Fillable Adult Name Change- Noticeof Hearingby Mail IN THE

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Adult Name Change- Noticeof Hearingby Mail IN THE

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KSJC 12/2010 Page 1 of 2
IN THE EIGHTEENTH JUDICIAL DISTRICT
DISTRICT COURT OF SEDGWICK COUNTY, KANSAS
Case No. _____________
Div. No. _____________
PURSUANT TO K.S.A. CHAPTER 60
NOTICE OF HEARING - MAIL
____________ [DATE]
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
___________________________________ [Company, Business or Firm]
___________________________________ [Address]
___________________________________ [City, State, Zip]
Re: _________________________________________ [Petitioner’s Full Name]
__________________________________________[Account No.]
Dear:_____________________________
Please take notice that the above-referenced individual filed a Petition in Sedgwick County
District Court, Sedgwick County, Kansas, on _________________________, 20_____, to change
his/her legal name from ______________________________________________________ to
___________________________________________.
The Petition will be heard in Sedgwick County District Court, Sedgwick County Courthouse,
525 N Main, Wichita, Kansas, on the _____day of _____________________, 20_____, at ____:____
a.m. p.m.
If you have any objection to the requested name change, you are required to file a responsive
pleading or appear at the hearing and object to the requested name change. If you fail to act,
judgment and order will be entered upon the Petition as requested by Petitioner.
Very truly yours,
_________________________________________
IN THE MATTER OF THE PETITION OF
Present Name
To Change His/Her Name to:
New Name
KSJC 12/2010 Page 2 of 2
Petitioner, Pro Se
Name (Print): ______________________________
Address 1: ________________________________
Address 2: ________________________________
City, State, Zip: ____________________________
Telephone Number: _________________________
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Completed 21 July 2020

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