Fill and Sign the Objection Name Change Form

IN DISTRICT COURT, __________________ COUNTY, NORTH DAKOTA In Re Petition of _____________________ for Leave to Change his/her Minor Child’s Surname Case No. __________ AFFIDAVIT REGARDING PUBLICATION AND OBJECTION ______________________________________________________________________________ ______________________________ , being first duly sworn, on oath deposes and states as follows: 1. That he/she is the Petitioner in the above-entitled action. 2. That publication of the petitioner’s intent to request the change name was made in the ________________________________________________ newspaper, in ____________ , North Dakota on the ______ day of __________________ , 20 ______ . An Affidavit of Publication has been presented to the Court. 3. That said publication requested any objections to the Petitioner’s request to change name be made to this attorney. 4. That as of this date, no/the following objection was received by the Petitioner: ______________________________ nor/and he/she does/does not have any knowledge of any objection being made to anyone. Dated: ______________________ ____________________________________ P ETITIONER       Print or Type Name Subscribed and sworn to before me this ______ day of __________________ , 20 ______ . ____________________________________ Notary Public State of North Dakota County of _____________________ My Commission Expires: __________________