1 2 3 4 IN THE CIRCUIT COURT OF THE STATE OF OREGON 5 FOR THE THIRD JUDICIAL DISTRICT 6 7 In the Matter of the Change of Name of: ) ) 8 __________________________________________ ) ) 9 __________________________________________ ) Case No: __________ (Present Name(s) of Minor Child/ren) ) 10 ) NOTICE TO __________________________________________ ) PARENT OR GUARDIAN11 ) __________________________________________ ) 12 (Proposed Name(s) of Minor Child/ren) ) ) 13 __________________________________________ ) (Petitioner/Guardian Ad Litem) ) 14 TO ________________________: 15 This notice is to advise you, as a parent or guardian, that I have filed a petition to change16 ______________________________________________________ s name to 17 ______________________________________________________. If you object to this petition,18 you must file written objections showing cause why the petition for change of name should not19 be granted. Your objections must be filed by ________________. Your objections must be filed20 with the Marion County Circuit Court (mailing address: P.O. Box 12869, Salem, OR 97309-21 0869). If you do not file written objections by the date listed above, the name change will be22 granted without further notice to you. 23 24 Dated____________ _______________________________25 Petitioner/Guardian Ad Litem26 27 28 NOTICE TO PARENT OR GUARDIAN (Minor) - Page 1 of 2 FC (3/1/04)(Form 6M) >>>> 2 1 2 Submitted by: 3 ______________________________________ Attorney/Petitioners Name Bar No. (if any) 4 ______________________________________ 5 Address 6 ______________________________________ City State Zip Phone No. 7 ______________________________________ 8 Trial Attorney if other than above Bar No. 9 Certificate of Document Preparation10 If this document was not completed by an attorney, I hereby certify that the following statements11 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.12 B. G I paid or will pay money to _________________ for assistance in preparing this form/document 13 __________________________14 Signature15 16 17 18 19 20 21 22 23 24 25 26 27 28 NOTICE TO PARENT OR GUARDIAN (Minor) - Page 2 of 2 FC (3/1/04)(Form 6M)