Fill and Sign the Mt Name Change Form

      (your name)       (your street address)       (city, state, zip code)       (your phone number) MONTANA       JUDICIAL DISTRICT COURT, (number of district in which your county is located)       COUNTY (name of your county) ) Your Case No. In the Matter of the Name Change of, ) ) PROOF OF PUBLICATION       , ) (your current legal name) ) ) Petitioner. ) being first duly sworn deposes and says , that the above named is a representative of The ______________________________ , the publishers of The ______________________________ , a daily newspaper of general circulation, printed and published in the City of _______________ , County of _______________ , State of Montana, and that the subjoined a copy of which as printed is hereto attached, was printed and published in the regular and entire issue of said ______________________________ . _____________________________________ Signature STATE OF MONTANA ) County of       ) On this ______ day of ____________ , 20 ______ before me, a notary public in and for said state, personally appeared ______________________________ known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same. ___________________________________ Notary Public for the State of Montana Residing at _______________, Montana My commission expires:_______________ - 1 -