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Fill and Sign the Notice Name Change 497313383 Form

Fill and Sign the Notice Name Change 497313383 Form

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IN THE CIRCUIT COURT OF ____________ COUNTY, MISSOURI AT ________________________ In Re the Petition of:       )       )       )       )       )       ) CASE NO.       ) For a Change of Name to: ) )       )       )       )       )       )       ) ) IN THE CIRCUIT COURT IN AND FOR THE COUNTY OF __________________ STATE OF MISSOURI PUBLIC NOTICE PUBLIC NOTICE is hereby given that ______________________________ has received an order from the Circuit Court of ____________ County allowing the Petitioners, and their minor children to legally change his/her name as follows: From To Petitioners:                         Minor Children:                                                 This Order shall take effect after this Notice has been given at least three times in a newspaper published in the county where such person is residing, within twenty days after the order of court is made, and if no newspaper is published in his or any adjacent county, then such notice shall be given in a newspaper published in the city of St. Louis, or at the seat of government. The Order was signed on the ______ day of __________________ , 20 ______ , at __________________ A.M./P.M. DATED this ______ day of __________________ , ______ . ______________________________ Petitioner WITNESS my hand and seal of said District Court this ______ day of ____________ , 20 ______ . ______________________________ Clerk or Deputy Clerk

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