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Fill and Sign the State of Indiana in the Court Ss in Re the of Form

Fill and Sign the State of Indiana in the Court Ss in Re the of Form

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Page 1 of 1 Form PS -34282 -9 Approved by State Court Administration 12/10 STATE OF INDIANA ) IN THE CIRCUIT COURT ) SS: COUNTY OF ) CASE NO. IN RE CHANGE OF ) NAME OF MINOR: ) ) ) ) Petitio ner. ) NOTICE OF HEARING Notice is hereby given that Petitioner , pro se, filed a Verified Petition for Change of Name of Minor to change the name of minor child from to . The pe tition is scheduled for hearing in the Circuit Court on , 20 , at o’clock a.m., which is more than thirty (30) days after the third notice of publicati on. Any person has the right to appear at the hearing and to file written objections on or before the hearing date. The parties shall report to . Date Clerk o f ____________ Circuit Court Distribution: Print Your Name Mailing Address Town, State and Zip Code Telephone Number, with Area Code

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