VERIIFED PETITION FOR CHANGE OF NAME OF MINOR CASE NO. 20C01-1602-MI-048 IN THE ELKHART CIRCUIT COURT FOR THE STATE OF INDIANA, COUNTY OF ELKHART, SS: IN RE CHANGE OF NAME OF MINOR: Jayla Adalia Pedroza Petitioner, Claudia Pedroza Petitioner, Claudia Pedroza, pre se, respectfully petitions this Court to Change the Name of the above-noted child. In support of this Petition, Petitioner states as follows: 1.Petitioner is the mother/guardian of the child whose name is sought to be changed. 2.The written consent of the non-petitioning parent or guardian for the name change of the minor is not required under I.C. 31-19-9. 3.That the child's current name is: Jayla Adalia Pedroza. 4.The following is a list of all of the previous names of the child: Jayla Adalia Pedroza. 5.That I will bring the child's identification card to the Change of Name Hearing for verification. 6.That the child does not hold a valid United States passport. Proof the the child is a United States citizen is Certified Birth Certificate. I will bring this document to the Change of Name Hearing for verification. 7.That the following judgments of criminal convictions of a felony under the laws of any state or the United States have been entered against the child, or I have stated immediately below that the child does not have any felony convictions: No criminal convictions. 8.That changing the child's name is not an effort to defraud any of the child's creditors. 9.That notice of the request for name change has been published in a local publication as required by law and will be brought to the Change of Name Hearing. 10.That the child is not confined to a Department of Correction facility or a sex or violent offender who is required to register under I.C. 11-8-8. 11.That pursuant to Indiana code 34-28-2-1, I petition this Court to change the child's name. Pursuant to Indiana Code 34-28-2-2 (b), the reason the change of the child's name is requested is: to have the same last name as Dad and siblings. 12.That I request that the child's name be changed to: Jaylah Adalia Aguilar. 13. request this Court to set a hearing to consider the Petition for Change of Name of Minor Child. WHEREFORE, I respectfully request that this Court grant this Petition for Name Change of a Minor, and for all other just and proper relief. I affirm under the penalties of perjury that the foregoing representations are true. Claudia Pedroza 64712 County Road 21, Lot 274 Goshen, IN 46526 February 19, 26 March 4 hspaxlp
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