COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : Plaintiff(s) -against- Calendar No. JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... YAKIMA COUNTY DISTRICT COURT THE PEOPLE OF THE STATE OF NEW YORK In the Matter of the Change of Name of: TO NO.:_________________________________ _____________________________________, [Print legibly or type your minor child’s name ORDER CHANGING NAME here] [MINOR] GREETINGS: Petitioner By: _________________________________,and excuses being laid aside, you and each of you attend before WE COMMAND YOU, that all business Parent/Legal Guardian at the , the Honorable Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a I. BASISthis action on the part of the witness in 1.1 A verified Petition was filed with the Court by a parent or guardian of the above named minor child requesting that the name of: is punishable as a contempt of court and will make you liable to Your failure to comply with this subpoena the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a be changed to result of your failure to comply. 1.2 A hearing was held on the date written below at which the Court ,took of the Justices of the Witness, Honorable one testimony under oath. Court in County, day of , 20 1.3 The minor is Corrections. is not subject to the jurisdiction of the Washington Sate Department of 1.4 The minor is Washington. is not subject to the sex offender registration laws of the State of (Attorney must sign above and type name below) II. FINDINGS Attorney(s) for Based on the case record to date and the testimony at the hearing, the Court finds: 2.1 The statements in the Petition are true. Office and P.O. Address ORDER NAME CHANGE – MINOR 5/2004 Page 1 of 2 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) 2.2 Calendar No. : JUDICIAL SUBPOENA The minor is subject to the sex offender registration laws of the State of Washington. : The Court finds the-againstname change would not interfere with legitimate law enforcement interests, or that the Petition was made for religious or legitimate cultural reasons or in : recognition of marriage or dissolution of marriage. The minor is subject to the jurisdiction of the Washington State Department of : Corrections. The Court finds the name change would not interfere with legitimate penoligical interest, or that the Petition was made for religious or legitimate cultural reasons Defendant(s) : . . . . . .or.in. recognition .of.marriage. or . . . . . . . . . . .of.marriage. . . . . . . . . . . . . . . . . . . . . . . dissolution . . . . . . . . . 2.3 The Petition for Change of Name is not made for any illegal or fraudulent purpose. THE PEOPLE OF THE STATE OF NEW YORK 2.4 The Petition for Change of Name will not be detrimental to the interest of any other person. TO 2.5 Parental notice: Both parent or legal guardians of the minor child consented to the name change in open court or by verified written statement made under penalty of perjury; GREETINGS: parent or legal guardian who has not consented to the change of minor’s name was The notified of this hearing as provided in L-CRLJ 65(b). The non-consenting parent did WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before did not appear at the hearing. , the Honorable non-consenting parent’s legal rights the previously terminated by court order and at were Court The located at County of no notification is required. in room , on the day of , 20 , at o'clock in the noon, and at any recessed III. ORDER or adjourned date, to testify and give evidence as a witness in this action on the part of the It is ORDERED: 3.1 The name of Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the partychanged to is on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. for all purposes. Witness, Honorable , one of the Justices of the Court in day of , 20 3.2 Petitioner shallCounty, a copy of this Order within five days to the Washington State provide Department of Corrections is (s)he is subject to the jurisdiction of that Department. Petitioner shall provide a copy of this order within five days to the Yakima County Sheriff’s Office and the Washington State Patrol if (s)he is subject to the sex offendertype name below) (Attorney must sign above and registration laws of this state. FAILURE TO ABIDE BY THIS SECTION IS A CRIME PUNISHABLE BY JAIL AND FINES. Attorney(s) for Date JUDGE/COURT COMMISIONER I do hereby certify that the foregoing instrument is a true and correct copy of the original now on file Office and P.O. Court, in Witness Whereof, I in Yakima District Address hereby set my hand this _______ day of __________________, 20_______ By: _____________________________________________, Deputy Clerk ORDER NAME CHANGE – MINOR 5/2004 Page 2 of 2 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com