22-02E (11/13) General Judgment of Name Change -- No Posting Reuqired (ACP) FORM 5 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF MULTNOMAH In the Matter of the Change of Name of: Case No: Your Present Name Last, First, Middle Petitioner GENERAL JUDGMENT OF to NAME CHANGE (ACP) - N o P osting R equired Your New Name Last, First, Middle This matter came before the Court on the Petition of the applicant named above. The Court finding that Petitioner is an adult and a certified participant in the Address Confidentiality Program under ORS 192.826, and that the name change does not contravene the public interest, IT IS HEREBY ORDERED AND ADJUDGED: 1. Certificate of Document Preparation . Check all that apply: I chose this form for myself and completed it without paid help. A legal help organization helped me choose or complete this form, but I did not pay money to anyone. I paid(or will pay) for help choosing, completing, or reviewing this form.d American LegalNet, Inc. www.FormsWorkFlow.com