Oregon > Local County > Marion > Circuit Court > Probate > Name Change
Petition For Change Of Name 1M - 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 CIRCUIT COURT OF THE STATE OF OREGON 4 FOR THE THIRD JUDICIAL DISTRICT 5 6 In the Matter of the Change of Name of: ) ) 7 __________________________________________ ) ) 8 __________________________________________ ) Case No: __________ (Present Name(s) of Minor Child/ren) ) 9 ) PETITION FOR __________________________________________ ) CHANGE OF NAME10 ) __________________________________________ ) 11 (Proposed Name(s) of Minor Child/ren) ) ) 12 __________________________________________ ) (Petitioner/Guardian Ad Litem) ) 13 1. 14 I, petitioner, am the ____________________ (describe relationship) of the child/ren15 named in this petition. The date(s) of birth of the child/ren is/are: ________________________16 _____________________________________________________________________________ 17 (fill in name and date of birth of each child). 18 2. 19 I request a judgment changing the name(s) of the child/ren as set forth in the title of this20 petition. 21 3. 22 I am 18 years old or older. The child/ren reside(s) in Marion County. 23 24 4. 25 I am requesting this name change because: _____________________________________26 _____________________________________________________________________________ 27 _____________________________________________________________________________ 28 PETITION FOR CHANGE OF NAME - Page 1 of 3 FC (3/1/04)(Form 1M) <<<<<<<<<********>>>>>>>>>>>>> 2 1 5. 2 (Check the box that applies): 3 G Both parents of the child/ren are living. OR 4 G The____________________ (mother, father, or parents) of 5 _______________________ (name(s) of child/ren) is/are deceased. 6 6. 7 (Check the box that applies): 8 G The child/ren does/do not have any legal guardian other than his/her/their parents. 9 OR 10 G The legal guardian(s) of ___________________________ (name(s) of child/ren)11 is/are ___________________________ (name(s) of guardian(s)).12 7. 13 G I am not one of the parents of the child/ren. I request that I be appointed Guardian Ad14 Litem for the child/ren in this proceeding. 15 16 _______________________________ Petitioner/Guardian Ad Litem17 STATE OF OREGON ) 18 ) ss. County of Marion ) 19 20 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.21 _______________________________22 Petitioner 23 SIGNED AND SWORN to before me on _____________________________.24 _____________________________________________________ Deputy Court Administrator/Notary Public for the State of ______25 My commission expires: _________________________________ 26 27 28 PETITION FOR CHANGE OF NAME - Page 2 of 3 FC (3/1/04)(Form 1M)<<<<<<<<<********>>>>>>>>>>>>> 3 1 Submitted by: 2 ______________________________________ 3 Attorney/Petitioners Name Bar No. (if any) 4 ______________________________________ Address 5 ______________________________________ 6 City State Zip Phone No. 7 ______________________________________ Trial Attorney if other than above Bar No. 8 9 Certificate of Document Preparation10 If this document was not completed by an attorney, I hereby certify that the following statements are true: (check all boxes and complete all blanks that apply)11 A. G I selected this document for myself, and I completed it without paid assistance. B. G I paid or will pay money to _________________ for assistance in preparing this12 form/document 13 __________________________ Signature14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PETITION FOR CHANGE OF NAME - Page 3 of 3 FC (3/1/04)(Form 1M)
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