Fill and Sign the Affidavit Regarding Name Form

IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR __________ COUNTY PROBATE DEPARTMENT In the Matter of the Change of Name of: ) )       ) Case No.: ____________ ) )       ) ) ) AFFIDAVIT RE POSTING       ) NOTICE OF NAME CHANGE (Present Name(s) of Minor Child/ren) ) ) To: ) )       ) ) )       ) ) )       ) (Proposed Name(s) of Minor Child/ren) ) ) )       ) (Petitioner/Guardian Ad Litem) ) STATE OF OREGON ) ) ss. County of _______________ ) I, ___________________ , being first duly sworn, do hereby declare and say: on ______________________________ , I posted written notice the decree changing the name(s) of _________________________________ , dated ________________ , on the bulletin board at the ________ County courthouse. The notice that I posted is attached. _______________________________ Petitioner/Guardian Ad Litem SIGNED AND SWORN to before me on ___________________ . ______________________________ Court Clerk/Notary Public for the State of Oregon My commission expires: Submitted by:       Attorney/Petitioner’s Name Bar No. (if any)       Address       City State Zip Phone No.       Trial Attorney if other than above Bar No. Certificate of Document Preparation 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) A. I selected this document for myself, and I completed it without paid assistance. B. I paid or will pay money to _________________ for assistance in preparing this form/document __________________________ Signature