OF NAME Name(s) of person(s) requesting name change READ THIS NOTICE CAREFULLY. An important court proceeding that affects your rights has been scheduled. If you do not understand this Notice or the other court papers, contact an attorney for legal advice. 1. NOTICE: An application for Change of Name has been filed with the Court by the person(s) named above. A hearing has been scheduled where the Court will consider whether to grant or deny the requested change. If you wish to be heard on this issue, you must appear at the hearing at the date and time indicated below. 2. COURT HEARING. A court hearing has been scheduled to consider the Application as follows: TIME: DATE: BEFORE: Judge/Commissioner ____________________ 401 E. Spring Street Courtroom _____________________ Kingman, AZ 86401 Judge/Commissioner ____________________ 2225 Trane Road Courtroom ____________________ Bullhead City, AZ 86442 Judge/Commissioner ____________________ 2001 College Drive Courtroom ____________________ Lake Havasu City, AZ 86403 DATED: (Month/Day/Year) 10/16/2006 Applicant's Signature American LegalNet, Inc. www.FormsWorkflow.com