Proof Of Mailing Notice Of Petition For Change Of Name
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IN THE CIRCUIT COURT OF THE STATE OF OREGON
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FOR THE THIRD JUDICIAL DISTRICT
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In the Matter of the Change of Name of:
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__________________________________________
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__________________________________________
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Case No: __________
(Present Name(s) of Minor Child/ren)
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PROOF OF MAILING
__________________________________________
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NOTICE OF PETITION
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FOR CHANGE OF NAME
__________________________________________
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(Proposed Name(s) of Minor Child/ren)
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__________________________________________
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(Petitioner/Guardian Ad Litem)
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STATE OF OREGON
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) ss.
County of Marion
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I, _________________________, being first duly sworn, do hereby declare and say: on
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______________________________, I mailed written notice of the petition and a copy of the
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petition to change the child/ren’s name(s) to______________________________, who is the
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_______________________(relationship) of the child/ren. The return receipt from the post
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office and the notice that I mailed are attached.
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_______________________________
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Petitioner
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SIGNED AND SWORN to before me on _______________________________.
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______________________________________________________
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Deputy Court Administrator/Notary Public for the State of_______
My commission expires:__________________________________
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PRO OF O F M AILIN G N OTIC E OF PETIT ION FOR CH AN GE O F NA ME - Page 1 of 2 FC(3/1/04)(F orm 7M)
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