VERIIFED PETITION FOR CHANGE OF NAME CASE NO. 20C02-1603-MI-69 IN THE ELKHART CIRCUIT COURT FOR THE STATE OF INDIANA, COUNTY OF ELKHART, SS: IN RE THE NAME CHANGE OF: Denice Zablon Makunenge, Petitioner. Petitioner, Denice Zablon Makunenge, pro se, respectfully petitions this court to change his name. In support of this Petition, Petitioner states as follows: 1. That my current name is: Denice Zablon Makunenge. 2. That my date of birth is: 03/13/1968. 3. That I will bring my Indiana driver's license or identification card to my Change of Name Hearing for verification. 4. That my mailing address is: 820 Antler Drive, Apt. D, Middlebury, IN 46540. 5. The following is a list of all of my previous names: Denice Zablon Makunenge. 6. That I do hold a valid Untied States passport. I will bring this document to my Change of Name Hearing for verification. 7. That the following judgments of criminal conviction of a felony under the laws of any state or the United States have been entered against me, or I have stated immediately below that I have no felony convictions: No felony convictions. 8. That I am not seeking to defraud creditors by changing my name. 9. That I have published notice of my request for name change in a local publication as required by law, and will bring proof of publication to the hearing. 10. That I am not 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 wish to change my name. The reason I want to change my name is: When my brother registered me for college, he changed my name from Dennis to Denice. I am uncomfortable because it seems like a female name. 12. That I wish to change my name to: Dennis Zablon Makunenge. WHEREFORE, I respectfully request that this Court grant my Petition for Name Change, and for all other just and proper relief. I affirm under the penalties of perjury that the foregoing representations are true. Denice Zablon Makunenge 820 Antler Drive, Apt. D, Middlebury, IN 46540 March 16, 23, 30 hspaxlp
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