Oregon > Local County > Marion > Circuit Court > Probate > Name Change
Petition For Change Of Name 1 - Oregon
| Petition For Change Of Name Form. This is a Oregon form and can be used in Name Change Probate Circuit Court Marion Local County . |
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1 2 3 IN THE CIRC UIT COURT OF THE STATE OF OREGON 4 FOR THE THIRD JUDICIAL DISTRICT 5 6 In the Matter of the Change of Name of: ) ) 7 __________________________________________ ) Case No: _____________ (Present Name) Petitioner ) 8 ) PETITION FOR to:_________________________________________ ) CHANGE OF NAME 9 (Proposed New Name) ) 10 1. 11 I, petitioner, request a judgment changing my name as set forth in the title of this petition.12 2. 13 I am age 18 or older and I reside in Marion County. 14 3. 15 I am requesting this name change because: _____________________________________ 16 ______________________________________________________________________________ 17 ______________________________________________________________________________ 18 _______________________________19 Petitioner STATE OF OREGON ) 20 ) ss. County of Marion ) 21 22 I, ___________________, being first duly sworn, do hereby declare and say that I am the petitioner in this case; I have read this petition and know its contents, and I believe it to be true.23 _______________________________ 24 Petitioner 25 SIGNED AND SWORN to before me on ____________________________. 26 ___________________________________________________________ Deputy Court Administrator/Notary Public for the State of Oregon______27 My commission expires: _______________________________________ 28 PETITION FOR CHANGE OF NAME - Page 1 of 2 FC(3/1/04)(Form 1)<<<<<<<<<********>>>>>>>>>>>>> 2 1 Submitted by: 2 ______________________________________ Attorney/Petitioners Name Bar No. (if any) 3 ______________________________________ 4 Address 5 ______________________________________ City State Zip Phone No. 6 ______________________________________ 7 Trial Attorney if other than above Bar No. 8 Certificate of Document Preparation 9 If this document was not completed by an attorney, I hereby certify that the following statements10 are true: (check all boxes and complete all blanks that apply) A. G I selected this document for myself, and I completed it without paid assistance.11 B. G I paid or will pay money to _________________ for assistance in preparing this form/document 12 __________________________ 13 Signature 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PETITION FOR CHANGE OF NAME - Page 2 of 2 FC(3/1/04)(Form 1)
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