1 IN THE CIRC UIT COURT OF THE STATE OF OREGON 2 FOR THE THIRD JUDICIAL DISTRICT 3 4 In the Matter of the Change of Name of: ) ) 5 __________________________________________ ) Case No: ________ (Present Name) Petitioner ) 6 ) NOTICE OF PETITION to:_________________________________________ ) FOR CHANGE OF NAME 7 (Proposed New Name) ) 8 9 TO ALL INTERESTED PERSONS: 10 This notice is posted to advise all persons that ___________________________ has filed11 a petition to change his/her name to _______________________________. If you object to this12 petition, you must file written objections showing cause why the petition for change of name13 should not be granted. Your objection must be filed by ___________________. Your objection14 must be filed with the Marion County Circuit Court (mailing address: P.O. Box 12869, Salem,15 OR 97309-0869). 16 Dated______________ _________________________________ Petitioner 17 18 DO NOT REMOVE THIS NOTICE BEFORE ________________________________ 19 Submitted by: 20 _____________________________________________________________________________ Attorney/Petitioners Name Bar No. (if any) Address 21 _____________________________________________________________________________ 22 City State Zip Phone No. Trial Attorney (if other than above) Bar No.23 Certificate of Document Preparation 24 If this document was not completed by an attorney, I hereby certify that the following statements25 are true: (check all boxes and complete all blanks that apply) A. G I selected this document for myself, and I completed it without paid assistance.26 B. G I paid or will pay money to _________________ for assistance in preparing this form/document 27 _______________________________ Signature 28 NOTICE OF PETITION OF CHANGE OF NAME - Page 1 of 1 FC(3/1/04)(Form 2)