Proof Of Posting Notice Of Change Of Name Judgment
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Proof Of Posting Notice Of Change Of Name Judgment Form. This is a Oregon form and can be use in Polk Local County.
Tags: Proof Of Posting Notice Of Change Of Name Judgment, Oregon Local County, Polk
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF POLK
In the Matter of the Change of Name of:
________________________________
to: _____________________________
(Proposed New Name)
STATE OF OREGON
County of Polk
)
)
)
)
)
)
)
Case No: _______________
PROOF OF POSTING
NOTICE OF CHANGE
OF NAME JUDGMENT
)
) ss.
)
I, ____________________________, being first duly sworn, do hereby declare and say:
(new name)
On _______________, 20____, I posted written notice of the judgment changing my name,
(date notice posted)
dated _______________, 20____ in a public place, namely __________________________________
(date of judgment)
(name & location of public place)
with instructions not to remove the notice until after ________________________, 20___.
(14 days from posting)
___________________________________
Petitioner
with New Name
SIGNED AND SWORN to before me this _______day of ____________________________, 20____.
__________________________________
Notary Public for ___________________/Court Clerk
My commission expires:______________
______________________________________
Address
______________________________________
City
State
Zip
Phone No.
_________________________________________
Trial Attorney (if different) & OSB No.
. tnemucod sih t g iraperp ni ecna t issa
n
s
_______________________________________
ro f
.B
o t y nom y p lli w ro diap I
e
a
.e
s
e
cna t issa diap t oh t w t de t lpmoc
u
i
i
.A
m
n
c
I dna ,f es y ro f t emucod sih t de t eles I
l
a
e
o
). ylppa t h t sknalb lla e t lpmoc dna se x b lla kcehc(
:eur t era s t eme t t g i w llo f eh t t h t yfi t ec y ereh
n
as n o
a
r
b
e
a
b
e
o
n
I ,y nro tt na y de t lpmoc t n sa w t emucod sih t fI
noi t raperP t emucoD fo e t ci f t eC
a
n
a i r
Submitted by:
______________________________________
OSB No. (if any)
eru t n giS
a
_________________________________________
0102/90
gnitsoP fo foorP
American LegalNet, Inc.
www.FormsWorkFlow.com
