Fill and Sign the Fillable Online Request for Hearing on Petition for Name Change Form

Reply to Victim’s Statement or Prosecutor’s Statement or AP&P Response Approved Board of District Court Judges July 16, 2010 Revised May 9, 2017 Page 1 of 3 Name Address City, State, Zip Phone Email I am the [ ] Petitioner [ ] Attorney for the Petitioner and my Utah Bar number is __ ____ __ _ In the [ ] District [ ] Justice Court of Utah __________ Judicial District ________________ Count y Court Address ______________________________________________________ In Re Petition to Expunge the Records of _____________________________________ Petitioner Reply to Victim’s Statement or Prosecutor’s Statement or AP&P Response _____________________ __________ Case Number _______________________________ Judge Instructions: You may file a Reply only if the vict im or the prosecutor has filed a statement or if Adult Probation and Parole has filed a response . This form is optional. You may file it, but y ou do not have to. If you file this form, you must do so within 1 4 days after the victim’s statement or the prosecutor’s statement or the AP&P response was served on you. I say as follows: (1) Statement made by the prosecutor, victim or Adult Probation and Parole that I disagree with: Reply to Victim’s Statement or Prosecutor’s Statement or AP&P Response Approved Board of District Court Judges July 16, 2010 Revised May 9, 2017 Page 2 of 3 (2 ) I disagree because: I have not included any non -public information in this document. I declare under penalty of Utah Code Section 78B -5-705 that everything stated in this document i s true . Sign here ► Date Typed or Printed Name Reply to Victim’s Statement or Prosecutor’s Statement or AP&P Response Approved Board of District Court Judges July 16, 2010 Revised May 9, 2017 Page 3 of 3 Certificate of Service I certify that I served a copy of this Reply to Victim’s Statement or Prosecutor’s Statement or AP&P Response on the following people. Person’s Name Method of Service Served at this Addr ess Served on this Date (Prosecutor ) [ ] Mail [ ] Hand Delivery [ ] E -filed [ ] Email (Person agreed to service by email.) [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) (Victim ) (if victim has filed statement) [ ] Mail [ ] Hand Delivery [ ] E -filed [ ] Email (Person agreed to service by email.) [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) (AP&P) (if AP&P has filed response) [ ] Mail [ ] Hand Delivery [ ] E -filed [ ] Email (Person agreed to service by email.) [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) Date Sign here ► Typed or printed name