Fill and Sign the In Re the Name Change of Alfindlaw Form

Page 1 of 2 Form TCM -TR3.1 -2 Revised by State Court Administration 10/10 STATE OF INDIANA ) IN THE CIRCUIT COURT ) SS: COUNTY OF ) CASE NO. IN RE THE NAME CHANGE OF: ) ) ) ) Petitioner. ) APPEARANCE BY SELF -REPRESENTED PERSON IN CIVIL CASE This Appearance Form must be filed on behalf of every party in a civil case. 1. My Name is: and I am Initiating (filing) X ; Responding (answering or defending) ; or Intervening ; in this case and am representing myself. 2. Contact information for receiving legal service of documents and case information is required by Court Rules: (NOTE: If you are the Initiating p arty and this case, or a related case, involves a protection from abuse order, a workplace violence restraining order, or a no -contact order, you must provide an address for the purpose of legal service of documents but that address should not be one that exposes the whereabouts of a petitioner.) Address: Email Address: Phone: FAX: OR, if in the related case, you have used the Attorney General Confidential address, you may check the box below: Attorney General confidential address (contact the Attorney General at 1 -800 -321 -1907 or e -mail address is confidential@atg.state.in.US ). 3. This is a case ty pe, as defined in administrative Rule 8(B)(3). 4. I will accept service by FAX at the following number Page 2 of 2 Form TCM -TR3.1 -2 Revised by State Court Administration 10/10 5. This case is a domestic relations matter, involves reciprocal enforcement of support, paternity, delinquency, Child in Need of Services (CHINS), guardianship, or any other proceedings in which support may be an issue, and social security numbers of all family members are supplied on a separately attached document (Form TCM -TR 3. 1 -4) filed this confidential information on light green paper. Yes No 6. There are related cases: Yes No (If yes, please indicate below.) Caption and case number of related cases: Caption: Case Number: Caption: Case Number: Caption: Case Number: Caption: Case Number: Caption: Case Number: Caption: Case Number: 7. Additional information required by local rule: Self -Represent ed Party