Oregon > Local County > Polk > Circuit Court > Civil
Proof Of Posting Notice Of Change Of Name Judgment - Oregon
| Proof Of Posting Notice Of Change Of Name Judgment Form. This is a Oregon form and can be used in Civil Circuit Court Polk Local County . |
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IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF POLK In the Matter of the Change of Name of: ________________________________ to: _____________________________ (Proposed New Name) ) ) ) ) ) ) ) Case No: _______________ PROOF OF POSTING NOTICE OF CHANGE OF NAME JUDGMENT STATE OF OREGON County of Polk (new name) ) ) ss. ) I, ____________________________, being first duly sworn, do hereby declare and say: On _______________, 20____, I posted written notice of the judgment changing my name, (date notice posted) dated _______________, 20____ in a public place, namely __________________________________ (date of judgment) (name & location of public place) with instructions not to remove the notice until after ________________________, 20___. (14 days from posting) ___________________________________ Petitioner with New Name SIGNED AND SWORN to before me this _______day of ____________________________, 20____. __________________________________ Notary Public for ___________________/Court Clerk My commission expires:______________ Submitted by: ______________________________________ OSB No. (if any) ______________________________________ Address ______________________________________ City State Zip Phone No. _________________________________________ Trial Attorney (if different) & OSB No. . tnemucod sih t g iraperp ni ecna t issa n s _______________________________________ ro f .B o t y nom y p lli w ro diap I e a .e s e cna t issa diap t oh t w t de t lpmoc u i i .A m n c I dna ,f es y ro f t emucod sih t de t eles I l a e o ). ylppa t h t sknalb lla e t lpmoc dna se x b lla kcehc( :eur t era s t eme t t g i w llo f eh t t h t yfi t ec y ereh n as n o a r b e a b e o n I ,y nro tt na y de t lpmoc t n sa w t emucod sih t fI noi t raperP t emucoD fo e t ci f t eC a n a ir eru t n giS a _________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com 0102/90 gnitsoP fo foorP
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