____________________________ (Name) _____________________________ (Address) _____________________________ (City) _____________________________ (Telephone) ____________ DISTRICT COURT, ______________________ COUNTY, UTAH COURT’S ADDRESS: _____________________________________________________ IN THE MATTER OF THE NAME CHANGE OF: NOTICE OF HEARING ON PETITION FOR NAME CHANGE ______________________________, (petitioner’s name) Case No. ____________________ Petitioner. Judge _______________________ 1. I am the petitioner in this case. I have asked this Court for an order changing my name to _________________________________. A copy of my Petition for Name Change is attached. (your proposed new name) 2. A hearing on the petition will be held before the Honorable ____________________, (judge’s name) District Court Judge, in courtroom number ___________, in the district court located at the address shown above, on the _______ day of ________________, 20_____, at _____ a.m./p.m.3. If you have any objections to granting the Petition, file them in writing with the clerk of Name Change: Notice of Hearing, p. 1 Approved: November 19, 2004 American LegalNet, Inc. www.USCourtForms.com this Court, and mail a copy to me at my address, shown above. DATED: ____________________________ ____________________________________ Petitioner CERTIFICATE OF DELIVERY On __________________________, I [ ] hand delivered, [ ] mailed by first class mail, (date) postage prepaid, a copy of the NOTICE OF HEARING ON PETITION FOR NAME CHANGE, along with a copy of the PETITION FOR NAME CHANGE, to: Name: Address: Name: Address: Name: Address: Name Address: ____________________________________ Petitioner Name Change: Notice of Hearing, p. 2 Approved: November 19, 2004 American LegalNet, Inc. www.USCourtForms.com