OBJECTION TO NAME CHANGE OF MINOR AND REQUEST FOR HEARING

IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF CLACKAMAS Probate Department CASE NO. 20CV45568 OBJECTION TO NAME CHANGE OF MINOR AND REQUEST FOR HEARING In the Matter of the Name Change of: (PRINT Present Name of Minor Child) Kayden Jay Herrera From the Above Name to: Kayden Jay Workman (PRINT Proposed New Name of Minor Child) Nicholas Wise obo DHS (PRINT Full Name of Proposed Guardian Ad Litem) I HEREBY give notice of my objection to the Petition for Change of Name of a Minor in this matter, and I request a hearing. 1. My relationship to the minor child is: ______________________________________ 2. My objection(s) is/are: ________________________________________________ ____________________________________________________________________ ____________________________________________________________________ (Add another sheet is needed, be sure case number appears on all sheets and that additional sheets are numbered) Dated this ____ day of ________________, _________. __________________________________________________________________ Signature Printed Name __________________________________________________________________ Address or Contact Address State, City, Zip Phone Number IMPORTANT NOTICE: The original is to be filed with the Court and a copy mailed by you to the Guardian Ad Litem, Your phone number and mailing address are required. A filing fee is required to at the time of filing your objection. Published Feb. 23, Mar. 2, 9 & 16, 2021. BT192617

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