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Petition For Change Of Name Form. This is a Oregon form and can be use in Marion Local County.
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Tags: Petition For Change Of Name, 1M, Oregon Local County, Marion
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IN THE CIRCUIT COURT OF THE STATE OF OREGON
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FOR THE THIRD JUDICIAL DISTRICT
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In the Matter of the Change of Name of:
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__________________________________________
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__________________________________________
(Present Name(s) of Minor Child/ren)
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__________________________________________
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__________________________________________
(Proposed Name(s) of Minor Child/ren)
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__________________________________________
(Petitioner/Guardian Ad Litem)
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Case No: __________
PETITION FOR
CHANGE OF NAME
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1.
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I, petitioner, am the ____________________ (describe relationship) of the child/ren
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named in this petition. The date(s) of birth of the child/ren is/are: ________________________
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_____________________________________________________________________________
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(fill in name and date of birth of each child).
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2.
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I request a judgment changing the name(s) of the child/ren as set forth in the title of this
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petition.
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3.
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I am 18 years old or older. The child/ren reside(s) in Marion County.
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4.
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I am requesting this name change because: _____________________________________
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_____________________________________________________________________________
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_____________________________________________________________________________
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PETITION FOR CHANGE OF NAME - Page 1 of 2
FC (1/1/08)(Form 1M)
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(Check the box that applies):
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G
Both parents of the child/ren are living. OR
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G
The____________________ (mother, father, or parents) of
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_______________________ (name(s) of child/ren) is/are deceased.
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6.
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(Check the box that applies):
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G
OR
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The child/ren does/do not have any legal guardian other than his/her/their parents.
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The legal guardian(s) of ___________________________ (name(s) of child/ren)
is/are ___________________________ (name(s) of guardian(s)).
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G I am not one of the parents of the child/ren. I request that I be appointed Guardian Ad
Litem for the child/ren in this proceeding.
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I hereby declare that the above statement is true to the best of my knowledge and belief, and
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that I understand it is made for use as evidence in court and is subject to penalty for perjury.
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_______________________________
Petitioner/Guardian Ad Litem
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Submitted by:
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____________________________________________________________________________
Attorney/Petitioner’s Name
Address
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____________________________________________________________________________
City
State
Zip Phone No.
If Attorney: Bar No.
E-mail
Fax
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Certificate of Document Preparation
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If this document was not completed by an attorney, I hereby certify that the following statements
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.
B. G I paid or will pay money to _________________ for assistance in preparing this
form/document
__________________________
Signature
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PETITION FOR CHANGE OF NAME - Page 2 of 2
FC (1/1/08)(Form 1M)
American LegalNet, Inc.
www.FormsWorkflow.com
