May 6, 2016 at 2:48 p.m.

molly fires name change


Public Notice State of Indiana County of Jay, SS: In the Jay Circuit COurt Case No. 38C01-1604-MI-9 In Re the Name Change of Mollie Esther Fiers, Petitioner Verified Petition for Change of Name Petitioner, Mollie Esther Fiers, pro se, respectfully petitions this court to change her name. In support of this Petition, Petitioner states as follows: 1. That my current name is: Mollie Esther Fiers. 2. That my date of birth is: 3-17-1951 3. That my Indiana driver's license number/Indiana identification number is ****; and 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: 32 North Spencer St., Redkey, Indiana 47373 5. The following is a list of all my previous names: Mollie Esther Muncy, Molly Esther Muncy, Molly Esther Fiers. 6. That I do not hold a valid United States passport. My proof that I am a United States citizen is Birth Certificate & Indiana ID Card. I will bring this document to my Change of Name Hearing for verification. 7. That the following judgements of criminal conviction of a felony under the laws of any state or the United Sates have been entered against me, or I have stated immediately below that I have no felony convictions: I have 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 I 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: On all of my records (school, medical, work, social security, etc.) my first name is spelled different from the spelling on my birth certificate. 12. That I wish to change my name to Molly Esther Fiers. 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. Mollie Esther Fiers CR 5-5,12,19-2016 -HSPAXLP
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