Notice Of Petition For Change Of Name
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Notice Of Petition For Change Of Name Form. This is a Indiana form and can be use in Family Law (Pro-Se) Statewide.
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Tags: Notice Of Petition For Change Of Name, 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 PETITION FOR CHANGE OF NAME
________________________________________________, whose mailing address is:
________________________________________________
________________________________________________
And, if different, my residence address is:
________________________________________________
________________________________________________
__________________ County, Indiana hereby gives notice that she/he has filed a petition in the
__________________ Circuit Court requesting that his/her name be changed to
________________________________________________.
Notice is further given that hearing will be held on said Petition on the _______ day of
_____________________, 20____ at ________ o’clock ___m.
______________________________
Petitioner
Date __________________________
________________________________________
CIRCUIT COURT CLERK
Page 1 of 1
Form PS-34282-3
Revised by State Court Administration 10/10
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