Fill and Sign the Michigan Publication Name Change Form

STATE OF MICHIGAN PROBATE COURT       COUNTY CIRCUIT COURT - FAMILY DIVISION PUBLICATION OF NOTICE OF HEARING ON NAME CHANGE FILE NO.       In the matter of       Take Notice: On       at       m. in the Circuit Court Date Time       , Michigan, before Honorable       , Judge of Circuit Court – Family Division, a hearing will be held on the petition for change of name of       to             to             to             to             to       This change of name is not sought for fraudulent intent.       Date             Attorney Name (type or print) Petitioner Name (type or print)             Address Address             City, State, Zip Telephone No. City, State, Zip PUBLISH ABOVE INFORMATION ONLY Publish       time(s) in       in       County Name of Publication Furnish       copies to       Furnish Affidavit of Publication to the Circuit Court. Furnish statement of publication charges to       *NOTE TO PREPARER: If there is an Interested Person whose address is unknown and cannot be ascertained after diligent inquiry, insert immediately after the entitlement of the matter, “To [name of interested person] whose address(es) is(are) unknown and whose interest in this matter may be barred or affected by the following:”. Do not write below this line – For court use only