Notice Of Filing Proof Of Publication
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Notice Of Filing Proof Of Publication Form. This is a Indiana form and can be use in Family Law (Pro-Se) Statewide.
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Tags: Notice Of Filing Proof Of Publication, Indiana Statewide, Family Law (Pro-Se)
STATE OF INDIANA
COUNTY OF
)
IN THE
) SS:
)
CASE NO.
CIRCUIT COURT
IN RE THE NAME CHANGE OF: )
)
)
)
Petitioner.
)
NOTICE OF FILING PROOF OF PUBLICATION
Petitioner, ________________________________________________, pro se, states as follows:
1.
I have given notice of my Petition for Change of Name, pursuant to Indiana Code 34-28-2-3(a).
2.
I have attached a copy of the published notice herein as Exhibit A.
3.
The attached notice has been verified by the affidavit of a disinterested person.
4.
More than thirty (30) days have passed since the last required publication of notice.
WHEREFORE, I respectfully request that this Court consider my Petition for Name Change, and
for all other just and proper relief. I affirm under the penalties of perjury that the foregoing
representations are true to the best of my knowledge and belief.
_____________________________
Signature
Page 1 of 1
Form PS-34282-2
Revised by State Court Administration 10/10
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