Notice of Hearing on Petition for Name Change Approved November 19, 2004 Revised May 14, 2019 Page 1 of 3 Name Address City, State, Zip Phone Email I am the [ ] Petitioner [ ] Attorney for the Petitioner and my Utah Bar number is In the District Court of Utah Judicial District County Court Address In the Matter of the Name Change of: A minor. Notice of Hearing on Petition for Name Change Case Number Judge 1. I filed a petition with this court asking it to order that the name of (current first, middle and last legal name of minor), born on birth date), be changed to (proposed new first, middle and last name of minor). A copy of my petition is attached. 2 . The court has scheduled a hearing at the following date and time. El tribunal ha prog ramado una audiencia en la fecha y hora que sigue. Courthouse Address (Direcci363n del tribunal): American LegalNet, Inc. www.FormsWorkFlow.com Notice of Hearing on Petition for Name Change Approved November 19, 2004 Revised May 14, 2019 Page 2 of 3 Date (Fecha): Time (Hora): [ ] a.m. [ ] p.m. Room (Sala): Judge (Juez): 3. Objections to granting the petition should be filed in writing with the clerk of this court, and a copy should be mailed, emailed or hand delivered to me at my address, listed above. Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com Notice of Hearing on Petition for Name Change Approved November 19, 2004 Revised May 14, 2019 Page 3 of 3 Certificate of Service I certify that I filed with the court and am serv ing a copy of this Notice of Hearing on Petition for Minor s Name Change on the following people. Service Method Service Address Service Da te Offender Registration Program (if applicable) [ ] Mail [ ] Email 14717 South Minuteman Dr Draper, UT 84020 registry@utah.gov (Interested party or attorn ey) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com