Notice Of Hearing Regarding Application For Change Of Name
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For Clerk’s Use Only
Person Filing Document:
___________________________________________
Mailing Address:
___________________________________________
City, State, Zip:
___________________________________________
Day/Evening Phone:
___________________________________________
ATLAS Number (if applicable)
___________________________________________
Attorney Bar Number (if applicable___________________________________________
Represented by:
Self or
Attorney
SUPERIOR COURT OF ARIZONA
MOHAVE COUNTY
In the Matter of:
Case Number:
NOTICE OF HEARING REGARDING
APPLICATION FOR CHANGE OF NAME
Name(s) of person(s) requesting name change
.
READ THIS NOTICE CAREFULLY
An important court proceeding that affects your rights has been
scheduled. If you do not understand this Notice or the other court papers, contact an attorney for legal advice.
1.
NOTICE:
An Application for Change of Name has been filed with the Court by the person(s) named above.
A hearing has been scheduled where the Court will consider whether to grant or deny the requested change. If
you wish to be heard on this issue, you must appear at the hearing at the date and time indicated below.
2.
COURT HEARING
. A court hearing has been scheduled to consider the Application as follows:
DATE:
TIME:
BEFORE:
Judge/Commissioner ____________________
Judge/Commissioner ____________________
401 E. Spring Street
2225 Trane Road
Courtroom
_____________________
Courtroom
____________________
Kingman, AZ 86401
Bullhead City, AZ 86442
Judge/Commissioner ____________________
2001 College Drive
Courtroom
____________________
Lake Havasu City, AZ 86403
DATED:
Applicant's Signature
(Month/Day/Year)
10/16/2006
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