1 2 3 4 IN THE CIRC UIT 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 ) PROOF OF POSTING __________________________________________ ) NOTICE OF PETITION11 ) FOR CHANGE OF NAME __________________________________________ ) 12 (Proposed Name(s) of Minor Child/ren) ) ) 13 __________________________________________ ) (Petitioner/Guardian Ad Litem) ) 14 STATE OF OREGON ) 15 ) ss. County of Marion ) 16 I, ___________________, being first duly sworn, do hereby declare and say: on17 ______________________________, I posted written notice of this petition to change the18 child/rens name(s) on the bulletin board at the Marion County courthouse. The notice remained19 posted until ___________________________. 20 _______________________________21 Petitioner 22 SIGNED AND SWORN to before me on ________________________________. 23 _____________________________________________________24 Deputy Court Administrator/Notary Public for the State of ______ My commission expires: _________________________________25 26 27 28 PR OOF OF POST ING NOTICE OF PET ITI ON FOR C HAN GE OF NAME - Page 1 of 2 FC(3/1/04) (Form 14M)>>>> 2 1 Submitted by: 2 ______________________________________ Attorney/Petitioners Name Bar No. 3 ______________________________________ 4 Address 5 ______________________________________ City State Zip Phone No. 6 ______________________________________ 7 Trial Attorney if other than above Bar No. 8 Certificate of Document Preparation 9 If this document was not completed by an attorney, I hereby certify that the following statements10 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.11 B. G I paid or will pay money to _________________ for assistance in preparing this form/document 12 __________________________13 Signature14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PR OOF OF POST ING NOTICE OF PET ITI ON FOR C HAN GE OF NAME - Page 2 of 2 FC(3/1/04) (Form 14M)