Fill and Sign the Affidavit Support Motion Form

      (Name)       (Address)       (City)       (Telephone)       DISTRICT COURT,       COUNTY, UTAH COURT’S ADDRESS:       IN THE MATTER OF THE NAME CHANGE OF:       , (minor’s name) PETITIONER’S AFFIDAVIT IN SUPPORT OF MOTION TO WAIVE SERVICE A minor. Case No. ____________________ Judge _______________________ Petitioner states as follows: 1. I ask that the Court not require service of the Summons and Petition for Name Change in this matter because:                               Minor’s Name Change: Affidavit in Support of Motion to Waive Service, p. 1 Approved: November 19, 2004 DATED:       ____________________________________ Petitioner NOTARY CLAUSE       , Petitioner, is personally known to me or presented satisfactory proof of identity to me. After being sworn and while under oath, Petitioner stated that he or she was acting voluntarily, had read and understood the preceding document, and that the contents were true. Petitioner then signed the document in my presence. Signed on       , 20    . X_________________________________________ Notary Public/Court clerk (Notary Seal) Minor’s Name Change: Affidavit in Support of Motion to Waive Service, p. 2 Approved: November 19, 2004