Notice Of Entry Of Order For Name Change {UJS-035}

STATE OF SOUTH DAKOTA COUNTY OF _______________ ) )SS: ) IN CIRCUIT COURT ____________ JUDICIAL CIRCUIT ****************************************************************************** In the Matter of the Petition regarding ) ) CIV.___________ _______________________________ ) (Birth Certificate Name), A Minor Child. ) ) NOTICE OF ENTRY For a Change of Name to ) OF ORDER FOR NAME ) CHANGE OF A MINOR CHILD _______________________________ ) (UNCONTESTED) (Proposed Name) ) ) ****************************************************************************** PLEASE TAKE NOTICE that the Order for Name Change of a Minor Child was entered in the above-entitled matter on the _______ day of ____________________, 20______, by the Honorable ___________________________ and duly filed by the County Clerk of Courts at ________________________________, South Dakota. A certified copy of said Order for Name Change of a Minor Child is attached hereto and served upon you. Dated this ________ day of _______________________, 20____. ____________________________________ Petitioner (Signature) ____________________________________ Print your name ____________________________________ Street address ____________________________________ City, State, ZIP code ____________________________________ Telephone number Page 1 of 1 UJS-035 Notice of Entry of Order For Name Change of Minor Child Rev. 06/2011 American LegalNet, Inc. www.FormsWorkFlow.com