Notice Of Name Change Judgement

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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: __________
(Former Name(s) of Minor Child/ren)
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NOTICE OF NAME
__________________________________________
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CHANGE JUDGMENT
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__________________________________________
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(New Name(s) of Minor Child/ren)
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__________________________________________
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(Petitioner/Guardian Ad Litem)
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TO ALL INTERESTED PERSONS:
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This notice is posted to advise all persons that a judgment was entered in this case
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on_____________________changing the name(s) of ___________________________________
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___________________________________to_________________________________________
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___________________________________.
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Dated_______________
_______________________________
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Petitioner/Guardian Ad Litem
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NOTICE OF NAME CHANGE JUDGMENT - Page 1 of 2
FC(3/1/04)(Form 16M)

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