Kansas Notice of Hearing Form

The following form has to be completed and submitted to the newspaper that a person chooses to announce his/her legal name change in the State of Kansas.

Extracted Text for Proper Search

(First Published in _______________________________[Name of News Publication],
_______________, 20____ )	
IN THE                              	 JUDICIAL DISTRICT
DISTRICT COURT OF                                                    	
 COUNTY, KANSAS
IN THE MATTER OF THE PETITION OF
                                                                            
Case No. _____________	
Present Name	
Div. No. ______________
To Change His/Her Name to:
                                                                            	
  New Name	
PURSUANT TO K.S.A. CHAPTER 60	
NOTICE OF HEARING - PUBLICATION	
THE STATE OF KANSAS TO ALL WHO ARE OR MAY BE CONCERNED: 
You are hereby notified that ______________________________________ [Petitioner’s
Full Name], filed a Petition in the above court on the ____ day of ________________________,
20_____, requesting a judgment and order changing his/her name from ____________________
____________________________ to ______________________________________________ .
The Petition will be heard in _________________________ County District Court,
_______________________________________ [Court address], ______________________ [City],
Kansas, on the ____day of ________________, 20_______, at ____:____  	
G a.m.  	G p.m.	
If you have any objection to the requested name change, you are required to file a
responsive pleading on or before __________________, 20_____ [Insert date at least 41 days
after first publication] in this court 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. 
_________________________________________ 
Petitioner, Pro Se
Name (Print):______________________________
Address 1: ________________________________
Address 2: ________________________________
City, State, Zip: ____________________________
Telephone Number: ________________________	
KSJC 12/2010 Page 1 of  1